Cardiovascular and metabolic characteristics of infertile Chinese women with PCOS diagnosed according to the Rotterdam consensus criteria
Cardiovascular and metabolic characteristics of infertile Chinese women with PCOS diagnosed according to the Rotterdam consensus criteria
Polycystic ovary syndrome (PCOS) is strongly associated with metabolic abnormalities in Western women. However, data from other populations and geographical regions are scarce. This study evaluated cardiovascular and metabolic risk factors in Chinese infertile women diagnosed with PCOS using the 2003 Rotterdam consensus criteria. A total of 615 women representing the four PCOS phenotypes (oligo- or anovulation (AO) + hyperandrogenism (HA) + polycystic ovaries (PCO), AO + HA, AO + PCO and HA + PCO) underwent standardized metabolic screening including a 75 g oral glucose tolerance test. All groups presented with similar reproductive characteristics, with the only difference being a significantly higher Ferriman–Gallwey score for hirsutism (P = 0.01) in the subgroup characterized by HA + PCO. Overall, the prevalence of metabolic syndrome was 6.4%, with no difference among the four groups (range of 2.3–12.2%). Metabolic syndrome was associated with body mass index (P < 0.001), waist/hip ratio (P = 0.002), index of insulin resistance (P = 0.005) and fasting insulin (P = 0.009) in multivariate analysis. Compared with Caucasians and Chinese women in Westernized societies, mainland Chinese women with PCOS have a low risk of metabolic syndrome and its presence does not vary across the specific PCOS phenotypes.
ethnicity, infertility, insulin resistance, metabolic syndrome, polycystic ovary syndrome
572-580
Guo, M.
f42562fd-c029-416e-8195-12913fe6f190
Chen, Z.J.
eda71f6e-1cc0-4347-933b-f9ce925a03c2
Macklon, N.S.
7db1f4fc-a9f6-431f-a1f2-297bb8c9fb7e
Westerveld, H.E.
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Eijkemans, M.J.
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Fauser, B.C.
a74bd2e3-1d5e-43c1-a6e8-c67c4973f484
Goverde, A.J.
2a157e80-0721-4f70-953d-a3e13745d7a7
October 2010
Guo, M.
f42562fd-c029-416e-8195-12913fe6f190
Chen, Z.J.
eda71f6e-1cc0-4347-933b-f9ce925a03c2
Macklon, N.S.
7db1f4fc-a9f6-431f-a1f2-297bb8c9fb7e
Westerveld, H.E.
c7f1f836-cf47-4819-9dd4-ead1dbfa61e5
Eijkemans, M.J.
7a7d87b5-76e0-48b3-85f1-bc0f56942134
Fauser, B.C.
a74bd2e3-1d5e-43c1-a6e8-c67c4973f484
Goverde, A.J.
2a157e80-0721-4f70-953d-a3e13745d7a7
Guo, M., Chen, Z.J., Macklon, N.S., Westerveld, H.E., Eijkemans, M.J., Fauser, B.C. and Goverde, A.J.
(2010)
Cardiovascular and metabolic characteristics of infertile Chinese women with PCOS diagnosed according to the Rotterdam consensus criteria.
Reproductive BioMedicine Online, 21 (4), .
(doi:10.1016/j.rbmo.2010.04.032).
(PMID:20800551)
Abstract
Polycystic ovary syndrome (PCOS) is strongly associated with metabolic abnormalities in Western women. However, data from other populations and geographical regions are scarce. This study evaluated cardiovascular and metabolic risk factors in Chinese infertile women diagnosed with PCOS using the 2003 Rotterdam consensus criteria. A total of 615 women representing the four PCOS phenotypes (oligo- or anovulation (AO) + hyperandrogenism (HA) + polycystic ovaries (PCO), AO + HA, AO + PCO and HA + PCO) underwent standardized metabolic screening including a 75 g oral glucose tolerance test. All groups presented with similar reproductive characteristics, with the only difference being a significantly higher Ferriman–Gallwey score for hirsutism (P = 0.01) in the subgroup characterized by HA + PCO. Overall, the prevalence of metabolic syndrome was 6.4%, with no difference among the four groups (range of 2.3–12.2%). Metabolic syndrome was associated with body mass index (P < 0.001), waist/hip ratio (P = 0.002), index of insulin resistance (P = 0.005) and fasting insulin (P = 0.009) in multivariate analysis. Compared with Caucasians and Chinese women in Westernized societies, mainland Chinese women with PCOS have a low risk of metabolic syndrome and its presence does not vary across the specific PCOS phenotypes.
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Published date: October 2010
Keywords:
ethnicity, infertility, insulin resistance, metabolic syndrome, polycystic ovary syndrome
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Local EPrints ID: 185243
URI: http://eprints.soton.ac.uk/id/eprint/185243
ISSN: 1472-6483
PURE UUID: 4a423cb2-0c48-4cb1-b797-e5c2f2145ab5
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Date deposited: 10 May 2011 08:58
Last modified: 14 Mar 2024 03:12
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Author:
M. Guo
Author:
Z.J. Chen
Author:
N.S. Macklon
Author:
H.E. Westerveld
Author:
M.J. Eijkemans
Author:
B.C. Fauser
Author:
A.J. Goverde
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