Evaluation of the relationship between insulin resistance and different phenotypes of polycystic ovary syndrome

Year 2023, Volume: 4 Issue: 3, 183 - 188, 28.06.2023

Mehmet Ağar , Murat Önal , Halime Çalı Öztürk

https://doi.org/10.47582/jompac.1247712

Abstract

Amaç: Polikistik over sendromu (PKOS) kadınlarda sık görülen bir endokrin bozukluktur. Hiperinsülinemi ve insülin direnci (IR), bu hastaları etkileyen en önemli metabolik anormalliklerdir. Bu çalışma, farklı PKOS fenotiplerine sahip hastalarda IR ile ilişkili değişkenleri araştırmayı amaçladı.
Yöntemler: Bu retrospektif çalışmaya, Kasım 2020-Eylül 2022 tarihleri ​​arasında XXXXXXXXXXXX hastanesinde PKOS tanısı alan 389 kadın dahil edildi. Hastalara ait bilgiler elektronik kayıtlarından toplandı. PKOS, Rotterdam kriterlerine göre teşhis edildi ve PKOS için dört fenotip dikkate alındı. İnsülin direnci için homeostatik model değerlendirmesi (HOMA-IR), IR'yi değerlendirmek için kullanıldı. Gruplar arasındaki farkı incelemek için Mann-Whitney U testi yapıldı.
Bulgular: HOMA-IR'nin en yüksek değeri fenotip B grubu için, en düşük değeri fenotip C grubu içindi. Ancak gruplar arasındaki fark anlamlı değildi (p=0,221). Estradiol ve serbest T4 fenotip A grubunda anlamlı olarak yüksekti (p≤0.001). Tiroid uyarıcı hormon (TSH), prolaktin, anti-müllerian hormon (AMH), açlık insülini, total testosteron ve alyuvar dağılım genişliği (RDW) fenotip B grubunda anlamlı olarak yüksekti (p≤ 0.001). Toplam kolesterol, yüksek yoğunluklu lipoprotein (HDL), lökosit, bazofil ve monosit fenotip C grubunda anlamlı olarak yüksekti (p≤ 0.001). Ayrıca fenotip D grubunda MPV değerleri anlamlı olarak yüksekti (p≤ 0,001).
Sonuç: Sonuçlar PKOS fenotip A ve B'de IR ile ilişkili değişkenlerin diğer fenotiplere göre daha yüksek olduğunu göstermiştir.
Anahtar Kelimeler: Polikistik Over Sendromu, insülin direnci, HOMA-IR, RDW

Keywords

Polycystic Ovary Syndrome, insulin resistance, HOMA-IR, RDW

Evaluation of the relationship between insulin resistance and different phenotypes of polycystic ovary syndrome

Abstract

Aims: Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women. Hyperinsulinemia and insulin resistance (IR) are the most important metabolic abnormalities that affect these patients. This study aimed to investigate the variables related to IR in patients with different PCOS phenotypes.
Methods: This retrospective study included 389 women diagnosed with PCOS in Bezmialem Hospital between november 2020 and september 2022. Information about patients was collected through their electronic records. PCOS was diagnosed based on the Rotterdam criteria, and four phenotypes of A (oligoovulation+ hyperandrogenism+PCO), B (oligoovulation+hyperandrogenism), C (hyperandrogenism +PCO), and D (oligoovulation+absent PCO) were considered for PCOS. The homeostatic model assessment for ınsulin resistance (HOMA-IR) was used to evaluate IR. The Mann-Whitney U test was performed to study the difference between the groups.
Results: The highest value of HOMA-IR was for the phenotype B group, and the lowest value was for the phenotype C group. However, the difference between the groups was not significant (p=0.221). Estradiol and free T4 were significantly higher in the phenotype A group (p≤0.001). Thyroid-stimulating hormone (TSH), prolactin, anti-mullerian hormone (AMH), fasting insulin, total testosterone, and red blood cell distribution width (RDW) were significantly higher in the phenotype B group (p≤0.001). Total cholesterol, high density lipoprotein (HDL), leukocyte, basophil, and monocyte were significantly higher in the phenotype C group (p≤0.001). Also, MPV values were significantly higher in the phenotype D group (p≤0.001).
Conclusion: The results showed that the variables related to IR in phenotypes A and B of PCOS are higher than in other phenotypes.

Keywords

Polycystic ovary syndrome, insulin resistance, HOMA-IR, RDW

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