• Int J Psychiatry Med · Jan 2008

    Comparative Study

    Increase of visceral fat and adrenal gland volume in women with depression: preliminary results of a morphometric MRI study.

    • Burkhard Ludescher, Arif Najib, Sophia Baar, Juergen Machann, Fritz Schick, Gerhard Buchkremer, Claus D Claussen, and Gerhard W Eschweiler.
    • University Hospital Tuebingen, Department of Diagnostic Radiology, Section of Experimental Radiology, Hoppe-Seyler-Strasse 3, Tuebingen, Germany. burkhard.ludescher@med.uni-tuebingen.de
    • Int J Psychiatry Med. 2008 Jan 1; 38 (3): 229-40.

    ObjectiveDepression is often accompanied by increased visceral adipose tissue (VAT), stress, enlarged adrenal glands, and an increased risk of cardiovascular disease. VAT turn-over is regulated by adrenal stress hormones such as cortisol. Aim of this study was to investigate the relationship between the adrenal volume as a marker for long-term stress and the volume fractions of several body fat compartments in healthy and depressive women.MethodsTen depressive and 12 healthy women were investigated. Fat compartments (VAT, VAT in the upper abdomen, subcutaneous adipose tissue (SCAT), and adrenal volume) were measured by MRI.ResultsDepressive women revealed more VAT in the upper abdomen than the healthy. There was a significant correlation of age and Body Mass Index (BMI) with the visceral adipose tissue volume and adrenal gland size. In a partial correlation, Beck Depression Inventory (BDI) was correlated with VAT in the upper abdomen (r = 0.45, p < 0.05).ConclusionsThe increase of adrenal volume and VAT and the correlation of BDI with VAT in the upper abdomen support the hypothesis of long-term production of stress hormones in depression. This study is a further step toward describing morphologic substrates of depression in endocrine organs.

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