Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector7078610.17816/kazmj70786Short CommunicationStötter. Dietary and hormonal treatment of obesity (Med. Kl. No. 30 24 / VII, 1986)DembskayaV.info@eco-vector.com140519373356396401805202118052021Copyright © 1937, Dembskaya V.1937<p>For many years, the clinic of prof. Humbert in Berlin is trying to work out a classification of endocrine forms of obesity in accordance with the regional distribution of fat (regional Humbert lipophilia). Excessive fat deposition in women in the trochanter area refers to hypofunction of the gonads. Fat, evenly distributed over the trunk and limbs, with a particularly strong thickening in the area of the wrist and ankle joints, is an expression of decreased thyroid function. Pituitary obesity in adolescents, first described by Frhlich, is expressed in the fact that boys lack pronounced masculinity, the distribution of fat occurs according to the female type, and the genitals are underdeveloped. In girls, fat is located especially on the extensor surfaces of the thighs, on the pubis and in the lower abdomen, somewhat reminiscent of menopausal obesity. Both boys and girls have poorly developed genitals and little outlined secondary sexual characteristics, the capillary blood supply to the skin is impaired, as a result of which it has a marble appearance. With adrenal insufficiency, there is also obesity and underdevelopment of the genitals. But not only endocrine hypofunction, but also excessively increased endocrine activity can lead to obesity. This is how, for example, excess insulin production works. Experiments on animals have shown that long-term administration of gonadotropic hormones leads to obesity and stunted growth. The study of the basal metabolic rate in endocrine obesity showed that in most cases it remains within the normal range, and sometimes it is even slightly higher than it.</p>Kazan Medical archiveКазанский медицинский архив