Abdominal adiposity and the polycystic ovary syndrome

Abdominal adiposity, overweightness and obesity are frequently present in patients with polycystic ovary syndrome (PCOS). A large body of evidence suggests that abdominal adiposity and the resulting insulin resistance contribute to ovarian and, possibly, adrenal hyperandrogenism. However, androgen e...

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Veröffentlicht in:Trends in endocrinology and metabolism 2007-09, Vol.18 (7), p.266-272
Hauptverfasser: Escobar-Morreale, Héctor F, Millán, José L. San
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creator Escobar-Morreale, Héctor F
Millán, José L. San
description Abdominal adiposity, overweightness and obesity are frequently present in patients with polycystic ovary syndrome (PCOS). A large body of evidence suggests that abdominal adiposity and the resulting insulin resistance contribute to ovarian and, possibly, adrenal hyperandrogenism. However, androgen excess itself might also contribute to abdominal fat deposition in hyperandrogenic women. Recent genomic and proteomic analyses of visceral fat from PCOS patients have detected differences in gene expression and protein content compared with those of non-hyperandrogenic women. Here we review the existing evidence for a vicious circle whereby androgen excess favoring the abdominal deposition of fat further facilitates androgen secretion by the ovaries and adrenals in PCOS patients.
doi_str_mv 10.1016/j.tem.2007.07.003
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subjects Abdominal Fat - metabolism
Abdominal Fat - physiopathology
Adiposity
Endocrinology & Metabolism
Female
Humans
Hyperandrogenism - complications
Hyperandrogenism - physiopathology
Hyperinsulinism - complications
Hyperinsulinism - physiopathology
Insulin Resistance - physiology
Leptin - metabolism
Models, Biological
Polycystic Ovary Syndrome - complications
Polycystic Ovary Syndrome - metabolism
Polycystic Ovary Syndrome - physiopathology
title Abdominal adiposity and the polycystic ovary syndrome
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