Bindayel Iman Abdullah
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Front Nutr. 2021 Apr 12;8:611351. doi: 10.3389/fnut.2021.611351. eCollection 2021.
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age. In this study, serum 25-hydroxyvitamin D levels were compared between women with and without PCOS and with regard to anthropometric indices and lipid and glucose biomarkers. Thirty-one women with PCOS and 75 controls answered a questionnaire on vitamin D, in addition to general health and lifestyle. The patients with PCOS had lower vitamin D levels ( < 0.05), a significantly higher rate of obesity ( < 0.05), and significantly higher serum triglyceride levels than did controls. The number of patients with PCOS consumed milk and dairy products ( < 0.05) and exposed to sun ( < 0.006) were lower compared to controls. Triglyceride levels were significantly correlated with body mass index (BMI); vitamin D level was not significantly correlated with anthropometrical or biochemical variables. These results affirm that vitamin D levels are lower in women with PCOS; however, despite the significantly higher proportion of obesity among patients with PCOS, hypovitaminosis was not associated with BMI. The relationship between body composition and vitamin D in PCOS and the effect of vitamin D correction on metabolic and hormonal parameters associated with PCOS must be assessed in future trials.
多囊卵巢综合征(PCOS)是育龄期女性常见的内分泌紊乱疾病。在本研究中,对患有和未患有PCOS的女性的血清25-羟基维生素D水平进行了比较,并分析了其与人体测量指标以及脂质和葡萄糖生物标志物的关系。31名PCOS患者和75名对照者除了回答有关一般健康和生活方式的问题外,还回答了一份关于维生素D的问卷。PCOS患者的维生素D水平较低(P<0.05),肥胖率显著较高(P<0.05),血清甘油三酯水平也显著高于对照组。与对照组相比,PCOS患者食用牛奶和奶制品的人数较少(P<0.05),接受日照的人数也较少(P<0.006)。甘油三酯水平与体重指数(BMI)显著相关;维生素D水平与人体测量或生化变量无显著相关性。这些结果证实,PCOS女性的维生素D水平较低;然而,尽管PCOS患者中肥胖比例显著较高,但维生素D缺乏与BMI无关。未来的试验必须评估PCOS患者身体成分与维生素D之间的关系以及维生素D纠正对与PCOS相关的代谢和激素参数的影响。