Role of androgen ratios in the prediction of the metabolic phenotype in polycystic ovary syndrome

Minooee, Sonia, Ramezani Tehrani, Fahimeh, Tohidi, Maryam, and Azizi, Fereidoun (2017) Role of androgen ratios in the prediction of the metabolic phenotype in polycystic ovary syndrome. International Journal of Gynecology & Obstetrics, 137 (2). pp. 110-115.

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Abstract

Objective: To identify the androgen ratio that best predicts insulin resistance and metabolic syndrome among women with polycystic ovary syndrome (PCOS).

Methods: Data for 180 women with PCOS and 180 healthy controls were extracted from two previous studies in Iran (conducted during 2008–2010 and 2011–2013). The diagnosis of PCOS was based on the Rotterdam criteria. The serum concentration of different androgens was measured. Receiver operating characteristic curve analysis was used to assess the ability of various androgen ratios to predict insulin resistance and metabolic syndrome.

Results: Among women with PCOS, the testosterone-to-androstenedione ratio was the best predictor of insulin resistance (sensitivity 0.83, specificity 0.42) and metabolic syndrome (sensitivity 0.85, specificity 0.70). Among healthy controls, the ratio of free androgen index to testosterone was the best predictor of insulin resistance (sensitivity 0.84, specificity 0.33) and metabolic syndrome (sensitivity 0.91, specificity 0.17).

Conclusion: The prediction of insulin resistance and metabolic syndrome among women with PCOS was best accomplished with the testosterone-to-androstenedione ratio.

Item ID: 77741
Item Type: Article (Research - C1)
ISSN: 1879-3479
Copyright Information: © 2017 International Federation of Gynecology and Obstetrics
Date Deposited: 28 Nov 2023 04:37
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320208 Endocrinology @ 40%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3215 Reproductive medicine > 321502 Obstetrics and gynaecology @ 40%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3215 Reproductive medicine > 321503 Reproduction @ 20%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100%
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