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다낭성난소증후군 환자의 임상적 및 대사적 특성에 대한 체질량지수의 영향

Other Titles
 The Influence of BMI on Clinical and Metabolic Characteristics in Patients with Polycystic Ovary Syndrome 
Authors
 양효인  ;  이경은  ;  서석교  ;  김혜연  ;  조시현  ;  최영식  ;  이병석  ;  박기현  ;  조동제 
Citation
 Journal of Reproductive Endocrinology (대한산부인과내분비학회지), Vol.1(2) : 143-151, 2009 
Journal Title
 Journal of Reproductive Endocrinology (대한산부인과내분비학회지) 
ISSN
 2233-4777 
Issue Date
2009
Keywords
Polycystic ovary syndrome ; Obesity ; Insulin resistance ; Cardiovascular disease
Abstract
Objectives: The aim of this study was to investigate the influence of body mass index (BMI) on clinical and metabolic characteristics in patients with polycystic ovary syndrome (PCOS). Methods: A total of 67 patients with PCOS were included in this study. Study subjects were divided into two groups according to BMI: women with BMI ≥23 ㎏/㎡(overweight/obese group, n=24) vs. women with BMI <23 ㎏/㎡ (normal-weight group, n=43). We compared clinical and metabolic characteristics including waist-to-hip ratio, serum lipid profiles, homeostatic model assessment of insulin resistance (HOMA-IR), fasting serum glucose/insulin ratio, postprandial 2 hours (PP2) serum insulin levels, total testosterone, sex hormone-binding globulin (SHBG), high-sensitivity C-reactive protein (hs-CRP) and homocysteine levels between the two groups, which were statistically analyzed using Mann-Whitney U test or Fisher’s exact test, where appropriate. Results: The overweight/obese group has a lower serum SHBG level (37.23±26.74 vs. 66.42±40.16 nmol/l, P= 0.004) and a higher free androgen index (5.83±3.85 vs. 3.57±2.30, P=0.002) than the normal-weight group. Fasting insulin (17.13±8.8 vs. 7.15±4.41 μIU/ml, P<0.001), PP2 insulin (76.81±43.66 vs. 47.98±49.77 uIU/ml, P=0.022) and the HOMA-IR (3.65±1.74 vs. 1.48±1.02, P<0.001) are significantly higher and fasting glucose/insulin ratio (6.59±4.84 vs. 15.18±7.48, P<0.001) are significantly lower in the overweight/obese group compared to those of the normal weight group. Serum triglyceride (125.00±105.34 vs. 77.56±41.69 mg/dl, P=0.036) and hs-CRP levels (3.53±4.23 vs. 0.85±0.70 mg/l, P=0.008) are significantly higher in the overweight/obese group. Conclusion: The overweight and obese women with PCOS are more closely related to hyperandrogenism, insulin resistance and chronic inflammation. These findings may indicate that they have an increased risk of metabolic and cardiovascular diseases
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hye Yeon(김혜연)
Park, Ki Hyun(박기현)
Seo, Seok Kyo(서석교) ORCID logo https://orcid.org/0000-0003-3404-0484
Yang, Hyo In(양효인)
Lee, Kyung Eun(이경은)
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Cho, Dong Je(조동제)
Cho, Si Hyun(조시현) ORCID logo https://orcid.org/0000-0003-2718-6645
Choi, Young Sik(최영식) ORCID logo https://orcid.org/0000-0002-1157-4822
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105746
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