Hospital-Based Phenotypic Features and Treatment Outcomes of Chinese Women with Polycystic Ovary Syndrome: The Effect of Body Mass Index and Geographic Distribution

Investigation of the Most Common Reasons, Symptoms and Treatment in Syrian Women with Polycystic Ovary Syndrome (PCOS)

“…As for the result of the correlation between BMI and the improvement of symptoms of PCOS, it agreed with a study conducted on women with PCOS in India, which showed an increase in the ovulation rate by 56.2% and an improvement in symptoms in general with the mass index approaching the normal value [14]. On the other hand, it was found that the severity of symptoms increased among the patients in North China, with a slower treatment response due to the increase in the mass index, since the mean body measurement was greater [10]. As for the result of the correlation between daily food quality and symptom improvement, it was agreed with studies in North and South China, that the northern female patients who followed a diet with a higher intake of wheat, meat and poultry showed a slower response and less symptom improvement compared to the diet pattern of female patients in the south with a higher intake of rice, fish and vegetables, the improvement of symptoms was clearer [15,16].…”

“…As for the result of the correlation between BMI and the number of symptoms of PCOS, it agreed with a study conducted on women in both northern and southern China, which showed women with PCOS in northern China with a higher body mass index, due to the presence of large climatic differences between the north and south of China that result in different lives between the two populations. It was found that women in northern China exercised less, and this was associated with more severe symptoms of acne and worse metabolic attacks including higher glucose levels and lower levels of HDL, as well as lower rates of ovulation [10]. Regarding the result of the correlation between the quality of daily food and the number of symptoms of PCOS, it agreed with studies conducted on female patients in the United States of America, China and Korea, which showed that female patients in East Asia shared less severe symptoms than those of female patients in the United States of America and this is due to the higher mass index, which may be caused by the spread of ready-made and fried foods in the United States of America, while the predominantly healthy style of food preparation is common in East Asia, accompanied by a lower mass index [10][11][12][13][14].…”

“…Regarding the result of the correlation between the quality of daily food and the number of symptoms of PCOS, it agreed with studies conducted on female patients in the United States of America, China and Korea, which showed that female patients in East Asia shared less severe symptoms than those of female patients in the United States of America and this is due to the higher mass index, which may be caused by the spread of ready-made and fried foods in the United States of America, while the predominantly healthy style of food preparation is common in East Asia, accompanied by a lower mass index [10][11][12][13][14]. As for the result of the correlation between the daily lifestyle and the number of symptoms of PCOS, it agreed with the same studies that were conducted on female patients between North and South China, which showed the impact of lifestyle and surrounding factors on the severity of symptoms, so that women in North China have a daily lifestyle represented by exercising less, due to the slightly cooler climate from the south, and this was clearly reflected in the severity of symptoms, including a lower ovulation rate and an increase in central obesity, insulin resistance, high blood lipids and high pressure [10]. As for the result of the correlation between BMI and the improvement of symptoms of PCOS, it agreed with a study conducted on women with PCOS in India, which showed an increase in the ovulation rate by 56.2% and an improvement in symptoms in general with the mass index approaching the normal value [14].…”

Advancements in lead therapeutic phytochemicals polycystic ovary syndrome: A review

“…Therefore, obesity, inflammatory factors, and insulin resistance will jointly affect the occurrence and development of PCOS. Obesity is a symptom most PCOS patients face ( de Zegher et al, 2018 ), and overweight and obese women have lower ovulation rates, conception rates, pregnancy rates, and live birth rates ( Gao et al, 2021 ). Moreover, obesity can promote the molecular mechanism of androgen expression, which may be the cause of obesity leading to PCOS ( Rangel et al, 2021 ).…”

Characteristics of Pulse Parameters in Patients with Polycystic Ovary Syndrome Varied at Different Body Mass Index Levels

“…High body mass index (BMI) is not only a risk factor for the occurrence and development of PCOS, but it is also an influencing factor for insulin resistance, spontaneous abortion, pregnancy-related hypertension, low ovarian response, and reduced rate of frozen-thawed embryo implantation in patients with PCOS [ 2 – 7 ]. The relationship between PCOS and BMI has mostly been reported in clinical studies on the association of PCOS with physical and chemical indices, risk factors, clinical phenotypes, and ethnic gene polymorphisms [ 8 – 10 ].…”