Type 2 diabetes: Does pancreatic fat really matter?
Valeria GuglielmiPaolo SbracciaPublished in: Diabetes/metabolism research and reviews (2017)
With the increasing prevalence of obesity, the interest of research in nonalcoholic fatty pancreas disease (NAFPD) has grown. Even though the pancreas appears more susceptible to lipid accumulation compared with the liver, NAFPD has been less investigated due to the limits in detecting techniques. Several definitions and synonyms for NAFPD are used by authors and can be misleading. This, together with differences in methodology and ethnicity, make the integration and comparison of studies on this topic challenging. NAFPD could be used as an early indicator of ectopic fat deposition, which is recognized as a key factor of obesity cardio-metabolic complications. However, evidence that NAFPD has a pathogenetic role in type 2 diabetes is also emerging. This article reviews the current state of knowledge on the clinical and pathophysiologic relevance of NAFPD in β-cell function and insulin resistance.
Keyphrases
- insulin resistance
- type diabetes
- adipose tissue
- metabolic syndrome
- high fat diet induced
- glycemic control
- high fat diet
- skeletal muscle
- weight loss
- polycystic ovary syndrome
- risk factors
- healthcare
- systematic review
- randomized controlled trial
- physical activity
- body mass index
- mass spectrometry
- atomic force microscopy
- high resolution
- high speed