Polycystic ovary syndrome and intervening factors in adolescents from 15 to 18 years old

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI:10.1016/S2255-4823(13)70485-5

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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Abstract

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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15 ~ 18岁青少年多囊卵巢综合征及其干预因素

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Associa??o Médica Brasileira (English Edition)

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