Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome
Objective. To investigate the relationships between sex hormone-binding globulin (SHBG) and comprehensive metabolic parameters including biometric, glycemic, lipid, liver, and renal functions of women with polycystic ovary syndrome (PCOS). Study Design and Methods. A total of 1000 women diagnosed as...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2020/7580218 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566455136157696 |
|---|---|
| author | Xi Luo Xin-Ming Yang Wang-Yu Cai Hui Chang Hong-Li Ma Yan Peng Xiao-Ke Wu |
| author_facet | Xi Luo Xin-Ming Yang Wang-Yu Cai Hui Chang Hong-Li Ma Yan Peng Xiao-Ke Wu |
| author_sort | Xi Luo |
| collection | DOAJ |
| description | Objective. To investigate the relationships between sex hormone-binding globulin (SHBG) and comprehensive metabolic parameters including biometric, glycemic, lipid, liver, and renal functions of women with polycystic ovary syndrome (PCOS). Study Design and Methods. A total of 1000 women diagnosed as PCOS by modified Rotterdam criteria were enrolled in a randomized controlled trial. SHBG and comprehensive metabolic parameters were measured at the baseline visit. Metabolic parameters included biometric parameters, glucose and lipid panels, and liver and renal function parameters. An independent t-test and linear regression were performed to investigate the associations between SHBG and metabolic parameters. Logistic regression was used to detect the relationship between SHBG and the presence of metabolic syndrome. Results. In comparative analyses, PCOS women with lower SHBG levels had higher body mass index, waist circumference, insulin, homeostatic model assessment-insulin resistance (HOMA-IR) index, systolic and diastolic blood pressure, triglycerides, apolipoprotein B (APOB), low-density lipoprotein (LDL), aspartate transferase (AST), alanine transferase (ALT), and blood urea nitrogen (BUN), but lower high-density lipoprotein (HDL) and apolipoprotein A1 (APOA1). In linear regression, SHBG was inversely associated with waist circumference, systolic blood pressure, triglyceride, LDL, APOB, ALT, AST, and BUN but positively associated with HDL and APOA1 after adjusting the BMI. In logistic regression, SHBG is a protective predictor for metabolic syndrome (odds ratio = 0.96; 95% confidence interval: 0.95–0.97). The area under the receiver-operator characteristic curve is 0.732 with a 95% confidence interval of 0.695–0.770. SHBG <26.75 mmol/L is the cutoff point with the best Youden index, which has a sensitivity of 0.656 and specificity of 0.698. Conclusions. Lower SHBG was associated with worsening biometric, lipid, liver, and renal functions but not glycemic parameters among women with PCOS. SHBG can be used as a tool to screen metabolic syndrome. This trial is registered with NCT01573858 and ChiCTR-TRC-12002081. |
| format | Article |
| id | doaj-art-09d4865abc0242f59a88a8fd7f8638b8 |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-09d4865abc0242f59a88a8fd7f8638b82025-02-03T01:04:08ZengWileyInternational Journal of Endocrinology1687-83371687-83452020-01-01202010.1155/2020/75802187580218Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary SyndromeXi Luo0Xin-Ming Yang1Wang-Yu Cai2Hui Chang3Hong-Li Ma4Yan Peng5Xiao-Ke Wu6Heilongjiang University of Chinese Medicine, Harbin, ChinaFirst Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, ChinaThe Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, ChinaFirst Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, ChinaFirst Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, ChinaFirst Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, ChinaFirst Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, ChinaObjective. To investigate the relationships between sex hormone-binding globulin (SHBG) and comprehensive metabolic parameters including biometric, glycemic, lipid, liver, and renal functions of women with polycystic ovary syndrome (PCOS). Study Design and Methods. A total of 1000 women diagnosed as PCOS by modified Rotterdam criteria were enrolled in a randomized controlled trial. SHBG and comprehensive metabolic parameters were measured at the baseline visit. Metabolic parameters included biometric parameters, glucose and lipid panels, and liver and renal function parameters. An independent t-test and linear regression were performed to investigate the associations between SHBG and metabolic parameters. Logistic regression was used to detect the relationship between SHBG and the presence of metabolic syndrome. Results. In comparative analyses, PCOS women with lower SHBG levels had higher body mass index, waist circumference, insulin, homeostatic model assessment-insulin resistance (HOMA-IR) index, systolic and diastolic blood pressure, triglycerides, apolipoprotein B (APOB), low-density lipoprotein (LDL), aspartate transferase (AST), alanine transferase (ALT), and blood urea nitrogen (BUN), but lower high-density lipoprotein (HDL) and apolipoprotein A1 (APOA1). In linear regression, SHBG was inversely associated with waist circumference, systolic blood pressure, triglyceride, LDL, APOB, ALT, AST, and BUN but positively associated with HDL and APOA1 after adjusting the BMI. In logistic regression, SHBG is a protective predictor for metabolic syndrome (odds ratio = 0.96; 95% confidence interval: 0.95–0.97). The area under the receiver-operator characteristic curve is 0.732 with a 95% confidence interval of 0.695–0.770. SHBG <26.75 mmol/L is the cutoff point with the best Youden index, which has a sensitivity of 0.656 and specificity of 0.698. Conclusions. Lower SHBG was associated with worsening biometric, lipid, liver, and renal functions but not glycemic parameters among women with PCOS. SHBG can be used as a tool to screen metabolic syndrome. This trial is registered with NCT01573858 and ChiCTR-TRC-12002081.http://dx.doi.org/10.1155/2020/7580218 |
| spellingShingle | Xi Luo Xin-Ming Yang Wang-Yu Cai Hui Chang Hong-Li Ma Yan Peng Xiao-Ke Wu Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome International Journal of Endocrinology |
| title | Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome |
| title_full | Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome |
| title_fullStr | Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome |
| title_full_unstemmed | Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome |
| title_short | Decreased Sex Hormone-Binding Globulin Indicated Worse Biometric, Lipid, Liver, and Renal Function Parameters in Women with Polycystic Ovary Syndrome |
| title_sort | decreased sex hormone binding globulin indicated worse biometric lipid liver and renal function parameters in women with polycystic ovary syndrome |
| url | http://dx.doi.org/10.1155/2020/7580218 |
| work_keys_str_mv | AT xiluo decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT xinmingyang decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT wangyucai decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT huichang decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT honglima decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT yanpeng decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome AT xiaokewu decreasedsexhormonebindingglobulinindicatedworsebiometriclipidliverandrenalfunctionparametersinwomenwithpolycysticovarysyndrome |