We tend to think of body fat as the soft layer we can see or pinch around our stomach, hips or thighs. But there’s another type of fat that deserves our attention – visceral fat.
Unlike subcutaneous fat, which sits just beneath the skin, visceral fat is stored deep inside the abdomen, surrounding organs such as the liver, pancreas and intestines. You can’t see or pinch it and, perhaps surprisingly, you can carry higher levels even if you appear relatively slim.
Why does visceral fat matter?
Visceral fat isn’t simply stored energy. It is metabolically active, releasing hormones and inflammatory compounds that can affect how the body functions.
Higher levels have been linked to insulin resistance, type 2 diabetes, heart disease, high blood pressure, fatty liver and metabolic syndrome.
For women, age and hormonal changes can also play a role. As oestrogen levels fall through menopause, the body has a greater tendency to store fat around the abdomen – which may explain why your waistline can begin to change even when your lifestyle hasn’t dramatically altered.
The encouraging news is that visceral fat responds well to relatively simple lifestyle changes and is often among the first fat to reduce when overall body fat decreases.
Do you have too much?
You don’t necessarily need a special scan to get an indication. Waist measurement is a useful and simple starting point.
For women, a waist measurement over 80cm suggests an increased health risk, while over 88cm suggests a higher risk. Another easy guide is your waist-to-height ratio – ideally, your waist should measure less than half your height.
These measurements are general guides rather than a diagnosis, so speak to your GP if you have concerns.
Why does it build up?
There’s rarely one single cause. Visceral fat can increase through a combination of consuming more energy than the body uses, highly processed foods, sugary drinks and alcohol, low physical activity, ageing, hormonal changes, poor sleep, chronic stress and genetics.
While we can’t control every factor, there is plenty we can influence.
How to reduce visceral fat
Forget endless sit-ups – unfortunately, we can’t choose where our body loses fat. Instead, focus on reducing overall body fat and building healthier habits.
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Eat well: Base meals around vegetables, lean protein, fibre-rich carbohydrates and healthy fats, while reducing highly processed foods, refined carbohydrates and sugary snacks.
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Combine strength and cardio: Brisk walking, cycling, jogging or interval training can help burn energy, while strength training builds and maintains muscle and supports metabolism.
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Cut back on alcohol: Alcohol can add significant extra energy and is associated with fat storage around the middle.
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Prioritise sleep: Aim for around seven to nine hours. Poor sleep can disrupt hormones involved in appetite and fat storage.
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Manage stress: Chronic stress raises cortisol, which can encourage abdominal fat storage and increase cravings. Walking, time outdoors, gentle exercise and simply making time to unwind can all help.
Small changes count
Reducing visceral fat doesn’t require extreme diets or punishing workouts. Consistency is far more important.
Eating well, moving regularly, including strength training, getting enough sleep, managing stress and moderating alcohol can all make a difference – not simply to your waistline, but to your long-term health.
And that makes visceral fat worth paying attention to, even if you can’t see it.