Nonalcoholic Fatty Liver Disease in Women and Girls With Polycystic Ovary Syndrome.
J Clin Endocrinol Metab
; 107(1): 258-272, 2022 01 01.
Article
en En
| MEDLINE
| ID: mdl-34491336
ABSTRACT
CONTEXT Nonalcoholic fatty liver disease (NAFLD) describes a spectrum of liver damage due to excessive hepatic lipid accumulation. Recent research has demonstrated a high prevalence of NAFLD in women with polycystic ovary syndrome (PCOS). RESULTS:
Strong associations independent of body mass index (BMI) have been found between high androgen levels characteristic of PCOS, as well as insulin resistance, and the presence of NAFLD in these women, suggesting that these factors contribute to liver injury more significantly than obesity. Current studies indicate the occurrence of NAFLD in normal weight women with PCOS in addition to the commonly researched women who are overweight and obese. While the majority of studies address NAFLD in adult, premenopausal women (ages 25-40 years), the occurrence of NAFLD in young and adolescent women has gone largely unaddressed. Research in this field lacks diversity; a majority of studies either focus on populations of White women or are missing demographic information entirely.CONCLUSIONS:
Future studies should include larger, more racially and ethnically inclusive populations and particular attention should be paid to how excess androgens and insulin resistance contribute to the increased risk of NAFLD seen in women with PCOS of varying weights, ages, and ethnicities. OBJECTIVE ANDMETHODS:
Here, we review NAFLD in women with PCOS with subsections focused on the impact of hyperandrogenism, BMI, insulin resistance and age. Most notably, we present the most up-to-date racially and ethnically diverse worldwide prevalence of NAFLD in women with PCOS compared with women without PCOS (51.56% vs 29.64%, P < .001, respectively).Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Síndrome del Ovario Poliquístico
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Enfermedad del Hígado Graso no Alcohólico
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Carga Global de Enfermedades
Tipo de estudio:
Etiology_studies
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Prevalence_studies
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Risk_factors_studies
Idioma:
En
Revista:
J Clin Endocrinol Metab
Año:
2022
Tipo del documento:
Article