Is insulin resistance an essential component of PCOS?: The influence of confounding factors
Abstract
Insulin resistance is often considered a regular component of polycystic ovary syndrome (PCOS). Many interventional studies assume a state of insulin resistance in all patients. However, the evidence is based on small samples that are often insufficient to adjust for significant confounding factors. Moreover, several studies have not confirmed differences in insulin sensitivity between women with PCOS and healthy controls, especially in non-obese patients. This debate article provides an overview of the data published regarding the presence of abnormal or normal insulin sensitivity in PCOS. In conclusion, available data offer evidence that a substantial subgroup of women with PCOS have insulin sensitivity comparable with healthy controls if matched carefully for potential confounding factors.
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The significance of insulin resistance as a pathognomonic component of PCOS is an area of debate.
“the significance of IR as a pathognomonic component of PCOS is an area of debate [153,154,155].”
From Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment (2022) · cites this paper as [154]
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Tang, T., Lord, J. M., Norman, R. J., Yasmin, E., & Balen, A. H. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003053.pub5 · Cited by 698 · see citing works
Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment
parker, J., O'Brien, C., Hawrelak, J., & Gersh, F. (2021) · doi:10.20944/preprints202112.0088.v1 · Cited by 113 · see citing works
Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment
Parker, J., O’Brien, C., Hawrelak, J., & Gersh, F. L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031336 · Cited by 114 · see citing works
Evaluation of insulin resistance and metabolic syndrome in patients with polycystic ovary syndrome
Lankarani, M., Valizadeh, N., Heshmat, R., Peimani, M., & Sohrabvand, F. (2009) · Gynecological Endocrinology · doi:10.1080/09513590902972083 · Cited by 25 · see citing works
- Authors
- Cibula, D.
- Affiliations
- Charles University (CZ)
- Corresponding author
- Cibula, D.
- ORCID
- Cibula, D.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-02-12
- Volume
- 19
- Issue
- 4
- Pages
- 757-759
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2096281233
- Cited by
- 43
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2019: 1 · 2017: 1 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerstvo Zdravotnictví Ceské Republiky
- National Institutes of Health (NH/6558-3)
- 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 › Reproductive Medicine › Endometriosis Research and Treatment
- Keywords
- polycystic ovary syndrome, insulin resistance, insulin sensitivity, confounding factors, obesity, non-obese women, subgroup analysis
- MeSH terms
- Female, Humans, Insulin Resistance, Polycystic Ovary Syndrome
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