Lipid Accumulation Product is Related to Metabolic Syndrome in Women with Polycystic Ovary Syndrome

被引:44
作者
Xiang, S. [1 ]
Hua, F. [1 ]
Chen, L. [1 ]
Tang, Y. [1 ]
Jiang, X. [1 ]
Liu, Z. [1 ]
机构
[1] Suzhou Univ, Dept Endocrinol, Affiliated Hosp 3, Changzhou 213003, Jiangsu, Peoples R China
关键词
polycystic ovary syndrome; metabolic syndrome; lipid accumulation product; CARDIOVASCULAR-DISEASE; CARDIOMETABOLIC RISK; INSULIN-RESISTANCE; CHINESE WOMEN; PREVALENCE; POPULATION; OBESITY; MARKER; HEALTH;
D O I
10.1055/s-0032-1333261
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Purpose: Metabolic disturbances are common features of polycystic ovary syndrome (PCOS), which possibly enhance the risk of diabetes and cardiovascular disease. Lipid accumulation product (LAP) is an emerging cardiovascular risk factor. The aim of this study was to explore the ability of LAP to identify metabolic syndrome (MS) in PCOS women. Methods: In a cross-sectional study, anthropometric, biochemical and clinical parameters were measured in 105 PCOS women. Receiver operating characteristic (ROC) analysis was used to find out the cut-off points of LAP to predict MS. MS was categorized according to International Diabetes Federation (IDF) criteria. Results: The prevalence of MS was 43.8% in this study. PCOS women with MS had significantly higher LAP levels compared to those without MS. LAP was highly correlated with components of MS. ROC analysis showed that LAP was a significant discriminator for MS in PCOS women, and the optimal cutoff point of LAP to predict MS was 54.2 (93.3 % sensitivity, 96.7% specificity). Conclusions: LAP seems to be associated with MS and has a strong and reliable diagnostic accuracy for MS in PCOS women.
引用
收藏
页码:115 / 118
页数:4
相关论文
共 25 条
[1]
The prevalence and features of the polycystic ovary syndrome in an unselected population [J].
Azziz, R ;
Woods, KS ;
Reyna, R ;
Key, TJ ;
Knochenhauer, ES ;
Yildiz, BO .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (06) :2745-2749
[2]
Prevalence of metabolic syndrome in women with polycystic ovary syndrome, using two proposed definitions [J].
Bhattacharya, Sudhindra Mohan .
GYNECOLOGICAL ENDOCRINOLOGY, 2010, 26 (07) :516-520
[3]
Cardiovascular risks and metabolic syndrome in Hong Kong Chinese women with polycystic ovary syndrome [J].
Cheung, L. P. ;
Ma, R. C. W. ;
Lam, P. M. ;
Lok, I. H. ;
Haines, C. J. ;
So, W. Y. ;
Tong, P. C. Y. ;
Cockram, C. S. ;
Chow, C. C. ;
Goggins, W. B. .
HUMAN REPRODUCTION, 2008, 23 (06) :1431-1438
[4]
Adolescent girls with polycystic ovary syndrome have an increased risk of the metabolic syndrome associated with increasing androgen levels independent of obesity and insulin resistance [J].
Coviello, AD ;
Legro, RS ;
Dunaif, A .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (02) :492-497
[5]
Cardiometabolic risk in polycystic ovary syndrome: a comparison of different approaches to defining the metabolic syndrome [J].
Cussons, Andrea J. ;
Watts, Gerald F. ;
Burke, Valerie ;
Shaw, Jonathan E. ;
Zimmet, Paul Z. ;
Stuckey, Bronwyn G. A. .
HUMAN REPRODUCTION, 2008, 23 (10) :2352-2358
[6]
Abdominal obesity and the metabolic syndrome:: Contribution to global cardiometabolic risk [J].
Despres, Jean-Pierre ;
Lemieux, Isabelle ;
Bergeron, Jean ;
Pibarot, Philippe ;
Mathieu, Patrick ;
Larose, Eric ;
Rodes-Cabau, Josep ;
Bertrand, Olivier F. ;
Poirier, Paul .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2008, 28 (06) :1039-1049
[7]
EXCESSIVE INSULIN-RECEPTOR SERINE PHOSPHORYLATION IN CULTURED FIBROBLASTS AND IN SKELETAL-MUSCLE - A POTENTIAL MECHANISM FOR INSULIN-RESISTANCE IN THE POLYCYSTIC-OVARY-SYNDROME [J].
DUNAIF, A ;
XIA, JR ;
BOOK, CB ;
SCHENKER, E ;
TANG, ZC .
JOURNAL OF CLINICAL INVESTIGATION, 1995, 96 (02) :801-810
[8]
Medical progress: Polycystic ovary syndrome [J].
Ehrmann, DA .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (12) :1223-1236
[9]
The metabolic syndrome and mortality from cardiovascular disease and all-causes: findings from the National Health and Nutrition Examination Survey II Mortality Study [J].
Ford, ES .
ATHEROSCLEROSIS, 2004, 173 (02) :309-314
[10]
Obesity and the polycystic ovary syndrome [J].
Gambineri, A ;
Pelusi, C ;
Vicennati, V ;
Pagotto, U ;
Pasquali, R .
INTERNATIONAL JOURNAL OF OBESITY, 2002, 26 (07) :883-896