"EFFECTS OF OBESITY ON BIOCHEMICAL AND PHYSIOLOGICAL METABOLIC PATHWAYS IN WOMEN" A COMPARATIVE CLINICAL ANALYSIS

Main Article Content

Amna Riaz
Haseeb Ahmed Khan
Asifa Karamat
Junaid Iqbal
Mehwish Iftikhar
Muhammad Abdullah Asghar

Keywords

Obesity, Metabolic pathways, Insulin resistance, Lipid profile, Inflammation

Abstract

Introduction:


Obesity is a complex, multifactorial condition characterized by excessive adipose tissue accumulation that poses significant risks to overall health. In women obesity not only impacts physical appearance and quality of life but also plays a profound role in altering biochemical and physiological metabolic pathways. These alterations contribute to the onset and progression of various comorbid conditions including type 2 diabetes mellitus, cardiovascular diseases, polycystic ovary syndrome (PCOS) and certain cancers.


Objective:


To compare and evaluate the biochemical and physiological alterations in metabolic pathways associated with obese and non-obese in women


Material and Methods:


This study employed a comparative, cross-sectional clinical research design to assess and analyze the biochemical and physiological metabolic pathway alterations in obese and non-obese women. A total of 100 adult female participants, aged between 25 and 50 years, were recruited from outpatient department of Gulab Devi teaching hospital Lahore. By examining key metabolic markers and physiological indicators, this study seeks to provide deeper insights into the sex-specific implications of obesity and inform targeted approaches for prevention and management.


Results:


The study revealed significant alterations in several biochemical and physiological metabolic pathways among obese women compared to non-obese controls. Elevated levels of fasting glucose, insulin, HOMA-IR index, triglycerides, and LDL-cholesterol were observed in the obese group, indicating a pronounced state of insulin resistance and dyslipidemia. Additionally, markers of inflammation such as CRP and hormonal profile markers were significantly higher in obese participants, while antioxidant enzyme activity was reduced.


Conclusion:


This comparative clinical study demonstrates that obesity in women is significantly associated with adverse alterations in biochemical and physiological metabolic pathways. These include impaired glucose metabolism, heightened insulin resistance, dyslipidemia, systemic inflammation, and reduced cardiovascular and respiratory efficiency. The findings underscore the complex interplay between obesity and metabolic dysfunctions, highlighting the importance of early detection, lifestyle modification, and targeted interventions to mitigate long-term health risks in obese women.

Abstract 99 | pdf Downloads 27

References

1. Lustig RH, Collier D, Kassotis C, Roepke TA, Kim MJ, Blanc E, et al. Obesity I: Overview and molecular and biochemical mechanisms. Biochemical pharmacology. 2022;199:115012.
2. Chen H-H, Tseng YJ, Wang S-Y, Tsai Y-S, Chang C-S, Kuo T-C, et al. The metabolome profiling and pathway analysis in metabolic healthy and abnormal obesity. International journal of obesity. 2015;39(8):1241-8.
3. Silvestris E, De Pergola G, Rosania R, Loverro G. Obesity as disruptor of the female fertility. Reproductive Biology and Endocrinology. 2018;16:1-13.
4. Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Elsevier; 2022. p. 155217.
5. Kim K-K, Haam J-H, Kim BT, Kim EM, Park JH, Rhee SY, et al. Evaluation and treatment of obesity and its comorbidities: 2022 update of clinical practice guidelines for obesity by the Korean Society for the Study of Obesity. Journal of Obesity & Metabolic Syndrome. 2023;32(1):1.
6. Barakat B, Almeida ME. Biochemical and immunological changes in obesity. Archives of biochemistry and biophysics. 2021;708:108951.
7. Sertbaş M, Elarslan S, Şenocak E. Changes in adipose tissue and biochemical parameters after aerobic exercise in overweight and obese women. Journal of Surgery and Medicine. 2021;5(3):294-8.
8. Del Porto H, Pechak C, Smith D, Reed-Jones R. Biomechanical effects of obesity on balance. International Journal of Exercise Science. 2012;5(4):1.
9. Rahbar S, Naimi SS, Soltani AR, Rahimi A, Akbarzadeh Baghban A, Rashedi V, et al. Improvement in biochemical parameters in patients with type 2 diabetes after twenty-four sessions of aerobic exercise: A randomized controlled trial. Iranian Red Crescent Medical Journal. 2017;19(7).
10. Muoio DM, Newgard CB. Molecular and metabolic mechanisms of insulin resistance and β-cell failure in type 2 diabetes. Nature reviews Molecular cell biology. 2008;9(3):193-205.
11. Bays HE. Lorcaserin and adiposopathy: 5-HT2c agonism as a treatment for ‘sick fat’and metabolic disease. Expert review of cardiovascular therapy. 2009;7(11):1429-45.
12. Hotamisligil GS. Endoplasmic reticulum stress and atherosclerosis. Nature medicine. 2010;16(4):396-9.

Most read articles by the same author(s)