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Correlation vitamin D deficiency with obesity and impaired glucose metabolism in women with polycystic ovary syndrome
Vitamin D deficiency is a worldwide problem, particularly in Indonesia. Obesity and impaired glucose metabolism have an impact on vitamin D status in women with polycystic ovarium syndrome and are still controversial. This study aimed to examine vitamin D levels and the correlation between obesity and impaired glucose metabolism in PCOS patients. This research employed analytical observational techniques with a case-control approach with 40 women diagnosed with Rotterdam Criteria PCOS in Mother and Child Hospital Kasih Ibu Tegal during September-October 2023. This study used the Chemiluminescent Mikropartikel Immunoassay (CMIA) method to measure vitamin D levels in the laboratory. The statistical test utilized were Shapiro-Wilk, Paired T-Test and Mann Whitney and Chi Square. Results: There was no significant difference in the serum 25(OH)D levels between women with PCOS and controls (p>0,05; p=0,745). The group of patients with an obese waist circumference was 9.75 times more likely to develop PCOS than the group with a normal waist circumference (OR = 9,75; 95% CI = 1,16-82,11; p = 0,013). In conclusion, there was no substantial variation in vitamin D levels between PCOS and non-PCOS patients. Vitamin D deficiency correlates with obesity but does not correlate with impaired glucose metabolism.
Supplement Files
Keywords : Vitamin D, Polycystic Ovary Syndrome, Obesity,Impaired glucose Metabolism
- ADA. (2018). Classification and diagnosis of diabetes: Standards of medical care in Diabetesd2018. Diabetes Care, 41(1), S13–S27. https://doi.org/10.2337/dc18-S002
- Akbari, M., Ostadmohammadi, V., Lankarani, K. B., Tabrizi, R., Kolahdooz, F., Heydari, S. T., Kavari, S. H., Mirhosseini, N., Mafi, A., Dastorani, M., & Asemi, Z. (2018). The Effects of Vitamin D Supplementation on Biomarkers of Inflammation and Oxidative Stress among Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Hormone and Metabolic Research, 50(4), 271–279. https://doi.org/10.1055/s-0044-101355
- Asgharian, Atefe; Mohammadi, Vida; Gholi, Zahra; Esmaillzade, Ahmad; Feizi, Awat; Askari, G. (2017). The Effect of Synbiotic Supplementation on Body Composition and Lipid Profile in Patients with NAFLD: A Randomized, Double Blind, Placebo-Controlled Clinical Trial Study. Iranian Red Crescent Medical Journal.
- Berry, Sinead; Seidler, Karin; Neil, J. (2022). Vitamin D deficiency and female infertility: A mechanism review examining the role of vitamin D in ovulatory dysfunction as a symptom of polycystic ovary syndrome. Journal of Reproductive Immunology, 151.
- Dastorani, Majid; Aghadavod, Esmat; Mirhosseini, Naghmeh; Foroozanfard, Fatemeh; Modarres, Shahrzad Zadeh; Siavashani Mehrnush Amiri; Asemi, Z. (2018). The effects of vitamin D supplementation on metabolic profiles and gene expression of insulin and lipid metabolism in infertile polycystic ovary syndrome candidates for in vitro fertilization. Reproductive Biology and Endocrinology, 16(94), 1–7.
- Dumesic, D. A., Oberfield, S. E., Stener-Victorin, E., Marshall, J. C., Laven, J. S., & Legro, R. S. (2015). Scientific statement on the diagnostic criteria, epidemiology, pathophysiology, and molecular genetics of polycystic ovary syndrome. Endocrine Reviews, 36(5), 487–525. https://doi.org/10.1210/er.2015-1018
- Fang, Fang; Ni, Ke; Cai, Yiting; Shang, Jin; Zhang, Xiaoke; Xiong, C. (2017). Effect of vitamin D supplementation on polycystic ovary syndrome: A systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Clinical Practice, 26, 53–60. https://doi.org/https://doi.org/10.1016/j.ctcp.2016.11.008
- Fauser, B. C. J. M., Tarlatzis, Fauser, Chang, Aziz, Legro, Dewailly, Franks, Balen, Bouchard, Dahlgren, Devoto, Diamanti, Dunaif, Filicori, Homburg, Ibanez, Laven, Magoffin, … Lobo. (2004). Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Human Reproduction, 19(1), 41–47. https://doi.org/10.1093/humrep/deh098
- Hadi, A., Alizadeh, K., Hajianfar, H., Mohammadi, H., & Miraghajani, M. (2020). Efficacy of synbiotic supplementation in obesity treatment: A systematic review and meta-analysis of clinical trials. Critical Reviews in Food Science and Nutrition, 60(4), 584–596. https://doi.org/10.1080/10408398.2018.1545218
- Holick, M. F. (2017). The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Reviews in Endocrine and Metabolic Disorders, 18, 153–165. https://doi.org/https://doi.org/10.1007/s11154-017-9424-1
- Irani, M., Seifer, D. B., Grazi, R. V., Julka, N., Bhatt, D., Kalgi, B., Irani, S., Tal, O., Lambert-Messerlian, G., & Tal, R. (2015). Vitamin D supplementation decreases TGF-β1 bioavailability in PCOS: A randomized placebo-controlled trial. Journal of Clinical Endocrinology and Metabolism, 100(11), 4307–4314. https://doi.org/10.1210/jc.2015-2580
- Jafari-Sfidvajani, S., Ahangari, R., Hozoori, M., Mozaffari-Khosravi, H., Fallahzadeh, H., & Nadjarzadeh, A. (2018). The effect of vitamin D supplementation in combination with low-calorie diet on anthropometric indices and androgen hormones in women with polycystic ovary syndrome: a double-blind, randomized, placebo-controlled trial. Journal of Endocrinological Investigation, 41(5), 597–607. https://doi.org/10.1007/s40618-017-0785-9
- Joham, Anju E; Teede, Helena J; Cassar, Samantha; Stepto, Nigel K; Strauss, Boyd J; Harrison, Cheryce L; Boyle, Jacqueline; de Caurten, B. (2016). Vitamin D in polycystic ovary syndrome: Relationship to obesity and insulin resistance. Molecular Nutrition & Food Research, 60(1), 110–118.
- Lips, Paul; Cashman, Kevin D; Lamberg-Allardt, Christel; Bishchoff-Ferrari, Heike Annette; Obermayer-Pietsch, Barbara; Bianchi, Maria Luisa; Stepan, Jon; Fuleihan, Ghada El-Hajj; Bouillon, R. (2019). Current vitamin D status in European and Middle East countries and strategies to prevent vitamin D deficiency: a position statement of the European Calcified Tissue Society. European Journal of Endocrinology, 180(4), 23–54.
- Magne, F., Gotteland, M., Gauthier, L., Zazueta, A., Pesoa, S., Navarrete, P., & Balamurugan, R. (2020). The firmicutes/bacteroidetes ratio: A relevant marker of gut dysbiosis in obese patients? Nutrients, 12(5). https://doi.org/10.3390/nu12051474
- Maktabi, M., Chamani, M., & Asemi, Z. (2017). Erratum: Note of Concern: The Effects of Vitamin D Supplementation on Metabolic Status of Patients with Polycystic Ovary Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial (Horm Metab Res (2017) 49 DOI: 10.1055/s-0043-107242). Hormone and Metabolic Research, 49(7), E6. https://doi.org/10.1055/a-1736-8400
- Maktabi, M., Jamilian, M., & Asemi, Z. (2018). Magnesium-zinc-calcium-vitamin D co-supplementation improves hormonal profiles, biomarkers of inflammation and oxidative stress in women with polycystic ovary syndrome: A randomized, double-blind, placebo-controlled trial. Biological Trace Element Research, 182(1), 21–28. https://doi.org/10.1007/s12011-017-1085-0
- Mogili, Krishna Deepti; Karuppusami, Reka; Thomas, Sumi; Chandy, Achamma; Kamath, Mohan S; Tk, A. (2018). Prevalence of vitamin D deficiency in infertile women with polycystic ovarian syndrome and its association with metabolic syndrome - A prospective observational study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 229, 15–19.
- Muscogiuri, Giovanna; Policola, Caterina; Prioletta, Annamaria; Sorice, GianPio; Mezza, Teresa; Lassandro, Annapia; Casa, Silvia Della; Pontecorvi, Alfredo; Giaccari, A. (2012). Low levels of 25(OH)D and insulin-resistance: 2 unrelated features or a cause-effect in PCOS? Clinical Nutrition, 31(4), 476–480. https://doi.org/https://doi.org/10.1016/j.clnu.2011.12.010
- Nasri, K., Akrami, S., Rahimi, M., Taghizadeh, M., Behfar, M., Mazandaranian, M. R., Kheiry, A., Memarzadeh, M. R., & Asemi, Z. (2018). The effects of vitamin D and evening primrose oil co-supplementation on lipid profiles and biomarkers of oxidative stress in vitamin D-deficient women with polycystic ovary syndrome: A randomized, double-blind, placebo-controlled trial. Endocrine Research, 43(1), 1–10. https://doi.org/10.1080/07435800.2017.1346661
- Ng, Beng Kwang; Lee, Chui Ling; Lim, Pei Shan; Othman, Hanita; Ismail, N. A. M. (2017). Comparison of 25-hydroxyvitamin D and metabolic parameters between women with and without polycystic ovarian syndrome. Hormone Molecular Biology and Clinical Investigation, 31(3). https://doi.org/https://doi.org/10.1515/hmbci-2016-0057
- Ostadmohammadi, V., Jamilian, M., Bahmani, F., & Asemi, Z. (2019). Vitamin D and probiotic co-supplementation affects mental health, hormonal, inflammatory and oxidative stress parameters in women with polycystic ovary syndrome. Journal of Ovarian Research, 12(1), 1–8. https://doi.org/10.1186/s13048-019-0480-x
- Pittas, A. G., Lau, J., Hu, F. B., & Dawson-Hughes, B. (2007). The Role of Vitamin D and Calcium in type 2 diabetes. A systematic Review and Meta-Analysis. The Journal of Clinical Endocrinology & Metabolism, 92(6), 2017–2029. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3624763/pdf/nihms412728.pdf%0Ahttps://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2007-0298
- Schröder-Heurich, B., Springer, C. J. P., & von Versen-Höynck, F. (2020). Vitamin d effects on the immune system from periconception through pregnancy. Nutrients, 12(5), 21–30. https://doi.org/10.3390/nu12051432
- Shang, M., & Sun, J. (2017). Vitamin D/VDR, Probiotics, and Gastrointestinal Diseases. Current Medicinal Chemistry, 24(9), 876–887. https://doi.org/10.2174/0929867323666161202150008
- Singh, R. K., Kumar, P., & Mahalingam, K. (2017). Molecular genetics of human obesity: A comprehensive review. Comptes Rendus - Biologies, 340(2), 87–108. https://doi.org/10.1016/j.crvi.2016.11.007
- van Schoor, N., & Lips, P. (2017). Global Overview of Vitamin D Status. Endocrinology and Metabolism Clinics of North America, 46(4), 845–870. https://doi.org/10.1016/j.ecl.2017.07.002
- Wang, L., Lv, S., Li, F., Yu, X., Bai, E., & Yang, X. (2020). Vitamin D Deficiency Is Associated With Metabolic Risk Factors in Women With Polycystic Ovary Syndrome: A Cross-Sectional Study in Shaanxi China. Frontiers in Endocrinology, 11. https://doi.org/10.3389/fendo.2020.00171
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