Which of the following is NOT an anatomic adiposopathic change associated with obesity?

The correct answer pertains to adipose tissue shrinkage, which is not an anatomic change typically associated with obesity. In obesity, there is a marked increase in fat accumulation within the body, particularly within adipose tissues, resulting in hypertrophy or enlargement of adipocytes (fat cells). Individuals with obesity often experience increased energy storage, as fat depots expand to accommodate heightened caloric intake.

Additionally, obesity is characterized by pathological fat deposition not only in adipose tissues but also in various organs such as the liver, heart, and muscle, leading to conditions like fatty liver disease and metabolic dysfunction. These are all anatomic changes that directly result from obesity. Shrinkage of adipose tissue, on the other hand, would imply a reduction in fat storage and is not a feature of obesity, making it the exception among the options provided.