KEY POINTS-

  • Patterns of weight loss and gain tend to vary between the sexes due to architectural differences in the brain.
  • Tailoring the treatment of obesity and weight gain based on sex could make it more effective.
  • Therapies that concentrate on hormonal and genetic variables may be more helpful in treating women.
  • Drugs that target appetite and energy balance may be more beneficial in treating men.

Obesity is a complex and multifactorial condition that affects both men and women. However, recent research has demonstrated that there are considerable disparities between the drivers of obesity in men and women, which may have significant consequences for the development of individualized treatment plans.

 

According to the findings of a recent study done by UCLA, men and women have fundamentally different brain architecture in the regions that are responsible for controlling appetite and maintaining a healthy energy balance. The study combined data from several modes of MRI with patients’ clinical features and personal histories to identify sex-specific mechanisms in the brain underlying obesity. Women have a larger insula, which is involved in the sense of internal states such as hunger and satiety, whereas males have a larger hypothalamus and amygdala, which are related to hunger and the reward system, respectively.

 
Andres Ayrton/pexels
Source: Andres Ayrton/pexels

The study showed that women’s obesity tends to be linked to emotion-related and compulsive eating, while men’s eating behavior is more affected by gut sensations and visceral responses such as abdominal discomfort. These differences in certain brain networks suggest that compared to men, women with a high body mass index (BMI) may be more keenly aware of and drawn to highly processed foods, with an increased risk of developing cravings and food addiction.

 

There are considerable gender variations in the brain circuits that regulate eating behavior and body weight, according to a study published in the journal Nature Neuroscience in 2010. The researchers discovered that male and female mice have distinct populations of neurons in the hypothalamus, which is the region of the brain that regulates appetite and the maintenance of a healthy energy balance.

 

Furthermore, these differences have the potential to influence feeding behavior as well as body weight. The inability to handle significant cognitive loads leads to less cognitive constraint and more anxiety, which in turn causes uncontrolled eating behaviors. This issue is more common in females than it is in males.

 

In addition, a few studies have shown that higher connectivity in emotional control regions in obese women is associated with their difficulty in coping with stimuli that induce negative emotions, which in turn leads to greater stress-induced and emotional snacking when compared to their male counterparts. This is the case even though obese women have similar levels of obesity.

 

In general, the preliminary data imply that obese women are more susceptible to food cravings, especially during menstruation. This can make it difficult for women to diet and lose weight since they may be more likely to give in to their demands of food cravings when encountering an emotional situation.

In 2018, the journal Obesity Reviews released a review article that provided a summary of the existing research on sex differences in obesity. The article found that men and women have different patterns of fat distribution, metabolic reactions to food, and hormonal regulation of hunger and energy balance. In addition, men and women have different levels of obesity. The scientists came to the conclusion that it is necessary to have an awareness of these disparities between the sexes in order to design personalized treatments for obesity that take into account individual differences in both biology and behavior.

 

Gut feelings may affect men's eating. The phenomenon known as "gut-brain signaling" entails interaction between the gastrointestinal tract and the brain which regulates satiety and hunger.

Men tend to have higher ghrelin levels and lower leptin levels than women, according to a Journal of Obesity study, leading them to feel hungrier and less full. Men may also taste food better than women, according to research. A study in Physiology and Behavior found that men exhibited a stronger brain reaction to sugar than women. Men may therefore enjoy food more than women, on average, which could lead to overeating and weight gain.

In addition to the variations that occur in the brains of men and women, there are also variances between the sexes in the hormonal and genetic factors that contribute to obesity. For instance, men have higher levels of testosterone, which encourages the growth of muscle mass and increases the amount of energy that is burned, whereas women have higher levels of estrogen, which encourages the storage of fat.

 

Why Gender Differences in Obesity Matter

It is essential to gain an understanding of these gender disparities in the factors that contribute to obesity in order to establish individualized treatment plans. For instance, therapies that concentrate on hormonal and genetic variables may be more helpful in treating women, whereas drugs that target appetite and energy balance may be more beneficial in treating men.

 

In conclusion, men and women experience obesity differently due to the fact that their brains are distinct from one another, and there are also gender distinctions in the hormonal and genetic elements that play a role in the development of obesity. These distinctions have significant repercussions for the development of individualized treatment plans that take into consideration the distinct requirements that are specific to men and women.