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Vol. 47, No. 1, 1999
Issue release date: January 1999
Section title: Original Paper
Gynecol Obstet Invest 1999;47:1–5
(DOI:10.1159/000010052)

Upper Body Obesity and Hyperinsulinemia Are Associated with Anovulation

Morán C.a,b · Hernández E.a · Ruíz J.E.c · Fonseca M.E.c · Bermúdez J.A.a · Zárate A.c
aResearch Unit of Reproductive Medicine, bGynecologic Endocrinology Section, Hospital Luis Castelazo Ayala, and cEndocrine Research Unit, Instituto Mexicano del Seguro Social, Mexico City, Mexico

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 1/7/1999
Issue release date: January 1999

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

The objective of this study was to determine the effect of body fat distribution and hyperinsulinemia on the occurrence of ovulation. Fifty-six women (20–35 years old) either with overweight or obesity (body mass index ≥25) were studied. They were classified in two groups according to waist/hip ratio (WHR); one with predominance of adiposity in the upper body segment (n = 29, WHR >0.85) and the other with predominant adiposity in the lower body segment (n = 27, WHR ≤0.85). Basal body temperature and serum progesterone were determined in each cycle during 6 months. Serum insulin levels were measured at baseline and 30, 60, 90, 120 and 180 min after a 75-gram oral glucose load. The mean insulin values in response to oral glucose load in patients with upper body segment obesity were significantly higher than those corresponding to women with lower body segment obesity. Furthermore, the ratio between ovulated cycles and all the cycles studied in patients with upper body segment obesity was significantly lower than that observed in patients with lower body segment obesity. Upper body obesity seems to affect the ovulatory process and this may be related to the presence of hyperinsulinemia.


  

Author Contacts

Dr. Carlos Morán
Division of Reproductive Biology and Endocrinology
Department of Obstetrics and Gynecology, University of Alabama at Birmingham
618 South 20th Street, 549 OHB
Birmingham, AL 35233 (USA), Fax +52 205 975 5732

  

Article Information

Received: Received: August 12, 1997
Accepted after revision: March 9, 1998
Number of Print Pages : 5
Number of Figures : 2, Number of Tables : 3, Number of References : 20

  

Publication Details

Gynecologic and Obstetric Investigation
Founded 1895 as ‘Monatsschrift für Geburtshilfe und Gynäkologie’, continued 1946–1969 as ‘Gynaecologia’ and 1970 –1977 as ‘Gynecologic Investigation’

Vol. 47, No. 1, Year 1999 (Cover Date: Released January 1999)

Journal Editor: G. Zador, Södertälje
ISSN: 0378–7346 (print), 1423–002X (Online)

For additional information: http://www.karger.com/journals/goi


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 1/7/1999
Issue release date: January 1999

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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