"Brown fat" may help adults lose weight

A sparse form of fat that helps keep newborns warm is more common in adults than previously thought, and that discovery could lead to a new way to lose weight, researchers said on Wednesday.

Once activated by cold temperatures, so-called brown fat burns calories faster than regular fat. It is normally so dormant in adults that there has been debate over how much adults have or whether they have it at all.

In three studies in Thursday's New England Journal of Medicine, researchers report finding brown fat in most adults and discovering they can detect it by exposing people to cold. In some cases, adults who had more active areas of brown fat were thinner.

The hope is that if a way can be found to activate this brown fat and get the body to make more of it, people could burn off extra calories without additional exercise.

"Fifty grams of maximally activated brown fat accounts for 20 percent of your resting energy expenditure," Dr. Aaron Cypress of the Joslin Diabetes Center in Boston, who led one of the studies, said in an interview. "If you add that up, that's 400 or 500 calories per day.

"Practically speaking, we have a great potential to have a new treatment in our armamentarium against diabetes and obesity."

Dr. Kirsi Virtanen of the University of Turku in Finland and colleagues used positron emission tomography, known as PET scans, to find active brown fat deposits in five volunteers and also took little plugs of both types of fat. Brown fat became more active when the volunteers were cold, they reported.

"If the brown adipose tissue in this example were fully activated, it would burn an amount of energy equivalent to approximately 4.1 kg (9 pounds) of adipose tissue over the course of a year," researchers wrote.

OBESE PEOPLE HAVE LESS

A team at Maastricht University Medical Center in the Netherlands found obese men had less brown fat than lean men.

"Taken together, these studies point to a potential 'natural' intervention to stimulate energy expenditure: turn down the heat and burn calories (and reduce the carbon footprint in the process)," Dr. Francesco Celi of the National Institute of Diabetes and Digestive and Kidney Disease in Bethesda, Maryland wrote in a commentary.

But Celi cautioned that the vision may be oversimplified.

Cypress said scientists must first find a way to activate brown fat and, perhaps, even persuade the body to make more of it. In addition, the new studies did not directly test whether activating this fat would make people lose weight.

Celi said further research may reveal that even if brown fat is activated, the body may find a way to compensate by getting people to eat more.

"If you think about it, if you eat three donuts, you hit that calorie count right there," Cypress said.