Influence of sociocultural factors on the ovulatory status of polycystic ovary syndrome

Objective To evaluate the role of social and cultural differences inside the same ethnic group on the ovulatory status of women with polycystic ovary syndrome (PCOS). Design To correlate social and cultural status with the phenotypic expression (body weight and ovulation) and with androgen and insul...

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Published in:Fertility and sterility 2009-05, Vol.91 (5), p.1853-1856
Main Authors: Di Fede, Gaetana, M.D, Mansueto, Pasquale, M.D, Longo, Rosa Alba, M.D, Rini, GiovamBattista, M.D, Carmina, Enrico, M.D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Educational Status
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Income
insulin
Internal Medicine
Medical sciences
Metabolic diseases
Non tumoral diseases
Obesity
Obstetrics and Gynecology
Ovulation
PCOS
Polycystic Ovary Syndrome - physiopathology
Progesterone - blood
social class
Socioeconomic Factors
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cited_by cdi_FETCH-LOGICAL-c507t-3e0bdcb3fb062cc7f6a4fb26129f204fd591a63f889ad29d98a6b370f628f0cb3
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container_title Fertility and sterility
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creator Di Fede, Gaetana, M.D
Mansueto, Pasquale, M.D
Longo, Rosa Alba, M.D
Rini, GiovamBattista, M.D
Carmina, Enrico, M.D
description Objective To evaluate the role of social and cultural differences inside the same ethnic group on the ovulatory status of women with polycystic ovary syndrome (PCOS). Design To correlate social and cultural status with the phenotypic expression (body weight and ovulation) and with androgen and insulin levels of PCOS. Setting University department of medicine. Patient(s) Two hundred and forty-four consecutive PCOS women. Intervention(s) All studied patients completed a simple questionnaire to indicate their mean family income and their school education. Main Outcome Measure(s) Ovulation was assessed by measurement of serum progesterone on day 22 of a spontaneous or induced menstrual cycle. Levels of blood testosterone, sex hormone–binding globulin, insulin, and blood glucose were evaluated. Result(s) In the low to medium income group, 21% of patients had ovulatory PCOS, but the prevalence of the same PCOS phenotype was 43% in patients with high income. In patients with low education, only 12% presented with ovulatory PCOS compared with 47% of the patients with high education status. Mean family income negatively correlated with body mass index, waist circumference, insulin, and insulin resistance. Serum progesterone correlated negatively with insulin and insulin resistance. Conclusion(s) In an ethnically homogeneous PCOS population, high socioeconomic status was associated with a higher prevalence of the ovulatory phenotype. Differences in ovulatory status between the social classes seem to be related to differences in insulin levels and fat quantity and distribution.
doi_str_mv 10.1016/j.fertnstert.2008.02.161
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Design To correlate social and cultural status with the phenotypic expression (body weight and ovulation) and with androgen and insulin levels of PCOS. Setting University department of medicine. Patient(s) Two hundred and forty-four consecutive PCOS women. Intervention(s) All studied patients completed a simple questionnaire to indicate their mean family income and their school education. Main Outcome Measure(s) Ovulation was assessed by measurement of serum progesterone on day 22 of a spontaneous or induced menstrual cycle. Levels of blood testosterone, sex hormone–binding globulin, insulin, and blood glucose were evaluated. Result(s) In the low to medium income group, 21% of patients had ovulatory PCOS, but the prevalence of the same PCOS phenotype was 43% in patients with high income. In patients with low education, only 12% presented with ovulatory PCOS compared with 47% of the patients with high education status. Mean family income negatively correlated with body mass index, waist circumference, insulin, and insulin resistance. Serum progesterone correlated negatively with insulin and insulin resistance. Conclusion(s) In an ethnically homogeneous PCOS population, high socioeconomic status was associated with a higher prevalence of the ovulatory phenotype. Differences in ovulatory status between the social classes seem to be related to differences in insulin levels and fat quantity and distribution.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2008.02.161</identifier><identifier>PMID: 18455164</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Educational Status ; Female ; Female genital diseases ; Gynecology. Andrology. 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subjects Adult
Biological and medical sciences
Educational Status
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Income
insulin
Internal Medicine
Medical sciences
Metabolic diseases
Non tumoral diseases
Obesity
Obstetrics and Gynecology
Ovulation
PCOS
Polycystic Ovary Syndrome - physiopathology
Progesterone - blood
social class
Socioeconomic Factors
title Influence of sociocultural factors on the ovulatory status of polycystic ovary syndrome
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