In researching the relationship between fat and inflammation I came across a recent report on studies which indicate there are metabolically fit and unfit profiles of obesity.

Unlike fat tissue in ‘healthy obese’ people, which generates new cells to help store fat as it accumulates, the fat cells of the unhealthy obese swell to their breaking point, straining the cellular machinery and ultimately dying off.This is accompanied by inflammation, and it leads to ectopic fat accumulation — the shuttling of fat into organs where it does not belong, like the liver, heart and skeletal muscle. A fatty liver frequently coincides with metabolic abnormalities, and studies suggest that it may be one of the causes of insulin resistance, the fundamental defect in Type 2 diabetes.

http://well.blogs.nytimes.com/2013/10/09/the-healthy-obese-and-their-healthy-fat-cells/?_r=2

The fat “shuttled” to accumulate around organs is called “visceral fat” and this can be easily measured using bioelectrical impedance analysis (BIA). A metabolic screening for Cholesterol, HDL, LDL, Triglycerides, and Fasting Blood Sugar along with body composition analysis (BIA) and body measurements as well as blood pressure are part a simple means to identify obesity imposing health risks.