Disorders of the sex hormones metabolism in obesity
DOI:
https://doi.org/10.24959/ubphj.17.90Keywords:
androgens, estrogens, obesityAbstract
Topicality. Modern epidemiological situation related to the incidence of obesity, is rather unfavorable: the prevalence of the disease has reached critical values and continues the exponential growth in the population of many countries
around the world, regardless of their index of living standards and economic advancement. Increased body fat mass is correlated with the development of insulin resistance, metabolic syndrome, cardiovascular pathologies and disorders
of the endocrine system, it is violated the patient’s blood and tissues hormones ratio (including sex hormones).
Aim. To analyzed the published data on the correlation between obesity and the abnormality of sex hormones homeostasis.
Results and Discussion. According to modern concepts, one of the main factors influencing the total steroid hormones production and their ratio in the organism in obesity is the activation of steroid metabolism in adipocytes and stromal fat cells. The concentration change of sex hormone-binding globulin bonds sex hormones with body mass index, which normally maintains a balance between free and bound fractions of estrogens and androgens.
Conclusions. Estrogen and androgen hormonal status change fundamentally according to age and gender norms of hormones metabolism in the patients with obesity.
References
Aronne, L. J. Classification of obesity and assessment of obesity–related health risks / L. J. Aronne // Obes. Res. – 2002. – Vol. 10, Issue S12. –
P. 105–115. doi: 10.1038/oby.2002.203
Overweight and obesity [Internet] // Global Health Observatory (GHO) data. – 2014. – Available at : http://www.who.int/gho/ncd/risk_factors/
overweight_text/en/.
Pi–Sunyer, X. The Medical Risks of Obesity / Xavier Pi–Sunyer // Postgrad. Med. – 2009 – Vol. 121 (6). – P. 21–33.
Effect of weight reduction on insulin sensitivity, sex hormone–binding globulin, sex hormones and gonadotrophins in obese children / N. H. Birkebeak,
A. Lange, P. Holland–Fischer et al. // Eur. J. of Endocrinol. – 2010. – Vol. 163, Issue 6. – P. 895–900. doi: 10.1530/eje-10-0538
Kirschner, M. A. Obesity, hormones, and cancer / M. A. Kirschner, N. Ertel, G. Schneider // Cancer Res. – 1981. – Vol. 41, Issue,9, Pt. 2. – P. 3711–3717.
Kokkoris, P. Obesity and endocrine disease / P Kokkoris, Xavier Pi–Sunyer // Endocrinology & Metabolism Clinics of North America. – 2004. –
Vol. 32, Issue 4. – P. 895–914.
Abdominal and gynoid fat mass are associated with cardiovascular risk factors in men and women / P. Wiklund, F. Toss, L. Weinehall et al. // Clin.
Endocrinol. Metab. – 2008. – Vol. 93, Issue 11. – P. 4360–4366. doi: 10.1210/jc.2008-0804
The biology of white adipocyte proliferation / D. B. Hausman, M. DiGirolamo, T. J. Bartness et al. // Obes. Rev. – 2001. – Vol. 2, Issue 4. – P. 239–254.
doi: 10.1046/j.1467-789x.2001.00042.x
Gender differences in the regulation of P450 aromatase expression and activity in human adipose tissue / P. G. McTernan, A. Anwar, M. C. Eggo et
al. // Intern. J. of Obesity. – 2000 – Vol. 24, Issue 7. – P. 875–881. doi: 10.1038/sj.ijo.0801254
Zahid, H. Inflammation, dysregulated metabolism and aromatase in obesity and breast cancer / H. Zahid, E. R. Simpson, K. A. Brown // Curr Opin
Pharmacol. – 2016. – Vol. 31. – P. 90–96. doi: 10.1016/j.coph.2016.11.003
Schneider, J. Effects of obesity on estradiol metabolism: decreased formation of nonuterotropic metabolites / J. Schneider, H. L. Bradlow, G. Strain //
J. Clin. Endocrinol. Metab. – 1983. – Vol. 56, Issue 5. – P. 973–978. doi: 10.1210/jcem-56-5-973
The relationship between sex steroids and sex–hormone–binding globulin in plasma in physiological and pathological conditions / S. K. Cunningham,
T. Loughlin, M. Culliton, T. J. McKenna // Annals of Clinical Biochemistry: An International Journal of Biochemistry and Laboratory Medicine. –
– Vol. 22, Issue 5. – P. 489–497. doi: 10.1177/000456328502200504
Modulation of SHBG binding to testosterone and estradiol by sex and morbid obesity / M. Grasa, J. Gulfo, N. Camps et al. // Eur. J. of Endocrinol. –
doi: 10.1530/eje-16-0834
Selby, C. Sex hormone binding globulin: origin, function and clinical significance / C. Selby // Annals of Clinical Biochemistry: An International
Journal of Biochemistry and Laboratory Medicine. – 1990. – Vol. 27, Issue 6. – P. 532–541. doi: 10.1177/000456329002700603
Testosterone concentrations in diabetic and nondiabetic obese men / S. Dhindsa, M. G. Miller, C. L. McWhirter et al. // Diabetes Care. – 2010. – Vol. 33, Issue 6. – P. 1186–1192. doi: 10.2337/dc09-1649
Giagulli, V. A. Pathogenesis of the decreased androgen levels in obese men / V. A. Giagulli, J. M. Kaufman, A. Vermeulen // The J. of Clin. Endocrinol.
and Metabolism. – 1994. – Vol. 79, Issue 4. – P. 997–1000. doi: 10.1210/jc.79.4.997
Low testosterone associated with obesity and the metabolic syndrome contributes to sexual dysfunction and cardiovascular disease risk in men
with type 2 diabetes / C. Wang, G. Jackson, T. H. Jones et al. // Diabetes Care. – 2011. – Vol. 34, Issue 7. – P. 1669–1675. doi: 10.2337/dc10-2339
Regulation of pituitary cell function by adiponectin / F. Rodriguez–Pacheco, A. J. Martinez–Fuentes, S. Tovar et al. // Endocrinol. – 2007. –
Vol. 148, Issue 1. – P. 401–410.
Obesity and male reproductive potential / A. O. Hammoud, M. Gibson, C. M. Peterson et al. // J. of Androl. – 2006. – Vol. 27, Issue 5. – P. 619–626.
doi: 10.2164/jandrol.106.000125
Relationship between BMI, total testosterone, sex hormone–binding–globulin, leptin, insulin and insulin resistance in obese men / J. A. Osuna,
C. R. Gómez–Pérez, G. Arata–Bellabarba, V. Villaroel // Archives of Androl – 2006. – Vol. 52, Issue 5. – P. 355–361. doi: 10.1080/01485010600692017
Relationship between sexual function, body mass index and levels of sex steroid hormones in young men / S. Jastrzębska, R. Walczak–Jędrzejowska,
E. Kramek et al. // Endokrynol Pol. – 2014. – Vol. 65, Issue 3. – P. 203–209.
Correlation between sex hormone levels and obesity in the elderly male / J. Cao, T. M. Chen, W. J. Hao et al. // Aging Male. – 2012. – Vol. 15, Issue 2. –
P. 85–89. doi: 10.3109/13685538.2012.666585
Clinical study changes in testosterone levels and sex hormone–binding globulin levels in extremely obese men after bariatric surgery [Internet] /
P. Boonchaya–anant, N. Laichuthai, P. Suwannasrisuk et al. // Intern. J. of Endocrinol. – 2016. doi: 10.1155/2016/1416503
Age as a predictive factor of testosterone improvement in male patients after bariatric surgery: preliminary results of a monocentric prospective
study / E. Facchiano, S. Scaringi, M. Veltri et al. // Obesity Surgery. – 2013. – Vol. 23, Issue 2. – P. 167–172. doi: 10.1007/s11695-012-0753-6
Erectile dysfunction and hormonal imbalance in morbidly obese male is reversed after gastric bypass surgery: a prospective randomized controlled
trial / L. O. Reis, W. J. Favaro, G. C. Barreiro et al. // Intern. J. of Androl. – 2010. – Vol. 33, Issue 5. – P. 736–744. doi: 10.1111/j.1365-2605.2009.01017.x
Obesity and reproductive disorders in women / R. Pasquali, C. Pelusi, S. Genghini et al. // Human Reproduction Update. – 2003. – Vol. 9, Issue 4. –
P. 359–372. doi: 10.1093/humupd/dmg024
Central obesity in women and its association with serum level of testosterone and estradiol / M. Maddah, A. Jazayery, R. Mirdamadi, M. R. Eshraghiyan // J. Reprod. Infertil. – 2002. – Vol. 3, Issue 4. – P. 14–20.
Pasquali, R. Obesity and androgens: facts and perspectives / R. Pasquali // Fertil. Steril. – 2006. – Vol. 85, Issue 5. – P. 1319–1340. doi: 10.1016/j.
fertnstert.2005.10.054
Age, insulin, SHBG and sex steroids exert secondary influence on plasma leptin level in women / T. Milewicz, J. Krzysiek, A. Janczak–Saif et al. //
Endokrynol. Pol. – 2005. – Vol. 56, Issue 6. – P. 883–890.
Inhibitory effect of obesity on gonadotropin, estradiol and inhibin b levels in fertile women / G. De Pergola, S. Maldera, M. Tartagni et al. // Obesity.
– 2006. – Vol. 14, Issue 11. – P. 1954–1960. doi: 10.1038/oby.2006.228
Baglietto, L. Circulating steroid hormone concentrations in postmenopausal women in relation to body size and composition / L. Baglietto, D. R.
English, J. L. Hopper // Breast Cancer Res. Treat. – 2009. – Vol. 115, Issue 1. – P. 171–179. doi: 10.1007/s10549-008-0069-3
Obesity and reproductive hormone levels in the transition to menopause / E. W. Freeman, M. D. Sammel, H. Lin, C. R. Gracia // Menopause. – 2010. –
Vol. 17, Issue 4. – P. 718–726. doi: 10.1097/gme.0b013e3181cec85d
Relationship of obesity–related disturbances with LH/FSH ratio among post–menopausal women in the United States / H. Beydoun, M. Beydoun,
N. Wiggins, L. Stadtmauer // Maturitas. – 2012. – Vol. 71, Issue 1. – P. 55–61. doi: 10.1016/j.maturitas.2011.10.010
Mah, P. M. Obesity and testicular function / P. M. Mah, G. A. Wittert // Molecular and Cellular Endocrinol. – 2009. – Vol. 316. – P. 180–186.
Androgens before and after weight loss in obese children / T. Reinehr, G. de Sousa, C. L. Roth, W. Andler // J. of Clin. Endocrinol. and Metabolism. –
– Vol. 90. – P. 5588–5595.
Maturation of luteinizing hormone secretion across puberty: evidence for altered regulation in obese peripubertal girls / C. R. McCartney, K. A. Prendergast, S. K. Blank et al. // J. of Clin. Endocrinol. and Metabolism. – 2009. – Vol. 94, Issue 1. – P. 56–66. doi: 10.1210/jc.2008-1252
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