Impact of fatness, insulin, and gynecological age on luteinizing hormone secretory dynamics in adolescent females.

Abstract:

OBJECTIVE:To study the link between fatness and gonadotropin secretion. Overweight status is linked to polycystic ovary syndrome (PCOS) in adolescents. We postulated that heavier adolescents without symptoms would secrete LH with: [1] increased pulse frequency (LHPF) and [2] exaggerated integrated concentrations (LHAUC). DESIGN:Cross-sectional. SETTING:General clinical research center. PATIENT(S):Eighty-seven postmenarcheal cyclic adolescents from lean to overweight recruited during the follicular phase. INTERVENTION(S):Luteinizing hormone sampling: [1] every 10 minutes/24 hours; [2] at 20-minute intervals after a GnRH challenge. MAIN OUTCOME MEASURE(S):The LHPF and LHAUC (calculated by the CLUSTER algorithm). Hormonal and metabolic covariates included percent body fat (PercentBF), insulin-like growth factor-I (IGF-I), fasting insulin, and the insulin resistance index HOMA-IR. The SAS software was used for analyses. RESULT(S):The PercentBF and younger gynecological age predicted faster LHPF. Fatness was negatively linked to LHAUC, which was best predicted by PercentBF and IGF-1 in multivariate modeling (R(2) = 0.25). The PercentBF and insulin predicted a lower 20-minute LH response to GnRH. CONCLUSION(S):[1] Higher adiposity and younger gynecological age predict rapid LHPF. [2] The early years after menarche represent a vulnerable window for an exaggerated LHPF with weight gain. [3] In healthy adolescents, higher adiposity is linked to lower LHAUC, thereby preserving pituitary stores.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Kasa-Vubu JZ,Jain V,Welch K

doi

10.1016/j.fertnstert.2009.02.072

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

221-9

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)00499-3

journal_volume

94

pub_type

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