The cause of overweight is not always overeating. Sometimes excess body weight is a consequence of a hormonal imbalance, and in this case talk about the so-called endocrine obesity.
Obesity is called excessive deposition in the body of adipose tissue. The main cause of obesity is still alimentary, that is, banal overeating, which is accompanied by low physical activity. But some hormonal pathologies can also lead to overweight.
There are several main types of endocrine obesity.
Thyroid hormones and overweight
Hypothyroid adiposity is due to inadequate secretion of thyroid hormones. There is oppression of all forms of metabolism, in particular, decreases the rate of fission.
This type of obesity is not accompanied by increased appetite, the patient consumes food in the usual volume, but begins to gain weight. Fat deposits are arranged evenly over the body.
In addition to being overweight, the patient has all the symptoms of hypothyroidism:
- Dry skin;
- Memory reduction;
- Violation of the chair in the form of constipation;
- Increased gas formation;
- Shortness of breath in motion
- Hair loss
Hormones of the adrenal glands and overweight
Adrenal obesity is found in tumor diseases of the adrenal cortex, as well as in the case of Ytsenko-Cushing's disease, that is, at conditions that are accompanied by increased secretion of the adrenal cortical hormones.
In the presence of the adrenal tumor that produces cortisol, in addition to increasing body weight, there is a violation of the function of the gonads, a scarlet marble on the skin, excessive growth of hair on the body (including women), dystrophic processes in the skin and muscle tissues.
The iscenko-Cushing's syndrome is primarily associated with increased secretion of the adrenocorticotropic hormone of the pituitary gland and the corresponding hyperproduction of the adrenal cortex hormones.
In this form of obesity, there is also a violation of sexual function, excessive hairy skin, on the skin of the abdomen and hips there are stretches of stretch - Stry. The patient's face has a characteristic moon-like appearance; fatty deposits, as a rule, are localized in the shoulder girdle, abdomen and hips, the limbs remain subtle. Characteristic arterial hypertension.
Pituitary and overweight hormones
Hypophysial obesity (adiposogenital dystrophy) occurs due to violations in the hypothalamic-pituitary system, manifested by excessive weight and hypoplasia of the gonads.
The hypothalamus reduces the production of gonadolybirine - substances that stimulate the production of pituitary hormones lutropin and follytropin. These hormones are responsible for the normal functioning of the gonads.
In men, there is a deposition of fat by the female type, a decrease in the size of the genital organs, an increase in the mammary glands, a small amount of hair on the body, in adolescents there is a delay in sexual development.
In women, genital organs are also underdeveloped, and amenorrhea is observed. In all patients, the eunuchoid type of the structure of the skeleton is marked - large growth and long limbs, in addition, myocardial dystrophy and inferiority of the ligamentous apparatus (pathological mobility of joints, flat feet, etc.).
Fat deposits predominantly accumulate in the area of the face, chest, abdomen and hips.
Hormones of the pancreas and overweight
Hyperinsulinic obesity is caused by an increase in insulin levels in the blood. Excess weight appears due to the activation of insulin hormone by the processes of fatty tissue formation in the body. Fat deposits are arranged on the body evenly.
The reason for the increased production of insulin - most often hormone-producing tumor of the pancreas. With excess insulin secretion there is a decrease in blood glucose (hypoglycemia), which causes periodic hypoglycaemic attacks, usually during physical activity and fasting.
Symptoms of hypoglycemia:
- Blueness of the skin;
- Increase in heart rate;
- Panic, disorientation in space;
- In the future it is possible to develop coma.
In the period between attacks, emotional instability, memory impairment, decreased skin sensitivity, and the presence of pathological reflexes are observed. Patients are often forced to avoid attacks, which causes excessive weight gain.
Sex hormones and overweight
The cause of climacteric obesity in women is the age-related decrease in the secretion of female sex hormones (estrogens). Occurs in half of women after climax, manifested by violations of carbohydrate metabolism and obesity in the abdominal type (fat predominantly accumulates in the abdomen). It is accompanied by an increase in blood pressure.
In addition to the above, there are some rare forms of endocrine obesity, as well as mixed forms that are accompanied by a violation of the secretion of several types of hormones.
In case of suspected hormonal forms of obesity it is necessary to undergo a complete examination by the endocrinologist. The overweight in these cases can only be corrected in the appointment of adequate treatment of the underlying pathology.