{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:06:08Z","timestamp":1791533168781,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Autonomous cortisol secretion of adrenal incidentalomas (<jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>s) is associated with poor cardiovascular outcome. Because centripetal obesity is a cardiovascular risk factor, we aimed to investigate whether autonomous cortisol secretion is associated with increased visceral fat accumulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>s who attended for follow\u2010up between January 2014 and December 2016 were evaluated. Autonomous cortisol secretion was diagnosed when 1\u00a0mg overnight dexamethasone (post\u2010<jats:styled-content style=\"fixed-case\">DST<\/jats:styled-content>) cortisol was &gt;50\u00a0nmol\/L at baseline and follow\u2010up. Follow\u2010up duration was 34 (12\u2010105) months. Thirty patients with nonfunctioning <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>s and 44 patients with autonomous cortisol secretion were included. Adrenalectomy was performed in five patients. Six patients with Cushing's syndrome were also recruited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Hormonal evaluation and assessment of total (<jats:italic>T<\/jats:italic>), visceral (<jats:italic>V<\/jats:italic>) and subcutaneous (<jats:italic>S<\/jats:italic>) fat area by computed tomography and calculation of <jats:italic>V<\/jats:italic>:<jats:italic>S<\/jats:italic> and <jats:italic>V<\/jats:italic>:<jats:italic>T<\/jats:italic> ratios at baseline and follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>V<\/jats:italic>,<jats:italic> V<\/jats:italic>:<jats:italic>S<\/jats:italic> and <jats:italic>V<\/jats:italic>:<jats:italic>T<\/jats:italic> increased (<jats:italic>P<\/jats:italic>&lt;.001 for each comparison, Wilcoxon signed rank test for repeated measures) in patients with autonomous cortisol secretion while did not change significantly in patients with nonfunctioning adenomas. Linear regression models including post\u2010<jats:styled-content style=\"fixed-case\">DST<\/jats:styled-content> cortisol, gender, concomitant treatments and follow\u2010up duration showed that both baseline and follow\u2010up <jats:styled-content style=\"fixed-case\">DST<\/jats:styled-content> significantly predicted \u0394(<jats:italic>V<\/jats:italic>:<jats:italic>S<\/jats:italic>) and \u0394(<jats:italic>V<\/jats:italic>:<jats:italic>T<\/jats:italic>) (<jats:italic>P<\/jats:italic>&lt;.01 for all models).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>s, a post\u2010<jats:styled-content style=\"fixed-case\">DST<\/jats:styled-content> cortisol &gt;50\u00a0nmol\/L at both baseline and follow\u2010up, was associated with a significant increase in visceral fat after a follow\u2010up duration of ~3\u00a0years. This may be of importance to explain the link between autonomous cortisol secretion and poor cardiovascular outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.13408","type":"journal-article","created":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T07:56:37Z","timestamp":1498636597000},"page":"425-432","source":"Crossref","is-referenced-by-count":36,"title":["Autonomous cortisol secretion in adrenal incidentalomas and increased visceral fat accumulation during follow\u2010up"],"prefix":"10.1111","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-735X","authenticated-orcid":false,"given":"Serkan","family":"Yener","sequence":"first","affiliation":[{"name":"Department of Endocrinology Dokuz Eylul University Faculty of Medicine  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Baris","sequence":"additional","affiliation":[{"name":"Department of Radiology Dokuz Eylul University Faculty of Medicine  Izmir 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