First assessment of menstrual cycle function and reproductive endocrine status in Samoan women.
First assessment of menstrual cycle function and reproductive endocrine status in Samoan women.
复制标题
首次评估萨摩亚妇女的月经周期功能和生殖内分泌状态。
DOI：
10.1093/humrep/der095
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
McGarvey,ST
中科院分区：
文献类型：
--
作者：
Lambert-Messerlian,G;Roberts,MB;Urlacher,SS;Ah-Ching,J;Viali,S;Urbanek,M;McGarvey,ST
BACKGROUNDAmerican Samoa and Samoa are now characterized by one of the world's highest levels of adult overweight and obesity. Our objective was to investigate patterns of menstrual cyclicity reported by Samoan women and examine the relationship to adiposity and select hormone levels.METHODSA cross-sectional analysis was performed among Samoan women, aged 18–39 years (n= 322), using anthropometric and biomarker measures of adiposity and reproductive health, including insulin, adiponectin, testosterone, sex hormone-binding globulin, free androgen index (FAI) and mullerian-inhibiting substance (MIS). Menstrual regularity was assessed from self-reported responses. Multivariable models were estimated to adjust for potential confounding of the associations between menstrual patterns and other measures.RESULTSA high proportion of the women (13.7%) reported oligomenorrhea or amenorrhea (OM/AM). More than three-quarters, 80.7%, of women were either overweight or obese, using Polynesian-specific criteria, and OM/AM was significantly associated with higher BMI. Abdominal circumference and insulin levels were significantly higher, and adiponectin levels were lower, in those who reported OM/AM versus regular menstruation. The FAI was higher in women with increased BMI. MIS levels declined with age, more slowly in those reporting OM/AM.CONCLUSIONSSelf-reported OM/AM was associated with an elevated BMI, abdominal adiposity and serum insulin, and with reduced adiponectin levels. These findings support a high rate of metabolic syndrome, and perhaps PCOS and reproductive dysfunction, among Samoan women.
