Are Regular Fat and Skinny Fat the Same Thing?
The popular spiel online and on social media, including too many medical professionals, claims that regular white/yellow fat (1, 2) and skinny fat (3) are the same thing. Yet, the Standard BMI definition (4) clearly states that once a person is inside safe BMI — 18.5 to 24.99 — they no longer have too much/any excess regular white/yellow body fat (5, 6). The scientific/medical definition (7) of skinny fat (AKA normal weight obesity) is having too much fat on your body when within safe BMI — but it cannot be and is not too much/excess regular white/yellow fat (body fat).
You can technically lose 100% of your regular fat but your skinny fat (thin fat, cellulite) will remain. Just ask 80%+ of the women (8) and less than 10% of men (8) worldwide who are experiencing cellulite skinny fat. There is no scientifically documented evidence that a single one of them — 0% — has ever gotten rid of it. No matter how much regular fat they lose, how much muscle mass they add, or how many FDA-approved ways they pay for, they cannot permanently get rid of their cellulite. They can only reduce it.
Kinds of Human Body Fat – Are Regular Fat and Skinny Fat the Same Thing?
The kinds of fat (1, 2, 3) that are found in the human body are:
Regular White Fat/Yellow Fat Tissue (Body Fat/Adipose Tissue) – the most common and abundant fat in the human body is white fat. It is widespread across the body and can be found almost anywhere, but is typically most common on the chest, abdomen, and legs. White fat can look yellow because humans can’t properly metabolize yellow carotene in vegetables and grains, which migrates to and settles in our white fat cells. Visceral fat and subcutaneous fat (9, 10, 11) are typically white fat, as is ectopic fat (organs, nerves, bone marrow, skeletal muscle, etc.)(12, 13, 14, 15) including intramuscular fat (16, 17, 18). Body fat percentage (%) is regular fat (it does not include skinny fat tissue).
Brown Fat Tissue – most abundant in newborn babies (19, 20), with small amounts remaining into adulthood, brown fat is significantly less abundant than white/yellow fat. It is typically found around the upper back, shoulders, and neck and positively affects body temperature regulation and metabolism. In certain situations, white fat tissue can turn (21, 22) into brown fat tissue. Visceral fat and subcutaneous fat can be brown fat (23).
Beige Fat Tissue – a combination of white fat cells and brown fat cells. Like brown fat tissue, this tissue positively affects metabolism by burning calories to regulate body temperature via converting white fat to brown fat. White fat tissue can turn (24) into beige fat tissue under certain instances. Visceral fat and subcutaneous fat can be beige fat (25).
Skinny Fat Tissue (3) – the newest type, we are still technically uncertain what kind of tissue — thin fat and cellulite — skinny fat really is. We know it is not muscle tissue. We know it is not white/yellow, brown, or beige fat tissue. But we are certain it exists, as a person can lose all of their regular white/yellow fat yet their skinny fat will remain. Skinny fat tissue is not included in body fat % calculations.
What Tissue is What?
There is no scientific evidence at this time that white/yellow, brown, or beige fat can turn into skinny fat, or vice versa. It is also unclear whether thin fat can become cellulite, although this is likely the case, as it would explain why some people notice more cellulite as they age.
Skinny fat (thin fat tissue, cellulite tissue) is only subcutaneous — it is NOT visceral fat (26, 27, 28, 29), which is considered more dangerous. Although, it is very possible to be experiencing subcutaneous skinny fat tissue on the abdomen along with too much visceral regular white/yellow fat at the same time.
What Type of Fat Causes Regular Obesity?
The scientific/medical definition (5, 30) of being overweight (BMI 25 to 29.99) or obese (BMI 30+) is having excess/too much regular white fat/yellow body fat. Regular obesity (BMI 30+) and normal weight obesity (BMI 18.5 to 24.99)) are not the same; they are two very different things. Only regular white fat causes a person to be overweight or regular obese.
Whereas, brown fat and beige fat positively affect and help mitigate obesity (31, 30) and being overweight by improving metabolism (32) and burning more calories.
If you are experiencing skinny fat (3) where you genetically should have default genetic muscle/mass, anywhere you have skinny fat tissue you are more prone to putting on regular white/yellow fat and being overweight or regular obese. And the harder it can be to lose regular fat weight and keep it off. You will have to be more diligent with your diet, exercise, and lifestyle throughout your life. Skinny fat can exist at any BMI, although being normal weight obese (NWO) can only occur when you are within safe BMI.
Are Regular Fat and Skinny Fat the Same Thing?
The latest science is clear that, no, regular white/yellow fat and skinny fat are not the same thing. They are two different things; two different types of genetic tissue. Losing regular fat can help reduce skinny fat, but it does not permanently get rid of it.
No amount of resistance exercise, including weightlifting, and no amount of protein magically gets rid of or turns skinny fat tissue into muscle tissue. This is not how human tissue works (33, 34, 35).
Just as a poor diet or any type of exercise (like cardio) does not cause skinny fat. Skinny fat is unique genetic tissue that can only be reduced by safely losing regular fat, adding muscle mass, or paying for a few FDA-approved ways.
How Skinny Fat Affects Regular Fat Weight Loss & Gain
References
- Cleveland Clinic: Do You Know The Color of Body Fat?, February 22, 2021. https://health.clevelandclinic.org/do-you-know-the-color-of-body-fat-infographic
- WebMD: What You Need to Know About Body Fat, October 25, 2022, Carol DerSarkissian, MD. https://www.webmd.com/diet/features/the-truth-about-fat
- Skinny Fat Science: What is Skinny Fat?, July 26, 2024. https://skinnyfat.fellowone.com/what-is-skinny-fat/
- Wikipedia: Body mass index, https://en.wikipedia.org/wiki/Body_mass_index
- Cleveland Clinic: Brown Fat. https://my.clevelandclinic.org/health/body/24015-brown-fat
- Harvard Health Publishing: How useful is the body mass index (BMI)?, May 5, 2023, Robert H. Shmerling, MD, Senior Faculty Editor. https://www.health.harvard.edu/blog/how-useful-is-the-body-mass-index-bmi-201603309339
- Oxford Academic, Nutrition Reviews: Normal-weight obesity syndrome: diagnosis, prevalence, and clinical implications, July 26, 2016, Lana P. Franco, Carla C. Morais, and Cristiane Cominetti. https://academic.oup.com/nutritionreviews/article/74/9/558/1752252
- Cleveland Clinic: Cellulite, https://my.clevelandclinic.org/health/diseases/17694-cellulite
- Cleveland Clinic: Adipose Tissue (Body Fat), August 18, 2022. https://my.clevelandclinic.org/health/body/24052-adipose-tissue-body-fat
- The Conversation: Brown, white and beige: understanding your body’s different fat cells could help with weight loss, May 18, 2020, Trust Diya. https://theconversation.com/brown-white-and-beige-understanding-your-bodys-different-fat-cells-could-help-with-weight-loss-138141
- NIH, National Library of Medicine: Switching harmful visceral fat to beneficial energy combustion improves metabolic dysfunctions, February 23, 2017, Xiaoyan Yang Wenhai Sui, Meng Zhang, Mei Dong, Sharon Lim, Takahiro Seki, Ziheng Guo, Carina Fischer, Huixia Lu, Cheng Zhang, Jianmin Yang, Meng Zhang, Yangang Wang, Caixia Cao, Yanyan Gao, Xingguo Zhao, Meili Sun, Yuping Sun, Rujie Zhuang, Nilesh J. Samani, Yun Zhang, and Yihai Cao. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313060/
- ScienceDirect: Methodological advancements in organ-specific ectopic lipid quantitative characterization: Effects of high fat diet on muscle and liver intracellular lipids, February 2023, volume 28, Dogan Grepper, Cassandra Tabasso, Axel K.F. Aguettaz, Adrien Martinotti, Ammar Ebrahimi, Sylviane Lagarrigue, and Francesca Amati. https://www.sciencedirect.com/science/article/pii/S2212877823000030
- NIH, National Library of Medicine: Ectopic Fat and Insulin Resistance: Pathophysiology and Effect of Diet and Lifestyle Interventions, May 24, 2012, M Snel, J T Jonker, J Schoones, H Lamb, A de Roos, H Pijl, J W A Smit, A E Meinders, and I M Jazet. https://pmc.ncbi.nlm.nih.gov/articles/PMC3366269/
- American Heart Association Journals: Ectopic Fat Depots and Cardiovascular Disease, December 13, 2011, Volume 124, Number 24, Kathryn A. Britton, MD and Caroline S. Fox, MD, MPH. https://www.ahajournals.org/doi/10.1161/circulationaha.111.077602
- Healthline: Types of Body Fat: Benefits, Dangers, and More, May 24, 2019, Megan Dix, RN, BSN (Medically reviewed by Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Fitness). https://www.healthline.com/health/types-of-body-fat
- Wikipedia: Intramuscular fat. https://en.wikipedia.org/wiki/Intramuscular_fat
- NIH, National Library of Medicine: The Effects of Diet on the Proportion of Intramuscular Fat in Human Muscle: A Systematic Review and Meta-analysis, February 20, 2018, Sara Ahmed, Dhanveer Singh, Shereen Khattab, Jessica Babineau, and Dinesh Kumbhare. https://pmc.ncbi.nlm.nih.gov/articles/PMC5826234/
- American Heart Association Journals: Intramuscular Fat and Associations With Metabolic Risk Factors in the Framingham Heart Study, January 24, 2013, Volume 33, Number 4, Kate E. Therkelsen, Alison Pedley, Elizabeth K. Speliotes, Joseph M. Massaro, Joanne Murabito, Udo Hoffmann, and Caroline S. Fox. https://www.ahajournals.org/doi/10.1161/atvbaha.112.301009
- Healthline: Brown Fat: What You Should Know, May 22, 2023, Ashley Marcin (Medically reviewed by Lisa Hodgson, RDN, CDN, CDCES, FADCES). https://www.healthline.com/health/brown-fat
- Medical News Today – Brown fat: What is it and can it help reduce obesity?, July 13, 2023, Yvette Brazier (Medically reviewed by University of Illinois). https://www.medicalnewstoday.com/articles/240989
- WebMD: Scientists Find the ‘On’ Switch for Energy-Burning Brown Fat, October 17, 2023, Courtney Southwick. https://www.webmd.com/obesity/news/20231017/energy-burning-brown-fat-could-help-with-obesity
- scientific reports: A direct tissue-grafting approach to increasing endogenous brown fat, May 21, 2018, Nicole R. Blumenfeld, Hwan June Kang, Anna Fenzl, Ziwei Song, Janice J. Chung, Ranjodh Singh, Roshawn Johnson, Ayse Karakecili, Jun B. Feranil, Ninna S. Rossen, Vivian Zhang, Sahir Jaggi, Bret McCarty, Steven Bessler, Gary J. Schwartz, Robert Grant, Judith Korner, Florian W. Kiefer, Brian M. Gillette, and Samuel K. Sia. https://www.nature.com/articles/s41598-018-25866-y
- ScienceDirect: Brown adipose tissue is associated with healthier body fat distribution and metabolic benefits independent of regional adiposity, Andreas G. Wibmer, Tobias Becher, Mahmoud Eljalby, Audrey Crane, Pamela Causa Andrieu, Caroline S. Jiang, Roger Vaughan, Heiko Schöder, Paul Cohen. https://www.sciencedirect.com/science/article/pii/S2666379121001786
- ScienceDaily: Scientists turn white fat cells into calorie-burning beige fat, July 1, 2024, Brian Feldman, MD, PhD and Liang Li, PhD, University of California – San Francisco. https://www.sciencedaily.com/releases/2024/07/240701131754.htm
- MedicalNewsToday: Obesity can disrupt mitochondrial functions in the body, study finds, January 29, 2023, Corrie Pelc (Fact checked by Sarah Myers, PharmD). https://www.medicalnewstoday.com/articles/obesity-caused-by-metabolism-disrupting-molecule#Metabolic-changes-caused-by-obesity
- Harvard Health Publishing: Abdominal fat and what to do about it, July 29, 2024, Howard E. LeWine, MD, Chief Medical Editor. https://www.health.harvard.edu/staying-healthy/abdominal-fat-and-what-to-do-about-it
- Cleveland Clinic: Visceral Fat, September 12, 2022. https://my.clevelandclinic.org/health/diseases/24147-visceral-fat
- Healthline: Visceral Fat, January 31, 2021, Ana Gotter (Medically reviewed by Danielle Hildreth, RN, CPT). https://www.healthline.com/nutrition/lose-visceral-fat
- WebMD: Visceral Fat: What Is It?, April 8, 2024, Paul Frysh, Kendall K. Morgan (Medically reviewed by Poonam Sachdev). https://www.webmd.com/diet/what-is-visceral-fat
- NIH, National Library of Medicine: An update on brown adipose tissue and obesity intervention: Function, regulation and therapeutic implications, January 11, 2023, Xiaomeng Liu, Zhi Zhang, Yajie Song, Hengchang Xie, and Meng Dong. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9874101/
- MedicalNewsToday: How ‘switching on’ brown fat may protect against obesity, May 3, 2024, Corrie Pelc (Fact checked by Jill Seladi-Schulman, Ph.D.). https://www.medicalnewstoday.com/articles/how-switching-on-brown-fat-may-protect-against-obesity
- NIH, National Institutes of Health: How brown fat improves metabolism, September 10, 2019. https://www.nih.gov/news-events/nih-research-matters/how-brown-fat-improves-metabolism
- Live Science: Can You Turn Fat into Muscle?, November 10, 2017, Ashley P. Taylor. https://www.livescience.com/60904-can-you-turn-fat-into-muscle.html
- Healthline: Does Fat Turn into Muscle? What to Know, March 2, 2021, Katey Davidson, MScFN, RD, CPT (Medically reviewed by Jake Tipane, CPT ). https://www.healthline.com/nutrition/does-fat-turn-into-muscle
- NIH, National Library of Medicine: Muscle-to-fat interaction: a two-way street?, January 1, 2010, J Physiol. https://pmc.ncbi.nlm.nih.gov/articles/PMC2821541/