Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome

PCOS (polycystic ovary syndrome) is a common endocrine disorder that affects 8–13% of women of reproductive age. Increased body weight and insulin resistance may be associated with chronic inflammation, which increases the risk of cardiovascular complications. CRP (C-reactive protein) tests may be u...

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Main Authors: Katarzyna Lejman-Larysz, Dominika Pietrzyk, Adrianna Ćwiertnia, Mateusz Kozłowski, Sebastian Kwiatkowski, Iwona Szydłowska, Jolanta Nawrocka-Rutkowska, Jacek Brodowski, Elżbieta Sowińska-Przepiera, Aneta Cymbaluk-Płoska, Agnieszka Brodowska
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/11/7/1953
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author Katarzyna Lejman-Larysz
Dominika Pietrzyk
Adrianna Ćwiertnia
Mateusz Kozłowski
Sebastian Kwiatkowski
Iwona Szydłowska
Jolanta Nawrocka-Rutkowska
Jacek Brodowski
Elżbieta Sowińska-Przepiera
Aneta Cymbaluk-Płoska
Agnieszka Brodowska
author_facet Katarzyna Lejman-Larysz
Dominika Pietrzyk
Adrianna Ćwiertnia
Mateusz Kozłowski
Sebastian Kwiatkowski
Iwona Szydłowska
Jolanta Nawrocka-Rutkowska
Jacek Brodowski
Elżbieta Sowińska-Przepiera
Aneta Cymbaluk-Płoska
Agnieszka Brodowska
author_sort Katarzyna Lejman-Larysz
collection DOAJ
description PCOS (polycystic ovary syndrome) is a common endocrine disorder that affects 8–13% of women of reproductive age. Increased body weight and insulin resistance may be associated with chronic inflammation, which increases the risk of cardiovascular complications. CRP (C-reactive protein) tests may be use to assess persistent inflammation. Elevated CRP levels may be associated with insulin resistance and type 2 diabetes. Determination of hsCRP, highly sensitive C-reactive protein, can be used to assess cardiovascular risk in women with PCOS. In this study, 120 women between the ages of 18 and 42 were divided into two groups: patients with polycystic ovary syndrome (<i>n</i> = 80) and regular menstruating women in whom PCOS was excluded (<i>n</i> = 40). Lipid and carbohydrate metabolism parameters and hsCRP levels were assessed, followed by receiver operating characteristic (ROC) analysis for hsCRP, where metabolic syndrome was the dependent variable. For hsCRP, the cutoff point was 1.44 (mg/dL). Sensitivity for the cutoff point was 0.913 and specificity was 0.691. The area under the curve (AUC) was 0.851 (<i>p</i> < 0.000). The closer the AUC value is to unity, the better the predictive ability of the studied variable. There was also a statistically significant correlation between hsCRP levels and the presence of metabolic syndrome.
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spelling doaj.art-c138ad31188f4408a97bb49ea8d7cc432023-11-18T18:27:21ZengMDPI AGBiomedicines2227-90592023-07-01117195310.3390/biomedicines11071953Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary SyndromeKatarzyna Lejman-Larysz0Dominika Pietrzyk1Adrianna Ćwiertnia2Mateusz Kozłowski3Sebastian Kwiatkowski4Iwona Szydłowska5Jolanta Nawrocka-Rutkowska6Jacek Brodowski7Elżbieta Sowińska-Przepiera8Aneta Cymbaluk-Płoska9Agnieszka Brodowska10Department of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, PolandDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Obstetrics and Gynecology, Pomeranian Medical University in Szczecin, al. Powstaców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, PolandDepartment of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, PolandPrimary Care Department, Pomeranian Medical University in Szczecin, Żołnierska 48, 71-210 Szczecin, PolandDepartment of Endocrinology, Metabolic and Internal Diseases, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, PolandDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, PolandPCOS (polycystic ovary syndrome) is a common endocrine disorder that affects 8–13% of women of reproductive age. Increased body weight and insulin resistance may be associated with chronic inflammation, which increases the risk of cardiovascular complications. CRP (C-reactive protein) tests may be use to assess persistent inflammation. Elevated CRP levels may be associated with insulin resistance and type 2 diabetes. Determination of hsCRP, highly sensitive C-reactive protein, can be used to assess cardiovascular risk in women with PCOS. In this study, 120 women between the ages of 18 and 42 were divided into two groups: patients with polycystic ovary syndrome (<i>n</i> = 80) and regular menstruating women in whom PCOS was excluded (<i>n</i> = 40). Lipid and carbohydrate metabolism parameters and hsCRP levels were assessed, followed by receiver operating characteristic (ROC) analysis for hsCRP, where metabolic syndrome was the dependent variable. For hsCRP, the cutoff point was 1.44 (mg/dL). Sensitivity for the cutoff point was 0.913 and specificity was 0.691. The area under the curve (AUC) was 0.851 (<i>p</i> < 0.000). The closer the AUC value is to unity, the better the predictive ability of the studied variable. There was also a statistically significant correlation between hsCRP levels and the presence of metabolic syndrome.https://www.mdpi.com/2227-9059/11/7/1953polycystic ovary syndrome (PCOS)metabolic syndromehigh-sensitivity C-reactive protein (hsCRP)high-density lipoprotein (HDL)low-density lipoprotein (LDL)obesity
spellingShingle Katarzyna Lejman-Larysz
Dominika Pietrzyk
Adrianna Ćwiertnia
Mateusz Kozłowski
Sebastian Kwiatkowski
Iwona Szydłowska
Jolanta Nawrocka-Rutkowska
Jacek Brodowski
Elżbieta Sowińska-Przepiera
Aneta Cymbaluk-Płoska
Agnieszka Brodowska
Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
Biomedicines
polycystic ovary syndrome (PCOS)
metabolic syndrome
high-sensitivity C-reactive protein (hsCRP)
high-density lipoprotein (HDL)
low-density lipoprotein (LDL)
obesity
title Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
title_full Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
title_fullStr Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
title_full_unstemmed Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
title_short Influence of hsCRP Parameter on the Occurrence of Metabolic Syndrome in Patients with Polycystic Ovary Syndrome
title_sort influence of hscrp parameter on the occurrence of metabolic syndrome in patients with polycystic ovary syndrome
topic polycystic ovary syndrome (PCOS)
metabolic syndrome
high-sensitivity C-reactive protein (hsCRP)
high-density lipoprotein (HDL)
low-density lipoprotein (LDL)
obesity
url https://www.mdpi.com/2227-9059/11/7/1953
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