Hyperendorphinemia in obesity and relationships to affective state.

Abstract:

:Eight obese patients (exceeding ideal body weight by 50% or more) with no endocrinological or metabolic disorders and 8 healthy, age-matched, normal-weight volunteers were submitted to an overnight short dexamethasone (DXM) suppression test and to a psychological assessment through various psychometric scales. Plasma B-Endorphin (B-EP), B-Lipotropin (B-LPH), ACTH and cortisol concentrations were evaluated in basal conditions, as well as 9 and 17 hours after late night administration of 1 mg DXM in both groups. All hormones were measured by radioimmunoassay, either directly in the plasma (ACTH and cortisol) or after silicic acid extraction and Sephadex G-75 column chromatography (B-LPH and B-EP). In obese patients, plasma B-EP levels in basal conditions were three times higher than in normal weight controls and remained unaltered by DXM suppression. ACTH and B-LPH, in contrast, were within the normal range and were significantly reduced by DXM. In 3 of the 8 patients, plasma cortisol concentrations at 17 hours post-DXM were greater than 50 ng/ml indicating an early escape from the suppression. Psychometric evaluations revealed a prevalence of depressive personality in obese patients. These data indicate an hypersecretion of B-EP in obese patients, which is only partially dependent on hypothalamic control.

journal_name

Physiol Behav

journal_title

Physiology & behavior

authors

Facchinetti F,Giovannini C,Barletta C,Petraglia F,Buzzetti R,Burla F,Lazzari R,Genazzani AR,Scavo D

doi

10.1016/0031-9384(86)90456-7

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

937-40

issue

5

eissn

0031-9384

issn

1873-507X

pii

0031-9384(86)90456-7

journal_volume

36

pub_type

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