Ethnic differences in adipose tissue dysfunction and insulin resistance: a scoping review

Diabetes Res Clin PractPublished Scoping review

Authors' conclusion

Current trends indicate intrahepatic lipid is lower in BA but greater in SA compared to WE populations, indicting possible ethnic disparities in the role ATD in the development of T2D. Few ethnicity studies have investigated multiple characteristics of ATD between BA and SA groups in a single study which may be needed to elucidate ethnic-specific pathophysiology of T2D.

Study context

Population
Adults (>18 years) of south Asian (SA), black (BA) or white (WE) ethnicity in studies comparing ectopic fat, with insulin sensitivity and adipokine data where present
Participants
31 studies
Comparison
South Asian vs black vs white ethnicity
Outcome
Characteristics of included studies
Methodological detailsMEDLINE search
  • MEDLINE search

Main finding

As reported in the abstract

Studies conducted in USA
22
Studies focused on BA
28
Studies on intrahepatic lipids
26
Studies on intrapancreatic lipids
3
Studies on intramyocellular lipids
8
Studies investigating leptin and adiponectin alongside ectopic fat by ethnicity
2

Original publication

Ethnic differences in adipose tissue dysfunction and insulin resistance: a scoping review. Diabetes Res Clin Pract. Published 6 August 2025. doi:10.1016/j.diabres.2025.112363

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