A systematic review of GLP-1 agonists on the metabolic syndrome in women with polycystic ovaries

A systematic review of GLP-1 agonists on the metabolic syndrome in women with polycystic ovaries


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صفحه نخست سامانه
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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: میترا نیافر

کلمات کلیدی: Polycystic ovarian syndrome  Androgens  Insulin resistance  Obesity

نشریه: 3005 , 293 , 3 , 2016

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نویسنده ثبت کننده مقاله میترا نیافر
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات غدد درون ریز
کد مقاله 58467
عنوان فارسی مقاله A systematic review of GLP-1 agonists on the metabolic syndrome in women with polycystic ovaries
عنوان لاتین مقاله A systematic review of GLP-1 agonists on the metabolic syndrome in women with polycystic ovaries
ناشر 4
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Review Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت http://www.ncbi.nlm.nih.gov/pubmed/26660657

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Abstract Purpose Glucagon-like peptides receptor agonists are currently approved as anti-obesity agents, yet the experience with their use in polycystic ovarian syndromes (PCOS)-related obesity and insulin resistance is still limited. Methods We examined the effects of liraglutide on obesity, insulin resistance, and androgen levels in PCOS through a meta-analysis. Results Seven RCTs where women with PCOS were treated with liraglutide were identified. The variables that were examined before and after a 90-day treatment included waist circumference, body mass index (BMI), fasting insulin concentrations, insulin resistance using homeostatic model (HOMA-IR), serum testosterone, and sex hormonebinding globulin (SHBG). The analysis included 178 women. Only 172 patients had post-treatment measurements. While BMI significantly dropped by -1.65 (0.72–2.58) Kg/m2 after 3 months treatment with liraglutide, waist circumference did not change significantly. Similarly, fasting insulin levels, insulin sensitivity, and SHBG did not change significantly. However, serum testosterone decreased by 0.29 nmol/L in 88 women (P = 0.0003). Conclusion In a limited number of the women with PCOS, BMI and serum testosterone are only variables that significantly decrease after 3 months of treatment with GLP-1 receptor agonists. Larger sample size studies with longer durations of treatment may be required to examine potential benefits of these medications in improving insulin sensitivity.

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میترا نیافراول

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art_10.1007_s00404-015-3976-7.pdf1395/05/11854822دانلود