The Role of High Serum Uric Acid Levels in Androgenic and Non-Androgenic Polycystic Ovarian Syndrome Patients
October 2021
in “
Clinical Epidemiology and Global Health
”
androgenic PCOS non-androgenic PCOS hyperuricemia total testosterone sex hormone binding globulins SHBG HOMA-IR LDL HbA1C FPG FSI obesity hypertension cardiovascular risk TG TC androgenic polycystic ovarian syndrome non-androgenic polycystic ovarian syndrome high uric acid testosterone insulin resistance low-density lipoprotein glycated hemoglobin fasting plasma glucose fasting serum insulin high blood pressure triglycerides total cholesterol
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TLDR High uric acid levels are more common in PCOS patients, especially those with androgenic PCOS, and are linked with increased cardiovascular risk and other metabolic issues.
The cross-sectional study conducted in South India from March to August 2021 involved 80 subjects with Polycystic Ovarian Syndrome (PCOS), divided into two groups: androgenic and non-androgenic PCOS. The study found a high incidence of hyperuricemia (66.25%) in PCOS subjects, with a significant association with androgenic PCOS. Both groups showed positive correlations with total testosterone, sex hormone binding globulins (SHBG), HOMA-IR, and LDL levels, while HbA1C, FPG, and FSI showed a negative correlation. Obesity and hypertension were more common in androgenic PCOS patients, increasing cardiovascular risk. High HbA1C levels were found in androgenic PCOS subjects, while FBG and HOMA-IR levels were high in non-androgenic PCOS patients. Androgenic PCOS subjects had significantly higher TG and LDL levels than non-androgenic PCOS subjects. The study concluded that metabolic components such as HbA1C, FPG levels, and TG, LDL, and TC are significantly associated with androgenic PCOS.