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高中女生的维生素D水平与多囊卵巢综合征的临床和生化特征相关吗?

Does vitamin D status correlate with clinical and biochemical features of polycystic ovarysyndrome in high school girls?

作者信息

Ghadimi Reza, Esmaeilzadeh Sedighe, Firoozpour Marmar, Ahmadi Asal

机构信息

Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran. ; Fatemeh Zahra Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran.

Fatemeh Zahra Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2014 Fall;5(4):202-8.

Abstract

BACKGROUND

Prevalence of polycystic ovary syndrome (PCOs) is increasing particularly among the female adolescents and young women. It has been hypothesized that disturbance in calcium and vitamin-D metabolism may affect the symptoms of this syndrome. This study was designed to investigate the relationship between vitamin-D and calcium with metabolic parameters and other characteristics of the PCOs.

METHODS

The study included 192 Iranian girls (16-20 years old), of whom 104 had PCOs and 88 were non-PCOs controls. Serum 25(OH) D and calcium level was measured. Anthropometric components, endocrine, metabolic components and insulin resistance were determined in PCOs subjects.

RESULTS

Mean 25 (OH) D was significantly lower in cases (9.7±4.8) than controls (12.3±11.9) but calcium level did not differ between the two groups (9.3±0.3 vs 9.4±0.4). No significant correlations were found between 25(OH) D levels and lipid profile, FBS, fasting insulin endocrine parameters such as testosterone, free testosterone, FSH, LH, and prolactin.

CONCLUSION

Although hypovitamionos D was common is PCOs but did not correlate with clinical features or complications of obesity and insulin resistance PCO like severity of syndrome between vitamin-D deficiency and its severity with some features and complications of PCOs including obesity, insulin resistance.

摘要

背景

多囊卵巢综合征(PCOS)的患病率正在上升,尤其是在女性青少年和年轻女性中。据推测,钙和维生素D代谢紊乱可能会影响该综合征的症状。本研究旨在调查维生素D和钙与PCOS的代谢参数及其他特征之间的关系。

方法

该研究纳入了192名伊朗女孩(16 - 20岁),其中104名患有PCOS,88名作为非PCOS对照。测量血清25(OH)D和钙水平。对PCOS患者的人体测量指标、内分泌、代谢指标及胰岛素抵抗进行测定。

结果

病例组的平均25(OH)D水平(9.7±4.8)显著低于对照组(12.3±11.9),但两组的钙水平无差异(9.3±0.3对9.4±0.4)。未发现25(OH)D水平与血脂谱、空腹血糖、空腹胰岛素、睾酮、游离睾酮、促卵泡生成素、促黄体生成素和催乳素等内分泌参数之间存在显著相关性。

结论

虽然维生素D缺乏在PCOS中很常见,但它与肥胖和胰岛素抵抗等临床特征或并发症无关,如PCOS综合征的严重程度与维生素D缺乏及其严重程度与PCOS的一些特征和并发症(包括肥胖、胰岛素抵抗)之间没有关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d2/4247482/9494e32a67a0/cjim-5-202-g001.jpg

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