Context: A substantial number of obese individuals are relatively insulin sensitive and the etiology for this variation remains unknown.
Objective: The primary objective was to detect factors in adipose tissue differentiating obese insulin-sensitive (OBIS) from obese insulin-resistant (OBIR) individuals and investigate whether adipose tissue hypoxia is a contributing factor in the pathogenesis of insulin resistance.
Design And Setting: This was a cross-sectional study in the general community.