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Hypercortisolism and obesity

P M Peeke1, G P Chrousos

  • 1Developmental Endocrinology Branch, National Institutes of Health, Bethesda, Maryland 20892, USA.

Annals of the New York Academy of Sciences
|December 29, 1995
PubMed
Summary
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Excess visceral fat, linked to metabolic syndrome, increases disease risk. Chronic stress impacts body composition, affecting health and survival.

Area of Science:

  • Endocrinology
  • Metabolic Health
  • Obesity Research

Background:

  • Obesity is a complex condition where fat distribution impacts health risks.
  • Visceral fat, or intra-abdominal fat, is strongly linked to cardiocerebrovascular disease, diabetes, and mortality.
  • Visceral adiposity is associated with metabolic syndrome, characterized by hypertension, hyperlipidemia, hyperinsulinemia, and insulin resistance.

Purpose of the Study:

  • To explore the relationship between the stress axis, glucocorticoids, and energy metabolism.
  • To understand how chronic stress influences body composition and related health outcomes.

Main Methods:

  • Review of existing literature on obesity, fat distribution, and the stress axis.
  • Analysis of the role of glucocorticoids in energy storage and metabolism.

Related Experiment Videos

  • Examination of the interconnections between the stress, growth, and reproductive axes.
  • Main Results:

    • Visceral fat accumulation is a key determinant of metabolic syndrome and associated diseases.
    • Cushing's syndrome, marked by hypercortisolism, exemplifies the link between excess glucocorticoids, visceral adiposity, and metabolic disturbances.
    • The stress axis significantly influences adipose tissue and overall body composition.

    Conclusions:

    • Excess glucocorticoids, often due to stress axis activation, profoundly affect energy metabolism and fat storage.
    • Chronic stress, both psychological and physical, alters body composition, impacting organismal longevity and survival.
    • Understanding the stress axis's role in adiposity is crucial for managing obesity-related diseases.