Adrenal disease

Assessment of plasma dexamethasone levels after 1‐mg dexamethasone suppression test in adults with obesity

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

Our results suggest that obesity does not affect plasma dexamethasone levels. However, dexamethasone measurement may still be helpful in patients who are being investigated for Cushing's syndrome and suspected to have a false-positive DST.

Study context

Population
Healthy obese and optimal-weight adults undergoing a standard overnight 1-mg dexamethasone suppression test
Participants
62 vs 30
Exposure
Obese vs optimal-weight participants
  • Obesen = 62
  • Optimal-weightn = 30reference
Outcome
Plasma dexamethasone levels (LC-MS/MS) after 1-mg dexamethasone suppression test

Main finding

As reported in the abstract

Plasma dexamethasone level

P = 0.09

Observational data: associations, not effects.

Further findings

Correlation of sex, BMI, body surface area with plasma dexamethasone

No correlations between sex, BMI, body surface area and plasma dexamethasone levels

Plasma dexamethasone >3.3 nmol/L, obesity class 1 vs class 2 vs optimal-weight

No significant difference in proportion achieving plasma dexamethasone >3.3 nmol/L between obesity class 1, class 2 and optimal-weight

Original publication

Assessment of plasma dexamethasone levels after 1‐mg dexamethasone suppression test in adults with obesity. Clin Endocrinol (Oxf). Published 16 January 2024. doi:10.1111/cen.15020

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