Jackson, SE; Kirschbaum, C; Steptoe, A; (2017) Hair cortisol and adiposity in a population-based sample of 2,527 men and women aged 54 to 87 years. Obesity , 25 (3) pp. 539-544. 10.1002/oby.21733.

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Abstract

OBJECTIVE: Chronic cortisol exposure is hypothesized to contribute to obesity. This study examined associations between hair cortisol concentrations, a novel indicator of long-term cortisol exposure, and adiposity in a large population-based sample. METHODS: Data were from 2,527 men and women aged 54 and older (98% white British) participating in the English Longitudinal Study of Ageing. Hair cortisol concentrations were determined from the scalp-nearest 2 cm hair segment, and height, weight, and waist circumference were objectively measured. Covariates included age, sex, socioeconomic status, smoking status, diabetes, and arthritis. RESULTS: In cross-sectional analyses, hair cortisol concentrations were positively correlated with weight (r = 0.102, P < 0.001), BMI (r = 0.101, P < 0.001), and waist circumference (r = 0.082, P = 0.001) and were significantly elevated in participants with obesity (BMI ≥30 kg/m(2) ) (F = 6.58, P = 0.001) and raised waist circumference (≥102 cm in men, ≥88 cm in women) (F = 4.87, P = 0.027). Hair cortisol levels were also positively associated with the persistence of obesity (F = 12.70, P < 0.001), evaluated in retrospect over 4 years. CONCLUSIONS: Chronic exposure to elevated cortisol concentrations, assessed in hair, is associated with markers of adiposity and with the persistence of obesity over time.

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