It has long been recognized that skeletal muscle can contain modest st
ores of triglyceride and that this depot of fuel can make a major cont
ribution to energy production during exercise. More recently, an adver
se effect of muscle triglyceride has begun to be defined within the co
ntext of insulin resistance. Animal and clinical investigations have r
evealed a significant relation between increased muscle triglyceride a
nd insulin resistance, at least among mostly sedentary individuals. Th
ese observations have stimulated the development, or at least the refi
nement, of new methodologies to assess this aspect of 'regional' fat d
eposition. In parallel, there has also been important new work designe
d to enable better understanding of the factors that regulate muscle t
riglyceride and to determine whether fatty acids taken up by skeletal
muscle are oxidized or stored, and how these pathways might be either
altered by the presence of insulin resistance or, in turn, contribute
to the pathogenesis of insulin resistance. Curr Opin Lipidol 9:231-236
. (C) 1998 Lippincott-Raven Publishers.