锡亚尔科特患有多囊卵巢综合征的育龄妇女与 2 型糖尿病的关系

Q. Shakeel, S. Ashraf, F. Nadeem, K. Sehar, MR Butt, R. Aslam, MS Rasheed
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摘要

多囊卵巢综合征(PCOS)是育龄妇女中普遍存在的一种内分泌失调症,其特点是雄激素水平升高、卵巢囊肿以及月经周期不规律、多毛和痤疮等症状。多囊卵巢综合征通常与胰岛素抵抗有关,而胰岛素抵抗会增加罹患 2 型糖尿病(T2DM)的风险。研究目的本研究旨在探讨育龄妇女中多囊卵巢综合征与 T2DM 之间的关系,重点关注症状的发生率、风险因素和潜在的干预措施。研究方法这项横断面研究于 2024 年 4 月至 6 月在锡亚尔科特的 Sardar Begum 医院和 Cheema Family 医院进行,共有 100 名 18 至 43 岁的女性参与。参与者被平均分为多囊卵巢综合症组(50 人)和对照组(50 人)。通过结构化表格和实验室测试收集人口统计学和临床特征数据,包括 HbA1c 水平。对数据进行了描述性统计、独立样本 t 检验和卡方检验。结果显示与对照组相比,多囊卵巢综合征组的月经周期不规律(87%)、多毛症(67%)和痤疮(40%)发病率明显更高。多囊卵巢综合征组中有 25% 的人 HbA1c 水平升高,其中 15% 的人 HbA1c 水平超过 6.4%,这表明患 T2DM 的风险增加。多囊卵巢综合症组的平均 HbA1c 水平(6.2%)明显高于对照组(5.5%)。此外,60% 患有多囊卵巢综合症的妇女有糖尿病家族史,这表明多囊卵巢综合症有遗传倾向。结论患有多囊卵巢综合症的女性罹患 T2DM 的风险明显更高。该研究强调了早期筛查和综合管理策略以降低这些风险的必要性。要进行有效的干预和预防,就必须采取多学科方法,让不同的医疗保健专业人员参与其中。为了更好地了解和治疗这些相互关联的疾病,有必要开展进一步的研究。
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ASSOCIATION OF TYPE 2 DIABETES AMONG REPRODUCTIVE-AGED WOMEN HAVING POLYCYSTIC OVARIAN SYNDROME IN SIALKOT
Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder among women of reproductive age, characterized by elevated androgen levels, ovarian cysts, and symptoms such as irregular menstrual cycles, hirsutism, and acne. PCOS is often associated with insulin resistance, which increases the risk of developing type 2 diabetes mellitus (T2DM). Objective: This study aimed to explore the relationship between PCOS and T2DM in women of reproductive age, focusing on the prevalence of symptoms, risk factors, and potential interventions. Methods: A cross-sectional study was conducted from April to June 2024, involving 100 women aged 18 to 43 at Sardar Begum Hospital and Cheema Family Hospital in Sialkot. Participants were divided equally into PCOS (n=50) and control groups (n=50). Data were collected on demographic and clinical characteristics, including HbA1c levels, using a structured form and laboratory tests. Descriptive statistics, independent samples t-tests, and chi-square tests analyzed the data. Results: The PCOS group exhibited a significantly higher prevalence of irregular menstrual cycles (87%), hirsutism (67%), and acne (40%) compared to the control group. Elevated HbA1c levels were observed in 25% of the PCOS group, with 15% having levels above 6.4%, indicating a heightened risk for T2DM. The mean HbA1c level was significantly higher in the PCOS group (6.2%) compared to the control group (5.5%). Additionally, 60% of women with PCOS reported a family history of diabetes, suggesting a genetic predisposition. Conclusion: Women with PCOS are at a significantly higher risk of developing T2DM. The study highlights the need for early screening and comprehensive management strategies to mitigate these risks. A multidisciplinary approach involving various healthcare professionals is essential for effective intervention and prevention. Further research is necessary to improve the understanding and treatment of these interconnected conditions.
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