多囊卵巢综合征患者胰岛素抵抗和维生素D水平的评价

S. Cander, P. Şişman, Özen Öz Gül
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引用次数: 1

摘要

多囊卵巢综合征(PCOS)与许多长期健康问题有关,如肥胖、2型糖尿病、代谢综合征和心血管危险因素的风险增加。一些报告表明,与健康受试者相比,多囊卵巢综合征患者的维生素D水平较低。在我们的研究中,我们旨在探讨维生素D缺乏是否与多囊卵巢综合征胰岛素抵抗的发病机制有关。材料与方法48例PCOS患者和24例健康对照者作为研究对象。在对患者和健康受试者进行体格检查和人体测量后,研究了血糖控制数据、脂质值、甲状旁激素、维生素D状态和激素参数。结果PCOS患者维生素D水平(19.7±26.9 ng/mL)明显低于对照组(31.9±35 ng/mL, p<0.01)。肥胖多囊卵巢综合征组的维生素D水平低于非肥胖多囊卵巢综合征组,但并不显著。维生素D水平与身体质量指数(BMI)之间存在统计学上显著的负相关。维生素D和低密度胆固醇之间也存在这种联系
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of insulin resistance and vitamin D levels in patients with polycystic ovary syndrome
Background Polycystic ovary syndrome (PCOS) is associated with many long term health problems such as increased risk of obesity, type 2 diabetes, metabolic syndrome and cardiovascular risk factors. Several reports indicated that PCOS patients have lower vitamin D status compared to healthy subjects. In our study we aimed to investigate whether vitamin D deficiency has effect on the pathogenesis of insulin resistance in PCOS. Material and Methods Fourty eight patients with PCOS and 24 healthy controls were included in the study. Following the physical examination and anthropometric measurements of the patients and healthy subjects, glycemic control data, lipid values, parathormone, vitamin D status and hormonal parameters were studied. Results In our study, vitamin D levels were significantly lower in PCOS patients (19.7±26.9 ng/mL) compared with controls (31.9±35 ng/mL, p<0.01). Vitamin D levels were found to be lower in the obese PCOS group compared to those with non-obese, but not significant. Statistically significant inverse correlation was found between vitamin D levels and body mass index (BMI). It was also found between vitamin D and low density cholesterol
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