Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses
Insulin resistance is believed to be an integral component of the polycystic ovary syndrome (PCOS). Beta (ß) cell dysfunction is also found in PCOS. In the study, we determined the influence of age, body mass index (BMI), and waist-to-hip ratio (WHR) on insulin response to oral glucose load (OGTT) a...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2022/6630498 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565817043058688 |
|---|---|
| author | Mirjana Šumarac-Dumanović Danica Stamenković-Pejković Danka Jeremić Janko Dumanović Vesna Mandić-Marković Miloš Žarković Dragan Micić |
| author_facet | Mirjana Šumarac-Dumanović Danica Stamenković-Pejković Danka Jeremić Janko Dumanović Vesna Mandić-Marković Miloš Žarković Dragan Micić |
| author_sort | Mirjana Šumarac-Dumanović |
| collection | DOAJ |
| description | Insulin resistance is believed to be an integral component of the polycystic ovary syndrome (PCOS). Beta (ß) cell dysfunction is also found in PCOS. In the study, we determined the influence of age, body mass index (BMI), and waist-to-hip ratio (WHR) on insulin response to oral glucose load (OGTT) and on insulin sensitivity (Si) and ß-cell function in young women with PCOS. One hundred fourteen patients with PCOS and 41 controls with normal basal plasma glucose were studied. A 75-g OGTT was performed to determine glucose tolerance and insulin response. Insulin sensitivity and ß-cell function were studied using a modified frequently sampled IV glucose tolerance test (FISGTT) to determine the acute insulin response (AIRG), as well as Si by minimal model analysis. Si was decreased in PCOS women (2.49 0.18 vs. 3.41 ± 0.36, p<0.05), but no difference in AIRG existed between the PCOS and control group (75.1 ± 4.6 vs. 63.4 ± 4.6, p<0.05). BMI and WHR correlated negatively with Si (r = −0.43; r = −0.289, p<0.001, respectively), but not with AIRG (r = 0.116; r = −0.02, p>0.05, respectively). Increasing age correlated negatively with AIRG (r = −0.285, p<0.001). There was a significant interaction between disease (PCOS), BMI, and WHR on Si as well as between age and PCOS on AIRG. Thus, patients below the age of 25 with PCOS showed enhanced AIRG (89.5 ± 7.1 vs. 65.1 ± 6.7, p<0.05) and decreased Si (2.43 ± 0.25 vs. 4.52 ± 0.62, p<0.05) compared to age-matched controls. In conclusion, these data suggest that not all patients with PCOS have basal and stimulated hyperinsulinemia, insulin resistance, and impaired glucose tolerance. Based on these data in young PCOS subjects, the development of insulin resistance and T2DM may be prevented with appropriate treatment strategies. |
| format | Article |
| id | doaj-art-ce7c3bb0850c4dc1831414349b7bbd2c |
| institution | Kabale University |
| issn | 1687-8345 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-ce7c3bb0850c4dc1831414349b7bbd2c2025-02-03T01:06:36ZengWileyInternational Journal of Endocrinology1687-83452022-01-01202210.1155/2022/6630498Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model AnalysesMirjana Šumarac-Dumanović0Danica Stamenković-Pejković1Danka Jeremić2Janko Dumanović3Vesna Mandić-Marković4Miloš Žarković5Dragan Micić6School of MedicineSchool of MedicineClinic for Endocrinology, Diabetes and Diseases of MetabolismObstetrics and Gynaecology Clinic Narodni FrontSchool of MedicineSchool of MedicineDepartment of Medical SciencesInsulin resistance is believed to be an integral component of the polycystic ovary syndrome (PCOS). Beta (ß) cell dysfunction is also found in PCOS. In the study, we determined the influence of age, body mass index (BMI), and waist-to-hip ratio (WHR) on insulin response to oral glucose load (OGTT) and on insulin sensitivity (Si) and ß-cell function in young women with PCOS. One hundred fourteen patients with PCOS and 41 controls with normal basal plasma glucose were studied. A 75-g OGTT was performed to determine glucose tolerance and insulin response. Insulin sensitivity and ß-cell function were studied using a modified frequently sampled IV glucose tolerance test (FISGTT) to determine the acute insulin response (AIRG), as well as Si by minimal model analysis. Si was decreased in PCOS women (2.49 0.18 vs. 3.41 ± 0.36, p<0.05), but no difference in AIRG existed between the PCOS and control group (75.1 ± 4.6 vs. 63.4 ± 4.6, p<0.05). BMI and WHR correlated negatively with Si (r = −0.43; r = −0.289, p<0.001, respectively), but not with AIRG (r = 0.116; r = −0.02, p>0.05, respectively). Increasing age correlated negatively with AIRG (r = −0.285, p<0.001). There was a significant interaction between disease (PCOS), BMI, and WHR on Si as well as between age and PCOS on AIRG. Thus, patients below the age of 25 with PCOS showed enhanced AIRG (89.5 ± 7.1 vs. 65.1 ± 6.7, p<0.05) and decreased Si (2.43 ± 0.25 vs. 4.52 ± 0.62, p<0.05) compared to age-matched controls. In conclusion, these data suggest that not all patients with PCOS have basal and stimulated hyperinsulinemia, insulin resistance, and impaired glucose tolerance. Based on these data in young PCOS subjects, the development of insulin resistance and T2DM may be prevented with appropriate treatment strategies.http://dx.doi.org/10.1155/2022/6630498 |
| spellingShingle | Mirjana Šumarac-Dumanović Danica Stamenković-Pejković Danka Jeremić Janko Dumanović Vesna Mandić-Marković Miloš Žarković Dragan Micić Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses International Journal of Endocrinology |
| title | Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses |
| title_full | Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses |
| title_fullStr | Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses |
| title_full_unstemmed | Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses |
| title_short | Age, Body Mass Index, and Waist-to-Hip Ratio Related Changes in Insulin Secretion and Insulin Sensitivity in Women with Polycystic Ovary Syndrome: Minimal Model Analyses |
| title_sort | age body mass index and waist to hip ratio related changes in insulin secretion and insulin sensitivity in women with polycystic ovary syndrome minimal model analyses |
| url | http://dx.doi.org/10.1155/2022/6630498 |
| work_keys_str_mv | AT mirjanasumaracdumanovic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT danicastamenkovicpejkovic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT dankajeremic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT jankodumanovic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT vesnamandicmarkovic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT miloszarkovic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses AT draganmicic agebodymassindexandwaisttohipratiorelatedchangesininsulinsecretionandinsulinsensitivityinwomenwithpolycysticovarysyndromeminimalmodelanalyses |