Table 3.
Laboratory measurementsa and risk factors for the metabolic syndrome for women with and without clinical features of PCOS
| PCOS (n = 104) | No PCOS (n = 286) | P value | |
|---|---|---|---|
| Cardiac risk factors | |||
| Hypertension | 60.1% | 44.2% | <0.0001 |
| Diabetes mellitus | 32.5% | 24.4% | 0.022 |
| Dyslipidemia | 64.2% | 58.1% | 0.29 |
| Total cholesterol (mg/dl) | 203.7 ± 49 | 194.4 ± 46 | 0.11 |
| LDL cholesterol (mg/dl) | 120.2 ± 41 | 114.4 ± 42 | 0.31a |
| HDL cholesterol (mg/dl) | 50.8 ± 12 | 52.4 ± 11 | 0.26a |
| <50 mg/dl | 54.8% | 43.4% | 0.044 |
| Triglycerides (mg/dl) | 184.3 ± 147 | 147.0 ± 113 | <0.0001 |
| >150 mg/dl | 54.8% | 36.3% | 0.002 |
| Body mass index (kg/m2) | 31.1 ± 7 | 28.4 ± 6 | 0.006 |
| ≥30 kg/m2 | 50.0% | 31.5% | 0.016 |
| Waist / hip ratio | 0.885 ± 0.12 | 0.857 ± 0.11 | 0.040 |
| Range | 0.70–1.30 | 0.64–1.62 | |
| Waist circumference (inches) | 38.7 ± 7 | 36.9 ± 8 | 0.056 |
| >35 inches | 69.4% | 60.0% | 0.076 |
| Blood pressure (mm Hg) | |||
| Systolic | 139.9 ± 20 | 140.1 ± 22 | 0.92 |
| Diastolic | 77.4 ± 10 | 75.7 ± 11 | 0.16 |
| Age at hypertension diagnosis (mean ± sd in yr) | 44.9 ± 14 | 52.0 ± 15 | 0.002 |
| Fasting glucose (mg/dl) | 132.1 ± 67 | 126.1 ± 58 | 0.42b |
| >110 mg/dl | 45.3% | 43.1% | 0.72 |
| Age at diabetes diagnosis (yr) | 51.0 ± 14 | 53.3 ± 13 | 0.31 |
| Insulin resistancec | 33.7% | 22.1% | 0.001 |
| Triglyceride/HDL ratio | 3.9 ± 3.9 | 2.9 ± 2.5 | <0.0001 |
| >3.0 | 55.9% | 38.7% | 0.005 |
| No. of metabolic syndrome risk factors (mean ±sd) | 2.9 ± 1.4 | 2.4 ± 1.3 | 0.014 |
| 0 | 7.1% | 8.9% | 0.001 |
| 1 | 13.6% | 19.0% | |
| 2 | 23.4% | 28.6% | |
| ≥3 | 55.8% | 43.6% |
Data are presented as percentage or mean ± sd. The available sample size is: n = 328, n = 285, n = 330 for available HDL, LDL, and total cholesterol as well as n = 330 for triglycerides and n = 327 for glucose. HDL, High-density lipoprotein.
These results persisted in a general linear model controlling for a history of dyslipidemia and statin use.
These results persisted in a general linear model controlling for a history of diabetes.
Insulin resistance was defined using a threshold of HOMA-IR ≥ 2.5 (17).