Prevalence of Hypertension in Obese Adolescents With Polycystic Ovary Syndrome.

IF 2.4 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Asim Abbas, Aida Vahidi, Mastaneh Moghtaderi
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Abstract

Background: Hypertension (HTN) is one of the most common diseases all over the world. HTN in young females is more common than in males because of the presence of some underlying disease, such as polycystic ovary syndrome (PCOS). PCOS is ubiquitous in adolescent girls and may induce sex hormone imbalances.

Methods: We studied the prevalence of HTN in adolescent girls suffering PCOS referred to the clinic during 1 year. This is a cross-sectional descriptive study investigating the clinical and paraclinical parameters of patients diagnosed with PCOS who were referred to our clinic in 2021. A checklist containing information on demographic findings, history, physical examination, clinical manifestations, and laboratory test results is used to collect patients' data.

Results: Forty-five patients, 11 to 18 years old (mean 16 years), fulfilled PCOS criteria and enrolled in this study. The minimum and maximum systolic blood pressure of patients were 90 and 140 mmHg (mean 111 mmHg, standard deviation: 14.44), and the minimum and maximum diastolic blood pressure were 60 and 90 mmHg (mean 72 mmHg, standard deviation: 14.44). Five patients (11.1%) had HTN by definition, and the mean BMI was 28.1 (standard deviation: 8.3). Echocardiography showed LVH in 4 (8.9%) of patients, and 2 (4.4%) of the patients had hyperlipidemia. Other related findings were increased unwanted hair growth in 31 (68%), depression and anxiety diagnosed according to criteria and by psychiatric consultation in 22 (48.9%) cases, cardiovascular problems in 6 (13.3%) cases, diabetes mellitus in 7 (15.6%) of patients according to ADA 2018 guidelines, hypothyroidism in 4 (8.9%) and asthma in 6 (13.3%) of patients.

Conclusion: Although this study is a small one and was done in a single center, it supports the importance of PCOS in adolescent girls associated with or predisposing to other diseases such as HTN. Careful evaluation and close observation of these patients is critical because early diagnosis and management can prevent late and serious complications.

肥胖青少年多囊卵巢综合征高血压患病率
背景:高血压(HTN)是世界上最常见的疾病之一。HTN在年轻女性中比男性更常见,因为存在一些潜在的疾病,如多囊卵巢综合征(PCOS)。多囊卵巢综合征在青春期女孩中普遍存在,并可能导致性激素失衡。方法:对就诊1年的PCOS少女HTN患病率进行研究。这是一项横断面描述性研究,调查了2021年转介到我们诊所的诊断为PCOS的患者的临床和临床旁参数。一份包含人口学调查结果、病史、体格检查、临床表现和实验室检测结果信息的检查表用于收集患者数据。结果:45例患者符合PCOS标准,年龄11 ~ 18岁(平均16岁),纳入本研究。患者最小和最大收缩压分别为90和140 mmHg(平均111 mmHg,标准差:14.44),最小和最大舒张压分别为60和90 mmHg(平均72 mmHg,标准差:14.44)。5例(11.1%)定义为HTN,平均BMI为28.1(标准差:8.3)。超声心动图显示LVH 4例(8.9%),高脂血症2例(4.4%)。其他相关发现包括:31例(68%)患者多余毛发增加,22例(48.9%)患者根据标准和精神咨询诊断为抑郁和焦虑,6例(13.3%)患者有心血管问题,7例(15.6%)患者根据ADA 2018指南患有糖尿病,4例(8.9%)患者甲状腺功能减退,6例(13.3%)患者患有哮喘。结论:虽然这项研究是在一个单一中心进行的小型研究,但它支持PCOS在与其他疾病(如HTN)相关或易感的青春期女孩中的重要性。仔细评估和密切观察这些患者是至关重要的,因为早期诊断和管理可以预防晚期和严重的并发症。
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来源期刊
Clinical Endocrinology
Clinical Endocrinology 医学-内分泌学与代谢
CiteScore
6.40
自引率
3.10%
发文量
192
审稿时长
1 months
期刊介绍: Clinical Endocrinology publishes papers and reviews which focus on the clinical aspects of endocrinology, including the clinical application of molecular endocrinology. It does not publish papers relating directly to diabetes care and clinical management. It features reviews, original papers, commentaries, correspondence and Clinical Questions. Clinical Endocrinology is essential reading not only for those engaged in endocrinological research but also for those involved primarily in clinical practice.
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