The DOI matches its Crossref record; 188 of the 188 references it cites were found in a registry or an index.
Sexual differences in the control of energy homeostasis
Open accessAbstract
The prevalence of obesity has reached epidemic proportion with enormous costs in both human lives and healthcare dollars spent. Obesity-related metabolic disorders are much lower in premenopausal women than men; however, there is a dramatic increase following menopause in women. The health risks associated with obesity vary depending on the location of adipose tissue. Adipose tissue distributed in the abdominal visceral carry a much greater risk for metabolic disorders than does adipose tissue distributed subcutaneously. There are distinct sex-dependent differences in the regional fat distribution, women carry more fat subcutaneously whereas men carry more fat viscerally. Males and females differ with respect to their regulation of energy homeostasis. Peripheral adiposity hormones such as leptin and insulin as well as sex hormones directly influence energy balance. Sexual dimorphisms in energy balance, body fat distribution, and the role sex hormones have in mediating these differences are the focus of this review.
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“Estrogen actions in hypothalamic nuclei differentially control food intake, energy expenditure, and white adipose tissue distribution [22,66,67].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [22]
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“Significant sex differences and sex hormone influences on carbohydrate and lipid metabolism are apparent”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [22]
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“important sex differences exist in mitochondrial function [14–16], substrate utilization, and insulin sensitivity [17–24], immune responses [25–28], muscle morphology and body composition [29–32], iron metabolism [33–40], thermoregulation [41–44], hydration [45,46]{Sims, 2008 #55, [47–53], appetite control [54–59], and energy availability and endocrine function [60–65].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [22]
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Cites
Ford, E. S., Giles, W. H., & Dietz, W. H. (2002) · JAMA · doi:10.1001/jama.287.3.356 · Cited by 6,698 · cited 1×
“It has been estimated that 47 million individuals in the United States have obesity-related metabolic diseases [53].”
BackgroundCentral nervous system control of food intake
Schwartz, M. W., Woods, S. C., Porte, D., Seeley, R. J., & Baskin, D. G. (2000) · Nature · doi:10.1038/35007534 · Cited by 6,451 · cited 3×
“Leptin is secreted in direct proportion to body fat, entering the brain from the blood, and interacting with specific receptors on neurons in the hypothalamus and other areas [2], [145] and [171].”
BackgroundSelf-citationPrevalence and trends in obesity among US adults, 1999–2000
Flegal, K. M. (2002) · JAMA · doi:10.1001/jama.288.14.1723 · Cited by 6,190
Cloning of a novel receptor expressed in rat prostate and ovary.
Kuiper, G. G. J. M., Enmark, E., Pelto‐Huikko, M., Nilsson, S., & Gustafsson, J.-Α. (1996) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.93.12.5925 · Cited by 4,802
Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome
Wajchenberg, B. L. (2000) · Endocrine Reviews · doi:10.1210/edrv.21.6.0415 · Cited by 2,961 · cited 3×
“As previously mentioned, on average, women carry more fat subcutaneously [42], [66],[80], [89] and [90]; whereas men carry more fat viscerally [167].”
BackgroundLerner, D., & Kannel, W. B. (1986) · American Heart Journal · doi:10.1016/0002-8703(86)90155-9 · Cited by 1,740 · cited 1×
“Hence, there are sex-based differences with regard to obesity-associated health risks with obese men being more likely to develop secondary metabolic complications and cardiovascular diseases than obese women [36], [83], [87], [92] and [169].”
BackgroundKaplan, N. M. (1989) · Archives of Internal Medicine · doi:10.1001/archinte.149.7.1514 · Cited by 1,672
Frederich, R. C., Hamann, A., Anderson, S., Löllmann, B., Lowell, B. B., & Flier, J. S. (1995) · Nature Medicine · doi:10.1038/nm1295-1311 · Cited by 1,660 · cited 1×
“Leptin is secreted at a higher rate from subcutaneous fat than from visceral fat [28] and [113], thus circulating leptin correlates better with total subcutaneous fat than with total body fat [30], [35], [42], [57], [76], [106], [126], [140] and [141].”
BackgroundLapidus, L., Bengtsson, C., Larsson, B., Pennert, K. M., Rybo, E., & Sjöström, L. (1984) · BMJ · doi:10.1136/bmj.289.6454.1257 · Cited by 1,657 · cited 1×
“In contrast, excess adiposity in the gluteal / femoral subcutaneous region (‘gynoid’ or female-pattern) is poorly correlated with risk for these metabolic disorders [18], [39], [40], [88] and [123].”
BackgroundKrotkiewski, M., Björntorp, P. A., Sjöström, L., & Smith, U. (1983) · Journal of Clinical Investigation · doi:10.1172/jci111040 · Cited by 1,475 · cited 1×
“Hence, there are sex-based differences with regard to obesity-associated health risks with obese men being more likely to develop secondary metabolic complications and cardiovascular diseases than obese women [36], [83], [87], [92] and [169].”
Background
Research works printed but not linked: 1
- Shi, 2008, Leptin receptors in proopiomelanocortin (POMC) neurons and estrogen action, Endocr. Soc. Abst., OR31
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Wang, G., Volkow, N. D., Telang, F., Thanos, P. K., & Fowler, J. S. (2011) · Springer eBooks · doi:10.1007/978-0-387-92271-3_33 · Cited by 1
Bowden, D. W., Wing, M. R., Hicks, A. A., Allred, N., Talbert, J., Knauss, S., & Idol, B. (2009) · Cited by 1
High-Fat or High-Carbohydrate Meal—Does It Affect the Metabolism of Men with Excess Body Weight?
Ostrowska, L., Smarkusz-Zarzecka, J., Muszyńska, A., Adamska-Patruno, E., Górska, M., & Kretowski, A. J. (2022) · Nutrients · doi:10.3390/nu14142876 · Cited by 1
Putative role of N-Arachidonoyl glycine (NAGly) Acute hyperphagia in BALB/c mice
Ramírez-Orozco, R. E., Pedroza-García, K. A., David, M., Alberto, C.-M., Anahí, Á.-M. S., & Alejandro, M.-M. C. (2021) · Emirates Journal of Food and Agriculture · doi:10.9755/ejfa.2021.v33.i3.2657 · Cited by 1
“Increased food intake in males is a common behavior in mammals feeding determined by genetic and hormonal factors that will conditionate sex-dependent energy intake and caloric expenditure (Shi et al., 2009; Voigt et al., 2014).”
BackgroundDiabetes Mellitus Cases by Gender in the North Buton Regency in the 2018-2020 Period
Elfianti, W. O., Tosepu, R., & Effendy, D. S. (2022) · KnE Life Sciences · doi:10.18502/kls.v0i0.11797 · Cited by 1
“Post-menopausal makes the distribution of body fat easy to accumulate due to the hormonal process, so that women are at risk of suffering diabetes mellitus [14].”
BackgroundRole of adipose tissue remodeling in diabetic heart disease
MacCannell, A. D. V., Straw, S., & Levelt, E. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-822186-0.00004-3 · Cited by 1
Vitamin D und Menopause: Ist eine Nahrungsergänzung mit Vitamin D sinnvoll?
Lerchbaum, E. (2014) · Journal für Kardiologie (Krause & Pachernegg GmbH) · Cited by 1
Kim, S. L., Jones, C. E., & Santollo, J. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.03.25.436995 · Cited by 1
Protein Tyrosine Phosphatase Epsilon as a Regulator of Body Weight and Glucose Metabolism
Elson, A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7855-3_10
“It has been suggested that, while both leptin and insulin signal in the hypothalamus to affect body weight, leptin is dominant in this respect in females while insulin is dominant in males [ 59 ].”
BackgroundPerinatal Effects of Sex Hormones in Programming of Susceptibility to Disease
Sanders, T. A. B. (2013) · doi:10.1002/9781118782972.ch5
Body Composition and Menopausal Transition: A Bioanthropological Perspective
Kirchengast, S. (2013) · Humana Press eBooks · doi:10.1007/978-1-62703-373-2_2
Relationship between NK Cells and Insulin Resistance in Adipose Tissue
Yu, P. (2016) · Journal of Diabetes Metabolic Disorders & Control · doi:10.15406/jdmdc.2016.03.00091
“Rather, different adipose depots have different properties that can make important consequences on health [17].”
BackgroundBecker, J. B., Cummings, J., Perry, A. N., & Westenbroek, C. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-375000-6.00194-4
Effect of gender on cardiovascular and metabolic risk profile in young adult indian population
Pal, G., Jagadeeswaran, I., Pal, P., Ananthanarayanan, P. H., Parija, S., Balachander, J., & Dutta, T. (2017) · International Journal of Clinical and Experimental Physiology · doi:10.4103/ijcep.ijcep_10_17
“Previous studies have examined the role of gender in obesity,[6,7,28,29] and a few studies have reported the influence of gender in preobese individuals.”
BackgroundMyocyte Androgen Receptor Modulates Body Composition and Metabolic Parameters
Fernando, S. M. (2010) · TSpace (University of Toronto)
Klein, M. (2016) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.42.2016.tde-10112016-163151
Moreno, J. A. F. (2018) · Institutional Repository of the University of Granada (University of Granada) · doi:10.30827/digibug.49223
TAp63 contributes to sexual dimorphism in POMC neuron functions and energy homeostasis
Wang, C., He, Y., Xu, P., Yang, Y., Saito, K., Xia, Y., Yan, X., Hinton Jr, A., Yan, C., & Ding, H. (2018) · Yearbook of pediatric endocrinology · doi:10.1530/ey.15.15.12
Wellendorf, J. (2018) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-6736
Sex Differences in Energy Balance and Weight Control
Ondrak, K. S. (2020) · Contemporary Endocrinology · doi:10.1007/978-3-030-33376-8_10
(2013) · Wiley eBooks · doi:10.1002/9781118782972.refs
(2018) · Elsevier eBooks · doi:10.1016/b978-0-12-802629-8.16001-2
Appetite–regulating hormones in rats with fructose-induced metabolic changes
Hadzhibozheva, P., Pashova-Stoyanova, L. Z., Tsokeva, Z., Ganeva, M. G., Nancheva, K., Ilieva, G., Nanchev, V., Toleкova, A., & Georgiev, T. (2023) · Pharmacia · doi:10.3897/pharmacia.70.e87712
Srivastava, S., & Sreelatha, S. (2024) · doi:10.61440/jgor.2024.v2.13
Xu, Q., Yang, Y., Gupta, S., Chen, B.-J., Li, G., Chamberlain, M., & Cai, J. J. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.01.03.631121
Molecular bases of adipose tissue aging
Ahmad, A., & Fusciello, M. (2025) · doi:10.32948/ajsep.2025.02.08 · Cited by 1
Mizunoe, Y., Kumagai, M., Fukai, H., Hachiya, K., Otani, Y., Nozaki, Y., Tezuka, K., Kobayashi, M., Haeno, H., Saeki, K., et al. (2025) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2025.151871
The Female-to-Male Medical Treatment
Fabris, B., & Bernardi, S. (2015) · Springer eBooks · doi:10.1007/978-88-470-5696-1_26
Ferrer, B. (2013) · TDX (Tesis Doctorals en Xarxa)
Developing a rodent model for antipsychotic-induced metabolic adverse effects
Skrede, S. (2012) · NORA - Norwegian Open Research Archives
Raghavendhira, H., Srinivasan, D., & Bhaskaran, R. S. (2026) · Nutrire · doi:10.1186/s41110-026-00447-6
“Males and females differ in fat distribution, hormonal regu - lation, stress responsiveness, and neural circuits involved in feeding, cognition, and emotion [22, 23].”
Guan, Z., Stephan, B. C. M., Donini, L. M., Godos, J., Grosso, G., Pereira, L. R., Prado, C. M. M., Toro-Huamanchumo, C. J., Wells, J. C. K., Sim, M., et al. (2026) · Clinical Nutrition · doi:10.1016/j.clnu.2026.106696
Martínez-Armijos, S., Terreros-Bueno, R., Paz‐Barzola, D., & Segovia, K. F. E. (2026) · Communications in computer and information science · doi:10.1007/978-3-032-22641-9_8
Jovanovic, B., Singh, S., Zhang, F., Williams, E. A., Roberts, S. B., & Lowe, M. R. (2026) · Obesity · doi:10.1002/oby.70235
Rivero, G., Rodríguez, A., Catalán, V., Ramírez, B., Carbone, F., Montecucco, F., Gómez‐Ambrosi, J., Frühbeck, G., & Becerril, S. (2026) · Current Obesity Reports · doi:10.1007/s13679-026-00740-5
“In rodent models, male rats fed a high-fat diet show a more pronounced increase in circulating leptin concentrations, accompanied by reduced hypothalamic leptin sensitivity, whereas females maintain greater leptin sensitivity and more efficient appetite regulation [ 50 , 51].”
Hypothermic Conditions Impair GnRH Pulse Generator Activity and GametogenesisPreprint
Hagihara, M., Suzuki, D., Hara, J., Abe, T., Sakurai, T., Miyamichi, K., & Goto, T. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.08.27.747452
“Our data indicate no apparent sex differences in SEs kiss suppression under a negative energy balance, despite expectations based on known sex differences in basal metabolism ( 59 ).”
Tuzovskaia, O. V., Polonskaya, Y. V., Garbuzova, E. V., & Kashtanova, E. V. (2026) · Ateroscleroz · doi:10.52727/2078-256x-2026-22-3-329-339
Blake, C. (2010) · ScholarsArchive (Brigham Young University)
Metadata
- Authors
- Shi, H., Seeley, R. J., & Clegg, D. J.
- Affiliations
- University of Cincinnati (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Clegg, Deborah J.
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2009-08
- Volume
- 30
- Issue
- 3
- Pages
- 396-404
- ISSN
- 0091-3022 (ISSN-L)
- PMC
- PMC4517605
- OpenAlex
- W2073795741
- Cited by
- 242
- References
- 187
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 12 · 2023: 9 · 2022: 15 · 2021: 10 · 2020: 10 · 2019: 15 · 2018: 17 · 2017: 17 · 2016: 12 · 2015: 12 · 2014: 20 · 2013: 17 · 2012: 16
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (DK73689, R01DK073689, F32DK075255)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- sexual dimorphism, energy homeostasis, obesity, menopause, sex hormones, leptin, insulin, visceral adipose tissue, subcutaneous adipose tissue, regional fat distribution, energy balance, metabolic disorders
- MeSH terms
- Animals, Energy Metabolism, Estrogens, Female, Homeostasis, Humans, Male, Metabolic Diseases, Models, Biological, Obesity, Sex Characteristics, Body Fat Distribution
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