Numerous studies have established associations between hormonal parameters and body shape but they focused on the patterns of body fat distribution and, mainly, abdominal fat deposition. Based on the anthropometric features of patients with Cushing's syndrome, we hypothesized that there are somatometric predictors, other than waist-to-hip ratio, of increased cortisol production. To test this hypothesis and to identify the indicators of endocrine and metabolic responsiveness to shortterm fasting, we searched associations among 37 anthropometric traits and metabolic and hormonal parameters. An observational repeated measures study was performed on 64 moderately obese women using the partial correlation analysis. Blood glucose, serum lipids and urea concentrations, morning plasma cortisol, serum triiodthyronine (T3), thyroxin levels, and insulin activity (IRI) were examined before and after 4-and 7-day total fasting. The morning plasma cortisol level (RIA) showed the strongest correlation, independent of total fatness, with chest-hip circumference ratio (CHR) (r=0.48, p<0.005), whereas no significant association could be found with waist-hip ratio (WHR). IRI level correlated directly with WHR (r=0.47, p<0.001). The 4-day fasting significantly raised cortisol levels (+23%), free fatty acids (FFAs) (+79%), and triglyceride (TGs) (+34%) concentrations, and lowered IRI (-43%), T3 (-33%) and glucose (-27%) levels. The cortisol response to 4-day fasting tended to relate with age (r=0.25) and age-independently correlated with body height (r=-0.30) and WHR (r=-0.27). Both basal levels and fast changes in glucose and TGs concentrations correlated with age (glucose, r=0.38; TGs, r=0.24; d-glucose, r=-0.32; d-TG, r=-0.24). The relative weight loss after the 27-day weight-loss program increased with increasing basal FFAs and thyroxin levels. In conclusion, CHR was found to be a powerful predictor for morning plasma cortisol level. The relation established seems to reflect the differential sensitivity of the upper and lower body subcutaneous adipocytes to the metabolic stimuli of the hormone and/or other factors associated with glucocorticoids.level. In addition to this primary objective, there were two aims: (1) to describe anthropometric correlates for the response of endocrine variables and the patterns of protein, glucose, and lipid metabolism to short-term fasting, and (2) to verify hormonal, metabolic and somatometric predictors for the weight reduction during weight-loss program (WLP). Taking into account the sex-dependence of cortisol metabolism in obesity [18] we performed this research on obese women who were usually being investigated from the standpoint under study.
Subjects and methods
SubjectsThe study was undertaken on 64 Russian fertile women living in Novosibirsk city and referred to the endocrine division of the academic clinic for treatment of obesity by a WLP. The patients' free and informed consent to participate in the study was obtained. No women had signs of hirsutism, other endocrine disorders, ...