Obesity is accompanied by ectopic lipid deposition in multiple tissues, including the skeleton, where
infiltration of adipocytes into the bone marrow niche may negatively impact bone formation (7, 8).
91 Normal functioning
of adipose tissue is often (but not exclusively) impaired in obesity 91 and can be characterized by excessive hypertrophic
adipocyte growth, elevated macrophage
infiltration, hypoxia and dysregulated lipid storage.92