European Society of Endocrinology Clinical Practice Guideline: Endocrine work-up in obesity

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Pasquali, R (Author) Other; Casanueva, F (Author) Other; Haluzik, M (Author) Other; van Hulsteijn, L (Author) Other; Ledoux, S (Author) Other; Monteiro, M (Author) ICBAS; Salvador, J (Author) Other; Santini, F (Author) Other; Toplak, H (Author) Other; Dekkers, OM (Author) Other

Journal

Title: European Journal of Endocrinology

Vol. 182

Pages: G1-G32

ISSN: 0804-4643

Publisher: BioScientifica Ltd.

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 20 Citations

Other information

Authenticus ID: P-00R-GJ4

DOI: 10.1530/eje-19-0893

Abstract (EN): Obesity is an emerging condition, with a prevalence of -20%. Although the simple measurement of BMI is likely a simplistic approach to obesity, BMI is easily calculated, and there are currently no data showing that more sophisticated methods are more useful to guide the endocrine work-up in obesity. An increased BMI leads to a number of hormonal changes. Additionally, concomitant hormonal diseases can be present in obesity and have to be properly diagnosed - which in turn might be more difficult due to alterations caused by body fatness itself. The present European Society of Endocrinology Clinical Guideline on the Endocrine Work-up in Obesity acknowledges the increased prevalence of many endocrine conditions in obesity. It is recommended to test all patients with obesity for thyroid function, given the high prevalence of hypothyroidism in obesity. For hypercortisolism, male hypogonadism and female gonadal dysfunction, hormonal testing is only recommended if case of clinical suspicion of an underlying endocrine disorder. The guideline underlines that weight loss in obesity should be emphasized as key to restoration of hormonal imbalances and that treatment and that the effect of treating endocrine disorders on weight loss is only modest.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 32