High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome

Background: Polycystic ovarian syndrome (PCOS) is a common disease among women in fertility ages and cause severe insulin resistance. Hyperhomocysteinaemia is said to be among the features of PCOS that could influence its outcome.Objective: This study aimed to investigate whether hyperhomocysteinaem...

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Main Authors: Tayebe Hemati, Nasrin Moghadami-Tabrizi, Fateme Davari-Tanha, Bahram Salmanian, Pouya Javadian
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Science, Yazd, Iran 2011-01-01
Series:Iranian Journal of Reproductive Medicine
Subjects:
Online Access:http://www.ijrm.ir/library/upload/article/af_295233510)%2089-27-5.pdf
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author Tayebe Hemati
Nasrin Moghadami-Tabrizi
Fateme Davari-Tanha
Bahram Salmanian
Pouya Javadian
author_facet Tayebe Hemati
Nasrin Moghadami-Tabrizi
Fateme Davari-Tanha
Bahram Salmanian
Pouya Javadian
author_sort Tayebe Hemati
collection DOAJ
description Background: Polycystic ovarian syndrome (PCOS) is a common disease among women in fertility ages and cause severe insulin resistance. Hyperhomocysteinaemia is said to be among the features of PCOS that could influence its outcome.Objective: This study aimed to investigate whether hyperhomocysteinaemia exists in PCOS and if it is related to insulin resistance in the affected patients.Materials and Methods: This prospective study was carried out in a university based fertility clinic. Sixty four PCOS patients and 50 normo ovulatory controls were reviewed for fasting glucose, insulin, homocysteine, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) plasma levels in the blood sample of the 3rd day of their menstrual cycle. Insulin resistance was determined with the fasting glucose (mmol/L) to insulin (mIU/L) ratio and HOMA-IR (Homeostasis model assessment-Insulin resistance). Independent-samples T-test and linear regression test were utilized to analyze the obtained data.Results: Homocysteine levels compared between PCOS patients and control group showed a significant difference. PCOS group was divided into insulin resistant (IR) (LogHOMA-IR≥0.57) and non insulin resistant (NIR) patients. The IR group had significantly higher homocysteine (p-value=0.02), fasting insulin and glucose levels (p-value<0.001) rather than NIR group.Conclusion: PCOS patients have a leaning toward hyperhomocysteinaemia and insulin resistance. Insulin resistant patients are found to have higher homocysteine level
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spelling doaj.art-9a7c8018330b4f62aab7e2bb9215a41e2022-12-22T02:55:49ZengShahid Sadoughi University of Medical Science, Yazd, IranIranian Journal of Reproductive Medicine1680-64332011-01-0193223228High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndromeTayebe HematiNasrin Moghadami-TabriziFateme Davari-TanhaBahram SalmanianPouya JavadianBackground: Polycystic ovarian syndrome (PCOS) is a common disease among women in fertility ages and cause severe insulin resistance. Hyperhomocysteinaemia is said to be among the features of PCOS that could influence its outcome.Objective: This study aimed to investigate whether hyperhomocysteinaemia exists in PCOS and if it is related to insulin resistance in the affected patients.Materials and Methods: This prospective study was carried out in a university based fertility clinic. Sixty four PCOS patients and 50 normo ovulatory controls were reviewed for fasting glucose, insulin, homocysteine, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) plasma levels in the blood sample of the 3rd day of their menstrual cycle. Insulin resistance was determined with the fasting glucose (mmol/L) to insulin (mIU/L) ratio and HOMA-IR (Homeostasis model assessment-Insulin resistance). Independent-samples T-test and linear regression test were utilized to analyze the obtained data.Results: Homocysteine levels compared between PCOS patients and control group showed a significant difference. PCOS group was divided into insulin resistant (IR) (LogHOMA-IR≥0.57) and non insulin resistant (NIR) patients. The IR group had significantly higher homocysteine (p-value=0.02), fasting insulin and glucose levels (p-value<0.001) rather than NIR group.Conclusion: PCOS patients have a leaning toward hyperhomocysteinaemia and insulin resistance. Insulin resistant patients are found to have higher homocysteine levelhttp://www.ijrm.ir/library/upload/article/af_295233510)%2089-27-5.pdfPCOSHomocysteineInsulin resistanceInfertility
spellingShingle Tayebe Hemati
Nasrin Moghadami-Tabrizi
Fateme Davari-Tanha
Bahram Salmanian
Pouya Javadian
High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
Iranian Journal of Reproductive Medicine
PCOS
Homocysteine
Insulin resistance
Infertility
title High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
title_full High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
title_fullStr High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
title_full_unstemmed High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
title_short High plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
title_sort high plasma homocysteine and insulin resistance in patients with polycystic ovarian syndrome
topic PCOS
Homocysteine
Insulin resistance
Infertility
url http://www.ijrm.ir/library/upload/article/af_295233510)%2089-27-5.pdf
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AT bahramsalmanian highplasmahomocysteineandinsulinresistanceinpatientswithpolycysticovariansyndrome
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