Facial fat and its relationship to abdominal fat: a marker for insulin resistance?

Reports of relationships between measures of insulin sensitivity and measures of body fat and fat distribution suggest that abdominal fat accumulation is a predictor of insulin resistance. It has been previously suggested that facial fat (primarily in the cheeks and neck) is strongly associated with visceral abdominal fat accumulation. The facial fat is a rich vascular region, that seems to be metabolically active and resembles abdominal white adipose tissue. We, therefore, hypothesize that facial fat could be a good predictor of insulin resistance. Whether facial fat can be used as an accurate marker for insulin resistance remains to be determined. (C) 2004 Elsevier Ltd. All rights reserved.