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Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls

  • Sahar A. El-Masry ORCID logo EMAIL logo , Rehab A. Mahmoud , Hanaa H. Ahmed , Muhammad Al-Tohamy , Hend M. Abdel Latif and Mahmoud A.S. Afify
Published/Copyright: June 9, 2021

Abstract

Objectives

Evaluate the association between overweight/obesity with serum gonadotropin and androgen levels in Egyptian pubertal girls.

Methods

A case-control study carried out in “Obesity Clinic” of “Diabetes, Endocrine and Metabolism Pediatric Unit (DEMPU)”, Pediatric Hospital, Cairo University. It included 40 overweight and obese girls and 40 age-matching normal weight (control) ones, aged 12–18 years. Anthropometric assessment (weight, height and hip and waist circumferences) was done, and waist/hip and BMI were calculated. Laboratory investigations: lipid profile, serum gonadotropin (LH, FSH), androgen (free and total testosterone), estradiol, insulin, and FBG were quantified, while insulin resistance (IR) was calculated.

Results

Hypogonadotropins (FSH and LH) and hyperandrogenaemia (total and free testosterone) were significantly prominent among obese girls. Correlation between gonadotropin, androgen and all of the studied variables, for the three studied groups (obese, overweight and control) revealed constant relations. Gonadotropin and androgens showed opposing correlations. Gonadotropin had significant negative correlations with the anthropometric parameters of obesity (BMI, waist, and W/H ratio), insulin, insulin resistance and lipid profile (triglycerides, total cholesterol and LDL), whereas androgens had significant positive ones. In addition, gonadotropin showed significant positive correlations with estradiol and HDL, while androgens showed significant negative ones.

Conclusions

Overweight/obesity had no effect on the correlations between gonadotropin and androgen on one side, with the anthropometric measurements and laboratory investigations on the other one. Alterations in androgen levels occur at earlier ages than gonadotropin, among both overweight and obese girls.


Corresponding author: Prof. Sahar A. El-Masry, Biological Anthropology Department, National Research Centre, Giza, Egypt, E-mail:

Acknowledgments

We would like to acknowledge our institute “National Research Centre; Egypt”; without its fund this study could not be done. Also, we would like to acknowledge the participant girls, the laboratory technicians and the doctors, without their help this study couldn’t have been completed.

  1. Research funding: None declared.

  2. Author contributions: Sahar A. El-Masry and Rehab A. Mahmoud: conceived and designed the study. Sahar A. El-Masry: data analysis and interpretation. Hanaa H. Ahmed: laboratory assessments. Muhammad Al-Tohamy and Hend M. Abdel Latif participatedin: data and references collection. Mahmoud A.S. Afify data collection. All authors contributed to the collection of references, drafting of the article and final approval of the submitted version. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  3. Competing interests: The authors declare no financial or personal relationships with other people or organizations that could inappropriately influence the present work.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Ethical approval was obtained from the Ethics Committee of the “National Research Centre” (Approval No. 14/137). After explaining the aim of the study and its possible benefits in identifying the impact of obesity on health, a verbal approval was taken from every participant girl, in addition to a written informed consent from one of her parents.

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Received: 2020-07-12
Accepted: 2021-05-26
Published Online: 2021-06-09

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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