Understanding Belly Fat: Health Risks and Ways to Reduce Visceral Fat
Article

Understanding Belly Fat: Health Risks and Ways to Reduce Visceral Fat

Published on Monday, August 05, 2024
by
Keydella Fuller

Wellness
Gut Health

The Silent Threat of Belly Fat: A Vital Health Concern You Must Understand

Abdominal fat, often dismissed as a cosmetic issue, is far more than that—it's a warning sign of potential health hazards that could cut short your life. The distribution of fat in your body, particularly around the abdomen, is a critical factor as it's linked to a higher risk of all-cause mortality, meaning death from any cause.

If you have belly fat, you are not just at a higher risk, but significantly more likely to develop cardiovascular disease, increased triglyceride levels, reduced good cholesterol (HDL) levels, increased bad cholesterol (LDL) levels, and increased fasting blood sugars and total cholesterol. These are not just health concerns, they are serious conditions that can lead to metabolic syndrome, placing us at high risk of conditions such as heart disease, stroke, and type 2 diabetes. Some studies even point to an increased risk of breast and colon cancer as well as dementia. This is not a matter to be taken lightly. 

Understanding Different Types of Fat

Not all fat is created equal. The fat you can pinch, the subcutaneous fat, makes up about 90% of your body's fat and is typically found in areas like the thighs and buttocks. It’s the cuddly fat that, while still a health concern, is less threatening than its deep-seated counterpart.

In contrast, visceral fat lies deep within the abdominal cavity, tucked under your muscles and around your organs. This type of fat is more concerning, as you can't feel it from the outside, but it can be detected through medical imaging like CT scans or MRIs. Visceral fat coats our organs, contributing to fatty livers and pancreas, and eventually, it can find itself in our muscles. 

The Hidden Endocrine Gland: Visceral Fat’s Role in Your Body

Contrary to popular belief, not all fat is bad. Visceral fat, for instance, acts like a separate endocrine gland, making it more metabolically active than subcutaneous fat. It secretes hormones and inflammatory substances called cytokines. These cytokines increase inflammation throughout the body and disturb hormonal balances, leading to further accumulation of belly fat. This activity makes visceral fat particularly harmful, contributing to a reduced immune response and ability to fight infections. Understanding this unique role of visceral fat is crucial for your health awareness.

How to Identify Visceral Fat?

How do you know you have it? Listening to a podcast, Dr. Mark Hyman mentioned the mirror test. It's where you stand in front of the mirror without a shirt and jump up and down. If your belly jiggles, you have it. For a more scientific approach, measure your waist circumference or calculate your waist-to-hip ratio. A waist circumference over 35 inches in women and 40 inches in men or a waist-to-hip ratio above 0.85 in women and 0.90 in men suggests a higher risk due to belly fat. 

Visceral Fat and Gut Health 

Increased belly fat can lead to imbalances in the gut bacteria or dysbiosis. Additionally, visceral fat has been linked with increased lipopolysaccharide levels and reduced short-chain fatty acid levels, increasing the risk of leaky gut. Supporting the gut with prebiotic fiber can feed beneficial bacteria and aid in weight management, while strains like Akkermansia and Bacteroides help improve gut health and reduce body fat. A good probiotic with multiple strains is the way to go. Seek advice from a functional medicine provider if needed to get personalized recommendations. 

Actionable Steps to Reduce Visceral Fat

Fortunately, many lifestyle-style interventions help people lose weight and reduce visceral fat. Most attribute belly fat to overeating, and going on a calorie-restricted diet can help; however, it may not be the only thing needed as belly fat can have many root causes. Hormone dysregulation, like insulin resistance and excess cortisol levels, must be addressed. Both insulin and cortisol are fat-storing hormones.

  • Dietary Adjustments: Avoid/limit high-sugar foods (fruit juices, sodas, cookies, and cakes), as they trigger sugar spikes. Consider a balanced diet, possibly low in carbs but not as restrictive as keto. Include prebiotic-rich foods to support gut health.
  • Exercise: Exercise resistance training to help shift body composition and boost metabolism.
  • Sleep and Stress Management: Prioritize restorative sleep and manage stress through yoga or meditation. This helps to regulate cortisol and insulin levels.
  • Intermittent Fasting: Implement a simple 12-hour fast from dinner to breakfast, which can help improve your gut microbiota and reduce inflammation.

Conclusion: Improving Longevity by Reducing Belly Fat

Losing belly fat is not just about aesthetics—it's about taking control of your health and enhancing your longevity. By understanding the health risks of visceral fat and taking proactive steps to manage it, you can significantly improve your overall health. Reducing stress, getting restorative sleep, exercising, and reducing simple sugar intake have been shown to help reduce visceral fat. 

Each small change you make can lead to meaningful improvements in your well-being. Remember, you have the power to make a difference in your health. Consistency is key when it comes to losing weight. Reach out to a health professional for additional support. 


  1. Anekwe, C. (2021, February 18). The link between abdominal fat and death: What is the shape of Health?. Harvard Health. https://www.health.harvard.edu/blog/the-link-between-abdominal-fat-and-death-what-is-the-shape-of-health-2021021821960 
  2. Cleveland Clinic. (2024, June 7). 4 ways protein can help you shed pounds. Cleveland Clinic. https://health.clevelandclinic.org/how-much-protein-to-eat-to-lose-weight
  3. Hyman, M. (2022, February 21). How to lose belly fat. Dr. Mark Hyman. https://drhyman.com/blog/2022/02/21/podcast-ep497 
  4. Le Roy, C. I., Bowyer, R. C. E., Castillo-Fernandez, J. e., Pallister, T., Menni, C., Steves, C. J., Berry, S. E., Spector, T. D., & Bell, J. t. (2019). Dissecting the role of the gut microbiota and diet on visceral fat mass accumulation. Scientific Reports, 9(9758). https://www.nature.com/articles/s41598-019-46193-w 
  5. LeWine, H. E. (2024, March 26). Taking aim at Belly Fat - Harvard Health Publications. Harvard Health. https://www.health.harvard.edu/newsletter_article/taking-aim-at-belly-fat 
  6. Roco-Videla, Á., Villota-Arcos, C., Pino-Astorga, C., Mendoza-Puga, D., Bittner-Ortega, M., & Corbeaux-Ascui, T. (2023). Intermittent Fasting and Reduction of Inflammatory Response in a Patient with Ulcerative Colitis. Medicina (Kaunas), 59(8), 1453. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10456230/ 
  7. Visceral fat: What it is & how to get rid of it. Cleveland Clinic. (2022, September 12). https://my.clevelandclinic.org/health/diseases/24147-visceral-fat 
  8. Westcott, W. L. (2012). Resistance training is medicine: effects of strength training on health. Current Sports Medicine Reports, 11(4), 209-216. https://pubmed.ncbi.nlm.nih.gov/22777332/ 
  9. Yan, H., Qin, Q., Chen, J., Yan, S., Li, T., Gao, X., Yang, Y., Li, A., & Ding, S. (2021). Gut Microbiome Alterations in Patients With Visceral Obesity Based on Quantitative Computed Tomography. Frontiers in Cellular and Infection Microbiology, 11(823262). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811355/
  10. Zhang, C., Rexrode, K. m., van Dam, R. m., Li, T. y., & Hu, F. b. (2008). Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality: sixteen years of follow-up in US women. Circulation, 117(13), 1658-67. https://pubmed.ncbi.nlm.nih.gov/18362231/

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Keydella Fuller

MSN, APRN, FNP-C

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