Research

Hormonal

Women exhibit a 'pear-shaped' peripheral fat distribution (gluteal-femoral) that confers protection against metabolic diseases, including type 2 diabetes and atherosclerosis, independent of total body fat levels.

Your body shape influences your health risk more than your total weight. Women who store fat in their hips and thighs (pear shape) have a biological advantage that protects against heart disease and diabetes, even if they have more total body fat than men. Focus on overall health rather than just total fat mass.

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Women, compared to men, have higher percent body fat and deposit it in a different pattern, with relatively more adipose tissue in the hips and thighs. This ‘female’ fat distribution, independent of total body fat, confers protection against metabolic diseases, such as type 2 diabetes and atherosclerosis [1].
Kalypso Karastergiou et al. · Biology of Sex Differences · 2012

Why this rating

The paper is a comprehensive review citing multiple epidemiological, clinical, and molecular studies, though it notes some mechanisms remain 'poorly understood'.

Source

Sex differences in human adipose tissues – the biology of pear shape

Kalypso Karastergiou et al. · Biology of Sex Differences · 2012

DOI 10.1186/2042-6410-3-13

narrative_reviewCited 1,096×
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DOI resolved against Crossref · corpus check 2026-06-10

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