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Body Fat as Determinant of Female Gonadal Dysfunction
Bu araştırma, vücut yağının kadınlardaki gonadal (yumurtalık) işlev bozukluğu üzerindeki rolünü incelemektedir; bu kapsamda polikistik over sendromu (polycystic ovary syndrome) ve yumurtlama bozukluğu olan kadınlar değerlendirilmektedir. Çalışmaya, farklı gruplarda yer alan 18 yaş üstü kadınlar antropometrik, hormonal ve metabolik ölçümlerle katılabilmektedir. Çalışma faz uygulanmayan bir çalışma olarak yürütülmekte ve halen katılımcı almaktadır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria Group I * Body mass index between 18.5 and 25.0 kg/m2. * Group 1 ovulatory dysfunction \[World Health Organization (WHO) classification\]. * Normal/low gonadotrophin levels \[follicle-stimulating hormone (FSH) and luteinizing (LH) \< 10 IU/l\] and low estradiol (\< 50 pg/ml). * Moderate-vigorous intensity physical activity (\> 5 hours per week) plus low energy availability (\< 30 kcal/per kg of lean mass). * Exclusion of secondary etiologies * Informed consent signed. Group II: * Polycystic ovary syndrome phenotype I, II and III \[National Institute of Health (NIH)-2012\] with hyperandrogenemia (http://prevention.nih.gov/workshops/2012/resources.aspx). * Body mass index between 18.5 and 40.0 kg/m2. * Informed consent signed. Group III: * Polycystic ovary syndrome phenotype IV (NIH-2012) (http://prevention.nih.gov/workshops/2012/resources.aspx). * Body mass index between 18.5 and 40.0 kg/m2. * Informed consent signed. Group IV: * Body mass index between 18.5 and 25.0 kg/m2. * Regular menses. * Normal gonadotropins and estradiol levels at follicular phase. * Moderate-vigorous intensity physical activity (\> 5 hours per week) with normal energy availability (\> 30 kcal/per kg of lean mass). * Informed consent signed. Group V: * No signs or symptoms of hyperandrogenism. * No exercise or mild intensity physical activity. * Regular menses. * Body mass index between 18.5 and 40.0 kg/m2. * Informed consent signed. Exclusion Criteria (Groups I-V) * Oral drugs interfering with ovulation (glucocorticoids, antipsychotics, antidepressants, contraceptives, sex steroids and/or opioids) for the previous 6 months to study inclusion. * Current pregnancy or lactation, or during the previous 6 months to study inclusion. * Asherman's syndrome or outflow tract disorders. * Current smoking or alcohol intake \> 40 g per day. * Previous diagnosis of glucose intolerance, hypertension, dyslipidemia, known heart or lung diseases, kidney disease, liver disease, celiac disease or any other malabsorptive condition, chronic inflammatory disease or malignancy.