Adiposity

Adiposity has been studied in 30 papers since 1981: 2 trials and 27 observational studies in people, 1 review; 5 in the past year. The newest paper, Sep 8, 2026: “Divergent genetic mediator signatures of adiposity-related metabolic liabilities and coronary artery disease”.

Exposure

30 papers study it37 findingsUpdated

MeSH

Research on it is growing 83% faster than aging research as a whole: 129 papers in the latest year counted

See all 30 papers on adiposity

At a glance

The findings reach people, from one lab or study. 19 independent labs in 9 countries.

“Adiposity with preserved metabolic function was protective (odds ratio 0.28, 95% CI 0.19-0.42)”
Divergent genetic mediator signatures of adiposity-related metabolic liabilities and coronary artery diseasemedRxiv2026doi:10.64898/2026.09.02.26362109

2 of its findings point the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 19 independent labs in 9 countries
  • 2 findings against
  • Funders: National Institutes of Health and others
  • 7 of 36 findings with company ties
  • Human trial2
  • Humans27

What did studies of adiposity find?

16

Studies of adiposity measured 16 outcomes; the most studied are 25(OH)D (1 study), type II fiber area (1) and AMPK signaling (1).

25(OH)D

mediatesin humans1downin humans1

1 study
  1. Adiposity is linked with 25(OH)D in humans (mediating the relationship between moderate and vigorous physical activity and 25(OH)D) (β = 0.01, P = .09).

    “A marginal and partial effect of %fat as a mediator of the relationship between MVPA and 25(OH)D was noted (β = 0.01, P = .09).”

    Humansmediating the relationship between moderate and vigorous physical activity and 25(OH)Dn = 574

    Association between physical activity and vitamin D is partially mediated by adiposity in older adults: EpiFloripa Aging Cohort Study

    Nutrition research (New York, N.Y.)

  2. Adiposity is linked with lower 25(OH)D in humans (direct effect across all structural equation models).

    “Additionally, a direct negative effect of %fat on 25(OH)D was observed in all models.”

    Humansdirect effect across all structural equation modelsn = 574

    Association between physical activity and vitamin D is partially mediated by adiposity in older adults: EpiFloripa Aging Cohort Study

    Nutrition research (New York, N.Y.)

More on 25(OH)D

Type II fiber area

upin humans1

1 study
  1. Adiposity is linked with higher type II fiber area in humans (individuals with obesity compared with normal weight) (significant increase).

    “Obesity was further associated with a significant increase in type II fast-fibre area (P = 0.026)”

    Humansindividuals with obesity compared with normal weightskeletal musclemalesn = 40

    Adiposity is associated with widespread transcriptional changes and downregulation of longevity pathways in aged skeletal muscle

    Journal of cachexia, sarcopenia and muscle

AMPK signaling

downin humans1

1 study
  1. Adiposity is linked with lower AMPK signaling in humans (individuals with obesity compared with normal weight) (P = 4.5 × 10−3).

    “downregulated genes enriched in longevity (P = 1.5 × 10−3 ) and AMP-activated protein kinase (AMPK) (P = 4.5 × 10−3 ) signalling pathways”

    Humansindividuals with obesity compared with normal weightskeletal musclemalesn = 40

    Adiposity is associated with widespread transcriptional changes and downregulation of longevity pathways in aged skeletal muscle

    Journal of cachexia, sarcopenia and muscle

More on AMPK signaling

longevity pathways

downin humans1

1 study
  1. Adiposity is linked with lower longevity pathways in humans (individuals with obesity compared with normal weight) (P = 1.5 × 10−3).

    “downregulated genes enriched in longevity (P = 1.5 × 10−3 ) and AMP-activated protein kinase (AMPK) (P = 4.5 × 10−3 ) signalling pathways”

    Humansindividuals with obesity compared with normal weightskeletal musclemalesn = 40

    Adiposity is associated with widespread transcriptional changes and downregulation of longevity pathways in aged skeletal muscle

    Journal of cachexia, sarcopenia and muscle

Immune response

upin humans1

1 study
  1. Adiposity is linked with higher immune response in humans (individuals with obesity compared with normal weight) (P = 3.18 × 10−41).

    “Upregulated genes were enriched in immune response (P = 3.18 × 10−41 )”

    Humansindividuals with obesity compared with normal weightskeletal musclemalesn = 40

    Adiposity is associated with widespread transcriptional changes and downregulation of longevity pathways in aged skeletal muscle

    Journal of cachexia, sarcopenia and muscle

More on Immune response

Movement-behavior composition

no changein humans1

1 study
  1. Adiposity was not clearly linked with movement-behavior composition in humans (baseline adiposity versus 7-year change in movement behavior) (p > 0.05).

    “No significant associations were found between baseline adiposity and longitudinal changes in the movement-behavior composition (p > 0.05).”

    Humansbaseline adiposity versus 7-year change in movement behavior7 yearsfemalesn = 176

    A study on prospective associations between adiposity and 7-year changes in movement behaviors among older women based on compositional data analysis

    BMC geriatrics

Grip strength

downin humans1

1 study
  1. Adiposity is linked with lower grip strength in humans.

    “HA-NBMI had lower values for bone geometry parameters, as well as grip strength, than both NA-NBMI and HA-HBMI (all P < 0.05)”

    Humanshigh adiposity with normal BMI compared with normal adiposity with normal BMI and with high adiposity with high BMIn = 3,411

    Adiposity Without Obesity: Associations with Osteoporosis, Sarcopenia, and Falls in the Healthy Ageing Initiative Cohort Study

    Obesity (Silver Spring, Md.)

Bone geometry parameters

downin humans1

1 study
  1. Adiposity is linked with lower bone geometry parameters in humans.

    “HA-NBMI had lower values for bone geometry parameters, as well as grip strength, than both NA-NBMI and HA-HBMI (all P < 0.05)”

    Humanshigh adiposity with normal BMI compared with normal adiposity with normal BMI and with high adiposity with high BMIbonen = 3,411

    Adiposity Without Obesity: Associations with Osteoporosis, Sarcopenia, and Falls in the Healthy Ageing Initiative Cohort Study

    Obesity (Silver Spring, Md.)

More on Bone geometry parameters

Falls

no changein humans1

1 study
  1. Adiposity was not clearly linked with falls in humans (high adiposity with normal BMI compared with high adiposity with high BMI).

    “but similar likelihood of falls (P > 0.05)”

    Humanshigh adiposity with normal BMI compared with high adiposity with high BMI12 monthsn = 3,411

    Adiposity Without Obesity: Associations with Osteoporosis, Sarcopenia, and Falls in the Healthy Ageing Initiative Cohort Study

    Obesity (Silver Spring, Md.)

IL-6

upin humans1

1 study
  1. Adiposity is linked with higher IL-6 in humans (high-risk group defined by waist-to-hip ratio and total fat mass).

    “Levels of IL-6 and MIP1-α were elevated in the high-risk group defined by WHR and total fat mass.”

    Humanshigh-risk group defined by waist-to-hip ratio and total fat massfemales

    Cardiorespiratory Fitness Does Not Offset Adiposity-Related Systemic Inflammation in Physically Active Older Women

    The Journal of clinical endocrinology and metabolism

More on IL-6

All 16

What is adiposity linked with?

19

Studies link adiposity with 19 measures, most often coronary artery disease (1 study), cerebral blood flow (1) and lordosis (1).

Coronary artery disease

upin humans1downin humans1

1 study
  1. Adiposity is linked with a higher risk of coronary artery disease in humans with metabolic dysfunction (odds ratio 1.90, 95% CI 1.42-2.55).

    “whereas adiposity with metabolic dysfunction (1.90, 1.42-2.55) and leanness with metabolic dysfunction (1.86, 1.52-2.27) conferred indistinguishable risk”

    Humanswith metabolic dysfunctionn = 60,801

    Divergent genetic mediator signatures of adiposity-related metabolic liabilities and coronary artery disease

    medRxivPreprint

  2. Adiposity is linked with a lower risk of coronary artery disease in humans with preserved metabolic function (odds ratio 0.28, 95% CI 0.19-0.42).

    “Adiposity with preserved metabolic function was protective (odds ratio 0.28, 95% CI 0.19-0.42)”

    Humanswith preserved metabolic functionn = 60,801

    Divergent genetic mediator signatures of adiposity-related metabolic liabilities and coronary artery disease

    medRxivPreprint

More on Coronary artery disease

Cerebral blood flow

downin humans1

1 study
  1. Adiposity is associated with cerebral blood flow in humans (age- and sex-adjusted models).

    “increased regional and ectopic adiposity was associated with lower CBF”

    Humansage- and sex-adjusted modelsbrainn = 23

    Increased Regional and Ectopic Adiposity Is Associated with Low Cerebral Blood Flow among Older Adults

    ADA Scientific Sessions 2026 abstract

More on Cerebral blood flow

Lordosis

upin humans1

1 study
  1. Adiposity is associated with lordosis in humans.

    “Adiposity demonstrates opposing associations, with decreased kyphosis and increased lordosis.”

    Humansn = 41,212

    Characterizing aging-related genetic and physiological determinants of spinal curvature

    Communications medicine

More on Lordosis

Kyphosis

downin humans1

1 study
  1. Adiposity is associated with kyphosis in humans.

    “Adiposity demonstrates opposing associations, with decreased kyphosis and increased lordosis.”

    Humansn = 41,212

    Characterizing aging-related genetic and physiological determinants of spinal curvature

    Communications medicine

More on Kyphosis

Cardiorespiratory fitness

downin humans1

1 study
  1. Adiposity is associated with cardiorespiratory fitness in humans.

    “Increasing BMI, body fat percentage, or waist circumference were each associated with decreased CRF over time.”

    Humansmedian of 7.1 yrn = 6,105

    Longitudinal Associations of Aerobic Activity, Muscle-Strengthening Activity, and Adiposity with Cardiorespiratory Fitness

    Medicine and science in sports and exercise

More on Cardiorespiratory fitness

Spinal curvature

mixedin humans1

1 study
  1. Adiposity is associated with spinal curvature in humans (kyphosis decreased, lordosis increased).

    “Adiposity had opposing associations, with decreased kyphosis and increased lordosis.”

    Humanskyphosis decreased, lordosis increased

    Aging of the Spine: Characterizing genetic and physiological determinants of spinal curvature

    medRxivPreprint

Areal bone mineral density

upin humans1

1 study
  1. Adiposity is associated with areal bone mineral density in humans (normal weight).

    “Interactions indicated a positive relationship between adiposity and aBMD in men classified as normal weight, but an inverse relationship in men with elevated BMI.”

    Humansnormal weightmales

    Cross-sectional associations between adipose tissue depots and areal bone mineral density in the UK Biobank imaging study

    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

More on Areal bone mineral density

Epigenetic clock

upin humans1

1 study
  1. Adiposity is associated with epigenetic clock in humans.

    “demonstrating positive relationships between adiposity measures and the ticking rate of epigenetic clocks in blood”

    Reviewbloodfemales

    Invited Commentary: Epigenetic Clocks and Obesity-Towards the Next Frontier Using Integrative Approaches and Early-Life Models

    American journal of epidemiology

More on Epigenetic clock

Epigenetic age

upin humans1

1 study
  1. Adiposity is associated with epigenetic age in humans (BMI ≥35.0 vs 18.5–24.9: β = 3.15 years, 95% CI 2.41–3.90).

    “all adiposity measures were associated with epigenetic age acceleration. The strongest association was for BMI and PhenoAge”

    Humansfemalesn = 2,758

    Associations of Body Composition and Physical Activity Level With Multiple Measures of Epigenetic Age Acceleration

    American journal of epidemiology

More on Epigenetic age

Muscle function

downin humans1

1 study
  1. Adiposity is associated with muscle function in humans.

    “Increased adiposity irrespective of muscle mass is relevant to reduced muscle function among elders.”

    Humans

    Impact of adiposity on muscle function and clinical events among elders with dynapenia, presarcopenia and sarcopenia: a community-based cross-sectional study

    Aging

All 19

Latest

Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 3Jul 2026: 0Aug 2026: 1Sep 2026: 1Oct 2026: 0Nov 2026: 05 papers in 12 months

See all 30 papers on adiposity