Hyperhidrosis and Obesity

  • Ana Maria Pita Lottenberg
  • Natália Sanchez Oliveira Jensen


Obesity is a chronic disease characterized by an excessive amount of body fat, which increases the risk of health-related problems. Overweight and obesity are among the main conditions related to hyperhidrosis, probably due to the reduced heat loss caused by the thick subcutaneous adipose tissue layer, which may lead to a compensatory response characterized by the excessive production of sweat. Therefore, the nutritional management of overweight and obesity could be useful to improve hyperhidrosis-related symptoms. Accordingly, recent evidence suggests the benefits of dietary treatment based on long-term lifestyle changes, with energy deficit resulting from portion size control and the adoption of a healthy eating pattern, with higher consumption of fruits, vegetables, whole grains, low-fat dairy, and lean meats, along with reduced intake of foods with high amounts of saturated and trans fat, sugars, and sodium.


Obesity Hyperhidrosis Diet therapy Healthy lifestyle Eating habits 


  1. 1.
    World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation group on obesity. In: WHO Technical Report Series, vol. 894. Geneva: WHO; 2000.Google Scholar
  2. 2.
    World Health Organization. Diet, nutrition, and the prevention of chronic diseases. In: WHO Technical Report Series, vol. 797. Geneva: WHO; 1990.Google Scholar
  3. 3.
    World Health Organization. Obesity and overweight fact sheet. Updated 2016.
  4. 4.
    Castoldi A, de Souza CN, Câmara NOS, Moraes-Vieira PM. The macrophage switch in obesity development. Front Immunol. 2015;6:637.PubMedGoogle Scholar
  5. 5.
    Ibrahim MM. Subcutaneous and visceral adipose tissue: structural and functional differences. Obes Rev. 2010;11(1):11–8.CrossRefGoogle Scholar
  6. 6.
    Tchernof A, Després JP. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013;93(1):359–404.CrossRefGoogle Scholar
  7. 7.
    Lecerf JM, Reitz C, de Chasteigner A. Evaluation of discomfort and complications in a population of 18,102 patients overweight or obese patients. Presse Med. 2003;32(15):689–95.PubMedGoogle Scholar
  8. 8.
    Wolosker N, Krutman M, Kauffman P, Paula RP, Campos JR, Puech-Leão P. Effectiveness of oxybutynin for treatment of hyperhidrosis in overweight and obese patients. Rev Assoc Med Bras. 2013;59(2):143–7.CrossRefGoogle Scholar
  9. 9.
    Garcia HL. Dermatological complications of obesity. Am J Clin Dermatol. 2002;3(7):497–506.CrossRefGoogle Scholar
  10. 10.
    Yosipovitch G, DeVore A, Dawn A. Obesity and the skin: skin physiology and skin manifestations of obesity. J Am Acad Dermatol. 2007;56(6):901–16.CrossRefGoogle Scholar
  11. 11.
    Löffler H, Aramaki JU, Effendy I. The influence of body mass index on skin susceptibility to sodium lauryl sulphate. Skin Res Technol. 2002;8(1):19–22.CrossRefGoogle Scholar
  12. 12.
    Havenith G, van Middendorp H. The relative influence of physical fitness, acclimatization state, anthropometric measures and gender on individual reactions to heat stress. Eur J Appl Physiol Occup Physiol. 1990;61(5–6):419–27.CrossRefGoogle Scholar
  13. 13.
    Eijsvogels TM, Veltmeijer MT, Schreuder TH, Poelkens F, Thijssen DH, Hopman MT. The impact of obesity on physiological responses during prolonged exercise. Int J Obes. 2011;35(11):1404–12.CrossRefGoogle Scholar
  14. 14.
    Ball SG. Vasopressin and disorders of water balance: the physiology and pathophysiology of vasopressin. Ann Clin Biochem. 2007;44:417–31.CrossRefGoogle Scholar
  15. 15.
    Freedhoff Y, Hall KD. Weight loss diet studies: we need help not hype. Lancet. 2016;388(10047):849–51.CrossRefGoogle Scholar
  16. 16.
    Carels RA, Young KM, Coit C, Clayton AM, Spencer A, Hobbs M. Can following the caloric restriction recommendations from the Dietary Guidelines for Americans help individuals lose weight? Eat Behav. 2008;9(3):328–35.CrossRefGoogle Scholar
  17. 17.
    de Souza RJ, Bray GA, Carey VJ, Hall KD, LeBoff MS, Loria CM, Laranjo NM, Sacks FM, Smith SR. Effects of 4 weight-loss diets differing in fat, protein, and carbohydrate on fat mass, lean mass, visceral adipose tissue, and hepatic fat: results from the POUNDS LOST trial. Am J Clin Nutr. 2012;95(3):614–25.CrossRefGoogle Scholar
  18. 18.
    Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, Pessah-Pollack R, Plodkowski R, Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016;22(Suppl 3):1–203.CrossRefGoogle Scholar
  19. 19.
    Trichopoulou A, Martínez-González MA, Tong TY, Forouhi NG, Khandelwal S, Prabhakaran D, Mozaffarian D, de Lorgeril M. Definitions and potential health benefits of the Mediterranean diet: views from experts around the world. BMC Med. 2014;12:112.CrossRefGoogle Scholar
  20. 20.
    Stelmach-Mardas M, Rodacki T, Dobrowolska-Iwanek J, Brzozowska A, Walkowiak J, Wojtanowska-Krosniak A, Zagrodzki P, Bechthold A, Mardas M, Boeing H. Link between food energy density and body weight changes in obese adults. Forum Nutr. 2016;8(4):229.Google Scholar
  21. 21.
    Rolls BJ. What is the role of portion control in weight management? Int J Obes. 2014;38(Suppl 1):S1–8.CrossRefGoogle Scholar
  22. 22.
    Pereira JL, Mendes A, Crispim SP, Marchioni DM, Fisberg RM. Association of overweight with food portion size among adults of São Paulo – Brazil. PLoS One. 2016;11(10):e0164127.CrossRefGoogle Scholar
  23. 23.
    Kesman RL, Ebbert JO, Harris KI, Schroeder DR. Portion control for the treatment of obesity in the primary care setting. BMC Res Notes. 2011;4:346.CrossRefGoogle Scholar
  24. 24.
    Monteiro CA, Cannon G, Levy RB, et al. NOVA. The star shines bright. World Nutrition. 2016;7:28–38.Google Scholar
  25. 25.
    Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2 edn. Brasília: Ministério da Saúde; 2014.Google Scholar
  26. 26.
    Canella DS, Levy RB, Martins AP, Claro RM, Moubarac JC, Baraldi LG, Cannon G, Monteiro CA. Ultra-processed food products and obesity in Brazilian households (2008-2009). PLoS One. 2014;9(3):e92752.CrossRefGoogle Scholar
  27. 27.
    Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS Jr. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2014;37(Suppl 1):S120–43.CrossRefGoogle Scholar
  28. 28.
    Esposito K, Kastorini CM, Panagiotakos DB, Giugliano D. Mediterranean diet and weight loss: meta-analysis of randomized controlled trials. Metab Syndr Relat Disord. 2011;9(1):1–12.CrossRefGoogle Scholar
  29. 29.
    Koloverou E, Esposito K, Giugliano D, Panagiotakos D. The effect of Mediterranean diet on the development of type 2 diabetes mellitus: a meta-analysis of 10 prospective studies and 136,846 participants. Metabolism. 2014;63(7):903–11.CrossRefGoogle Scholar
  30. 30.
    Tektonidis TG, Åkesson A, Gigante B, Wolk A, Larsson SC. A Mediterranean diet and risk of myocardial infarction, heart failure and stroke: a population-based cohort study. Atherosclerosis. 2015;243(1):93–8.CrossRefGoogle Scholar
  31. 31.
    U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 dietary guidelines for Americans. 8th ed; December 2015.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ana Maria Pita Lottenberg
    • 1
    • 2
  • Natália Sanchez Oliveira Jensen
    • 3
  1. 1.Laboratório de Lípides (LIM-10), Hospital das Clínicas HCFMUSP, Faculdade de MedicinaUniversidade de São Paulo, University of São Paulo (HCFMUSP)São PauloBrazil
  2. 2.Faculdade Israelita de Ciências da Saúde Albert EinsteinHospital Israelita Albert EinsteinSão PauloBrazil
  3. 3.Collaborator at the Diabetes Control League of the Hospital das Clínicas, University of São PauloSão PauloBrazil

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