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Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome.
Gynecol Endocrinol. 2007 Sep; 23(9):505-10.GE

Abstract

BACKGROUND

Women with polycystic ovary syndrome (PCOS) are insulin-resistant and have increased risk for type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). But it is controversial whether the increased risk of CHD and T2DM is associated with endocrine abnormalities occurring as a consequence of PCOS or whether it is related to obesity or metabolic changes frequently seen in women with PCOS.

OBJECTIVE

Since both homocysteine (Hcy) and C-reactive protein (CRP) are supposed to predict T2DM and CHD, we investigated their possible relationship with insulin resistance, obesity, hyperandrogenemia and metabolic alterations in 44 PCOS women and 26 healthy controls matched by age and body mass index (BMI).

RESULTS

Hcy and CRP levels were significantly elevated in PCOS women compared with controls (13.30 +/- 4.81 vs. 9.02 +/- 3.36 micromol/l, p < 0.05 and 4.22 +/- 2.95 vs. 2.66 +/- 2.49 mg/l, p < 0.05). There was no correlation between Hcy and CRP (r = 0.171, p = 0.05) as two risk markers. While plasma Hcy levels were correlated with BMI, ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH), total testosterone, free testosterone, triglyceride and insulin levels and homeostatic model assessment-insulin resistance index (HOMA-IR) (p < 0.05), CRP was correlated with BMI, total cholesterol, triglyceride, low-density lipoprotein cholesterol and insulin levels and HOMA-IR (p < 0.05). There was no correlation of CRP with parameters of PCOS such as testosterone and LH/FSH ratio (p > 0.05). Multiple regression analysis revealed BMI as the major factor examined that influenced both Hcy and CRP levels.

CONCLUSIONS

In PCOS women, plasma levels of Hcy and CRP were significantly elevated compared with age- and BMI-matched controls. Although most of the PCOS-related endocrine and metabolic changes are related to elevated plasma Hcy and CRP levels in PCOS women, BMI seems to be the major factor determining CHD and T2DM in women with PCOS.

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Publisher Full Text

Authors+Show Affiliations

Guzelmeric K
Department of Obstetrics and Gynecology, Dr Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey. kguzelmeric@yahoo.com
Alkan N
No affiliation info available
Pirimoglu M
No affiliation info available
Unal O
No affiliation info available
Turan C
No affiliation info available

MeSH

AdultBody Mass IndexC-Reactive ProteinCase-Control StudiesChronic DiseaseFemaleHomocysteineHumansInflammationInsulin ResistanceObesityPolycystic Ovary SyndromeRisk Factors

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17852421

Citation

Guzelmeric, Kadir, et al. "Chronic Inflammation and Elevated Homocysteine Levels Are Associated With Increased Body Mass Index in Women With Polycystic Ovary Syndrome." Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology, vol. 23, no. 9, 2007, pp. 505-10.
Guzelmeric K, Alkan N, Pirimoglu M, et al. Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome. Gynecol Endocrinol. 2007;23(9):505-10.
Guzelmeric, K., Alkan, N., Pirimoglu, M., Unal, O., & Turan, C. (2007). Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome. Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology, 23(9), 505-10.
Guzelmeric K, et al. Chronic Inflammation and Elevated Homocysteine Levels Are Associated With Increased Body Mass Index in Women With Polycystic Ovary Syndrome. Gynecol Endocrinol. 2007;23(9):505-10. PubMed PMID: 17852421.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome. AU - Guzelmeric,Kadir, AU - Alkan,Nevriye, AU - Pirimoglu,Meltem, AU - Unal,Orhan, AU - Turan,Cem, PY - 2007/9/14/pubmed PY - 2008/1/11/medline PY - 2007/9/14/entrez SP - 505 EP - 10 JF - Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology JO - Gynecol Endocrinol VL - 23 IS - 9 N2 - BACKGROUND: Women with polycystic ovary syndrome (PCOS) are insulin-resistant and have increased risk for type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). But it is controversial whether the increased risk of CHD and T2DM is associated with endocrine abnormalities occurring as a consequence of PCOS or whether it is related to obesity or metabolic changes frequently seen in women with PCOS. OBJECTIVE: Since both homocysteine (Hcy) and C-reactive protein (CRP) are supposed to predict T2DM and CHD, we investigated their possible relationship with insulin resistance, obesity, hyperandrogenemia and metabolic alterations in 44 PCOS women and 26 healthy controls matched by age and body mass index (BMI). RESULTS: Hcy and CRP levels were significantly elevated in PCOS women compared with controls (13.30 +/- 4.81 vs. 9.02 +/- 3.36 micromol/l, p < 0.05 and 4.22 +/- 2.95 vs. 2.66 +/- 2.49 mg/l, p < 0.05). There was no correlation between Hcy and CRP (r = 0.171, p = 0.05) as two risk markers. While plasma Hcy levels were correlated with BMI, ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH), total testosterone, free testosterone, triglyceride and insulin levels and homeostatic model assessment-insulin resistance index (HOMA-IR) (p < 0.05), CRP was correlated with BMI, total cholesterol, triglyceride, low-density lipoprotein cholesterol and insulin levels and HOMA-IR (p < 0.05). There was no correlation of CRP with parameters of PCOS such as testosterone and LH/FSH ratio (p > 0.05). Multiple regression analysis revealed BMI as the major factor examined that influenced both Hcy and CRP levels. CONCLUSIONS: In PCOS women, plasma levels of Hcy and CRP were significantly elevated compared with age- and BMI-matched controls. Although most of the PCOS-related endocrine and metabolic changes are related to elevated plasma Hcy and CRP levels in PCOS women, BMI seems to be the major factor determining CHD and T2DM in women with PCOS. SN - 0951-3590 UR - https://www.unboundmedicine.com/medline/citation/17852421/Chronic_inflammation_and_elevated_homocysteine_levels_are_associated_with_increased_body_mass_index_in_women_with_polycystic_ovary_syndrome_ L2 - https://www.tandfonline.com/doi/full/10.1080/09513590701554306 DB - PRIME DP - Unbound Medicine ER -