印度某医院环境下青春期女孩多囊卵巢综合征负担的城乡比较。
Urban rural comparisons of polycystic ovary syndrome burden among adolescent girls in a hospital setting in India.
作者信息
Balaji Swetha, Amadi Chioma, Prasad Satish, Bala Kasav Jyoti, Upadhyay Vandana, Singh Awnish K, Surapaneni Krishna Mohan, Joshi Ashish
机构信息
Saveetha Young Medical Researchers Group (SYMRG), Saveetha Medical College & Hospital, Faculty of Medicine, Saveetha University, Saveetha Nagar, Chennai 602105, Tamil Nadu, India ; Foundation of Healthcare Technologies Society, New Delhi 110088, India.
Foundation of Healthcare Technologies Society, New Delhi 110088, India.
出版信息
Biomed Res Int. 2015;2015:158951. doi: 10.1155/2015/158951. Epub 2015 Jan 5.
BACKGROUND
Polycystic ovarian syndrome (PCOS) is a multifaceted disorder characterized by varying clinical presentations.
OBJECTIVE
The aim of this study was to determine urban and rural differences in the burden of polycystic ovarian syndrome among Indian adolescent females aged 12 to 19 years.
METHODS
A pilot cross-sectional study was conducted for a period of one month (August-September 2013) at Balaji Hospital, Vellore, Tamil Nadu, India. The final sample included 126 study participants located in various urban (50%, n = 63) and rural (50%, n = 63) settings. Information was gathered on sociodemographic and anthropometric characteristics, clinical history, occurrence of acne and hirsutism, serum testosterone levels, obstetric history, family history of chronic diseases, menstrual history, physical activity, and dietary intake.
RESULTS
Eighteen percent of the participants were confirmed of having PCOS by recent guidelines of Rotterdam Consensus for adolescent diagnosis of PCOS (presence of all three elements). Majority of the individuals with PCOS had an average age of 16 (SD = 2) (P = .02) years with an average age of menarche 12 years (SD = 1).
CONCLUSION
The proportion of participants diagnosed with PCOS was higher among urban participants in comparison to rural participants.
背景
多囊卵巢综合征（PCOS）是一种具有多种临床表现的复杂病症。
目的
本研究旨在确定印度12至19岁青春期女性中多囊卵巢综合征负担的城乡差异。
方法
于2013年8月至9月在印度泰米尔纳德邦韦洛尔的巴拉吉医院进行了为期一个月的试点横断面研究。最终样本包括126名研究参与者，分布在不同的城市（50%，n = 63）和农村（50%，n = 63）地区。收集了社会人口统计学和人体测量学特征、临床病史、痤疮和多毛症的发生情况、血清睾酮水平、产科病史、慢性病家族史、月经史、身体活动和饮食摄入等信息。
结果
根据鹿特丹共识关于青春期多囊卵巢综合征诊断的最新指南（具备所有三个要素），18%的参与者被确诊患有多囊卵巢综合征。大多数多囊卵巢综合征患者的平均年龄为16岁（标准差 = 2）（P = 0.02），初潮平均年龄为12岁（标准差 = 1）。
结论
与农村参与者相比，城市参与者中被诊断患有多囊卵巢综合征的比例更高。
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