9. Irregular Body Fat Distribution – The Puzzling Body Shape Changes
CAH can lead to atypical patterns of body fat distribution, where fat is deposited in areas less common for the individual’s sex. This symptom is often subtle but can contribute to body image concerns as the individual’s physique diverges from expected norms.
The altered hormonal environment in CAH, especially the overproduction of cortisol precursors and androgens, influences how and where the body stores fat. This can lead to a build-up in regions such as the abdomen, neck, or face, giving rise to a more Cushingoid appearance.
Body fat distribution changes can affect more than just appearance; they may also have health implications, such as increased cardiovascular risk. It requires a multidisciplinary approach to manage, focusing on diet, exercise, and sometimes pharmacological intervention.
Diet and exercise remain the cornerstones of managing body composition changes, supplemented by medical treatments that aim to normalize hormone levels. It’s a symptom that is managed over the long term, with lifestyle changes playing a pivotal role. (9)
