Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample

Yu Ran, Qiang Yi, Cong Li Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing City, People’s Republic of ChinaCorrespondence: Cong LiDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, YuZhong District, Cho...

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Autores principales:	Ran Y, Yi Q, Li C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sleeve gastrectomy metabolic syndrome menstrual cycle hyperlipidemia Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/040746b151744707a0ed48ecf8107833
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spelling	oai:doaj.org-article:040746b151744707a0ed48ecf81078332021-12-02T12:16:38ZCorrelation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample1178-7007https://doaj.org/article/040746b151744707a0ed48ecf81078332020-12-01T00:00:00Zhttps://www.dovepress.com/correlation-between-recovery-of-menstrual-cycle-and-improvement-of-glu-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Yu Ran, Qiang Yi, Cong Li Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing City, People’s Republic of ChinaCorrespondence: Cong LiDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, YuZhong District, Chongqing City 400010, People’s Republic of ChinaTel +8615334506105Fax +86(23) 89011080Email b05104@126.comObjective: To analyze the status of insulin resistance and hyperlipidemia in the regulation of menstrual cycle in patients undergoing sleeve gastrectomy (LSG).Materials and Methods: Retrospective analysis of a typical metabolic syndrome population: 65 cases of sexually mature women underwent weight reduction surgery from January 2015 to June 2018, and for 35 of these cases we collected all clinical data including age, menstrual status, body mass index (BMI), waist-to-hip ratio (WHR), blood lipid level, homeostasis model assessment in insulin resistance (HOMA-IR) and free androgen index (FAI). Sixteen of these patients had menstrual disorder that was characterized by oligomenorrhea and their menstrual cycle was > 2 months or < 24 days before operation, while their menstrual cycle recovered approximately 1 month to one year after sleeve gastrectomy.Results: The age of our 35 patients with metabolic syndrome was 15– 40 years; 19 cases were in the menstrual regularity group and 16 cases in the menstrual disorder group. On analysis of metabolic factors in the two groups, only BMI and FAI distribution in the two groups were statistically different, while lipid levels and insulin resistance levels for abnormal menstrual cycle were not statistically significant. The analysis of blood lipid components showed that high triglyceride levels and high cholesterol levels increased the occurrence of menstrual disorders.Conclusion: BMI can be used as one of the important metabolic indicators of menstrual disorders in patients with metabolic syndrome. Excess androgen can increase the occurrence of menstrual disorders, leading to polycystic ovarian syndrome (PCOS). Although insulin resistance is universal in patients with metabolic syndrome, it is not a specific factor that affects menstrual cycle. Hyperlipidemia, especially triglyceride composition, may be one of the driving factors of menstrual disorder.Keywords: sleeve gastrectomy, metabolic syndrome, menstrual cycle, hyperlipidemiaRan YYi QLi CDove Medical Pressarticlesleeve gastrectomymetabolic syndromemenstrual cyclehyperlipidemiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 4711-4715 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleeve gastrectomy metabolic syndrome menstrual cycle hyperlipidemia Specialties of internal medicine RC581-951
spellingShingle	sleeve gastrectomy metabolic syndrome menstrual cycle hyperlipidemia Specialties of internal medicine RC581-951 Ran Y Yi Q Li C Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
description	Yu Ran, Qiang Yi, Cong Li Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing City, People’s Republic of ChinaCorrespondence: Cong LiDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, YuZhong District, Chongqing City 400010, People’s Republic of ChinaTel +8615334506105Fax +86(23) 89011080Email b05104@126.comObjective: To analyze the status of insulin resistance and hyperlipidemia in the regulation of menstrual cycle in patients undergoing sleeve gastrectomy (LSG).Materials and Methods: Retrospective analysis of a typical metabolic syndrome population: 65 cases of sexually mature women underwent weight reduction surgery from January 2015 to June 2018, and for 35 of these cases we collected all clinical data including age, menstrual status, body mass index (BMI), waist-to-hip ratio (WHR), blood lipid level, homeostasis model assessment in insulin resistance (HOMA-IR) and free androgen index (FAI). Sixteen of these patients had menstrual disorder that was characterized by oligomenorrhea and their menstrual cycle was > 2 months or < 24 days before operation, while their menstrual cycle recovered approximately 1 month to one year after sleeve gastrectomy.Results: The age of our 35 patients with metabolic syndrome was 15– 40 years; 19 cases were in the menstrual regularity group and 16 cases in the menstrual disorder group. On analysis of metabolic factors in the two groups, only BMI and FAI distribution in the two groups were statistically different, while lipid levels and insulin resistance levels for abnormal menstrual cycle were not statistically significant. The analysis of blood lipid components showed that high triglyceride levels and high cholesterol levels increased the occurrence of menstrual disorders.Conclusion: BMI can be used as one of the important metabolic indicators of menstrual disorders in patients with metabolic syndrome. Excess androgen can increase the occurrence of menstrual disorders, leading to polycystic ovarian syndrome (PCOS). Although insulin resistance is universal in patients with metabolic syndrome, it is not a specific factor that affects menstrual cycle. Hyperlipidemia, especially triglyceride composition, may be one of the driving factors of menstrual disorder.Keywords: sleeve gastrectomy, metabolic syndrome, menstrual cycle, hyperlipidemia
format	article
author	Ran Y Yi Q Li C
author_facet	Ran Y Yi Q Li C
author_sort	Ran Y
title	Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
title_short	Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
title_full	Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
title_fullStr	Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
title_full_unstemmed	Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample
title_sort	correlation between recovery of menstrual cycle and improvement of glucose and lipid metabolism in patients with sleeve gastrectomy in a small chinese cohort sample
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/040746b151744707a0ed48ecf8107833
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Correlation Between Recovery of Menstrual Cycle and Improvement of Glucose and Lipid Metabolism in Patients with Sleeve Gastrectomy in a Small Chinese Cohort Sample

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