Assesment of Inflammatory Markers and Epicardial Adipose Tissue Thickness in Women with Polycystic Ovary Syndrome
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Original Article
VOLUME: 57 ISSUE: 4
P: 349 - 355
December 2019

Assesment of Inflammatory Markers and Epicardial Adipose Tissue Thickness in Women with Polycystic Ovary Syndrome

Med Bull Haseki 2019;57(4):349-355
1. Koç Üniversitesi Hastanesi, Kardiyoloji Kliniği, İstanbul, Türkiye
2. İstanbul Tüp Bebek ve Kadın Sağlığı Merkezi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye
No information available.
No information available
Received Date: 21.12.2018
Accepted Date: 07.01.2019
Publish Date: 10.12.2019
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ABSTRACT

Aim:

Polycystic ovary syndrome (PCOS), one of the most common reproductive system disorders in women, is a clinical condition in which chronic inflammatory parameters increase. In this study, we aimed to evaluate the epicardial adipose tissue (EAT) thickness, inflammatory parameters and their relationships with each other by comparing PCOS patients and healthy controls.

Methods:

Serum complement 3 (C3) and complement 4 (C4) levels were evaluated and EAT was measured by transthoracic echocardiography.

Results:

Thirty-two patients with PCOS (mean age=24±6 years) and 27 healthy controls (mean age=26±3 years) were included in the study. EAT (p=0.000), abdominal subcutaneous thickness (p=0.000), C3 (p=0.023), C4 (p=0.039), hsCRP (p=0.026), GGT (p=0.012) and fibrinogen (p=0.035) levels were significantly increased in the PCOS group compared to the control group. It was found that EAT thickness was positively correlated with body mass index (BMI) (r=0.84, p=0.000), abdominal subcutaneous adipose tissue thickness (r=0.82, p=0.000), HOMA-IR (r=0.62, p=0.000), hsCRP (r=0.58, p=0.000), C3 (r=0.52, p=0.000), C4 (r=0.44, p=0.000), and fibrinogen (r=0.50, p=0.000) levels. In logistic regression analysis, Regardless of the BMI and abdominal subcutaneous thickness, EAT was found to have a significant relationship with PCOS. According to linear regression analysis; C4, HOMA-IR and hsCRP were found to have a significant relationship with EAT.

Conclusion:

Increased EAT, which was found to be significantly associated with PCOS, was showed to have a significant relationship with insulin resistance and C4 and hsCRP levels in this study. Clinically, the evaluation of the levels of inflammatory and immune parameters together with the measurement of EAT thickness in PCOS patients may be helpful in determining the cardiovascular risk. Prospective randomized controlled trials are needed to show this relationship more clearly.

Keywords:
Polycystic ovary syndrome, epicardial adipose tissue, inflammation

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