Association of serum cortisol levels with parameters of metabolic syndrome in men and women Abstract Purpose: Central fat distribution is signi cantly associated with an increased cortisol levels. We hypothesized that men with metabolic syndrome have a higher serum cortisol levels compared to women. e purpose of this study was to compare serum cortisol levels, and its correlation with serum leptin levels, between men and women with and without metabolic syndrome.Methods: A cross sectional study was performed with 120 untreated patients with metabolic syndrome and 165 healthy volunteers as controls. Serum lipid pro le, fasting blood sugar, insulin, cortisol and leptin levels were measured for both groups.Results: Men with metabolic syndrome had a higher serum cortisol levels, while serum leptin levels were signi cantly higher in women. e higher serum cortisol level in men with metabolic syndrome was signi cant a er multiple adjustments for age, BMI and waist circumference (17.74±5.1 vs 14.07±4.3; p<0.05) using general linear model; however, these di erence were no longer signi cant when the waist-to-hip ratio was added as one of the adjustment factors (16.7±1.2 vs. 14.9±0.5; p<0.2). Serum cortisol levels was signicantly correlated with serum leptin (r=0.33, p<0.05), cholesterol (r=0.35, p<0.05), triglyceride (r=0.25, p<0.05), waist circumference (r=0.41, p<0.01) and waist-to-hip ratio (r=0.32, p<0.01) in women with metabolic syndrome, a er controlling for age and BMI.Conclusion: Serum cortisol levels are signi cantly higher in men with metabolic syndrome. is e ect is independent of waist circumference.
ORIGINAL RESEARCH © 2011 CIMClin In E131 Metabolic syndrome is a cluster of metabolic risk factors associated with cardiovascular disease and type 2 diabetes [1]. e major components of metabolic syndrome include excess abdominal fat, dyslipidemia, hypertension, hyperglycemia and increased in ammatory state [1]. For any given body mass index (BMI), mortality is higher if fat is distributed centrally, which is the major component of metabolic syndrome [2]. Cross-sectional studies showed that morning cortisol levels are signi cantly correlated with the symptoms of metabolic syndrome, such as visceral obesity, high blood pressure and a poor lipid pro le [3][4][5]. Further studies suggest that metabolic syndrome is a less profound form of Cushing's syndrome, which is characterized by a rise in serum cortisol levels [4,[6][7][8][9].is hypothesis is based on the simple observation that patients with Cushing's syndrome develop central obesity, which improves with the resolution of hypercortisolism [10,11].It is known that men with metabolic syndrome are more frequently a ected with android obesity. Central fat distribution is signi cantly associated with increased cortisol levels [12,13], so it could be hypothesized that men with metabolic syndrome have a higher serum cortisol levels, due to increased abdominal obesity compared with women. On the other hand, adipose tissue is known as an endocrine organ, producing a number...