Which Hormone Disorders Cause Obesity?

In my article last week, I talked about the main problems that lead to obesity. In this week’s article, I would like to talk about hormonal disorders and clinical conditions that cause obesity.

Insulin Resistance; Unfortunately, our society consumes a lot of carbohydrates. In our country, carbohydrate consumption constitutes 80% of meals. Especially after high carbohydrate intake, excessive insulin secretion from the pancreas occurs. Insulin is a hormone necessary for tissues in our body to use sugar. However, as carbohydrate consumption increases, weight gain occurs and more insulin is required for tissues to use sugar. As insulin increases, the fat rate in the body increases, the appetite increases and the desire for carbohydrates increases. This vicious circle causes obesity to worsen. The treatment is to reduce carbohydrates and use drugs that reduce insulin resistance. In addition, regular exercise is one of the most important methods of reducing insulin resistance, as it will facilitate the use of sugar in the tissues.

Polycystic ovary syndrome and Type 2 Diabetes (diabetes); In fact, insulin resistance is the basis of these two clinical diseases. However, there is a clear familial predisposition in these individuals. Unfortunately, obesity is very common in people with a family history of this disease, obesity is observed at a rate of approximately 80%. . Polycystic ovary syndrome should be investigated in patients with menstrual irregularity, increased hair growth, and difficulty in losing weight. These patients are also at high risk for diabetes in the future. Especially during pregnancy, it is closely followed in terms of both weight gain and the development of gestational diabetes.

Hypothyroidism (Hashimoto) disease ; Thyroid hormone is a vital hormone necessary for the proper functioning of the body’s metabolism. In addition to many complaints in thyroid hormone deficiency, complaints such as difficulty in losing weight and rapid weight gain can be observed. Therefore, thyroid function tests and thyroid antibodies should be checked in patients with obesity. If the patient is using thyroid medication, thyroid tests should be done at regular intervals and the drug dose should be adjusted.

Cushing’s syndrome; It is a disease that occurs after the body over secretion of the hormone cortisol. In these patients, complaints of increased abdominal circumference, lubrication on the neck, and thinning of the legs and arms are detected. Especially in these patients who have problems in fat distribution, their faces may be swollen (face on the moon). They have purple stripes on their bodies, especially on the abdomen. Patients with such complaints should be tested for absolute Cushing’s syndrome.

Alcohol consumption; Obesity is very common in people with high alcohol consumption, especially in the abdominal region. Consumption of fatty foods along with alcohol increases weight gain. In the treatment of obesity, alcohol consumption should be reduced or even stopped.

Medicines; Different drugs used during different treatments can cause weight gain. For example, cortisone pills and injections, insulin, some diabetes drugs and drugs used in the treatment of some psychiatric diseases cause weight gain. Necessary precautions should be taken during treatment in patients using such drugs. If the person is overweight, drug alternatives with less weight gaining effect should be considered.

Depression and psychological disorders; Unfortunately, in some patients with depressive disorder, eating disorders are also observed very frequently. In addition, some of the drugs used to treat these diseases can cause obesity. Patients with eating disorders and psychiatric disorders must be treated appropriately.

Vitamin D deficiency ; In people with vitamin D deficiency, fatigue and insulin resistance increase. For those with vitamin D deficiency, it may be difficult to lose weight.

In fact, this list could be extended. However, the main diseases that cause obesity can be classified in this way. One of the basic principles in the medical world is ” there is no disease there is a patient ” principle. The underlying causes of obesity should be evaluated in each person and treatment plans should be made for this. In my next article, I will talk about the nutritional mistakes that lead to obesity.

I wish you healthy days.

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *