Circulating vaspin levels and nutritional status and insulin resistance in polycystic ovary syndrome.

Abstract:

OBJECTIVES:The study aimed to assess the associations between circulating vaspin levels and nutritional status (assessed on tha basis of BMI) as well as insulin resistance in PCOS. MATERIAL AND METHODS:Eighty-seven PCOS women, 48 obese and 39 normal weight, were enrolled in the cross-sectional study. Seventy-two Non-PCOS women, 41 obese and 31 normal weight, constituted a control group. Body mass, height and waist circumference as well as body composition by bioimpedance were measured. In the morning (16h after the last meal) we determined: serum glucose, insulin, androgens, gonadotropin (LH, FSH) and sex hormone-binding globulin (SHBG) as well as plasma vaspin levels. Standard HOMA-IR formula was used to assess insulin resistance (IR). RESULTS:Plasma vaspin levels were significantly lower in PCOS, both normal weight and obese, than in Non-PCOS groups. Vaspin levels were similar in normal weight and obese PCOS subgroups. There was no association between plasma vaspin levels and anthropometric parameters in PCOS group. While in Non-PCOS group a negative correlation between plasma vaspin levels and body mass (r = -0.26; p < 0.05) was found. We did not observe correlations between plasma vaspin levels and serum glucose and insulin concentrations as well as HOMA-IR values, however, in multivariable, stepwise backward regression waist circumference and HOMA-IR values explained 18.0% of plasma vaspin levels variability in the study subjects. CONCLUSIONS:PCOS occurrence is associated with decreased vaspin levels. The influence of nutritional status on vaspin level observed in Non-PCOS is abolished in PCOS women, possibly by more severe insulin resistance.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Franik G,Plinta R,Madej P,Owczarek A,Bozentowicz-Wikarek M,Chudek J,Skrzypulec-Plinta V,Olszanecka-Glinianowicz M

doi

10.5603/GP.2020.0056

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

251-255

issue

5

eissn

0017-0011

issn

2543-6767

pii

VM/OJS/J/65082

journal_volume

91

pub_type

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