Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome

Abstract Objective: To verify the prevalence and factors associated with Non-Alcoholic Fatty Liver Disease (NAFLD) among women with Polycystic Ovary Syndrome (PCOS). Methods: A cross-sectional study was conducted with 53 patients with PCOS. The diagnosis of PCOS followed the Rotterdam criteria. Th...

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Main Authors: Maria Elisa Franciscatto, Juliana Bosso Taniguchi, Raquel Wohlenberg, Isadora Luísa Riedi, Karen Oppermann
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2025-01-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032024000100260&lng=en&tlng=en
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author Maria Elisa Franciscatto
Juliana Bosso Taniguchi
Raquel Wohlenberg
Isadora Luísa Riedi
Karen Oppermann
author_facet Maria Elisa Franciscatto
Juliana Bosso Taniguchi
Raquel Wohlenberg
Isadora Luísa Riedi
Karen Oppermann
author_sort Maria Elisa Franciscatto
collection DOAJ
description Abstract Objective: To verify the prevalence and factors associated with Non-Alcoholic Fatty Liver Disease (NAFLD) among women with Polycystic Ovary Syndrome (PCOS). Methods: A cross-sectional study was conducted with 53 patients with PCOS. The diagnosis of PCOS followed the Rotterdam criteria. The diagnosis of NAFLD was made through US showing hepatic steatosis, excluding significant alcohol consumption and chronic liver disease. The following variables were compared between the groups of women with and without NAFLD: age, race, anthropometric data, blood pressure levels, liver enzymes, glycemic and lipid profiles, total testosterone, presence of hirsutism, and metabolic syndrome (MS). Variables were compared between the groups using T-test, Mann-Whitney, and Chi-square tests. Results: Among 53 patients with PCOS, 50.9% had NAFLD. The NAFLD group had higher weight (p=0.003), BMI (p=0.001), waist circumference (p≤0.001), fasting glucose (p=0.021), HbA1C% (p=0.028), triglycerides (p=0.023), AST (p=0.004), ALT (p=0.001), higher prevalence of MS (p=0.004), and lower levels of HDL cholesterol (p=0.043). The other variables did not differ between the groups. Both groups were predominantly of caucasian race, and there was no significant difference in age. Conclusion: The prevalence of NAFLD among patients with PCOS was 50.9%. Metabolic and hepatic enzyme abnormalities were more prevalent in this group compared to the group without the disease. Obesity tripled the prevalence of NAFLD.
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spelling doaj-art-da77c4f8834b49989040d456c19558a82025-01-21T07:36:14ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032025-01-014610.61622/rbgo/2024rbgo81Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndromeMaria Elisa Franciscattohttps://orcid.org/0009-0009-1277-1201Juliana Bosso Taniguchihttps://orcid.org/0000-0002-0470-1096Raquel Wohlenberghttps://orcid.org/0000-0002-1458-3716Isadora Luísa Riedihttps://orcid.org/0009-0008-1163-8559Karen Oppermannhttps://orcid.org/0000-0002-5711-4653Abstract Objective: To verify the prevalence and factors associated with Non-Alcoholic Fatty Liver Disease (NAFLD) among women with Polycystic Ovary Syndrome (PCOS). Methods: A cross-sectional study was conducted with 53 patients with PCOS. The diagnosis of PCOS followed the Rotterdam criteria. The diagnosis of NAFLD was made through US showing hepatic steatosis, excluding significant alcohol consumption and chronic liver disease. The following variables were compared between the groups of women with and without NAFLD: age, race, anthropometric data, blood pressure levels, liver enzymes, glycemic and lipid profiles, total testosterone, presence of hirsutism, and metabolic syndrome (MS). Variables were compared between the groups using T-test, Mann-Whitney, and Chi-square tests. Results: Among 53 patients with PCOS, 50.9% had NAFLD. The NAFLD group had higher weight (p=0.003), BMI (p=0.001), waist circumference (p≤0.001), fasting glucose (p=0.021), HbA1C% (p=0.028), triglycerides (p=0.023), AST (p=0.004), ALT (p=0.001), higher prevalence of MS (p=0.004), and lower levels of HDL cholesterol (p=0.043). The other variables did not differ between the groups. Both groups were predominantly of caucasian race, and there was no significant difference in age. Conclusion: The prevalence of NAFLD among patients with PCOS was 50.9%. Metabolic and hepatic enzyme abnormalities were more prevalent in this group compared to the group without the disease. Obesity tripled the prevalence of NAFLD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032024000100260&lng=en&tlng=enNon-alcoholic fatty liver diseasePolycystic ovary syndromeMetabolic syndromeAlcohol drinkingObesityWaist circumferenceHyperandrogenism
spellingShingle Maria Elisa Franciscatto
Juliana Bosso Taniguchi
Raquel Wohlenberg
Isadora Luísa Riedi
Karen Oppermann
Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
Revista Brasileira de Ginecologia e Obstetrícia
Non-alcoholic fatty liver disease
Polycystic ovary syndrome
Metabolic syndrome
Alcohol drinking
Obesity
Waist circumference
Hyperandrogenism
title Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
title_full Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
title_fullStr Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
title_full_unstemmed Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
title_short Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
title_sort prevalence and factors associated with non alcoholic fatty liver disease among women with polycystic ovary syndrome
topic Non-alcoholic fatty liver disease
Polycystic ovary syndrome
Metabolic syndrome
Alcohol drinking
Obesity
Waist circumference
Hyperandrogenism
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032024000100260&lng=en&tlng=en
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