Association of body mass index and dietary habits with ovarian and uterine morphology with subfertile polycystic ovarian syndrome
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Objective: To correlate ovarian and uterine morphology in subfertile patientshaving polycystic ovarian syndrome with their body mass index (BMI) andeating habitsMethodology: One hundred subjects were included in this cross sectionalstudy having ages between 20-40 years with history of subfertilty for the pasttwo years. BMI (kg/m2) was measured according to WHO protocol. Ovarianvolume, follicle count and size, uterine area, endometrial thickness were measuredsonographically and noted. Dietary habits were recorded by a structuredquestionnaire from all participantsResults: According to BMI two groups of 50 subjects each were formed;group I= 25.6 ± 4.7 kg/m2 and group II= 28.6 ± 5.7 kg/m2. The follicular countwas 14.41± 2.18 and 12.75± 2.80; the follicular size (in mm) was 8.23±0.41and 3.29±0.25 (p-value 0.023 & 0.001). The uterine area (in cm2) and endometrialthickness (in cm) was 86.9±25.7 and 117.2±29 (p-value 0.001 and0.05). The ovarian volume (OV) estimated by trans-abdominal scan (TAS) was10.87±2.49 cm3 and 14.33±3.17 cm3 (p-value=0.022). The trans-vaginal scan(TVS) showed OV; 11.44±2.36 cm3 and 14.79±2.19 cm3 (p-value=0.034). Aweak positive correlation of BMI with OV (TVS) was observed (r=0.05). Theovarian volume in those women who consumed fast food frequently was significantlyraised as compared to those who rarely ate fast food; the differencewas 14.57±3.75 vs. 9.62±2.43 (p value 0.00).Conclusion: With increasing body mass index the ovarian volume, uterinearea and endometrial thickness increases. However the follicular count andfollicular size is reduced with higher BMI.
How to Cite
Usmani A, Rehman R, Akhtar Z. Association of body mass index and dietary habits with ovarian and uterine morphology with subfertile polycystic ovarian syndrome. J Postgrad Med Inst [Internet]. 2014 Apr. 17 [cited 2023 Mar. 28];28(2). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1582
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