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多囊卵巢综合征女性潜在饮食炎症负荷与chemerin、雄激素及胰岛素抵抗之间的关系

THE RELATIONSHIP BETWEEN POTENTIAL DIET INFLAMMATORY LOAD AND CHEMERIN, ANDROGENS AND INSULIN RESISTANCE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME.

作者信息

Zengin F H, Karabudak E, Omma T, Culha C

机构信息

Department of Nutrition and Dietetics, Kastamonu, Kastamonu University, Faculty of Health Sciences, Ankara, Turkey.

Department of Nutrition and Dietetics, Gaziantep, Sanko University, Faculty of Health Sciences, Ankara, Turkey.

出版信息

Acta Endocrinol (Buchar). 2024 Jul-Sep;20(3):295-303. doi: 10.4183/aeb.2024.295. Epub 2025 May 23.

Abstract

BACKGROUND

In recent years, the effect of inflammation on the pathophysiology of polycystic ovary syndrome (PCOS) has attracted considerable attention. However, the effect of the dietary inflammatory load remains unclear.

OBJECTIVE

This study was conducted to evaluate the relationship between dietary inflammatory index (DII) score and serum chemerin concentration, biochemical hyperandrogenism and insulin resistance in women with PCOS.

METHODS

This study, which is a case-control study, was conducted on 44 women with PCOS and 44 healthy women who applied to Ankara Training and Research Hospital. Routine blood biochemical values were obtained from the hospital system and blood samples were taken for serum chemerin analysis. The questionnaire investigated the general information, physical activity status, and anthropometric measurements. The DII was calculated from three-day dietary records.

RESULTS

The mean DII score of the in the PCOS and control groups is 3.8 ± 1.7 and 3.8 ± 1.4, respectively (p> 0.05). Serum chemerin concentration (3.6 ± 1.4 ng / mL) of the women in the PCOS group with a high DII score was significantly higher than the women in the control group (2.6 ± 1.7 ng / mL) (p <0.05). There was no statistically significant difference between DII score and insulin resistance, total and free testosterone, DHEA-S, LH, FSH, LH/FSH ratio and estradiol values (p>0.05).

CONCLUSIONS

The highest serum chemerin concentrations was found in the PCOS group with the highest DII. Results suggest that an inflammatory diet may be associated with serum chemerin concentration in PCOS.

摘要

背景

近年来,炎症对多囊卵巢综合征(PCOS)病理生理学的影响已引起广泛关注。然而,饮食炎症负荷的影响仍不明确。

目的

本研究旨在评估多囊卵巢综合征女性的饮食炎症指数(DII)得分与血清chemerin浓度、生化高雄激素血症及胰岛素抵抗之间的关系。

方法

本研究为病例对照研究,对44例多囊卵巢综合征女性和44例申请安卡拉培训与研究医院的健康女性进行了研究。从医院系统获取常规血液生化值,并采集血样进行血清chemerin分析。问卷调查了一般信息、身体活动状况和人体测量数据。根据三天的饮食记录计算DII。

结果

多囊卵巢综合征组和对照组的平均DII得分分别为3.8±1.7和3.8±1.4(p>0.05)。DII得分高的多囊卵巢综合征组女性的血清chemerin浓度(3.6±1.4 ng/mL)显著高于对照组女性(2.6±1.7 ng/mL)(p<0.05)。DII得分与胰岛素抵抗、总睾酮和游离睾酮、硫酸脱氢表雄酮、促黄体生成素、促卵泡生成素、促黄体生成素/促卵泡生成素比值及雌二醇值之间无统计学显著差异(p>0.05)。

结论

DII最高的多囊卵巢综合征组血清chemerin浓度最高。结果表明,炎症性饮食可能与多囊卵巢综合征患者的血清chemerin浓度有关。

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