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基于 BMI 的血清 adropin 和缺血修饰白蛋白水平对 PCOS 的影响。

The impact of serum adropin and ischemia modified albumin levels based on BMI in PCOS.

机构信息

Konya Education and Research Hospital, Meram Yeni Yol, 042090 Konya, Turkey.

出版信息

Endokrynol Pol. 2018;69(2):135-141. doi: 10.5603/EP.a2018.0002. Epub 2018 Feb 21.

Abstract

INTRODUCTION

The aim of this study was to evaluate the effects of polycystic ovary syndrome (PCOS) and body mass index (BMI) on serum adropin and ischemia modified albumin (IMA) levels.

MATERIALS AND METHODS

This prospective cross-sectional study was performed with a total of 120 women [group1; non-PCOS = 60 (BMI < 25 = 30, BMI ≥25 = 30) and group 2; PCOS = 60 (BMI < 25 = 30, BMI ≥25 = 30)]. Blood samples were collected between the third and fifth days of the women's menstrual cycles after a night of fasting.

RESULTS

There were no differences between the groups in relation to age, basal follicle stimulating hormone, estradiol, thyroid stimulating hormone, prolactin, high-density lipoprotein cholesterol, total testosterone, dehydroepiandrosterone sulfate levels, systolic and diastolic blood pressures. A significant difference was found in basal luteinizing hormone, fasting glucose, insulin, homeostatic model assessment of insulin resistance, total cholesterol, low-density lipoprotein cholesterol, triglycerides, free testosterone levels, waist-to-hip ratios and the Ferriman-Gallwey scores between the PCOS and non-PCOS patients in the lean and overweight groups (p < 0.05). The serum adropin levels in the lean PCOS group were lower than in the lean non-PCOS group (p < 0.05) and were lower in the overweight PCOS group than in the overweight non-PCOS group (p < 0.05). There was also a statistically significant difference in serum IMA levels in the PCOS group than in the non-PCOS group in both the lean and overweight groups (p < 0.05).

CONCLUSIONS

Although serum adropin levels were significantly decreased in the PCOS group, IMA levels increased. Further studies are needed to determine the effects of adropin and IMA in women with PCOS and to use a new marker to monitorize treatment outcomes. < /p > < p >.

摘要

介绍

本研究旨在评估多囊卵巢综合征(PCOS)和体重指数(BMI)对血清adropin 和缺血修饰白蛋白(IMA)水平的影响。

材料与方法

这是一项前瞻性的横断面研究,共纳入 120 名女性[组 1:非 PCOS=60 例(BMI<25=30 例,BMI≥25=30 例)和组 2:PCOS=60 例(BMI<25=30 例,BMI≥25=30 例)]。采集女性月经周期第 3-5 天夜间禁食后的血液样本。

结果

两组间年龄、基础卵泡刺激素、雌二醇、促甲状腺激素、催乳素、高密度脂蛋白胆固醇、总睾酮、硫酸脱氢表雄酮、收缩压和舒张压均无差异。在瘦组和超重组中,PCOS 和非 PCOS 患者的基础黄体生成素、空腹血糖、胰岛素、稳态模型评估的胰岛素抵抗、总胆固醇、低密度脂蛋白胆固醇、甘油三酯、游离睾酮、腰臀比和费里曼-高尔韦评分均存在显著差异(p<0.05)。瘦 PCOS 组血清 adropin 水平低于瘦非 PCOS 组(p<0.05),超重 PCOS 组低于超重非 PCOS 组(p<0.05)。瘦组和超重组 PCOS 组血清 IMA 水平均显著高于非 PCOS 组(p<0.05)。

结论

虽然 PCOS 组血清 adropin 水平显著降低,但 IMA 水平升高。需要进一步研究以确定 adropin 和 IMA 在 PCOS 患者中的作用,并使用新的标志物来监测治疗效果。

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