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Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome
BACKGROUND: Stress is an invisible factor affecting modern day living and is strongly associated with many disease pathogenesis including polycystic ovarian syndrome (PCOS) in women. PCOS is the most frequent endocrinological disorder that affects women of reproductive age, leading to metabolic dysf...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892097/ https://www.ncbi.nlm.nih.gov/pubmed/29681710 http://dx.doi.org/10.4103/jhrs.JHRS_78_17 |
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author | Basu, Barnali Ray Chowdhury, Olivia Saha, Sudip Kumar |
author_facet | Basu, Barnali Ray Chowdhury, Olivia Saha, Sudip Kumar |
author_sort | Basu, Barnali Ray |
collection | PubMed |
description | BACKGROUND: Stress is an invisible factor affecting modern day living and is strongly associated with many disease pathogenesis including polycystic ovarian syndrome (PCOS) in women. PCOS is the most frequent endocrinological disorder that affects women of reproductive age, leading to metabolic dysfunction and body composition alterations. Salivary amylase and cortisol are major stress mediators that have been implicated in PCOS. However, their role in altering body composition in PCOS is yet to be deciphered. AIM: The present study aimed at understanding the relation between stress-associated factors and alterations in body composition among PCOS patients. DESIGN: This study enrolled a total of 100 patients (PCOS) and 60 age-matched controls. The female patients were of ages between 13 and 30 years. MATERIALS AND METHODS: Standard assay kits were used to evaluate the α-amylase activity and cortisol level in saliva. The participants were chosen on the basis of the Rotterdam American Society for Reproductive Medicine/European Society of Human Reproduction criteria. Saliva was collected from each participant as per the protocol of Salimetrics, USA. STATISTICAL ANALYSIS: Statistical analysis was performed using SPSS version 20 for Windows. The quantitative variables are described as mean ± standard deviation. P < 0.05 was considered significant. RESULTS: Increased salivary cortisol level and α-amylase activity were seen in the PCOS population as compared to age-matched controls suggesting patients a sustained stress scenario in their system. Moreover, overweight PCOS participants reflected higher amylase activity than the lean patients participants. Pulse rate, body mass index (BMI), visceral adiposity, and waist-hip ratio (WHR) was considerably higher in the PCOS patients participants compared to controls. A significant correlation could be drawn between the α-amylase activity and BMI or WHR, respectively, among PCOS patients. These observations indicate a strong link between the stress marker and alterations in the body composition parameters of PCOS patients participants. CONCLUSION: Higher prevalence of stress in PCOS patients participants has a critical role in their altered body composition. |
format | Online Article Text |
id | pubmed-5892097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-58920972018-04-20 Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome Basu, Barnali Ray Chowdhury, Olivia Saha, Sudip Kumar J Hum Reprod Sci Original Article BACKGROUND: Stress is an invisible factor affecting modern day living and is strongly associated with many disease pathogenesis including polycystic ovarian syndrome (PCOS) in women. PCOS is the most frequent endocrinological disorder that affects women of reproductive age, leading to metabolic dysfunction and body composition alterations. Salivary amylase and cortisol are major stress mediators that have been implicated in PCOS. However, their role in altering body composition in PCOS is yet to be deciphered. AIM: The present study aimed at understanding the relation between stress-associated factors and alterations in body composition among PCOS patients. DESIGN: This study enrolled a total of 100 patients (PCOS) and 60 age-matched controls. The female patients were of ages between 13 and 30 years. MATERIALS AND METHODS: Standard assay kits were used to evaluate the α-amylase activity and cortisol level in saliva. The participants were chosen on the basis of the Rotterdam American Society for Reproductive Medicine/European Society of Human Reproduction criteria. Saliva was collected from each participant as per the protocol of Salimetrics, USA. STATISTICAL ANALYSIS: Statistical analysis was performed using SPSS version 20 for Windows. The quantitative variables are described as mean ± standard deviation. P < 0.05 was considered significant. RESULTS: Increased salivary cortisol level and α-amylase activity were seen in the PCOS population as compared to age-matched controls suggesting patients a sustained stress scenario in their system. Moreover, overweight PCOS participants reflected higher amylase activity than the lean patients participants. Pulse rate, body mass index (BMI), visceral adiposity, and waist-hip ratio (WHR) was considerably higher in the PCOS patients participants compared to controls. A significant correlation could be drawn between the α-amylase activity and BMI or WHR, respectively, among PCOS patients. These observations indicate a strong link between the stress marker and alterations in the body composition parameters of PCOS patients participants. CONCLUSION: Higher prevalence of stress in PCOS patients participants has a critical role in their altered body composition. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5892097/ /pubmed/29681710 http://dx.doi.org/10.4103/jhrs.JHRS_78_17 Text en Copyright: © 2018 Journal of Human Reproductive Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Basu, Barnali Ray Chowdhury, Olivia Saha, Sudip Kumar Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title | Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title_full | Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title_fullStr | Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title_full_unstemmed | Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title_short | Possible Link Between Stress-related Factors and Altered Body Composition in Women with Polycystic Ovarian Syndrome |
title_sort | possible link between stress-related factors and altered body composition in women with polycystic ovarian syndrome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892097/ https://www.ncbi.nlm.nih.gov/pubmed/29681710 http://dx.doi.org/10.4103/jhrs.JHRS_78_17 |
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