Adipokines, Insulin Resistance and Hyperandrogenemia in Obese Patients with Polycystic Ovary Syndrome: Cross-Sectional Correlations and the Effects of Weight Loss

作者：Spanos Nikolaos; Tziomalos Konstantinos^*; Macut Djuro; Koiou Ekaterini; Kandaraki Eleni A; Delkos Dimitrios; Tsourdi Elena; Panidis Dimitrios

来源：Obesity Facts, 2012, 5(4): 495-504.

DOI：10.1159/000341579

• Leptin
• Adiponectin
• Resistin
• Visfatin
• Polycystic ovary syndrome

Objective: To assess the effects of weight loss on serum adipokine levels in polycystic ovary syndrome (PCOS). Methods: We determined serum leptin, adiponectin, resistin, and visfatin levels in 60 overweight/obese women with PCOS and 48 BMI-matched female volunteers. Measurements were repeated after 24 weeks of treatment with orlistat 120 mg 3 times per day along with an energy-restricted diet. Results: At baseline, serum visfatin concentration was higher in patients with PCOS than in controls (p = 0.036); serum levels of leptin, adiponectin, and resistin did not differ between the two groups. After 24 weeks, a significant reduction in BMI and waist circumference was observed in both patients with PCOS and controls (p %26lt; 0.001 vs. baseline in both groups). Also serum leptin levels decreased in both patients with PCOS and controls (p %26lt; 0.001 vs. baseline in both groups). The reduction in serum leptin levels did not differ between groups. Serum adiponectin, resistin, and visfatin levels did not change in either group. Conclusions: Leptin, adiponectin, and resistin do not appear to play major pathogenetic roles in overweight/obese patients with PCOS. In contrast, visfatin emerges as a potentially important mediator of the endocrine abnormalities of these patients. However, serum visfatin levels are not substantially affected by weight loss.

• 出版日期2012-9