Overweight Status of Adolescent Girls With Polycystic Ovary Syndrome: Body Mass Index as Mediator of Quality of Life

Trent, Maria; Austin, S. Bryn; Rich, Michael; Gordon, Catherine M.

doi:10.1367/a04-130r.1

Cited by 127 publications

(111 citation statements)

References 22 publications

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“…This is of interest since the decrements in quality-of-life in PCOS were particularly pronounced in these areas. Together, these data are supportive of the notion that obesity is a major factor in decreased quality-of-life and impaired sexual self-worth in women with PCOS, which is consistent with the literature (12,13,17,19). However, the effect appears to be limited to areas of quality-oflife concerning physical functions and general health.…”

Section: Discussionsupporting

confidence: 90%

“…Obesity is clearly an important factor which can profoundly affect quality-of-life in itself, without the presence of any other clinical symptom in otherwise healthy subjects (18). In the context of PCOS, the few studies that exist do support the role of obesity (12,14,17,19). However, it remains unclear whether and to what extent other PCOS features contribute to psychological problems in this patient population.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome

et al. 2005

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Objective: Polycystic ovary syndrome (PCOS) has been shown to cause a reduction in quality of life. This study examines the extent of different PCOS symptoms on quality-of-life, psychosocial wellbeing and sexual satisfaction. Methods: Complete metabolic, hormonal, clinical and psychosocial data were obtained from a total of 120 women with PCOS. Patients were compared with 50 healthy women to establish reductions in quality-of-life and emotional well-being. In addition, the correlation between psychosocial variables and the major clinical PCOS features obesity (body mass index (BMI)), excessive body hair (hirsutism score), acne, hyperandrogenism (serum testosterone levels), disturbed insulin regulation (area under the insulin response curve and homeostasis model assessment of insulin resistance), menstrual cycle disturbances and infertility were analyzed. Results: PCOS patients showed significant reductions in quality-of-life, increased psychological disturbances, and decreased sexual satisfaction when compared with healthy controls. BMI and hirsutism scores, but not the presence of acne, were associated with physical aspects of quality-of-life and sexual satisfaction. No clear effect of androgens or insulin resistance on psychosocial variables was detected. Similarly, the type of menstrual cycle disturbances or infertility had no impact on psychological well-being. Conclusion: In PCOS, changes in appearance, particularly obesity and hirsutism, reduce physical dimensions of quality-of-life and decrease sexual satisfaction. The role of biochemical, endocrine and metabolic parameters as well as menstrual irregularities and infertility appeared to be less important. Clinicians should pay attention to the psychosocial dimensions of PCOS on an individual basis, regardless of symptom severity or treatment response. 153 853-860 European Journal of Endocrinology

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome

et al. 2005

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“…BMI was a primary mediator in the quality of life reduction [24]. In contradiction, our study did not demonstrate any relationship between hirsutism score or BMI z-score with SCI parts, however BMI in our patients was much lower than in the adolescents evaluated by Trent et al [26] (26.9 ± 6.3 vs. 31.7 ± 8.4 kg/m 2 ). In males, testosterone is known as the hormone which increases assertiveness and consequently aggressiveness [27].…”

Section: Prace Oryginalnecontrasting

confidence: 98%

Kompetencje społeczne oraz role płciowe u nastoletnich dziewcząt z zespołem policystycznych jajników — badanie pilotażowe

Zachurzok

Gawlik

Nowak³

et al. 2014

Endokrynologia Polska

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Introduction: Clinical and hormonal features of polycystic ovary syndrome (PCOS), which may be present already in adolescence, can significantly influence the psychological development and wellbeing of a young woman. The aim of this pilot study was to determine social competence and gender roles in adolescent girls with PCOS compared to healthy peers, and to evaluate the relationship between psychological profile and clinical and hormonal components of PCOS. Material and methods:In 28 adolescent girls with PCOS, and 12 healthy regularly menstruating girls, clinical evaluation and hormonal profile were assessed and social competence inventory (SCI) and psychological gender inventory (PGI) tests were performed. Results: There were no significant differences in all parts of SCI in absolute numbers or in sten scores between the study and the control group. Also in PGI, in both the feminine and masculine gender schemes, the differences between the groups were statistically insignificant. In the study group, DHEAS concentration correlated positively with self presentation score (r = 0.4, p = 0.03). There was also a significant negative correlation between testosterone level and SCI score (r = -0.5, p = 0.01) as well as assertiveness score (r = -0.5, p = 0.02). No significant correlations between SCI or PGI with BMI z-score or hirsutism score were found.

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“…Being overweight has been found to be one of the most important contributors reducing QOL in women with PCOS [7,22,23]. In addition, there is converging evidence suggesting that hirsutism is one of the most important predictors of impaired QoL besides obesity [4,23,24]. In addition, it is demonstrated that acne, diabetes mellitus [21], menstrual irregularities [7], and concerns about infertility [4,25,26] are related to a reduced QoL in women with PCOS.…”

Section: Quality Of Lifementioning

confidence: 99%

Psycho-Social and Sexual Well-Being in Women with Polycystic Ovary Syndrome

Niet¹,

Pastoor²,

Timman³

et al. 2012

Polycystic Ovary Syndrome

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Overweight Status of Adolescent Girls With Polycystic Ovary Syndrome: Body Mass Index as Mediator of Quality of Life

Cited by 127 publications

References 22 publications

Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome

Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome

Kompetencje społeczne oraz role płciowe u nastoletnich dziewcząt z zespołem policystycznych jajników — badanie pilotażowe

Psycho-Social and Sexual Well-Being in Women with Polycystic Ovary Syndrome

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