Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals

Adult morbid obesity is defined as abnormal or excessive fat accumulation, mostly resulting from a long-term unhealthy lifestyle. Between 10% and 30% of people with obesity exhibit low cardiometabolic risk. The metabolic syndrome has been suggested as an indicator of obesity-related metabolic dysreg...

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Main Authors: Serena Pisoni, Vannina G. Marrachelli, Jose M. Morales, Sabrina Maestrini, Anna M. Di Blasio, Daniel Monleón
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/5/419
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author Serena Pisoni
Vannina G. Marrachelli
Jose M. Morales
Sabrina Maestrini
Anna M. Di Blasio
Daniel Monleón
author_facet Serena Pisoni
Vannina G. Marrachelli
Jose M. Morales
Sabrina Maestrini
Anna M. Di Blasio
Daniel Monleón
author_sort Serena Pisoni
collection DOAJ
description Adult morbid obesity is defined as abnormal or excessive fat accumulation, mostly resulting from a long-term unhealthy lifestyle. Between 10% and 30% of people with obesity exhibit low cardiometabolic risk. The metabolic syndrome has been suggested as an indicator of obesity-related metabolic dysregulation. Although the prevalence of obesity does not seem to be sex-related and metabolic syndrome occurs at all ages, in the last few years, sex-specific differences in the pathophysiology, diagnosis, and treatment of metabolic syndrome have received attention. The aim of this study was to determine the prevalence of metabolic syndrome and its components in different sex and age groups in people with metabolic unhealthy obesity and to compare them with people with metabolic healthy obesity. We analyzed the metabolome in 1350 well-phenotyped morbidly obese individuals and showed that there is a strong sex-dependent association of metabolic syndrome with circulating metabolites. Importantly, we demonstrated that metabolic dysregulation in women and men with severe obesity and metabolic syndrome is age-dependent. The metabolic profiles from our study showed age-dependent sex differences in the impact of MetS which are consistent with the cardiometabolic characterization. Although there is common ground for MetS in the metabolome of severe obesity, men older than 54 are affected in a more extensive and intensive manner. These findings strongly argue for more studies aimed at unraveling the mechanisms that underlie this sex-specific metabolic dysregulation in severe obesity. Moreover, these findings suggest that women and men might benefit from differential sex and age specific interventions to prevent the adverse cardiometabolic effects of severe obesity.
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spelling doaj.art-849e9529e8024f2dbbf5f0b7df2999252023-11-23T12:07:09ZengMDPI AGMetabolites2218-19892022-05-0112541910.3390/metabo12050419Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese IndividualsSerena Pisoni0Vannina G. Marrachelli1Jose M. Morales2Sabrina Maestrini3Anna M. Di Blasio4Daniel Monleón5Department of Pathology, Medicine and Odontology Faculty, University of Valencia, 46010 Valencia, SpainDepartment of Physiology, Medicine and Odontology Faculty, University of Valencia, 46010 Valencia, SpainDepartment of Pathology, Medicine and Odontology Faculty, University of Valencia, 46010 Valencia, SpainLaboratory of Molecular Genetics, Istituto Auxologico Italiano IRCCS, 20145 Milano, ItalyLaboratory of Molecular Genetics, Istituto Auxologico Italiano IRCCS, 20145 Milano, ItalyDepartment of Pathology, Medicine and Odontology Faculty, University of Valencia, 46010 Valencia, SpainAdult morbid obesity is defined as abnormal or excessive fat accumulation, mostly resulting from a long-term unhealthy lifestyle. Between 10% and 30% of people with obesity exhibit low cardiometabolic risk. The metabolic syndrome has been suggested as an indicator of obesity-related metabolic dysregulation. Although the prevalence of obesity does not seem to be sex-related and metabolic syndrome occurs at all ages, in the last few years, sex-specific differences in the pathophysiology, diagnosis, and treatment of metabolic syndrome have received attention. The aim of this study was to determine the prevalence of metabolic syndrome and its components in different sex and age groups in people with metabolic unhealthy obesity and to compare them with people with metabolic healthy obesity. We analyzed the metabolome in 1350 well-phenotyped morbidly obese individuals and showed that there is a strong sex-dependent association of metabolic syndrome with circulating metabolites. Importantly, we demonstrated that metabolic dysregulation in women and men with severe obesity and metabolic syndrome is age-dependent. The metabolic profiles from our study showed age-dependent sex differences in the impact of MetS which are consistent with the cardiometabolic characterization. Although there is common ground for MetS in the metabolome of severe obesity, men older than 54 are affected in a more extensive and intensive manner. These findings strongly argue for more studies aimed at unraveling the mechanisms that underlie this sex-specific metabolic dysregulation in severe obesity. Moreover, these findings suggest that women and men might benefit from differential sex and age specific interventions to prevent the adverse cardiometabolic effects of severe obesity.https://www.mdpi.com/2218-1989/12/5/419metabolic syndromesevere obesitymetabolomicssex dimorphismage dependence
spellingShingle Serena Pisoni
Vannina G. Marrachelli
Jose M. Morales
Sabrina Maestrini
Anna M. Di Blasio
Daniel Monleón
Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
Metabolites
metabolic syndrome
severe obesity
metabolomics
sex dimorphism
age dependence
title Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
title_full Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
title_fullStr Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
title_full_unstemmed Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
title_short Sex Dimorphism in the Metabolome of Metabolic Syndrome in Morbidly Obese Individuals
title_sort sex dimorphism in the metabolome of metabolic syndrome in morbidly obese individuals
topic metabolic syndrome
severe obesity
metabolomics
sex dimorphism
age dependence
url https://www.mdpi.com/2218-1989/12/5/419
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