Insulin resistance and cardiovascular risk factors in women with PCOS who have normal glucose tolerance test      
Yazarlar (8)
Ismail Cem Yildir
Faruk Kutlutürk
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Türker TAŞLIYURT Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Berna Murat Yelken
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Berat Acu
Eskişehir Osmangazi Üniversitesi, Türkiye
Doç. Dr. Murat BEYHAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ünal Erkorkmaz
Sakarya Üniversitesi, Türkiye
Abdulkerim Yılmaz
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Gynecological Endocrinology
Dergi ISSN 0951-3590 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 02-2013
Cilt No 29
Sayı 2
Sayfalar 148 / 151
DOI Numarası 10.3109/09513590.2012.730573
Özet
Introduction: We aimed to determine the insulin resistance in women with PCOS patients who have normal oral glucose tolerance test (OGTT) and to evaluate cardiovascular risk by measuring C-reactive protein (CRP) and carotid intimae-media thickness (CIMT). Methods: A total of 34 patients and age and body mass matched 20 healthy control subjects were included to this prospective study. Both of patients and control groups were consisted of normal oral glucose tolerance test. Insulin resistance (IR) was estimated using HOMA-IR method. CRP, lipid and hormone levels were measured. CIMT was measured by Carotid Artery B-Mode ultrasonography. Results: There was no significant difference between patients and controls in BMI, and waist circumference, lipid, TSH, LH, FSH, estradiol, and prolactin levels. Serum insulin, testosterone, DHEAS, ferritin levels and HOMA values were significantly higher in patient group. We found that 64.7% (n = 22/34) patients with PCOS had insulin resistance. Both of CIMT and CRP levels were significantly higher in the PCOS patients had BMI over 25kg/m2. CRP levels was significantly higher in the PCOS patients had waist circumference greater than 80cm. Conclusion: We found insulin resistance in the women with PCOS even if OGTT was normal. Our data were similar to literature, the women with PCOS have increased risk of premature atherosclerosis and metabolic syndrome. © 2013 Informa UK, Ltd.
Anahtar Kelimeler
Carotid intimae-media thickness | Glucose tolerance test | HOMA | Insulin resistance | Polycystic ovary syndrome