Polikistik Over Sendromlu Hastalarda İnsülin Direnci ve Eser Elementlerin İlişkisi

Öz

Amaç: Bu çalışma, polikistik over sendromunda (PKOS) hormon düzeyleriyle çinko (Zn), krom (Cr), kobalt (Co) ve mangan (Mn) konsantrasyonlarının ilişkisini incelemek için tasarlanmıştır.

Materyal ve Metot: Çalışmaya endokrinoloji polikliniğine başvuran 18-40 yaş arası PKOS teşhisi konulan 40 kadın ve aynı sayıda sağlıklı gönüllü alındı. Serum Zn, Cr, Mn, Foliküler stimüle edici hormon (FSH), Lüteinleştirici Hormon (LH), Dehidroepiandrosteron (DHEA-S), Total Testosteron (TT), Seks hormonu bağlayıcı globulin (SHBG), insülin, glukoz, kolesterol, trigliserit, yüksek yoğunluklu lipoproteinler (HDL) ve düşük yoğunluklu lipoproteinler (LDL) konsantrasyonları analiz edildi.

Bulgular: PKOS grubunda insülin, glukoz, trigliserit, DHEA-S düzeyleri kontrol grubuna göre anlamlı derecede yüksek iken, FSH ve Mn düzeyleri HOMA-IR grubunda kontrol grubuna göre anlamlı derecede düşüktü (p <0.05). 

Sonuç: Çalışmamızda serum eser elementleri ile PKOS arasında bir ilişki saptanırken, IR’nin dahil edilmesiyle ilişki düzeyi artmaktadır. Ayrıca, mangan eksikliği varlığında insülin direncinin doğrudan oksidatif strese yol açıp açamayacağını belirlemek için bu elementin takviyesinin etkilerini değerlendiren ek çalışmalara ihtiyaç olacağını da düşünmekteyiz. 

Anahtar Kelimeler

• İnsülin direnci,kobalt,krom,manganez,polikistik over sendromu

The Relationship Between Insulin Resistance and Trace Elements in Patients With Polycystic Ovary Syndrome

Abstract

Objective: The study was investigate serum zinc (Zn), chromium (Cr), cobalt (Co) and manganese (Mn) concentrations in relation to hormone levels and polycystic ovary syndrome (PCOS).

Materials and Methods: Fourty women between 18-40 years of age diagnosed with PCOS. We also seleceted 40 healty volunteers as the control group. Serum Zn, Cr, Mn, follicular stimulating hormone (FSH), luteinizing hormone(LH), Dehydroepiandrosterone sulfate (DHEA-S), total testosterone (TT), sex hormone binding globulin (SHBG), insulin, glucose, cholesterol, triglyceride, High Density Lipoprotein (HDL-C) and Low density lipoprotein (LDL-C) concentrations were determined. 

Results: Insulin, glucose, triglyceride, DHEA-S levels were significantly higher in the PCOS group than in the control group, while FSH and Mn levels were significantly lower in the HOMA-IR group than in the control group (p< 0.05). 

Conclusions: A possible association is perceptible in our study between some of serum trace elements and women with PCOS. The association attains a connotative level with the involvement of IR in it. Additional studies evaluating the effects of these elements supplementation would be required to confirm the hypothesis as well as to ascertain whether insulin resistance in the presence of manganese deficiency can directly lead to oxidative stress. 

Keywords

• Chromium,cobalt,insulin resistance,manganese,polycystic ovary syndrome

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