Correlation Between 25-Hydroxy-Vitamin D [25(Oh) D] Levels And Polycystic Ovary Syndrome In Obese Women: A Case-Control Study
Keywords:
Vitamin D, obesity, polycystic ovary syndromeAbstract
Background: Polycystic ovary syndrome (PCOS) occurs around 38-88% in overweight or obese women. Obese women with PCOS tend to have lower serum vitamin D levels compared to lean women with PCOS.
Objective: This study aimed to analyze the relationship between 25-hydroxy-vitamin D [25(OH)D] levels in obese women with PCOS.
Methods: This case-control study was conducted on 80 obese women aged between 26-35 yrs old from January to December 2024 at Hasanuddin University hospital and Wahidin Sudirohusodo hospital, Makassar, Indonesia. All participants were divided into 2 groups: women with PCOS (n=40) and women without PCOS (n=40).
All women were measured for body mass index (BMI) and Serum 25(OH)D levels were measured using enzyme-linked immunosorbent assay ELISA.
Results: This study found that obese women with PCOS had 25(OH)D levels that were significantly lower than obese women without PCOS (p value=0.004). However, women with PCOS tend to have a higher BMI than women without PCOS (p value=0.052). Low 25(OH)D levels are weak correlation with increased BMI (r=-0.265, p value=0.017).
Conclusion: Vitamin D levels were low in obese women with PCOS, therefore vitamin D supplementation in PCOS may be recommended.
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Ndefo UA, Eaton A, Green MR. Polycystic ovary syndrome: A review of treatment options with a focus on pharmacological approaches. P T. 2013;38(6):336–55.
Witchel SF, Oberfield SE, Peña AS. Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment with Emphasis on Adolescent Girls. J Endocr Soc. 2019;3(8):1545–73. doi:10.1210/js.2019-00078.
Aly YE, Abdou AS, Rashad MM, Nassef MM. Effect of exercise on serum vitamin D and tissue vitamin D receptors in experimentally induced type 2 Diabetes Mellitus. J Adv Res. 2016;7(5):671–9. doi:10.1016/j.jare.2016.07.001.
Grundmann M, von Versen-Höynck F. Vitamin D - roles in women’s reproductive health? Reprod Biol Endocrinol. 2011;9(1):146. doi:10.1186/1477-7827-9-146.
Pal L. Polycystic ovarian syndrome. New York: Springer; 2013. doi:10.1007/978-1-4614-8394-6_19.
Ibrahim ZM, Ahmed Kishk E, Mohamed Fahmy S, Tharwat Taha O. Serum 1,25-dihydroxy vitamin D- vitamin D3- among obese Egyptian women with polycystic ovary syndrome. Obstet Gynecol Reports. 2020;4(1):1–3. doi:10.15761/ogr.1000141.
Sidabutar E, Halim B, Siregar MFG, Lutan D, Adenin I, Kaban Y. Vitamin D Levels in Women with Polycystic Ovary Syndrome. ASPIRE Conf Proc. 2016. doi:10.18502/kme.v1i1.547
Lakshman L, Pillai B, Lakshman R, Kumar H, Sudha S, Jayakumar R. Comparison of vitamin D levels in obese and non-obese patients with polycystic ovarian syndrome in a South Indian population. Int J Reprod Contraception, Obstet Gynecol. 2013;2(3):336–43. doi:10.5455/2320-1770.ijrcog20130915.
Ni Z, Mei S, You S, Lin Y, Cheng W, Zhou L, et al. Adverse Effects of Polycystic Ovarian Syndrome on Pregnancy Outcomes in Women With Frozen-Thawed Embryo Transfer: Propensity Score-Matched Study. Front Endocrinol (Lausanne). 2022;13:878853. doi:10.3389/fendo.2022.878853.
Talmo MSA, Fløysand IS, Nilsen GØ, Løvvik TS, Ødegård R, Juliusson PB, et al. Growth Restriction in the Offspring of Mothers With Polycystic Ovary Syndrome. JAMA Netw Open. 2024;7(8):e2430543. doi:10.1001/jamanetworkopen.2024.30543.
Collée J, Mawet M, Tebache L, Nisolle M, Brichant G. Polycystic ovarian syndrome and infertility: overview and insights of the putative treatments. Gynecol Endocrinol. 2021;37(10):869–74. doi:10.1080/09513590.2021.1958310.
Cunha A, Póvoa AM. Infertility management in women with polycystic ovary syndrome: a review. Porto Biomed J. 2021;6(1):e116. doi:10.1097/j.pbj.0000000000000116.
Kicińska AM, Maksym RB, Zabielska-Kaczorowska MA, Stachowska A, Babińska A. Immunological and Metabolic Causes of Infertility in Polycystic Ovary Syndrome. Biomedicines. 2023;11(6):1567. doi:10.3390/biomedicines11061567.
Fang Y, Liu L, Yang Y, Zhang B, Xie S. Causal Association Between BMI and Polycystic Ovarian Syndrome: Bidirectional 2-Sample Mendelian Randomization Study. J Clin Endocrinol Metab. 2024. doi:10.1210/clinem/dgae446
Jalilian N, Haghnazari L, Rasolinia S. Leptin and body mass index in polycystic ovary syndrome. Indian J Endocrinol Metab. 2016;20(3):324–8. doi:10.4103/2230-8210.180005.
Sadeghi HM, Adeli I, Calina D, Docea AO, Mousavi T, Daniali M, et al. Polycystic Ovary Syndrome: A Comprehensive Review of Pathogenesis, Management, and Drug Repurposing. Int J Mol Sci. 2022;23(2):583. doi:10.3390/ijms23020583.
Pateguana NB, Janes A. The contribution of hyperinsulinemia to the hyperandrogenism of polycystic ovary syndrome. J Metab Health. 2019;4(1):50. doi:10.4102/jir.v4i1.50.
Mogili KD, Karuppusami R, Thomas S, Chandy A, Kamath MS, TK A. Prevalence of vitamin D deficiency in infertile women with polycystic ovarian syndrome and its association with metabolic syndrome – A prospective observational study. Eur J Obstet Gynecol Reprod Biol. 2018;229:15–9. doi:10.1016/j.ejogrb.2018.08.001
Cahyo H, Yuad H, Rahmah BI. The relationship of vitamin D to polycystic ovary syndrome (PCOS) teenagers at Koto Tangah Padang District High School in 2022. Andalas Obstet Gynecol J. 2018;4(4):527–34. doi:10.25077/aoj.8.1.615-631.2024
Thomson RL, Spedding S, Buckley JD. Vitamin D in the aetiology and management of polycystic ovary syndrome. Clin Endocrinol (Oxf). 2012;77(3):343–50. doi:10.1111/j.1365-2265.2012.04434.x.
Suhartono J, Astiarani Y, Regina. Association between body mass index and vitamin D serum in Asian population: a systematic review. Public Health Prev Med Arch. 2022;10(1):69–79. doi:10.53638/phpma.2022.v10.i1.p08.
Gokosmanoglu F, Onmez A, Ergenç H. The relationship between vitamin D deficiency and polycystic ovary syndrome. Afr Health Sci. 2020;20(4):1880–6. doi:10.4314/ahs.v20i4.45.
Anjum S, Saleem A, Noor S, Mahmood A, Khalid S, Sarwa A. Relationship of vitamin D deficiency with obesity, metabolic abnormalities and insulin resistance in patients with PCOS. Pak J Med Health Sci. 2022;16(7):115–7. doi:10.53350/pjmhs22167115.
Fattah A, Al-Kader DA, Jones Amaowei EE, Amini H, Hewadmal H, Rasuli SF, et al. A comparative study of luteinizing hormone levels in polycystic ovarian syndrome with hyperandrogenism: Metformin versus oral contraceptive pills. Cureus. 2022;14(9):e29487. doi:10.7759/cureus.29487.
Cui A, Zhang T, Xiao P, Fan Z, Wang H, Zhuang Y. Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants. Front Nutr. 2023; doi:10.3389/fnut.2023.1070808.
Octavius GS, Daleni VA, Angeline G, Virliani C. A systematic review and meta-analysis of prevalence of vitamin D deficiency among Indonesian pregnant women: A public health emergency. AJOG Glob Rep. 2023;3(2):100189. doi:10.1016/j.xagr.2023.100189.
Sukarsa RA, Budi RS, Purwara BH, Syam HH, Sadikin H. Differences of vitamin D level in non-pregnant reproductive age women and first trimester pregnant women. Indones J Obstet Gynecol. 2019;7(4):2–7. doi:10.32771/inajog.v7i4.998
Herlambang, Safira NNA, Fitri AD, Puspasari A. Gambaran kadar vitamin D pada wanita usia subur: model kebijakan kesehatan reproduksi. Medic. 2021;4(1):269–73. doi:10.22437/medicaldedication.v4i2.15597
Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019 tentang Angka Kecukupan Gizi yang Dianjurkan untuk Masyarakat Indonesia. Sustain. 2019;11(1):1–14. https://peraturan.bpk.go.id/Details/138621/permenkes-no-28-tahun-2019
Mohan A, Haider R, Fakhor H, Hina F, Kumar V, Jawed A, et al. Vitamin D and polycystic ovary syndrome (PCOS): a review. Ann Med Surg. 2023;85:3506–11. doi:10.1097/ms9.0000000000000879
Alloubani A, Akhu-Zaheya L, Samara R, Abdulhafiz I, Saleh A, Altowijri A. Relationship between vitamin D deficiency, diabetes, and obesity. Diabetes Metab Syndr Clin Res Rev. 2019;13(2):1457–61. doi:10.1016/j.dsx.2019.02.021.
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