15 ~ 18岁青少年多囊卵巢综合征及其干预因素

Franciane Rocha de Faria , Laís Silveira Gusmão , Eliane Rodrigues de Faria , Vivian Siqueira Santos Gonçalves , Roberta Stofeles Cecon , Sylvia do Carmo Castro Franceschini , Silvia Eloiza Priore
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引用次数: 0

摘要

目的探讨青少年多囊卵巢综合征(PCOS)发生的相关因素。方法采用横断面研究,将15 ~ 18岁的女性青少年分为:1组(医学诊断为多囊卵巢综合征)和2组(未诊断为多囊卵巢综合征)。采用身高年龄指数和体重指数对营养状况进行分类,采用半结构式问卷。采用Mann-Whitney检验、Fisher精确检验、Spearman相关系数和logistic回归。结果本研究共纳入485例青少年,平均年龄16.3±0.9岁。PCOS患病率为6.2%。在人体测量参数和使用避孕药的时间方面,各组之间没有差异;然而,在月经初潮年龄方面存在差异(p <0.004)。月经初潮年龄较大是预防该综合征的一个保护因素。结论初潮年龄较低与青少年多囊卵巢综合征的发生有关。
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Polycystic ovary syndrome and intervening factors in adolescents from 15 to 18 years old

Objective

To assess the factors related to the presence of polycystic ovary syndrome (PCOS) in adolescents.

Methods

This was a cross-sectional study, with female adolescents from 15 to 18 years old, divided into: group 1 (with a medical diagnosis of PCOS) and group 2 (not diagnosed with PCOS). The height-for-age index and the body mass index were used for classifying the nutritional status, and a semi-structured questionnaire was applied. The Mann-Whitney test, Fisher's exact test, Spearman correlation coefficients, and logistic regression were used.

Results

This study evaluated 485 adolescents with an average age of 16.3 ± 0.9 years old. The prevalence of PCOS was 6.2%. No difference was found between the groups regarding anthropometric parameters and period of contraceptive use; however, there were differences regarding the age at menarche (p < 0.004). Older age at menarche was a protection factor against the syndrome.

Conclusion

An association was found between younger age at menarche and the development of the PCOS in adolescents.

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