Some people have their fat distributed predominantly in subcutaneous tissues, while others have their fat distributed around viscera. The latter pattern is expressed as truncal obesity as measured by waist circumference and is expressed as waist-to-hip ratio. Waist circumference more than 35 inches in females and 40 inches in males is taken as truncal obesity. Visceral fat is considered more harmful than subcutaneous fat. Hence, some people with more fat in subcutaneous tissues despite being obese maintain good health. Overall, you cannot be fatty and healthy.