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Manifestações clínicas, bioquímicas, ultrassonográficas e metabólicas da síndrome dos ovários policísticos em adolescentes

dc.contributor.authorRehme, Marta Francis Benevides [UNESP]
dc.contributor.authorPontes, Anaglória [UNESP]
dc.contributor.authorGoldberg, Tamara Beres Lederer [UNESP]
dc.contributor.authorCorrente, José Eduardo [UNESP]
dc.contributor.authorPontes, Anaglória [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal do Paraná (UFPR)
dc.date.accessioned2014-05-27T11:29:37Z
dc.date.available2014-05-27T11:29:37Z
dc.date.issued2013-06-01
dc.description.abstractPURPOSE: To evaluate the clinical, ultrasonographic, biochemical and metabolic alterations of adolescents with polycystic ovary syndrome (PCOS). METHODS: Retrospective observational study conducted on 44 adolescents aged 12 to 19 years, diagnosed with PCOS according to the Rotterdam Consensus. Metabolic changes were assessed according to the recommendations of the International Diabetes Federation, considering: waist circumference (WC) ≥90th percentile (10-15 years of age) or >80 cm (age >16 years), fasting glucose >100 mg/dL, triglycerides >150 mg/dL, HDL <40 mg/dL, and blood pressure ≥Hg 130/85 mm. RESULTS: Mean age was 16.7±2.2 years and age at menarche was 11.8±1.4 years. The menstrual irregularity most frequently observed was amenorrhea (72.7%) followed by oligomenorrhea (27.3%); hirsutism was observed in 86.4% and acne in 56.8%. Polycystic ovaries were observed by ultrasound only in 27.3%. Mean BMI was 30.3±6.6 kg/m2. According to BMI, 52.3% of adolescents were obese, 13.6% were overweight and 6.8% had a healthy weight. Increased waist circumference (63.6%, 28/44) and the reduction of HDL-C (34.1%, 15/44) were the metabolic changes most frequently observed. Increased triglycerides were observed in 27.3% (12/44) and increased blood pressure and impaired fasting glucose were found in 9.1% (4/44) and 4.5% (2/44) of cases, respectively. Acanthosis nigricans was observed in 52.3% and insulin resistance in 62.8% of the adolescents with PCOS. Metabolic syndrome was identified in six children (13.6%), all of them obese or overweight. CONCLUSION: In the adolescents with PCOS studied here, menstrual irregularity and hirsutism were the most common clinical manifestations, while the sonographic findings consistent with polycystic ovaries were less prevalent. Obesity associated with insulin resistance predisposes these adolescents to a higher frequency of metabolic disorders.en
dc.description.affiliationDepartamento de Ginecologia, Obstetricia Obstetricia e Mastologia Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.description.affiliationDepartamento de Tocoginecologia Universidade Federal do Paraná - UFPR, Curitiba (PR)
dc.description.affiliationDepartamento de Pediatria Obstetricia e Mastologia Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.description.affiliationDepartamento de Bioestatística do Instituto de Biociências Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.description.affiliationUnespDepartamento de Ginecologia, Obstetricia Obstetricia e Mastologia Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.description.affiliationUnespDepartamento de Pediatria Obstetricia e Mastologia Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.description.affiliationUnespDepartamento de Bioestatística do Instituto de Biociências Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)
dc.format.extent249-254
dc.identifierhttp://dx.doi.org/10.1590/S0100-72032013000600003
dc.identifier.citationRevista Brasileira de Ginecologia e Obstetricia, v. 35, n. 6, p. 249-254, 2013.
dc.identifier.doi10.1590/S0100-72032013000600003
dc.identifier.file2-s2.0-84881514025.pdf
dc.identifier.issn0100-7203
dc.identifier.lattes0514178654667684
dc.identifier.lattes7214834859260397
dc.identifier.lattes0514178654667684
dc.identifier.orcid0000-0001-7017-766X
dc.identifier.orcid0000-0001-5478-4996
dc.identifier.scieloS0100-72032013000600003
dc.identifier.scopus2-s2.0-84881514025
dc.identifier.urihttp://hdl.handle.net/11449/75569
dc.language.isoeng
dc.language.isopor
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetrícia
dc.relation.ispartofsjr0,292
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAdolescent
dc.subjectHyperandrogenism
dc.subjectInsulin resistance
dc.subjectMetabolic syndrome X
dc.subjectPolycistic ovary syndrome
dc.titleManifestações clínicas, bioquímicas, ultrassonográficas e metabólicas da síndrome dos ovários policísticos em adolescentespt
dc.title.alternativeClinical manifestations, biochemical, ultrasonographic and metabolic of polycystic ovary syndrome in adolescentsen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/rbgo/paboutj.htm#3
dspace.entity.typePublication
unesp.author.lattes0514178654667684
unesp.author.lattes7214834859260397
unesp.author.lattes0514178654667684
unesp.author.orcid0000-0001-5478-4996[4]
unesp.author.orcid0000-0001-7017-766X[3]
unesp.campusUniversidade Estadual Paulista (UNESP), Instituto de Biociências, Botucatupt
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
unesp.departmentGinecologia e Obstetrícia - FMBpt
unesp.departmentBioestatística - IBBpt

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