Indian Journal of Endocrinology and Metabolism (Jan 2014)

Prevalence of metabolic syndrome in the family members of women with polycystic ovary syndrome from North India

  • Iram Shabir,
  • Mohd Ashraf Ganie,
  • Mohd Afzal Zargar,
  • Dilafroz Bhat,
  • Mohd Muzzafar Mir,
  • Aleem Jan,
  • Zaffar Amin Shah,
  • Vicar Jan,
  • Riyaz Rasool,
  • Andleeb Naqati

DOI
https://doi.org/10.4103/2230-8210.131186
Journal volume & issue
Vol. 18, no. 3
pp. 364 – 369

Abstract

Read online

Background: Polycystic ovary syndrome (PCOS) is the most complex and common endocrine disorder of women in reproductive years. In addition to irregular menstrual cycles, chronic anovulation and hyperandrogenism, it has many metabolic manifestations such as obesity, hyperlipidemia, hyperinsulinemia, insulin resistance, dysglycemia, increased risk of cardiovascular disease or possibly endometrial cancer. Familial clustering of PCOS in consistence with the genetic susceptibility has been described. Materials and Methods: The present study assessed the clinical, biochemical and hormonal parameters including prevalence of metabolic syndrome by two different criteria in the first- degree relatives of patients with PCOS. Results: The average age of 37 index patients was 23 ± 3.6 years, with the mean age of menarche as 13.3 ± 1.2 years. The mean age and age of menarche in mothers (n = 22) was 48.8 ± 5.1 and 13 ± 1.3 years, respectively, whereas as it was 23.5 ± 4.7 and 13.3 ± 1.2 years in sisters (n = 22), respectively. Metabolic syndrome (MS) defined by International Diabetes Federation (IDF) criteria was present in 10 index patients, 1 brother, 4 sisters, 17 mothers and 15 fathers while as by Adult Treatment Panel III (ATP III) it was in 8 index patients, 5 sisters, 16 mothers and 11 fathers. Conclusion: The presence of MS or related metabolic derangements is high in the family members of women with PCOS.

Keywords