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Body Weight, Body Fat Distribution, and Hormonal Replacement Therapy in Early Postmenopausal Women
Abstract
Body weight was measured, and body fat distribution was determined by dual energy x-ray in early postmenopausal women given either oral calcium (500 mg/day; control group; n = 12) or hormonal replacement therapy (HRT), a combination of estradiol valerate (2 mg/day for 21 days) with cyproterone acetate (1 mg/day in the last 10 days of the treatment cycle; n = 15). There were no differences in basal body weight or body fat distribution in the two groups before the study. In the control group, a significant (P < 0.05) increase in body weight (from 63.6 +/- 2.2 to 65.2 +/- 1.9 kg [corrected] after 12 months) paralleled a slight, but significant (P < 0.05), increase in total body fat mass (from 23.8 +/- 2.2 to 24.7 +/- 2.2 kg), with an increase in fat in the trunk (from 10.2 +/- 0.4 to 11.3 +/- 0.4 kg; P < 0.01) and arms (from 2.4 +/- 0.5 to 2.7 +/- 0.2 kg; P < 0.05). These findings demonstrate a shift to a prevalent central android fat distribution after 12 months of observation in untreated postmenopausal women. Conversely, in the HRT group, total body bone mineral showed a significant (from 1089 +/- 28 to 1106 +/- 29 mg/cm2; P < 0.05) increase after 12 months, with no significant increase in body weight (from 62.2 +/- 1.6 to 62.7 +/- 1.6 kg), and no modifications in trunk (from 10.0 +/- 0.2 to 9.8 +/- 0.3 kg) and arm (from 2.43 +/- 0.2 to 2.5 +/- 0.1 kg) fat, but a significant increase in leg fat (from 7.1 +/- 0.3 to 8.3 +/- 0.4 kg; P < 0.05). The present results suggest that HRT can counteract at least in part the postmenopausal increase in body weight and body fat and prevent central body fat distribution after menopause.
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“Studies generally show that estrogen replacement therapy in postmenopausal women can promote weight loss and improve metabolic markers including fat distribution, notably by increasing subcutaneous fat and reducing visceral fat mass (201–203).”
From Metabolic impact of endogenously produced estrogens by adipose tissue in females and males across the lifespan (2025) · cites this paper as [203]
In the citing paper
“In premenopausal women, oestrogens protect against weight gain by increasing energy expenditure, whereas postmenopausal women gain weight by the natural decrease in endogenous estradiol levels (Gambacciani et al., 1997).”
From Mitochondrial Activity and Dynamics Changes Regarding Metabolism in Ageing and Obesity (2017) · cites this paper as Gambacciani et al., 1997
In the citing paper
“These reductions can be prevented by oestrogen replacement therapy, indicating a direct relationship between the levels of these hormones and metabolic control and probably mitochondrial activity (Gambacciani et al., 1997).”
From Mitochondrial Activity and Dynamics Changes Regarding Metabolism in Ageing and Obesity (2017) · cites this paper as Gambacciani et al., 1997
In the citing paper
“In premenopausal women, oestrogens protect against weight gain by increasing energy expenditure, whereas postmenopausal women gain weight by the natural decrease in endogenous estradiol levels (Gambacciani et al., 1997).”
From Mitochondrial Activity and Dynamics Changes Regarding Metabolism in Ageing and Obesity (2017) · cites this paper as Gambacciani et al., 1997
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Metadata
- Authors
- Gambacciani, M., Ciaponi, M., Cappagli, B., Piaggesi, L., De Simone, L., Orlandi, R., & Genazzani, A. R.
- Affiliations
- University of Pisa (IT)
- Corresponding author
- Gambacciani, M.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1997-02
- Volume
- 82
- Issue
- 2
- Pages
- 414-417
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2063248917
- Cited by
- 321
- References
- 27
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 10 · 2019: 7 · 2018: 13 · 2017: 8 · 2016: 9 · 2015: 12 · 2014: 8 · 2013: 16 · 2012: 11
- FWCI
- 7.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Keywords
- postmenopausal women, body weight, body fat distribution, abdominal obesity, android fat, estradiol valerate, cyproterone acetate, bone mineral density, calcium supplementation, leg fat, trunk fat, arm fat, menopause, osteoporosis prevention, dual-energy X-ray absorptiometry, body composition changes
- MeSH terms
- Adipose Tissue, Body Composition, Body Weight, Calcium, Female, Humans, Middle Aged, Reference Values, Estrogen Replacement Therapy, Postmenopause
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