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1.
J Endocrinol Invest ; 41(12): 1433, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30030745

RESUMEN

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2.
J Endocrinol Invest ; 41(7): 773-780, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29235049

RESUMEN

PURPOSE: The aims of this study were to determining the reference value of anti-müllerian hormone (AMH) in infertile women and effect of AMH on different ovarian responses in the stratum of BMI categories. METHODS: Through a retrospective cohort study the information of 816 infertile patients referring to the referral infertility clinic of Mahdiyeh Hospital since the beginning of 2011 until the end of January 2016 were used. The normal-based method was undertaken to calculate age-specific AMH percentiles. To determine the effect of AMH on the outcomes of different ovarian responses following adjustment of associated variables, the multinomial regression model was used. RESULTS: Estimated reference intervals for AMH corresponding to the 2.5 and 97.5th‰ in patients with normal ovarian response are from 0.096 to 6.2 ng/mL. These values for percentiles of 5, 10, 25, 50, 75, 90, and 95% are, respectively, 0.18, 0.33, 0.77, 1.68, 3.05, 4.45, and 5.36 ng/dL. Also the reference value for the 20-year-old participants has a maximum range (0.12-7.64), while for 43-year-old ones has the lowest range (0.08-5.3). Among participants under and above 35 years old, the optimal cut-off points for predicting normal ovarian response are, respectively, 1.5 and 1.2 ng/dL. With each unit increase in the log of AMH concentration, the odds of having excessive ovarian response in patients with normal weight compared to that of having normal ovarian response is 32% higher. CONCLUSIONS: Determining AMH reference values in IVF candidates allows specialists to measure only AMH plasma levels in IVF candidates so as to find whether or not the ovarian response is normal before applying other therapeutic measures; accordingly, they can adjust a treatment plan for each individual separately.


Asunto(s)
Hormona Antimülleriana/sangre , Técnicas de Diagnóstico Obstétrico y Ginecológico/normas , Fármacos para la Fertilidad Femenina/uso terapéutico , Fertilización In Vitro/métodos , Infertilidad Femenina/sangre , Infertilidad Femenina/terapia , Edad Materna , Adulto , Factores de Edad , Preparaciones de Acción Retardada , Femenino , Hormonas/uso terapéutico , Humanos , Infertilidad Femenina/diagnóstico , Inducción de la Ovulación/métodos , Embarazo , Valores de Referencia , Estudios Retrospectivos
3.
J Hum Nutr Diet ; 29(4): 505-15, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26467311

RESUMEN

BACKGROUND: The present study was designed to examine the effects of vitamin D plus calcium administration on metabolic profiles and pregnancy outcomes among women at risk for pre-eclampsia. METHODS: In a prospective, double-blind, placebo-controlled trial, 60 women at risk for pre-eclampsia were randomised to take either 50 000 IU vitamin D3 every 2 weeks plus 1000 mg day(-1) calcium supplements (as calcium carbonate) (n = 30) or to receive placebos at the same times (n = 30) from 20 to 32 weeks of gestation. Fasting blood samples were taken at baseline and 12 weeks after intervention to determine related variables. Newborn anthropometric measurements were determined. RESULTS: Taking combined cholecalciferol and calcium supplements, compared to placebo, led to significant reductions in fasting plasma glucose (FPG) [mean (SD)] [-5.7 (5.5) versus -0.6 (12.6) mg dL(-1) , P = 0.04], serum insulin concentrations [-2.8 (6.0) versus +7.7 (9.8) µIU mL(-1) , P < 0.001], homeostasis model of assessment-insulin resistance [-0.8 (1.3) versus +1.6 (2.2), P < 0.001], homeostatic model assessment-beta cell function [-8.2 (25.8) versus +32.6 (41.3, P < 0.001] and a significant rise in quantitative insulin sensitivity check index score [+0.02 (0.02) versus -0.02 (0.02, P < 0.001]. Additionally, pregnant women who received cholecalciferol plus calcium supplements had increased serum high-density lipoprotein (HDL)-cholesterol [+4.6 (8.3) versus -2.9 (7.7) mg dL(-1) , P = 0.001] and plasma total glutathione (GSH) concentrations [+23.4 (124.0) versus -94.8 (130.2) µm, P = 0.001] compared to placebo. However, after adjustment for the baseline levels, maternal age and baseline body mass index, the effects on FPG levels (P = 0.13) and systolic blood pressure (P = 0.13) disappeared. CONCLUSIONS: Vitamin D plus calcium administration for 12 weeks had beneficial effects on glycaemic status, HDL-cholesterol, GSH and blood pressure among women at risk for pre-eclampsia.


Asunto(s)
Calcio de la Dieta/uso terapéutico , Colecalciferol/uso terapéutico , Suplementos Dietéticos , Resistencia a la Insulina , Fenómenos Fisiologicos Nutricionales Maternos , Estrés Oxidativo , Preeclampsia/prevención & control , Adolescente , Adulto , Biomarcadores/sangre , Carbonato de Calcio/administración & dosificación , Método Doble Ciego , Femenino , Humanos , Mediadores de Inflamación/sangre , Irán/epidemiología , Preeclampsia/epidemiología , Preeclampsia/inmunología , Preeclampsia/metabolismo , Embarazo , Resultado del Embarazo , Nacimiento Prematuro/epidemiología , Nacimiento Prematuro/inmunología , Nacimiento Prematuro/metabolismo , Nacimiento Prematuro/prevención & control , Prevalencia , Riesgo , Adulto Joven
4.
Exp Clin Endocrinol Diabetes ; 123(4): 215-20, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25868059

RESUMEN

OBJECTIVE: This study was conducted to evaluate the effects of zinc supplementation on glucose homeostasis parameters and lipid concentrations in PCOS women. We are aware of no study evaluating the effects of zinc supplementation on metabolic profiles of patients with polycystic ovary syndrome (PCOS). METHODS: This randomized, double-blind, placebo-controlled trial was conducted among 52 women diagnosed with PCOS and aged 18-40 years old. Participants were randomly divided into 2 groups to receive 220 mg zinc sulfate (containing 50 mg zinc) supplements (n=26) or placebo (n=26) per day for 8 weeks. Fasting blood samples were taken at baseline and after 8 weeks' intervention to quantify glucose, insulin and lipid concentrations. RESULTS: After 8 weeks of intervention, subjects who received zinc supplements had significantly increased serum zinc levels (+15.6±21.8 vs. -4.1±16.7 mg/dL, P=0.001) compared with placebo. In addition, zinc-supplemented patients had reduced fasting plasma glucose (FPG) (-4.3±9.6 vs. +0.5±6.0 mg/dL, P=0.03), serum insulin levels (-3.0±2.9 vs. +1.5±8.4 µIU/mL, P=0.01), homeostasis model of assessment-insulin resistance (HOMA-IR) (-0.8±0.8 vs. +0.3±1.9, P=0.006), homeostatic model assessment-Beta cell function (HOMA-B) (-10.6±9.5 vs. +4.9±32.1, P=0.02) and increased quantitative insulin sensitivity check index (QUICKI) (+0.02±0.02 vs. -0.004±0.05, P=0.03) compared with placebo. Additionally, a significant reduction in serum triglycerides (-15.6±40.3 vs. +14.5±25.3 mg/dL, P=0.002) and VLDL-cholesterol concentrations (-3.2±8.1 vs. +2.9±5.1 mg/dL, P=0.002) was observed following the administration of zinc supplements compared with placebo. CONCLUSION: Taken together, 220 mg zinc sulfate supplementation per day for 8 weeks among PCOS women had beneficial effects on metabolic profiles.


Asunto(s)
Glucemia/metabolismo , Suplementos Dietéticos , Resistencia a la Insulina/fisiología , Lípidos/sangre , Síndrome del Ovario Poliquístico/sangre , Sulfato de Zinc/uso terapéutico , Adolescente , Adulto , Biomarcadores , Método Doble Ciego , Femenino , Humanos , Insulina/sangre , Síndrome del Ovario Poliquístico/tratamiento farmacológico , Resultado del Tratamiento , Adulto Joven
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