2015
DOI: 10.1186/s13293-015-0033-y
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Sex differences in metabolic homeostasis, diabetes, and obesity

Abstract: There are fundamental aspects of the control of metabolic homeostasis that are regulated differently in males and females. This sex asymmetry represents an evolutionary paradigm for females to resist the loss of energy stores. This perspective discusses the most fundamental sex differences in metabolic homeostasis, diabetes, and obesity. Together, the role of genetic sex, the programming effect of testosterone in the prenatal period in males, and the activational role of sex hormones at puberty produce two dif… Show more

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Cited by 459 publications
(438 citation statements)
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“…Female‐specific production of 17‐β estradiol contributes to sex differences in metabolism, supported by the observation that circulating 17‐β estradiol production declines during menopause, a fall associated with lower glucose homeostasis and elevated visceral adiposity (Mauvais‐Jarvis, 2015). However, other estrogens, and estrogenic actions outside of the classical ER receptors, are increasingly recognized to have potential health and anti‐aging benefits, which may mimic or operate outside of the effects of 17‐β estradiol on its best‐characterized receptors.…”
Section: Introductionmentioning
confidence: 98%
“…Female‐specific production of 17‐β estradiol contributes to sex differences in metabolism, supported by the observation that circulating 17‐β estradiol production declines during menopause, a fall associated with lower glucose homeostasis and elevated visceral adiposity (Mauvais‐Jarvis, 2015). However, other estrogens, and estrogenic actions outside of the classical ER receptors, are increasingly recognized to have potential health and anti‐aging benefits, which may mimic or operate outside of the effects of 17‐β estradiol on its best‐characterized receptors.…”
Section: Introductionmentioning
confidence: 98%
“…Sexual dimorphism of the process is mostly driven by the genetic sex, the programming effect of testosterone in males during the perinatal period, and the role of sex hormones at puberty [2]. For example, experimental exposure of females to testosterone during the perinatal period (which occurs in males but not in females) induces male food behavior via the androgen receptors (ARs) and leptin-resistance through activation of the estrogen receptors (ERs), both concurring to obesity in adulthood [16].…”
Section: Energy Homeostasis Is a Physiological Function With Strong Smentioning
confidence: 99%
“…Although females have more subcutaneous adipose mass than males and males more muscle mass than women, fat subcutaneous distribution is not detrimental as compared to males which accumulate visceral fat upon body weight gain predisposing them to diabetes and cardiovascular diseases [2]. In addition, excess of estrogens such as during the estrous periods, during gestation and through pill consuming, results in insulin resistance favoring weight gain while estrogen deficiency such as during the menopausal transition also favors weight gain, accumulation of visceral fat and development of type 2 diabetes.…”
Section: Energy Homeostasis Is a Physiological Function With Strong Smentioning
confidence: 99%
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