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Changes in the hypothalamic-pituitary-gonadal axis following graded weight loss in obese women.
The aim of the present study was to investigate the effects of graded weight loss on the hypothalamic-pituitary-gonadal (HPG) axis in overweight women. Ninety-five female obese patients (mean age 31.7 +/- 9.8 years) underwent a 1-year dietetic treatment. After a mean weight loss of 6.0 +/- 4.5 kg, 54 patients (48.7%) were still in the normal weight range and 31 (27.7%) were overweight. In a group of 17 patients, a consecutive increase in body weight of 8.8 +/- 4.7 kg was observed; seven patients (41.2%) were normal weight and the other 10 (58.8%) were overweight. Blood samples were taken at the beginning of the dietetic treatment and after 1 year. Plasma luteinizing hormone (LH), follicle-stimulating hormone (FSH), sex hormone binding globulin (SHBG), free testosterone (fT), free estradiol (fE), estradiol (E2) and androstenedione (A) were assayed. In all of the obese patients, basal values of LH, FSH, SHBG, fT, fE, E2 and A were significantly different from the control group. The main difference was observed in the levels of basal LH and FSH. After a mean weight loss of 6.0 +/- 4.5 kg, the basal values of LH and FSH decreased to levels similar to those of the control group. However, in the group in which weight increased, basal LH levels were significantly higher ( 82fe58eafd
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