Journal of Capital Medical University ›› 2017, Vol. 38 ›› Issue (4): 504-508.doi: 10.3969/j.issn.1006-7795.2017.04.004

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Effects of primary ovarian insufficiency on glucose and lipid metabolism and biochemical parameters in patients

Li Xue1, Ruan Xiangyan1,2, Wang Husheng1, Li Yanglu1, Zhao Yue1, Gu Muqing1, Du Juan1, Song Jinghua1, Jin Fengyu1, Alfred O. Mueck1,2   

  1. 1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
    2. Section of Endocrinology and Menopause, Department of Women's Health, University of Tubingen, Tubingen D-72076, Germany
  • Received:2017-06-05 Online:2017-07-21 Published:2017-07-20
  • Supported by:
    This study was supported by Foreign Technical and Administrative Talent Introduction Project in 2017, State Administration of Foreign Experts Affairs, the P. R. of china(20171100004);Capital Characteristic Clinic Project of China(Z161100000516143); Beijing Capital Foundation for Medical Science Development and Research(2016-2-2113); Clinical Technique Innovation Project of Beijing Municipal Administration of Hospitals(XMLX201710); Beijing Municipality Health Technology High-level Talent(2014-2-016)

Abstract: Objective To compare the endocrine and metabolic parameters of primary ovarian insufficiency (POI) patients with menopausal women and normal control group, and to analyze the differences of the endocrine indicators, glucose and lipid metabolism indicators and other biochemical indicators between POI group, menopausal women and normal control group,in order to increase the attention to the health status of patients with POI. Methods A total of 108 patients diagnosed with POI, 114 menopausal women and 63 normal women. Sex hormones, glucose and lipid metabolism, and other biochemical indicators were compared. The error of the relevant detection kit and the batch error is less than 3% to 5%. Results There was no significant difference in body mass index (BMI) among the three groups (P>0.05). There were significant differences between follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) (P< 0.05 ). The levels of total cholesterol (TC), fasting insulin (FINS) and homeostasis model assessment of insulin resistance (HOMA-IR) in the POI group were significantly higher than those of the control group (P<0.05 ), high density lipoprotein-cholesterol (HDL-C) and testosterone (T) levels were significantly lower than those of the control group (P<0.05). Conclusion In this study, TC, FINS, HOMA-IR and HDL-C of POI patients had reached menopausal women (P<0.05). The clinicians should intervene and treat POI patients as soon as possible.

Key words: primary ovarian insufficiency, menopause, metabolic of glucose and lipid, sex hormones

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