Metabolic Syndrome and Insulin Resistance Syndrome among Infertile Women with Polycystic Ovary Syndrome: A Cross-Sectional Study from Central Vietnam

Minh Tam Le; Vu Quoc Huy Nguyen; Quang Vinh Truong; Dinh Duong Le; Viet Nguyen Sa Le; Ngoc Thanh Cao

doi:10.3803/EnM.2018.33.4.447

Metabolic Syndrome and Insulin Resistance Syndrome among Infertile Women with Polycystic Ovary Syndrome: A Cross-Sectional Study from Central Vietnam

Endocrinol Metab (Seoul). 2018 Dec;33(4):447-458. doi: 10.3803/EnM.2018.33.4.447.

Authors

Minh Tam Le^{1

2}, Vu Quoc Huy Nguyen¹, Quang Vinh Truong¹, Dinh Duong Le³, Viet Nguyen Sa Le⁴, Ngoc Thanh Cao^{1

5}

Affiliations

¹ Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
² Center for Reproductive Endocrinology and Infertility, Hue University Hospital, Hue University, Hue City, Vietnam. leminhtam@huemed-univ.edu.vn.
³ Department of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
⁴ Department of Obstetrics and Gynecology, Hue Central Hospital, Hue City, Vietnam.
⁵ Center for Reproductive Endocrinology and Infertility, Hue University Hospital, Hue University, Hue City, Vietnam.

Abstract

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrinopathies among reproductive-age women. Its metabolic features often overlap with those associated with metabolic syndrome (MS) and insulin resistance syndrome (IRS). The objective of this study was to determine the prevalence and predictors of MS and IRS in infertile Vietnamese women with PCOS.

Methods: A cross-sectional study was conducted at a tertiary fertility centre at Hue University Hospital from June 2016 to November 2017. A total of 441 infertile women diagnosed with PCOS based on the revised 2003 Rotterdam consensus criteria were enrolled. MS and IRS were defined based on the National Heart, Lung, and Blood Institute/American Heart Association Adult Treatment Panel III 2005 and American College of Endocrinology IRS 2003 criteria, respectively. Complete clinical and biochemical measurements of 318 women were available for analysis. Independent predictors of MS and IRS were identified using multivariate logistic regression.

Results: The overall prevalence of MS and IRS in women with PCOS was 10.4% and 27.0%, respectively. We identified older age (>30 years) and obesity as independent predictors of MS and IRS. Elevated anti-Müllerian hormone levels increased the risk of IRS, but not that of MS.

Conclusion: MS and IRS are prevalent disorders among infertile Vietnamese women with PCOS. PCOS is not solely a reproductive problem. Screening and early intervention for MS and/or IRS based on anthropometric, metabolic, and reproductive hormone risk factors should be an integral part of fertility care.

Keywords: Infertility; Insulin resistance; Metabolic syndrome; Polycystic ovary syndrome; Prevalence.