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Evidence for disruption of normal circadian cortisol rhythm in women with obesity.


ABSTRACT: Hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis may play a role in the pathogenesis of comorbidities encountered in obesity, including the relative hypogonadotropic hypogonadism that we and others have observed. We sought to examine serum cortisol profiles throughout the day and evening in a sample of normal weight women and women with obesity. In this cross-sectional study, regularly cycling obese (n?=?12) and normal weight (n?=?10) women were recruited. Mean serum cortisol was measured by frequent blood sampling for 16?h (8am-midnight) in the luteal phase of the menstrual cycle. Women with obesity had significantly higher overall cortisol levels when compared to normal weight women (6.2 [4.3, 6.6] vs. 4.7 [3.7, 5.5] ug/dl, p?=?.04). Over the two-hour postprandial period, obese women displayed an almost two-fold greater (7.2 [6.5, 8.6] ug/dl) rise in cortisol than normal weight controls (4.4 [3.7, 6.2] ug/dl, p?

SUBMITTER: Al-Safi ZA 

PROVIDER: S-EPMC5876129 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Evidence for disruption of normal circadian cortisol rhythm in women with obesity.

Al-Safi Zain A ZA   Polotsky Alex A   Chosich Justin J   Roth Lauren L   Allshouse Amanda A AA   Bradford Andrew P AP   Santoro Nanette N  

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology 20171025 4


Hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis may play a role in the pathogenesis of comorbidities encountered in obesity, including the relative hypogonadotropic hypogonadism that we and others have observed. We sought to examine serum cortisol profiles throughout the day and evening in a sample of normal weight women and women with obesity. In this cross-sectional study, regularly cycling obese (n = 12) and normal weight (n = 10) women were recruited. Mean serum cortisol was m  ...[more]

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