Document Detail


Insulin resistance and overweight-obese women with polycystic ovary syndrome.
MedLine Citation:
PMID:  19903118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To estimate (1) the prevalence of insulin resistance (IR) by fasting glucose: insulin ratio (G:I) (G:I <or= 4.5) in overweight-obese polycystic ovary syndrome (PCOS) women, (2) to compare the clinical and biochemical parameters between insulin-resistant and insulin-sensitive groups.
MATERIALS AND METHODS: Eighty-one overweight-obese PCOS women (body mass index (BMI) >or= 23 kg/m(2)) were studied. PCOS was diagnosed as per the Rotterdam 2003 criteria. BMI, abdominal circumference (AC), hirsutism (Ferriman Gallway score >or=6), presence of acne and acanthosis nigricans (AN) were noted in each case. Serum testosterone, sex hormone binding globulin (SHBG), fasting plasma glucose and insulin levels were measured.
RESULTS: 23.5% women were found to have IR. There were no differences in age, frequency of hirsutism, acne, serum testosterone and fasting glucose levels between insulin-resistant and insulin-sensitive women. However, there were significant differences in BMI, AC, frequency of AN, SHBG levels, fasting insulin levels and FAI between the two groups.
CONCLUSION: PCOS women with IR are more obese; they have more upper body adiposity and AN. They are more hyperandrogenic. Simple clinical parameters will help to suspect IR in PCOS women.
Authors:
Sudhindra Mohan Bhattacharya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology     Volume:  26     ISSN:  1473-0766     ISO Abbreviation:  Gynecol. Endocrinol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-14     Completed Date:  2010-07-22     Revised Date:  2011-04-14    
Medline Journal Info:
Nlm Unique ID:  8807913     Medline TA:  Gynecol Endocrinol     Country:  England    
Other Details:
Languages:  eng     Pagination:  344-7     Citation Subset:  IM    
Affiliation:
S C Das Memorial Medical & Research Center, Kolkata, India. drsudhindra54@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Acanthosis Nigricans / epidemiology
Adolescent
Adult
Blood Glucose / analysis
Body Mass Index
Fasting
Female
Humans
Insulin / blood
Insulin Resistance*
Obesity / complications*
Overweight / complications*
Polycystic Ovary Syndrome / blood,  complications*,  diagnosis
Sex Hormone-Binding Globulin / analysis
Testosterone / blood
Waist Circumference
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Sex Hormone-Binding Globulin; 11061-68-0/Insulin; 58-22-0/Testosterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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