We enrolled 27 men and 13 women, aged 21.6-83.8 yrs, who underwent clinical FDG-PET/CT. We measured height, weight, waist circumference, systolic and diastolic blood pressures, fasting plasma glucose (FPG), triglycerides (TG) and high-density lipoprotein cholesterol (HDL). FDG-PET/CTs were examined for the presence of BAT.
There were 27 subjects with BMI>=25 (63% males). The 2 subjects with observable BAT (50% male) had BMI<20, and each had only 1 criterion for MetS. Among those without BAT (58% male), 23 had 1-2 criteria for MetS (61% male) and 12 had >=3 criteria (69% male). For those with MetS vs those without MetS, mean (±SD) BMI was 29.6±3.9 vs 27.2±6.3 (p=0.15), respectively; FPG did not differ significantly between the two groups. As expected, subjects with MetS compared to those without MetS had raised TG (204.8±63.9 vs 125.3±90.2, p<0.05) and lower HDL (41.8±17.4 vs 54.6±14.6, p<0.05).
Those with BAT are less likely to have MetS and have lower BMI than those without BAT. Because none of the subjects with BMI>=25 had observable BAT, we are unable to determine if BAT is protective against MetS in overweight and obese people.