“Better” Hormones Through Diet and Exercise
Weight loss – by change in diet or in combination with physical exercise – has a positive impact on the production of adipose tissue hormones: Adipose cells produce less leptin but, instead, more adiponectin, which counteracts diabetes and cancer. These changes explain, at a molecular level, the health-promoting effect of physical exercise and dietary changes. Heidelberg cancer researchers have published their results in collaboration with colleagues from the U.S.A.
© Media Center of Heidelberg University
Overweight couch potatoes live a dangerous life: Epidemiologists estimate that about 80 percent of the most common diseases are linked to severe overweight and obesity and a sedentary lifestyle. Obese people are at an increased risk for cardiovascular diseases, vascular diseases, hypertension, diabetes and cancer. This lowers their life expectancy. Weight loss and physical activity help to counteract this. Women who lose weight lower their breast cancer risk. Regular physical activity lowers the risk of developing breast, colorectal and cervical cancers.
The links between body weight, lifestyle and the risks of developing cancer and other chronic diseases are not yet understood in every detail. However, changes in hormonal signaling are believed to be among the culprits of these processes. “Adipose tissue produces various hormones which have a great impact on metabolism,” says Prof. Dr. Cornelia Ulrich. “The important ones are anti-inflammatory adiponectin, which increases the effect of insulin, and leptin, which can promote tumor cell growth.
Do body weight and exercise also affect production of these key adipose tissue hormones? Cornelia Ulrich, departmental head at DKFZ and director of the National Center for Tumor Diseases (NCT) Heidelberg, analyzed this in a randomized controlled study with 439 overweight postmenopausal women (> 50 years). Study participants were divided into three “intervention groups” (diet; exercise; diet+exercise) as well as a control group. These groups were watched intensively over a period of one year so that the results obtained are particularly valuable.
“Our hypothesis was that particularly a combination of physical activity and weight loss should result in a more favorable relation of the two hormone levels,” said Cornelia Ulrich. Leptin production decreased in all three intervention groups, most noticeably (up to 40 percent) in the diet+exercise group. By contrast, adiponectin production increased most in women who were on a reduced calorie diet only.
Irrespective of the type of intervention, the positive effect on hormone production was dependent on the degree of weight loss: The more kilos a study participant had lost, the more her adiponectin levels increased and the more her leptin levels decreased. “We observed the greatest changes in women who had lost ten percent of their initial body weight,” says Dr. Clare Abbenhardt, first author of the study. “Some of these participants reached a 20 percent increase in adiponectin levels and their leptin decreased by more than 50 percent.”
Leptin production appears to be influenced by mere changes of body composition, because in the exercise intervention group, participants gained muscle mass also without losing weight.
“We now have a better understanding of the mechanisms by which weight loss and training protect from chronic diseases. The health-promoting effect of adiponectin is regarded as established by numerous studies now. Lower leptin levels, on the other hand, offer less growth stimuli for tumor cells. Therefore, we are now able to give well-founded recommendations to women how they can positively influence these two important metabolic regulators,” says Cornelia Ulrich, “by keeping a healthy body weight and getting more exercise!”
The research was undertaken in collaboration with scientists from several U.S. universities at the Fred Hutchinson Cancer Research Center in Seattle, U.S.A.
Clare Abbenhardt, Anne McTiernan, Catherine M. Alfano, Mark H. Wener, Kristin L. Campbell, Catherine Duggan, Karen E. Foster-Schubert, Angela Kong, Adetunji T Toriola, John D. Potter, Caitlin Mason, Liren Xiao, George L. Blackburn, Carolyn Bain and Cornelia M. Ulrich: Effects of individual and combined dietary weight loss and exercise interventions in postmenopausal women on adiponectin and leptin levels. Journal of Internal Medicine, 25 February, 2013
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Source: Media Center of Heidelberg University
With more than 3,000 employees, the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ) is Germany’s largest biomedical research institute. DKFZ scientists identify cancer risk factors, investigate how cancer progresses and develop new cancer prevention strategies. They are also developing new methods to diagnose tumors more precisely and treat cancer patients more successfully. The DKFZ's Cancer Information Service (KID) provides patients, interested citizens and experts with individual answers to questions relating to cancer.
To transfer promising approaches from cancer research to the clinic and thus improve the prognosis of cancer patients, the DKFZ cooperates with excellent research institutions and university hospitals throughout Germany:
The DKFZ is 90 percent financed by the Federal Ministry of Education and Research and 10 percent by the state of Baden-Württemberg. The DKFZ is a member of the Helmholtz Association of German Research Centers.
