Visceral adiposity index as a predictor of clinical severity and therapeutic outcome of PCOS

被引:50
作者
Zheng, Sai-Hua [1 ]
Li, Xue-Lian [1 ]
机构
[1] Fudan Univ, Shanghai OB GYN Hosp, Shanghai Med Coll, Dept Gynecol,Shanghai Key Lab Female Reprod Endoc, Shanghai 200011, Peoples R China
关键词
Adipose tissue dysfunction; visceral adiposity index; polycystic ovary syndrome; insulin resistance; visceral obesity; POLYCYSTIC-OVARY-SYNDROME; INSULIN-RESISTANCE; CARDIOVASCULAR RISK; BODY-FAT; METABOLIC SYNDROME; GLUCOSE-TOLERANCE; LIVER HISTOLOGY; WOMEN; OBESITY; TISSUE;
D O I
10.3109/09513590.2015.1111327
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Polycystic ovary syndrome (PCOS) is a common endocrine-metabolic disease which often accompany with abnormal fat distribution. Visceral adiposity has association with abnormal lipid metabolic, pro-inflammatory activity, insulin resistance (IR) and hyperandrogenism. Increased visceral adiposity raises the risk of metabolic syndrome, type 2 diabetes and cardiovascular (CV) events, and aggravates ovulatory dysfunction and hyperandrogenism in PCOS women. Visceral adiposity index (VAI), a simple surrogate maker of visceral adipose dysfunction and visceral adiposity, is a predictor of IR, and link hyperinsulinemia, hyperandrogenism and anovulation. This review aims to discuss the visceral adiposity situation in PCOS women, and suggests that VAI may be a useful predictor of clinical severity and therapeutic outcome of PCOS.
引用
收藏
页码:177 / 183
页数:7
相关论文
共 63 条
[1]   Fetal, Infant, Adolescent and Adult Phenotypes of Polycystic Ovary Syndrome in Prenatally Androgenized Female Rhesus Monkeys [J].
Abbott, David H. ;
Tarantal, Alice F. ;
Dumesic, Daniel A. .
AMERICAN JOURNAL OF PRIMATOLOGY, 2009, 71 (09) :776-784
[2]   Metabolic syndrome - a new world-wide definition. A consensus statement from the international diabetes federation [J].
Alberti, KGMM ;
Zimmet, P ;
Shaw, J .
DIABETIC MEDICINE, 2006, 23 (05) :469-480
[3]   Visceral adiposity index and DHEAS are useful markers of diabetes risk in women with polycystic ovary syndrome [J].
Amato, M. C. ;
Magistro, A. ;
Gambino, G. ;
Vesco, R. ;
Giordano, C. .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2015, 172 (01) :79-88
[4]   Metabolically healthy polycystic ovary syndrome (MH-PCOS) and metabolically unhealthy polycystic ovary syndrome (MU-PCOS): a comparative analysis of four simple methods useful for metabolic assessment [J].
Amato, M. C. ;
Guarnotta, V. ;
Forti, D. ;
Donatelli, M. ;
Dolcimascolo, S. ;
Giordano, C. .
HUMAN REPRODUCTION, 2013, 28 (07) :1919-1928
[5]   Visceral Adiposity Index (VAI) Is Predictive of an Altered Adipokine Profile in Patients with Type 2 Diabetes [J].
Amato, Marco C. ;
Pizzolanti, Giuseppe ;
Torregrossa, Vittoria ;
Misiano, Gabriella ;
Milano, Salvatore ;
Giordano, Carla .
PLOS ONE, 2014, 9 (03)
[6]   Cut-off points of the visceral adiposity index (VAI) identifying a visceral adipose dysfunction associated with cardiometabolic risk in a Caucasian Sicilian population [J].
Amato, Marco C. ;
Giordano, Carla ;
Pitrone, Maria ;
Galluzzo, Aldo .
LIPIDS IN HEALTH AND DISEASE, 2011, 10
[7]   Visceral Adiposity Index A reliable indicator of visceral fat function associated with cardiometabolic risk [J].
Amato, Marco C. ;
Giordano, Carla ;
Galia, Massimo ;
Criscimanna, Angela ;
Vitabile, Salvatore ;
Midiri, Massimo ;
Galluzzo, Aldo .
DIABETES CARE, 2010, 33 (04) :920-922
[8]   Visceral Adiposity Index: An Indicator of Adipose Tissue Dysfunction [J].
Amato, Marco Calogero ;
Giordano, Carla .
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY, 2014, 2014
[9]   The oligomenorrhoic phenotypes of polycystic ovary syndrome are characterized by a high visceral adiposity index: a likely condition of cardiometabolic risk [J].
Amato, Marco Calogero ;
Verghi, Monica ;
Galluzzo, Aldo ;
Giordano, Carla .
HUMAN REPRODUCTION, 2011, 26 (06) :1486-1494
[10]   Visceral adiposity index (VAI) is related to the severity of anovulation and other clinical features in women with polycystic ovary syndrome [J].
Androulakis, Ioannis I. ;
Kandaraki, Eleni ;
Christakou, Charikleia ;
Karachalios, Athansios ;
Marinakis, Evangelos ;
Paterakis, Thomas ;
Diamanti-Kandarakis, Evanthia .
CLINICAL ENDOCRINOLOGY, 2014, 81 (03) :426-431