a Academic Endocrinology, Diabetes and Metabolism , Hull York Medical School , Hull , UK.
b Centre for Cardiovascular and Metabolic Research Hull York Medical School , Hull , UK.
Gynecol Endocrinol. 2019 Feb;35(2):142-145. doi: 10.1080/09513590.2018.1505848. Epub 2019 Jan 1.
Polycystic ovary syndrome (PCOS) is associated with reduced quality of life (QoL), though the role of associated obesity is unclear. In this study we examined the effects of six months treatment with liraglutide, 1.8 mg od, on obesity, depression and QoL in young women with PCOS and obesity compared to age- and weight-matched controls. In a cross-sectional study, 36 women were recruited (19 PCOS, 17 controls), age 33.9 ± 6.7 vs. 33.5 ± 7.1 yr, and weight 102.1 ± 17.1 vs. 100.4 ± 15.1 kg, respectively. PCOS was diagnosed according to the Rotterdam criteria. Depression was measured using the Centre for Epidemiologic Studies Depression Scale (CES-D). QoL was measured using the World Health Organization QoL questionnaire (WHOQOL-BREF). At baseline there was no difference in QoL or CES-D scores between the two groups. At six months, weight was reduced by 3.0 ± 4.2 kg, p = .01, in the PCOS group and 3.8 ± 3.4 kg, p = .001, in controls. Psychological health improved in the PCOS group (percentage change 11.3%, p < .02). Combining the two groups revealed significant improvement (p < .05) in physical (82.6 ± 11.2 vs. 78.9 ± 13.6), psychological (62.4 ± 16.5 vs. 57.5 ± 16.4) and social health (76.6 ± 15.3 vs. 71 ± 16.8) components of the WHOQOL-BREF at six months. Weight loss is associated with an improvement in QoL; and when matched for age and obesity, PCOS was not independently associated with reduced QoL or depression.
多囊卵巢综合征(PCOS)与生活质量(QoL)降低有关,但相关肥胖的作用尚不清楚。在这项研究中,我们研究了与年龄和体重匹配的对照组相比,使用 1.8mg 每日一次的利拉鲁肽治疗 6 个月对患有肥胖症的年轻 PCOS 女性的肥胖、抑郁和 QoL 的影响。在一项横断面研究中,招募了 36 名女性(19 名 PCOS,17 名对照组),年龄分别为 33.9±6.7 岁和 33.5±7.1 岁,体重分别为 102.1±17.1kg 和 100.4±15.1kg。PCOS 根据鹿特丹标准诊断。使用流行病学研究抑郁量表(CES-D)测量抑郁。使用世界卫生组织生活质量问卷(WHOQOL-BREF)测量生活质量。在基线时,两组之间的 QoL 或 CES-D 评分没有差异。在 6 个月时,PCOS 组体重减轻 3.0±4.2kg,p=0.01,对照组体重减轻 3.8±3.4kg,p=0.001。PCOS 组心理健康状况改善(百分比变化 11.3%,p<0.02)。将两组结合起来发现,身体(82.6±11.2 比 78.9±13.6)、心理(62.4±16.5 比 57.5±16.4)和社会健康(76.6±15.3 比 71.0±16.8)的 WHOQOL-BREF 评分显著改善(p<0.05)。体重减轻与 QoL 改善相关;并且当匹配年龄和肥胖时,PCOS 与 QoL 降低或抑郁无关。