Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes

Abstract Polycystic ovary syndrome (PCOS) is a common problem among Arab women and is the main cause of infertility due to anovulation. This study investigates insulin resistance (IR) and obesity in different PCOS phenotypes among infertile women (n = 213), of whom 159 had PCOS and 54 women without...

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Autores principales: Moamar Al-Jefout, Nedal Alnawaiseh, Aiman Al-Qtaitat
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Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/970c5fc9cc9b47d0bdf31186b6e8d109
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spelling oai:doaj.org-article:970c5fc9cc9b47d0bdf31186b6e8d1092021-12-02T12:32:46ZInsulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes10.1038/s41598-017-05717-y2045-2322https://doaj.org/article/970c5fc9cc9b47d0bdf31186b6e8d1092017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-05717-yhttps://doaj.org/toc/2045-2322Abstract Polycystic ovary syndrome (PCOS) is a common problem among Arab women and is the main cause of infertility due to anovulation. This study investigates insulin resistance (IR) and obesity in different PCOS phenotypes among infertile women (n = 213), of whom 159 had PCOS and 54 women without PCOS, recruited as a control group. Biometric, hormonal and clinical parameters were studied. IR was observed in 133 (83.6%) women with PCOS and in 25 (46.3%) women without PCOS (p < 0.001). IR was significantly associated with PCOS only among women with central obesity (χ2 = 35.0, p < 0.001) and not for the normal category (χ2 = 4.04, p < 0.058). The LH/FSH ratio was not significantly different among the PCOS group (n = 37, 23.3%) compared to the control group (n = 9, 16.7%) (p = 0.308). Among women with PCOS, the most common phenotype was type I (50.3%), with type III (29.6%), type II (14.5%) and type IV (5.7%). Type I had the highest values of fasting insulin (median = 12.98 mU/mL) and HOMA IR values (significant difference among the four phenotypes, p = 0.009 and 0.006, respectively) and is associated with severity of the disease. There was no difference in glucose levels.Moamar Al-JefoutNedal AlnawaisehAiman Al-QtaitatNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Moamar Al-Jefout
Nedal Alnawaiseh
Aiman Al-Qtaitat
Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
description Abstract Polycystic ovary syndrome (PCOS) is a common problem among Arab women and is the main cause of infertility due to anovulation. This study investigates insulin resistance (IR) and obesity in different PCOS phenotypes among infertile women (n = 213), of whom 159 had PCOS and 54 women without PCOS, recruited as a control group. Biometric, hormonal and clinical parameters were studied. IR was observed in 133 (83.6%) women with PCOS and in 25 (46.3%) women without PCOS (p < 0.001). IR was significantly associated with PCOS only among women with central obesity (χ2 = 35.0, p < 0.001) and not for the normal category (χ2 = 4.04, p < 0.058). The LH/FSH ratio was not significantly different among the PCOS group (n = 37, 23.3%) compared to the control group (n = 9, 16.7%) (p = 0.308). Among women with PCOS, the most common phenotype was type I (50.3%), with type III (29.6%), type II (14.5%) and type IV (5.7%). Type I had the highest values of fasting insulin (median = 12.98 mU/mL) and HOMA IR values (significant difference among the four phenotypes, p = 0.009 and 0.006, respectively) and is associated with severity of the disease. There was no difference in glucose levels.
format article
author Moamar Al-Jefout
Nedal Alnawaiseh
Aiman Al-Qtaitat
author_facet Moamar Al-Jefout
Nedal Alnawaiseh
Aiman Al-Qtaitat
author_sort Moamar Al-Jefout
title Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
title_short Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
title_full Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
title_fullStr Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
title_full_unstemmed Insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
title_sort insulin resistance and obesity among infertile women with different polycystic ovary syndrome phenotypes
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/970c5fc9cc9b47d0bdf31186b6e8d109
work_keys_str_mv AT moamaraljefout insulinresistanceandobesityamonginfertilewomenwithdifferentpolycysticovarysyndromephenotypes
AT nedalalnawaiseh insulinresistanceandobesityamonginfertilewomenwithdifferentpolycysticovarysyndromephenotypes
AT aimanalqtaitat insulinresistanceandobesityamonginfertilewomenwithdifferentpolycysticovarysyndromephenotypes
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