Table 2.
Changes of steroid hormones, sex hormone-binding globulin, gonadotropins and cardiovascular risk factors depending on weight changes in girls with PCOS.
Weight loss; n = 10 Age at baseline 14.9 ± 1.4 years | Weight increase; n = 10 Age at baseline 15.0 ± 1.2 years | ||||||
---|---|---|---|---|---|---|---|
Variable | Baseline | One year later | P-valuea | Baseline | One year later | P-valuea | P-valueb |
LH (U/mL) | 7.2 (IQR 6.7–8.7) | 3.1 (IQR 1.8–4.3) | 0.007 | 7.3 (IQR 5.5–13.5) | 11.6 (IQR 3.0–15.4) | 0.318 | 0.969 |
FSH (U/mL) | 5.0 ± 2.6 | 6.2 ± 4.1 | 0.348 | 5.1 ± 2.2 | 6.1 ± 4.7 | 0.353 | 0.496 |
LH/FSH | 2.1 (IQR 1.0–3.6) | 0.5 (IQR 0.4–0.7) | 0.007 | 1.9 (IQR 0.8–3.1) | 1.9 (0.6–2.9) | 0.575 | 0.705 |
SHBG (nmol/L) | 12 (IQR 6–24) | 24 (8–117) | 0.022 | 14 (IQR 8–48) | 16 (IQR 10–116) | 0.368 | 0.499 |
17 Hydroxpregeneolone (nmol/L) | 3.9 (IQR 2.2–7.1) | 2.9 (IQR 2.0–4.0) | 0.241 | 4.3 (IQR 2.4–7.6) | 3.8 (IQR 2.0–11.7) | 0.780 | 0.880 |
Progesterone (nmol/L) | 0.9 (IQR 0.6–2.6) | 1.0 (IQR 0.7–1.4) | 0.880 | 1.2 (IQR 0.3–1.6) | 0.9 (IQR 0.6–1.4) | 0.650 | 0.999 |
17 Hydroxyprogesterone (nmol/L) | 0.9 ± 0.8 | 1.0 ± 0.4 | 0.795 | 1.3 ± 1.0 | 1.7 ± 1.2 | 0.212 | 0.496 |
DHEA-S (nmol/L) | 4143 ± 1307 | 3507 ± 1706 | 0.014 | 3495 ± 1859 | 3424 ± 1727 | 0.826 | 0.289 |
Androstenedione (nmol/L) | 3.9 ± 0.9 | 1.8 ± 0.7 | <0.001 | 4.4 ± 3.0 | 4.2 ± 2.4 | 0.714 | 0.652 |
Testosterone (nmol/L) | 0.9 (IQR 0.4–1.3) | 0.3 (IQR 0.2–0.5) | 0.005 | 1.0 IQR (0.7–1.5) | 1.3 (IQR 0.6–2.3) | 0.646 | 0.496 |
AIc | 6.6 (IQR 2.4–15.3) | 1.3 (IQR 0.3–2.3) | 0.005 | 7.0 (IQR 1.5–11.5) | 6.1 (IQR 0.7–12.1) | 0.721 | 0.650 |
E1 (nmol/L) | 0.05 (IQR 0.01–0.12) | 0.07 (IQR 0.02–0.10) | 0.936 | 0.07 (IQR 0.02–0.17) | 0.13 (IQR 0.06–0.26) | 0.258 | 0.596 |
E2 (nmol/L) | 0.10 (IQR 0.04–0.28) | 0.11 (IQR 0.06–0.22) | 0.934 | 0.07 (IQR 0.03–0.17) | 0.15 (IQR 0.06–0.52) | 0.044 | 0.496 |
Deoxycorticosterone (nmol/L) | 0.001 (IQR 0.001–0.048) | 0.001 (0.001–0.033) | 0.715 | 0.001 (IQR 0.001–0.070 | 0.047 (0.001–0.436) | 0.123 | 0.859 |
11 Deoxycortisol (nmol/L) | 0.4 (IQR 0.3–0.8) | 0.5 (IQR 0.3–0.8) | 0.545 | 0.7 (IQR 0.4–1.1) | 0.8 (IQR 0.4–1.2) | 0.940 | 0.199 |
21 Deoxycortisol (nmol/L) | 0.6 ± 0.4 | 0.8 ± 0.2 | 0.159 | 0.5 ± 0.3 | 0.5 ± 0.3 | 0.733 | 0.623 |
Corticosterone (nmol/L) | 5.5 (IQR 3.8–25.0) | 3.7 (IQR 1.4–6.7) | 0.037 | 8.9 (IQR 6.3–13.5) | 7.2 (IQR 3.7–19.6) | 0.878 | 0.226 |
Cortisol (nmol/L) | 256 (IQR 175–529) | 156 (IQR 94–184) | 0.045 | 216 (165–454) | 325 (IQR 283–501) | 0.052 | 0.112 |
Cortison (nmol/L) | 55 ± 15 | 47 ± 10 | 0.273 | 64 ± 7 | 55 ± 10 | 0.051 | 0.174 |
BMI (kg/m2) | 31.2 ± 4.1 | 28.2 ± 3.6 | <0.001 | 31.4 ± 4.9 | 33.6 ± 5.2 | 0.010 | 0.545 |
BMI-SDS | 2.6 ± 0.5 | 2.0 ± 0.7 | <0.001 | 2.5 ± 0.6 | 2.7 ± 0.5 | 0.003 | 0.650 |
Waist circumference (cm) | 113 ± 9 | 107 ± 7 | <0.001 | 112 ± 7 | 115 ± 7 | <0.001 | 0.724 |
Triceps skinfold (cm) | 34 ± 4 | 29 ± 5 | <0.001 | 32 ± 6 | 32 ± 8 | 0.827 | 0.649 |
Subscapularis skinfold (cm) | 33 ± 8 | 30 ± 7 | 0.008 | 31 ± 8 | 36 ± 7 | 0.009 | 0.630 |
Body fata (%) | 46 ± 6 | 40 ± 7 | 0.047 | 44 ± 7 | 47 ± 7 | 0.095 | 0.587 |
Triglycerides (mg/dL) | 128 ± 36 | 96 ± 36 | 0.067 | 147 ± 48 | 143 ± 60 | 0.556 | 0.257 |
HDL-cholesterol (mg/dL) | 40 (IQR 37–58) | 60 (IQR 42–64) | 0.048 | 39 (IQR 37–55) | 49 (IQR 41–57) | 0.074 | 0.733 |
LDL-cholesterol (mg/dL) | 96 ± 35 | 91 ± 46 | 0.799 | 85 ± 18 | 85 ± 36 | 0.898 | 0.289 |
Fasting glucose (mg/dL) | 90 ± 17 | 88 ± 15 | 0.109 | 88 ± 7 | 86 ± 15 | 0.172 | 0.791 |
Insulin (U/L) | 21 (IQR 18–39) | 11 (IQR 7–14) | 0.006 | 24 (IQR 18–37) | 17 (IQR 14–22) | 0.028 | 0.880 |
HOMA | 4.6 (IQR 3.6–8.4) | 2.4 (IQR 1.3–3.1) | 0.005 | 4.8 (IQR 3.8–8.1) | 3.2 (IQR 2.6–4.6) | 0.007 | 0.650 |
Systolic blood pressure (mmHg) | 123 ± 18 | 112 ± 6 | 0.106 | 127 ± 9 | 127 ± 8 | 0.520 | 0.343 |
Diastolic blood pressure (mmHg) | 79 ± 10 | 67 ± 8 | 0.014 | 76 ± 8 | 75 ± 9 | 0.934 | 0.360 |
Data as mean and s.d. or median and interquartile range, P values derived from paired and unpaired t-test as well as Mann–Whitney U test and Wilcoxon test.
P value of change within group; bP value of baseline comparison of girls with and without weight loss; cAI: (100 * Test/SHBG).