Estradiol and Leptin in Women with Obesity, Overweight, and Normal Body Weight

Authors

  • Yulia Fitri Health Polytechnic, Poltekkes of Aceh, Banda Aceh Biomedicine Science, Faculty of Medicine, North Sumatera University,
  • Gino Tann Biomedicine Science, Faculty of Medicine, North Sumatera University, Medan
  • Rusdiana - Biomedicine Science, Faculty of Medicine, North Sumatera University, Medan

Abstract

Background: Prevalence of obesity on women was higher than men. Obesity was related to the resistance of leptin hormone. Estradio hormone also played an important role in energy  metabolism and body weight control. The study aimed to discover the relationship between estradiol  concentration with leptin concentration on women with obesity, overweight and normal body weight in Banda Aceh City.

Subjects and Method:  The study was an analytic observational study with case control design. There were a total of 75 women of 20-40 year- old who were selected as research subjects by using purposive sampling. The research subjects were divided into 3 groups, namely obesity, over weight, and normal body weight. The study was conducted in Banda Aceh City in July – October 2014.  Dependent variable of the study was women’s body weight. Independent variables were leptin concentration which was investigated by using ELISA technique and estradiol concentration which was investigated by using AxSYM Estradiol Assay. The data was analyzed by using Spearman correlation test.

Results: The result of the study obtained the median value of estradiol concentration on normal group was higher than on obesity and overweight group, that was 63 Pg/mL (18-420). The average concentration of leptin on normal group is higher than obesity and overweight group, that was 4.56 ng/mL (up to ± 3.48). However, it did not find any correlation between the concentration of  estradiol and the concentration of leptin on women with obesity, overweight and normal weight (R= 0.03; p= 0.121;).

Conclusion: The study showed that women with obesity experienced the decreasing concentration of estradiol and leptin, however it did not find significant correlation between estradiol and leptin.

Keywords:  estradiol, leptin, women with obesity, overweight, normal body weight

Correspondence: Yulia Fitri. Health Polytechnic, Poltekkes of Aceh, Banda Aceh.

Indonesian Journal of Medicine (2017), 2(1): 36-41
https://doi.org/10.26911/theijmed.2017.02.01.04

References

Barnett JB, Woods MN, Rosner B (2001). Sex hormone levels in premenopausal African-American women with upper and lower body fat phenotypes. Nutr Cancer 41: 47–56.

Brown LM, Clegg DJ (2010). Central effects of estradiol in the regulation of food intake, body weight, and adiposity. J Steroid Biochem Mol Biol 122: 65–73.

Carr MC (2003). The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 88(6): 2404-2411.

Flegal KM, Carroll MD, Ogden CL, Curtin LR (2010). Prevalence and trends in obesity among US adults 1999–2008. JAMA 303(3): 235–241.

Fontaine KR, Redden DT, Wang (2003). Years of Life Lost Due to Obesity. JAMA 289(2): 187-93.

Gao Q, Horvath T (2008). Crosstalk between estrogen and leptin signaling in the hypothalamus. Am J Physiol Endocrinol Metab 294: E817–E82.

Gao Q, Horvath T (2008). Crosstalk between estrogen and leptin signaling in the hypothalamus. Am J Physiol Endocrinol Metab 294: E817–E82.

International diabetes Federation. Diabetes. (2006). Atlas. 3rd edn. Brussels; International Diabetes Federation.

Kon Koh K, Park SM, Quon MJ (2008). Leptin and cardiovascular disease: response to therapeutic interventions. Circulation 117(25): 3238-3249.

Lofgren I, Herron K, Zern T, West K, Patalay Madhu, Shacher NS, Koo SI, Fernandez ML (2004). Waist Circum ference is a better predictor than body Mass index of CHD risk in overweight premenopausal women. American Society for nutritional Sciences 0022-3166.

Mammy C, Calanchini M, Antelmi A, Cinti F, Giuseppe MC, Rosano, Lenzi L, Caprio M, Andrea Fabbri (2012). Androgens and Adipose Tissue in Males: A Complex and Reciprocal Interplay Hindawi Publishing Corporation International Journal of Endocrinology.

Marsh EE, Shaw ND, Klingman KM (2011). Estrogen levels are higher across the menstrual cycle in African-American women compared with Caucasian women. J Clin Endocrinol Metab 96: 3199–3206.

Meyer MR, Deborah J. Clegg, Eric R. Prossnitz, Matthias B (2011). Obesity, Insulin Resistance and Diabetes: Sex Differences and Role of Estrogen Receptors Acta Physiol (Oxf). 203(1): 259–269. doi:10.1111/j.17481716.201 0.02237.x.

Misso ML, Murata Y, Boon WC, Jones MEE, Britt KL, Simpson ER (2003). Cellular and molecular characterization of the adipose phenotype of the aromatase deficient mouse, Endocrinology 144 (4): 1474–1480.

Olstad R, Florholmen J, Svartberg J, Jan H. Rosenvinge, Grethe SB (2011). Leptin in the General Population, Differences in Sex Hormones, Blood Lipids, Gen-der and Life Style Characteristics. The Open Behavioral Science Journal 5: 8-15.

Oral EA, Simha V, Ruiz E (2002). Leptin replacement therapy for lipodystrophy. N Engl J Med 346(8): 570-578.

Park YS, Kim JS (2012). Obesity Phenotype and Coronary Heart Disease Risk as Estimated by the Framingham Risk Score. Korean Med Sci 27: 243-249.

Paxton R, Denae WK, Celia GP, Connors SK, Hernandez M, Beverly J Gor, Lovell A (2013). Jones Associations Between Body Size and Serum Estradiol and Sex Hormone-Binding Globulin Levels in Premenopausal African American Women J Clin Endocrinol Metab 98 (3): E485–E490.

Public Health England (2014). Morbid Obesity. Available from http://www.noo. org.uk/NOO_about_obesity/morbid_obesity (diakses 21 mei 2014).

Riskesdas (2013). Riset Kesehatan Dasar. Depkes RI. www.Litbang.depkes.go.id

Schuttle AE (2012) Leptin: a Cardiovascular Perspective. Hypertension in Africa Research Team (HART). JEMDSA 17 (2).

Shah A. Hernandez A, Mathur D, Budoff MJ, Kanaya AMD (2012). Adipokines and body fat composition in south asians: results Of the metabolic syndrome and atherosclerosis in south Asians Living in america, study Int J Obes (Lond) 36(6): 810–816.

Sherwood L (2012). Fisiologi manusia dari sel ke system. Edisi 6. Jakarta: Penerbit buku kedokteran EGC.

Weight C, Hertrampt T, Kluxen FM, Flenker U, Hulsemann F, KH Fritzemeier, Diel P (2013). Molecular effects of ER alpha and beta-selective agonists on regulation of energy homeostasis in obese female Wistar rats. Molecular and Cellular Endocrinology 377: 147–158.

WHO (2013). Obesity and overweight. Available from http://www.who.int/mediacentre/factsheets/fs311/en/

Zhou Y, Rui L (2013). Leptin Signaling and Leptin Resistance. Front Med 7(2): 207–222.

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2017-06-22

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