基于体重指数的多囊卵巢综合征女性血脂异常患病率

A. A. Mulla
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摘要

本研究的目的是检测不同bmi的多囊卵巢综合征(PCOS)女性中血脂异常的患病率。研究设计:我们进行了一项横断面研究,从生育诊所招募了115名诊断为多囊卵巢综合征的妇女,为期6个月。所有参与者都测量了他们的体重和身高,并计算了身体质量指数(BMI)。随后将其分为BMI正常组(BMI≤25 kg/m2)和BMI高组(BMI >25 kg/m2)。采集空腹血样,测量两组患者的总胆固醇、甘油三酯、LDL-C、HDL-C、葡萄糖和胰岛素水平。使用胰岛素抵抗稳态模型评估(HOMA-IR)方程计算胰岛素抵抗。使用卡方检验和Fisher精确检验评估这些变量的差异。结果:两组妇女在总胆固醇、甘油三酯、LDL-C和HDL-C水平方面没有统计学上的显著差异。胰岛素抵抗在高BMI组(78.3%)明显高于正常BMI组(59.1%)(P < 0.05)。结论:多囊卵巢综合征女性的血脂异常与其BMI无关。在这组妇女中,早期发现和治疗血脂异常将保护她们免受心血管疾病的侵害。
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Prevalence of Dyslipidemia among Women with Polycystic Ovary Syndrome Based on Body Mass Index
The purpose of this study was to detect the prevalence of dyslipidemia among polycystic ovary syndrome (PCOS) women with different BMIs. Study design: We conducted a cross-sectional study whereby one hundred and fifteen women diagnosed with PCOS were recruited from a fertility clinic in a 6-month period. All participants had their weight and height measured and body mass index (BMI) calculated. Thereafter, they were divided into two groups: normal BMI (BMI ≤25 kg/m2) and high BMI (BMI >25 kg/m2). Fasting blood samples were obtained and total cholesterol, triglycerides, LDL-C, HDL-C, glucose, and insulin levels were measured in both groups. Insulin resistance was calculated using the homeostasis model assessment of insulin resistance (HOMA-IR) equation. Differences in these variables were assessed using the Chi-square test and Fisher’s exact test. Results: No statistically significant differences were found between both groups of women in terms of total cholesterol, triglycerides, LDL-C, and HDL-C levels. Insulin resistance was significantly more prevalent in the high BMI (78.3%) than in the normal BMI group (59.1%) (P < 0.05). Conclusions: Dyslipidemia in women with PCOS is not related to their BMI. Early detection and treatment of dyslipidemia in this group of women will protect them from cardiovascular diseases.
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