Polymorphism and Endocrine Functions in Subjects with Morbid Obesity Undergoing Bariatric Surgery.

BACKGROUND

Obesity is an interplay between genes and the environment, including lifestyle. The genetics of obesity is insufficiently understood. Apolipoprotein E () genetic polymorphism has been associated with a wide range of disorders. Knowing that some alleles are associated with obesity and endocrine disorders that are common in obesity, the present study aimed at exploring associations between polymorphisms and endocrine functions in subjects with obesity undergoing bariatric surgery.

METHODS

Analyses of hormones in blood collected before and one year after bariatric surgery were examined. The alleles were grouped as follows: E2 = ε2ε2 + ε2ε3; E3 = ε3ε3 + ε2ε4; E4 = ε3ε4 + ε4ε4. The groups were analysed as nominal and ordered groups (E2-E3-E4) with a linear mixed model to predict the hormonal effects of the groups.

RESULTS

Forty-nine women (79%) and thirteen (21%) men with a mean age of 47.7 (SD 8.5) years were included in the study. The adiponectin level was significantly lower ( < 0.05) in the E2 group compared with the E4 group. Adiponectin and cortisol were positively and negatively associated, respectively, with the ordered groups.

CONCLUSIONS

The ordered groups E2-E3-E4 were significantly associated with high and low levels of adiponectin and cortisol, respectively. The findings indicate -mediated effects on body weight and metabolic functions in subjects with morbid obesity.