Key result
Overweight women with PCOS had a higher prevalence of insulin resistance (82% vs 50%) and glucose abnormalities (32.2% vs 13.7%) compared to lean women with PCOS.
Cross-Sectional (n=50)
No
Absolute Event Rate: 82% vs 50%
Overweight women with PCOS have a higher risk of impaired glucose tolerance and insulin resistance compared to lean women with PCOS.
May warrant closer glucose monitoring in overweight PCOS; leaves open causality and intervention effects.
Background: Polycystic ovary syndrome (PCOS) is a common endocrine disorder having escalation in its prevalence. This study was planned to understand the clinical, biochemical, and hormonal profile of lean versus overweight patients diagnosed newly with PCOS. Materials and Methods: A cross-sectional study was conducted for 1 year in the Department of Endocrinology of a tertiary care hospital. A total of 50 female patients newly diagnosed to have PCOS by the Rotterdam criteria 2003 were enrolled for the study. Assessment of clinical characteristics, biochemical, and hormonal profile was done. Results: Fasting serum insulin levels and homeostasis model assessment-insulin resistance signifying insulin resistance were higher in overweight compared to the lean PCOS. Insulin resistance was present in 50% of lean PCOS and 82% of overweight PCOS. Glucose abnormalities were noted in 13.7% of lean PCOS and 32.2% of overweight PCOS. Conclusion: Obese women with PCOS have a higher risk of increased obesity, impaired glucose tolerance, and insulin resistance as compared to lean PCOS women.
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Ghatnatti et al. (2022) conducted a cross-sectional in Polycystic ovary syndrome (PCOS) (n=50). Overweight vs. Lean was evaluated on Insulin resistance. Overweight women with PCOS had a higher prevalence of insulin resistance (82% vs 50%) and glucose abnormalities (32.2% vs 13.7%) compared to lean women with PCOS.
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