Adipose tissue is an heterogeneous mix of adipocytes, stromal preadipocytes, immune cells, and endothelium, and it can respond rapidly and dynamically to alterations in nutrient excess through adipocyte hypertrophy and hyperplasia. With obesity and progressive adipocyte enlargement, the blood supply to adipocytes may be reduced with consequent hypoxia. Hypoxia has been proposed to be an inciting etiology of necrosis and macrophage infiltration into adipose tissue that leads to a overproduction of proinflammatory factors like inflammatory chemokines. This results in a localized inflammation in adipose tissue that propagates an overall systemic inflammation associated with the development of obesity-related comorbidities. This paper will focus on three adipokine produced by macrophages: tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and adiponectin.