Search

Background and purpose: Polycystic ovary syndrome (PCOS), a common endocrine disorder with lipid disturbances, is associated with increase in the risk of cardiovascular disease and central obesity. The aim of this study was to determine the relationship between the postparandial lipid level with waist-to-hip ratio and insulin in women with PCOS in comparison with a control group. Materials and methods: This case-control study was conducted at Fatemat Zahra Infertility Center in Babol on 20 women with PCOS and 20 healthy women as controls who were matched according to age and had a body mass index between 20 to 23 kg/m². Waist-to-hip ratio, insulin, glucose tolerance test, the levels of fasting and postparandial triglyceride, cholestrol and HDL-cholestrol were all measured and compared between the two groups. Results: In comparison with the control group, women with PCOS had higher levels of postparandial triglyceride (203.6±121.5 mg/dl VS 117.7±41.5 mg/dl, P=0.018), postparandial cholestrol (210.1±36.9 mg/dl VS 169.9±29 mg/dl, P=0.001), FBS (91.6±11.7 mg/dl VS 81.8±14.2 mg/dl, P=0.023), insulin (131.7±25.2 IU/dl VS 75.2±18 IU/dl, P=0.033) and waist-to-hip ratio (0.87±0.06 VS 0.74±0.14, P=0.001). The levels of fasting triglyceride (158.1±68.9 mg/dl VS 118±35.9 mg/dl, P=0.029) and cholesterol (189.9±32.6 mg/dl VS 154±25 mg/dl, P=0.000) in PCOS women were higher than that of the control group. There was no relationship between the level of lipids with insulin level and waist-to-hip ratio. Conclusion: The levels of insulin, fasting and postparandial triglyceride and cholesterol in women with PCOS were higher than the healthy group. It seems that waist-to-hip ratio and insulin level had no effect on this relationship. [ABSTRACT FROM AUTHOR]