Type 2 & other diabetes

Comparison of subcutaneous, visceral, liver and muscle fat depots in relation to prevalent and incident diabetes

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

Visceral fat showed a stronger association with diabetes than did other fat depots, highlighting the central role of visceral fat in the development of diabetes.

Study context

Population
UK Biobank participants with an imaging visit, without T1D at that visit; mean age 66 years, 52% women
Participants
44,857 participants
Exposure
Four MRI-measured fat depots in relation to diabetes
Outcome
Prevalent diabetes (logistic regression, OR) and incident diabetes captured by hospitalizations (Cox regression, HR)
Follow-up
Median 3.6 years
Methodological detailsUK Biobank, MRI-measured fat depots
  • UK Biobank
  • MRI-measured fat depots

Main finding

As reported in the abstract

Incident diabetes, HR per SD increase, adjusted for age, sex, ethnicity and BMI
GroupHR
Visceral adipose tissue (VAT)2.44 (95% CI 1.91-3.11)
Liver fat (LF)1.75 (95% CI 1.56-1.97)
Muscle fat infiltration (MFI)1.14 (95% CI 0.98-1.34)
Abdominal subcutaneous adipose tissue (ASAT)0.80 (95% CI 0.63-1.02)

HR

Visceral adipose tissue (VAT)2.44 (95% CI 1.91-3.11)
Liver fat (LF)1.75 (95% CI 1.56-1.97)
Muscle fat infiltration (MFI)1.14 (95% CI 0.98-1.34)
Abdominal subcutaneous adipose tissue (ASAT)0.80 (95% CI 0.63-1.02)

Observational data: associations, not effects.

Further findings

Prevalent and incident diabetes, age-, sex- and ethnicity-adjusted

Prevalent diabetes
2428
Hospitalized with incident diabetes, of 42 429 free of diabetes
252
ASAT, VAT, LF and MFI all associated with higher likelihood of having or developing diabetes

Original publication

Comparison of subcutaneous, visceral, liver and muscle fat depots in relation to prevalent and incident diabetes. Diabetes Obes Metab. Published 18 August 2025. doi:10.1111/dom.70021

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