Arterial hypertension and metabolic profile in patients with polycystic ovary syndrome

Revista Brasileira de Ginecologia e Obstetrícia

Renata Do Sacramento Monte De Oliveira²  Renato Galvão Redorat²  Gisele Hart Ziehe²  Vera Aleta Mansur¹  Flávia Lúcia Conceição¹ 

[1] ,Universidade Federal do Rio de Janeiro Faculdade de Medicina Hospital Universitário Clementino Fraga FilhoRio de Janeiro RJ ,Brazil

关键词: Cardiovascular diseases;    Cardiovascular diseases;    Metabolic diseases;    Metabolic diseases;    Polycystic ovary syndrome;    Polycystic ovary syndrome;    Polycystic ovary syndrome;    Doenças cardiovasculares;    Doenças cardiovasculares;    Doenças metabólicas;    Doenças metabólicas;    Síndrome do ovário policístico;    Síndrome do ovário policístico;    Obesidade;   

DOI  :  10.1590/S0100-72032013000100005

来源: SciELO

【 摘 要 】

PURPOSE: To evaluate parameters related with arterial pressure and metabolic profile in women with polycystic ovary syndrome (POS). METHODS: This monocentric study at the University Hospital Endocrinology Section included 60 women aged 18-45 years, 42 being diagnosed with POS and acting as 18 controls. All women were subjected to transvaginal ultrasound and monitored for arterial pressure for 24 h in the ambulatory (MAP). Venous blood samples were taken between 07.00 and 09.00, after 12 h fasting. Basal (BG) and fasting glucose concentrations, total cholesterol and its fractions, triglycerides and insulin (to calculate the homeostatic assay insulin-resistance, HOMA-IR) were measured. Collected data were the mean arterial blood pressure (24-h awake/sleep cycle), arterial pressure nocturnal descensus, glycemia and fasting glucose for HOMA-IR, and lipid profile. The Student's t test was used to compare homogeneous variables; the Mann-Whitney test was used to compare non-homogeneous variables; the Pearson's correlation coefficient was used to search for correlation between the variables. The c² test was used for comparison of the absence of nocturnal descensus. Significance was taken as p<0.05. RESULTS: The mean age of the patients with POS was 27.4±5.5 (18-45 years, n=42) and the body mass index (BMI) was 30.2±6.5 kg/m² (18.3-54.9). In the Control Group, the mean age was 31.4±6.1 (18-45 years) and the BMI was 27.1±6.2 kg/m² (18.3-54.9, n=18). No difference in the metabolic parameters and insulin resistance was observed between the two groups. Comparison between these parameters and MAP showed that the only parameter with a correlation was the BMI, independent of the POS diagnosis. This was not seen in nocturnal descensus, which was uncorrelated with POS and any of the other studied parameters. CONCLUSION: POS women do not show higher arterial blood pressure, glycemia, HDL-col, TG, HOMA-IR and BMI compared to non-POS women. However, POS patients showed correlation between arterial pressure and BMI, suggesting that obesity is a primary factor involved in arterial pressure changes in these patients.

【 授权许可】

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