Diagnosis of non-alcoholic fatty liver disease (NAFLD) in overweight and obese women with polycystic ovary syndrome (PCOS). Metabolic associations between NAFLD and PCOS – preliminary study
Journal Title: Postępy Nauk Medycznych - Year 2014, Vol 27, Issue 12
Abstract
Introduction. Recent findings suggest that women with polycystic ovary syndrome (PCOS) may be at risk for developing non-alcoholic fatty liver disease (NAFLD) and conversely, hepatic steatosis may be a risk factor for PCOS.Aim. To estimate noninvasively the prevalence of non-alcoholic fatty liver disease in overweight and obese women with polycystic ovary syndrome and to investigate potential metabolic associations between NAFLD and PCOS.Material and methods. In 35 overweight and obese women with PCOS (19-49 years, BMI 26.8-60.2 kg/m2) aminotransferases activity was estimated and ultrasonography imaging was performed.Results. In 17 of all subjects (48.6%) NAFLD was diagnosed. ALT and GGTP were significantly higher, and de Ritis ratio (ATP/ALT) was lower in women with NAFLD in comparison to subjects without liver steatosis, and correlated with indices of obesity. In women with NAFLD glucose, insulin and HOMA were higher than in patients without liver disease. In NAFLD patients ALT and de Ritis ratio correlated with LDL-cholesterol. ALT and GGTP correlated also with triglyceride levels. LH/FSH ratio was lower in women with NAFLD in comparison to patients without liver steatosis.Conclusions. Non-alcoholic liver disease was diagnosed non-invasively in nearly half of overweight/obese subjects with PCOS. Non-invasive markers of liver diseases correlated with indices of obesity, glucose and lipid metabolism. Lower LH/FSH ratio in women with NAFLD may suggest, that abnormalities associated with liver steatosis additionally contribute to hormonal dysregulation in women with PCOS.
Authors and Affiliations
Jarosław Kozakowski, Renata Kapuścińska, Wojciech Zgliczyński
Keywords
Related Articles
- EP ID EP54876
- DOI -
- Views 133
- Downloads 0
Zakażenie Clostridium difficile o ciężkim przebiegu
Beztlenowa, przetrwalnikująca laseczka Clostridium difficile jest najczęstszą przyczyną zakaźną biegunki szpitalnej. W ostatnich latach rośnie liczba i ciężkość zakażeń, także niezwiązanych z opieką zdrowotną, u osób bez...
Position of ablation in the management of arrhythmias
Ablation of supra- or ventricular arrhythmias is well known and widely used procedure. The method is based on delivery to the connective tissue the high (heating) or low (freezing) temperature, and in a result damage of...
Membranes, detergent resistant membrane fraction, and lipid rafts
During the last 85 years our knowledge on the plasma membranes evolved from the lipid bilayer to the current fluid but structured model of dynamic and heterogeneous domains. Detergent resistant membranes (DRMs) are not e...
Trucizny – definicja, rodzaje, mechanizm działania
Zgodnie z obowiązującą współcześnie definicją, trucizna jest to substancja, egzogenna lub endogenna, która powoduje zaburzenie funkcji organizmu lub jego śmierć. Pojęcie trucizny często stosujemy wymiennie z pojęciem kse...
Magnesium plasma concentration in haemodialysis patients treated at a single dialysis unit
Introduction. Mineral disorders are common in dialysed people, but serum magnesiumconcentration is only seldom monitored in this group of patients. The negative consequencesof magnesium deficiency are proved, and in dial...