The DOI matches its Crossref record; 25 of the 26 references it cites were found in a registry or an index.
Body fat indices as effective predictors of insulin resistance in obese/non-obese polycystic ovary syndrome women in the Southwest of China
Abstract
Purpose Insulin resistance (IR) is a common feature of polycystic ovary syndrome (PCOS). Body fat indices can be predictive markers of IR. This study is aimed to predict IR in Chinese women with PCOS of different body types based on body fat indices. Methods A total of 723 women diagnosed with PCOS according to Rotterdam criteria were recruited in this study and were further divided into two groups based on their BMI. All participants underwent physical examinations and ultrasound; and blood was collected from them on the days 3-5 of the menstrual cycle. Their BMI, waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), lipid accumulation product (LAP) index, visceral adiposity index (VAI), and the homeostasis model assessment index of insulin resistance (HOMA-IR) were calculated. The correlations between body fat indices and HOMA-IR and receiver operating characteristic (ROC) curves were evaluated. Results In normal weight group (BMI < 24, n = 333), VAI (best cut-off value: 1.681, area under curve (AUC) = 0.754, P < 0.01) and LAP index (best cut-off value: 18.53, AUC = 0.734, P < 0.001) were the reliable indicators of IR based on HOMA-IR ≥ 2.77, while in overweight/obese group (BMI ≥ 24, n = 390), the BMI, WC, WHtR and LAP index had a significant correlation with HOMA-IR. The representative markers to assess IR were BMI (best cut-off value: 26.43, AUC = 0.644, P = 0.001) and WHtR (best cut-off value: 0.544, AUC = 0.604, P = 0.021). Conclusions Body fat indices are predictive markers of IR in Chinese PCOS women, especially in those with normal weight.
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“As a previous study demonstrated that various IR predictors may vary among Chinese women with PCOS based on their body type (27), we conducted a comparison of IR conditions based on differing WHtRs in patients with PCOS with a normal BMI, or normal WC, or concurrent normal BMI and WC.”
From The waist-to-height ratio is a good predictor for insulin resistance in women with polycystic ovary syndrome (2024) · cites this paper as [27]
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Cited by
Lee, J., Kim, B., Kim, W., Ahn, C., Choi, H. Y., Kim, J. G., Kim, J., Shin, H., Kang, J. G., & Moon, S. (2021) · Scientific Reports · doi:10.1038/s41598-021-82053-2 · Cited by 166
Markers of insulin resistance in Polycystic ovary syndrome women: An update
Amisi, C. A. (2022) · World Journal of Diabetes · doi:10.4239/wjd.v13.i3.129 · Cited by 162
Mendelian randomization analyses for PCOS: evidence, opportunities, and challenges
Wang, C., Wu, W., Yang, H., Ye, Z., Zhao, Y., Liu, J., & Mu, L. (2022) · Trends in Genetics · doi:10.1016/j.tig.2022.01.005 · Cited by 77
Zhao, Y., Xu, Y., Wang, X., Xu, L., Chen, J., Gao, C., Wu, C., Pan, D., Zhang, Q., Zhou, J., et al. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa125 · Cited by 67
Reactive oxygen species in reproduction: harmful, essential or both?
Jamil, M., Debbarh, H., Aboulmaouahib, S., Filali, O. A., Mounaji, K., Zarqaoui, M., Saadani, B., Louanjli, N., & Cadi, R. (2020) · Zygote · doi:10.1017/s0967199420000179 · Cited by 51
Metadata
- Authors
- Huang, X., Wang, Q., Liu, T., Pei, T., Liu, D., Zhu, H., & Huang, W.
- Affiliations
- West China Second University Hospital of Sichuan University (CN)
- Corresponding author
- Huang, Wei
- Venue
- Endocrine
- Published
- 2019-03-28
- Volume
- 65
- Issue
- 1
- Pages
- 81-85
- ISSN
- 0969-711X (ISSN-L)
- 1355-008X
- 1559-0100
- OpenAlex
- W2933685574
- Cited by
- 34
- References
- 26
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 6 · 2019: 2
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Endocrine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Keywords
- polycystic ovary syndrome, insulin resistance, visceral adiposity index, lipid accumulation product, waist-to-hip ratio, waist-to-height ratio, body mass index, HOMA-IR, predictive biomarkers, Chinese women, obesity
- MeSH terms
- Adipose Tissue, Adult, China, Cross-Sectional Studies, Female, Health Status Indicators, Humans, Insulin Resistance, Obesity, Polycystic Ovary Syndrome, Prognosis, Body Mass Index, Adiposity, Young Adult
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