Being an overweight, lazy person is bad in lots of ways: Epidemiologists estimate that about 80 percent of the most common diseases are linked to being severely overweight and leading a sedentary lifestyle. Obese people are at an increased risk for cardiovascular diseases, vascular diseases, hypertension, diabetes and cancer. Al this lowers their life expectancy.
Weight loss and physical activity help to counteract this. Women who lose weight lower their breast cancer risk while 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 but changes in hormonal signaling are believed by some to be among the culprits of these processes. Do body weight and exercise also affect production of these key adipose tissue hormones?
"Adipose tissue produces various hormones which have a great impact on metabolism," says Prof. Dr. Cornelia Ulrich, departmental head at Deutsches Krebsforschungszentrum Heidelberg (DKFZ - German Cancer Research Center) and director of the National Center for Tumor Diseases (NCT) Heidelberg "The important ones are anti-inflammatory adiponectin, which increases the effect of insulin, and leptin, which can promote tumor cell growth."
Cornelia 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 over a period of one year.
"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 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 incentives 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!"