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The belly is one of the most common spots for fat to accumulate.
Carrying a bit of extra weight around your middle? You’re not alone. In fact, the belly is one of the most common spots for fat to accumulate. Belly fat also doesn’t discriminate; it can affect both men and women at different ages and life stages.
But what exactly causes belly fat, is it unhealthy to have fat around your abdomen, and what can you do to lose weight? And is all belly fat equal, or are there multiple types?
Here’s what you need to know.
There’s a theory that body types and abdominal weight gain can be broken down into 4 categories. The concept was created by Dr Eric Berg, a Doctor of Chiropractic (DC), who specialises in weight loss.
He believes each body shape can be classified based on the hormonal imbalance that lies behind it. He also says that by knowing which category your body falls into, you’ll have a better understanding of how to restore healthy hormone levels and lose weight in a way that works for your body.
While these are the four categories defined by Dr Berg, it’s worth noting that many bodies are a combination of different body types.
When you’re stressed, your adrenal glands produce a hormone called cortisol. On top of controlling blood pressure and reducing inflammation, cortisol helps your body respond to stress by triggering the fight-or-flight response.
Typically, your body produces a healthy amount of cortisol to keep things in balance. But chronic stress can generate an overproduction of cortisol, leading to weight gain around your abdomen and face [1].
Signs that belly fat is caused by excess cortisol include weight that sits in your mid to low abdominal area, and other symptoms of chronic stress like insomnia, low energy, and emotional changes [2].
Thyroid problems are particularly prevalent among women, especially in the phase between puberty and menopause. Often, these problems are due to high oestrogen levels [3].
When your body is producing excess oestrogen, it can indirectly lead to an underactive thyroid or hypothyroidism. As a result, those with a thyroid body tend to gain weight across their whole body, including the belly.
Other symptoms of hypothyroidism include brittle nails, thinning hair, exhaustion, heavy periods, and headaches, among others [4].
Your liver plays a really important role in your body: it regulates the majority of chemicals in your blood, filters toxins out of your blood, and produces bile, a substance that supports digestion by breaking down fats and getting rid of waste.
Your liver also processes alcohol and fatty foods, so an overconsumption of either or both can lead to liver problems [5].
This can lead to a liver body, which is characterised by significant weight gain around the abdomen and thin arms and legs. Often, weight gain is accompanied by pain in the shoulders and knees, irritability, tummy problems, and increased hunger.
The ovary body only affects women. Like the thyroid body type, it’s caused by excess oestrogen production — this time, by the ovaries.
On an ovary body, weight is typically stored in the lower abdomen, along with the hips, thighs, and lower back. Other signs of an ovary body include fatigue, heavy or erratic periods, low mood, low sex drive, and headaches.
Aside from belly shapes, there are 2 types of belly fat: subcutaneous fat and visceral fat.
Subcutaneous fat — also known as subcutaneous adipose tissue — sits under your skin and feels soft to the touch. About 90% of total body fat is subcutaneous, and women typically have more subcutaneous fat than men.
Visceral fat sits much deeper in your body — it surrounds organs like your intestines and liver. It’s also referred to as ‘hidden fat’ because, unlike subcutaneous fat, it can’t be felt under your skin [6].
In some cases, excess subcutaneous fat in the lower abdomen can lead to what’s known as an apron belly — a fold of skin and fat that hangs over the waistline.
While not a separate type of fat, it’s a common way fat can physically present, particularly after pregnancy or significant weight changes.
This can sometimes lead to skin irritation or discomfort, but it’s completely normal and nothing to be ashamed of.
Subcutaneous fat is generally pretty innocuous and is a vital way for your body to keep warm, but excess amounts of it can increase the probability of certain health conditions.
While visceral fat only makes up 10% of your overall body fat, it carries a far greater risk. Visceral fat produces harmful chemicals and hormones and is a key sign of metabolic syndrome.
This is the collective name for conditions like obesity and high cholesterol, all of which can raise the likelihood of serious diseases [7].
So, what’s the link between the different types of belly fat and the Four Body Type theory?
The hormonal imbalances we mentioned earlier are strongly connected to visceral fat. Research has shown that things like menopause and high-stress levels can increase the amount of visceral fat in the body [8][9][10][11].
Because it sits just under your skin, subcutaneous fat tends to be soft and jiggly, and you can pinch it with your fingers.
Visceral fat, on the other hand, envelops your internal organs. It can’t be felt, but instead can be detected using your waist measurement. For women, a circumference of 80cm or more means a higher risk of chronic disease.
In general, an excess of subcutaneous fat means your body is storing too much visceral fat as well.
Depending on where fat collects, you might notice a distinction between lower and upper belly fat, each of which can have different contributing factors and solutions.
Sometimes, abdominal weight gain can be confused with bloating or even the appearance of a pregnant belly, especially when fat accumulates in the lower abdomen.
Understanding the difference between how a fat belly and a pregnant belly looks can help you better assess what’s going on with your body and which steps to take.
There are lots of different factors behind excess belly fat, and often, weight gain around your middle can come about due to a combination of causes. Some of the most common include:
Keen to shift the weight around your abdomen? The good news is that, while it can be difficult, reducing belly fat is entirely possible. The process will take a bit of work and several lifestyle changes, but there are different strategies you can try to lose belly fat in a healthy way.
Remember that no single tactic will guarantee weight loss; in many cases, you’ll need to adopt multiple approaches to lose weight around your belly.
If you’re looking for a focused breakdown of techniques, our guide on how to lose belly fat explores proven strategies to help you shift weight around your midsection.
A healthy diet is the cornerstone of weight loss. Increase your intake of high-fibre plant-based foods like fruits, vegetables, legumes, and whole grains, along with protein-rich ones such as lean red meat, chicken, fish, and eggs.
In fact, research shows that eating foods from both of these food groups can help decrease your waist circumference [12].
On the flip side, excess consumption of foods and drinks high in sugar and trans fats can cause an increase in abdominal fat [13][14]. Reducing or even eliminating these from your diet may help with weight loss.
You could also consider diet supplements, such as our Nourish Shakes. These meal replacement shakes contain 20 vitamins and minerals, plus they’re high in protein, low in calories, and an excellent source of fibre. They’re also available in 2 tasty flavours!
Exercise is another important part of the equation. Aerobic exercise or cardio — that is, anything that gets your heart rate up — is great for weight loss as it burns energy and boosts your metabolism both during and after your workout. It doesn’t have to be super high-intensity; even moderate exercise can make a difference.
The most important thing is that you exercise regularly and for a decent amount of time. A 2015 study showed that 300 minutes of exercise per week was more effective at reducing weight among post-menopausal women than 150 minutes per week [15].
If you’re wondering whether specific forms of exercise are effective, research shows that running can be a useful tool in targeting belly fat.
It’s fine to enjoy a glass of wine from time to time, but we know that alcohol is high in empty calories and also affects your body in such a way that it struggles to burn fat. As well, drinking too much can lead to unhealthy food choices.
In women, alcohol-related weight gain can be especially prominent in the abdominal area, often referred to as an alcohol belly.
To reduce the risk of belly fat and for your overall health, try to avoid drinking excessively and choose lower-calorie options. You could decrease the number of days per week that you drink, or alternate between a drink and a glass of water on nights out.
You could also swap wine and beer for clear spirits and low or no-sugar mixers to cut down on your energy intake.
If you’re showing the signs of any of the Four Body Types we mentioned earlier, addressing a potential hormonal imbalance may help to reduce belly fat.
These kinds of imbalances are often behind persistent abdominal weight gain, sometimes attributed to hormonal causes.
Your doctor can assess your hormone levels and look at possible causes like hypothyroidism, high estrogen, liver issues, and chronic stress, and provide solutions. They may suggest medication or other treatments like hormone replacement therapy, or they might advise certain lifestyle changes.
A dedicated weight loss plan like our Weight Reset Program provides the support you need to lose excess belly fat.
Get treatment that targets weight gain on a biological level, plus a dietitian-led program that supports long-term weight maintenance.
Health coaching is used to assist you with lifestyle changes, including sticking with a routine and a support system of other women on the journey with you, so you feel less alone, while one-on-one health tracking gives you a personalised experience.
If you want to be supported through every step of your weight loss journey, this is how to do it.
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