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绝经前女性的 amh 与肥胖之间是否存在相关性?

Is there any correlation between amh and obesity in premenopausal women?

机构信息

Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Cerrahpaşa School of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Arch Gynecol Obstet. 2012 Sep;286(3):661-5. doi: 10.1007/s00404-012-2363-x. Epub 2012 May 4.

Abstract

PURPOSE

To evaluate the correlation between the levels of anti-mullerian hormone and body mass index between obese and non-obese premenopausal women.

METHODS

Serum anti-mullerian hormone levels of women younger than 45 years admitted to our reproductive endocrinology clinic for investigation of infertility were examined in this cross-sectional study. Body mass indices were lower than 30 kg/m(2) in 222 patients and equal to or higher than 30 kg/m(2) in 37 patients. Levels of antimullerian hormone were analyzed in each group. Blood samples obtained from study subjects were assayed for levels of anti-mullerian hormone, follicle-stimulating hormone, luteinizing hormone, estradiol, prolactin and thyroid stimulating hormone.

RESULTS

There was no significant difference in terms of mean age between the two groups. There was no statistically significant difference between these two groups in terms of FSH, LH, estradiol and prolactin levels. Anti-mullerian hormone levels were 3.46 ± 2.79 ng/ml and 3.79 ± 2.93 ng/ml in non-obese and obese participants, respectively. No statistically significant correlation was found between Anti Müllerian Hormone (AMH) levels and BMI levels in either group (P > 0.05).

CONCLUSIONS

Body mass index does not have an effect on serum AMH levels in women of reproductive age. Obesity has no association with levels of serum follicle stimulating hormone, luteinizing hormone, estradiol, prolactin and thyroid stimulating hormone. Obesity is unlikely to affect ovarian reserve in the premenopausal age group.

摘要

目的

评估肥胖和非肥胖绝经前妇女抗苗勒管激素水平与体重指数之间的相关性。

方法

本横断面研究检查了因不孕到我们生殖内分泌科就诊的年龄小于 45 岁的女性的血清抗苗勒管激素水平。222 例患者的体重指数低于 30kg/m(2),37 例患者的体重指数等于或高于 30kg/m(2)。分析了每组的抗苗勒管激素水平。从研究对象中采集血样,检测抗苗勒管激素、卵泡刺激素、黄体生成素、雌二醇、催乳素和促甲状腺激素水平。

结果

两组间的平均年龄无显著差异。两组间 FSH、LH、雌二醇和催乳素水平无统计学差异。非肥胖组和肥胖组的抗苗勒管激素水平分别为 3.46±2.79ng/ml 和 3.79±2.93ng/ml。两组间抗苗勒管激素水平与体重指数水平均无显著相关性(P>0.05)。

结论

体重指数对育龄妇女血清 AMH 水平无影响。肥胖与血清卵泡刺激素、黄体生成素、雌二醇、催乳素和促甲状腺激素水平无关。肥胖不太可能影响绝经前年龄组的卵巢储备。

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