The burden of the probable polycystic ovarian syndrome and its associated factor among college going late adolescents and young adults: a cross sectional analytical study in urban Puducherry, South India
-
Devipriyaa Suresh
,
Sudheera Sulgante
Abstract
Objectives
Polycystic Ovarian Syndrome (PCOS) is one of the most common metabolic and reproductive disorders among women of reproductive age. In low income and developing countries like India, there are very high chances of developing PCOS due to marked variation between culture, ethnic groups, diet, lifestyle and genetic factors. This study aims to determine the burden of probable PCOS among college going students in Puducherry.
Methods
A cross sectional study was carried out among students aged 18 years and above in a Government College for Women located in urban Puducherry. A total of 610 students were selected through a cluster random sampling technique. A pretested validated proforma was administered after obtaining informed consent.
Results
25.1% (21.8–28.7) of women were having probable PCOS, 18.7% (15.8–22.0) had irregular menstrual history, 8.4% (6.4–10.8) had Hirsutism and 2% (1.8–3.3) had both the symptoms. Regarding food habits, 43.1% were vegetarians and were having probable PCOS and this association was found to be statistically significant. No significant association was found between prevalence of probable PCOS and factors such as higher age, parental income, higher BMI and physical inactivity.
Conclusions
The present study found a high prevalence of probable PCOS among college going students, especially among study respondents who were obese, physically inactive and vegetarians compared to the counterpart. Earlier detection and proper management of the symptoms can avoid some major co-morbidity in the future. Therefore, screening is an important part in the diagnosis and management of PCOS among adolescent girls.
Funding source: JIPMER
Award Identifier / Grant number: Intramural research grant
-
Research funding: JIPMER Intramural research grant for Master of Public Health (MPH) projects (2017–2018).
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Competing interests: We authors namely Devipriyaa. S, J. Venkatachalam, Sudheera Sulgante, Gayathri S and Gautam Roy declaring that have no conflict of interest.
-
Informed consent: Informed written consent was obtained from all the participants. The informed consent was taken by the investigator before the interview after explaining the purpose of the study in local language and the freedom to withdraw from the study at any time of the interview or examination.
-
Ethical approval: The study proposal was reviewed and approved by the Postgraduate research monitoring committee and Institute Ethics committee of Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
References
1. Polycystic ovary syndrome | definition of polycystic ovary syndrome by medical dictionary [Internet] Collins Discovery Encyclopedia, 1st edition © HarperCollins Publishers; 2005. Available from: https://medical-dictionary.thefreedictionary.com/polycystic+ovary+syndrome [Accessed 20 Jan 2020].Suche in Google Scholar
2. Knochenhauer, ES, Key, TJ, Kahsar-Miller, M, Waggoner, W, Boots, LR, Azziz, R. Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. J Clin Endocrinol Metab 1998;83:3078–82. https://doi.org/10.1210/jc.83.9.3078.Suche in Google Scholar
3. Azziz, R, Marin, C, Hoq, L, Badamgarav, E, Song, P. Health care-related economic burden of the polycystic ovary syndrome during the reproductive life span. J Clin Endocrinol Metab 2005;90:4650–8. https://doi.org/10.1210/jc.2005-0628.Suche in Google Scholar PubMed
4. March, WA, Moore, VM, Willson, KJ, Phillips, DIW, Norman, RJ, Davies, MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod Oxf Engl 2010;25:544–51. https://doi.org/10.1093/humrep/dep399.Suche in Google Scholar PubMed
5. Li, R, Yu, G, Yang, D, Li, S, Lu, S, Wu, X, et al. Prevalence and predictors of metabolic abnormalities in Chinese women with PCOS: a cross-sectional study. BMC Endocr Disord 2014;14:76. https://doi.org/10.1186/1472-6823-14-76.Suche in Google Scholar PubMed PubMed Central
6. Ganie, MA, Vasudevan, V, Wani, IA, Baba, MS, Arif, T, Rashid, A. Epidemiology, pathogenesis, genetics & management of polycystic ovary syndrome in India-Indian. J MED Res 2019;150:333–44. https://doi.org/10.4103/ijmr.ijmr_1937_17.Suche in Google Scholar PubMed PubMed Central
7. Glueck, CJ, Dharashivkar, S, Wang, P, Zhu, B, Gartside, PS, Tracy, T, et al. Obesity and extreme obesity, manifest by ages 20–24 years, continuing through 32–41 years in women, should alert physicians to the diagnostic likelihood of polycystic ovary syndrome as a reversible underlying endocrinopathy. Eur J Obstet Gynecol Reprod Biol 2005;122:206–12. https://doi.org/10.1016/j.ejogrb.2005.03.010.Suche in Google Scholar PubMed
8. Domecq, JP, Prutsky, G, Mullan, RJ, Hazem, A, Sundaresh, V, Elamin, MB, et al. Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis. J Clin Endocrinol Metab 2013;98:4655–63. https://doi.org/10.1210/jc.2013-2385.Suche in Google Scholar PubMed
9. Randeva, HS, Tan, BK, Weickert, MO, Lois, K, Nestler, JE, Sattar, N, et al. Cardiometabolic aspects of the polycystic ovary syndrome. Endocr Rev 2012;33:812–41. https://doi.org/10.1210/er.2012-1003.Suche in Google Scholar PubMed PubMed Central
10. Joshi, B, Mukherjee, S, Patil, A, Purandare, A, Chauhan, S, Vaidya, R. A cross-sectional study of polycystic ovarian syndrome among adolescent and young girls in Mumbai, India. Indian J Endocrinol Metab 2014;18:317–24. https://doi.org/10.4103/2230-8210.131162.Suche in Google Scholar PubMed PubMed Central
11. Sobiya N Moghul. 1 in 5 women affected by PCOS in India! But fret not, we have the solution [Internet]. Indiatimes.com; 2015. Available from: https://www.indiatimes.com/health/healthyliving/1-in-5-women-affected-by-pcos-in-india-but-fret-not-we-have-the-solution-244753.html [Accessed 21 Jan 2020].Suche in Google Scholar
12. Gill, H, Tiwari, P, Dabadghao, P. Prevalence of polycystic ovary syndrome in young women from North India: a community-based study. Indian J Endocrinol Metab 2012;16:389. https://doi.org/10.4103%2F2230-8210.104104.10.4103/2230-8210.104104Suche in Google Scholar PubMed PubMed Central
13. Balaji, S, Amadi, C, Prasad, S, Bala Kasav, J, Upadhyay, V, Singh, AK, et al. Urban, rural comparisons of polycystic ovary syndrome burden among adolescent girls in a hospital setting in India. BioMed Res Int 2015;2015:e158951. https://doi.org/10.1155/2015/158951.Suche in Google Scholar PubMed PubMed Central
14. Yildiz, BO, Knochenhauer, ES, Azziz, R. Impact of obesity on the risk for polycystic ovary syndrome. J Clin Endocrinol Metab 2008;93:162–8. https://doi.org/10.1210/jc.2007-1834.Suche in Google Scholar PubMed PubMed Central
15. Szczuko, M, Malarczyk, I, Zapałowska-Chwyć, M. Improvement in anthropometric parameters after rational dietary intervention in women with polycystic ovary syndrome as the best method to support treatment. Rocz Panstw Zakl Hig 2017;68:409–17. https://doi.org/10.1038/ejcn.2015.112.Suche in Google Scholar PubMed
16. Merkin, SS, Azziz, R, Seeman, T, Calderon-Margalit, R, Daviglus, M, Kiefe, C, et al. Socioeconomic status and polycystic ovary syndrome. J Womens Health (Larchmt) 2011;20:413–9. https://doi.org/10.1089/jwh.2010.2303.Suche in Google Scholar PubMed PubMed Central
17. Riley, JK, Jungheim, ES. Is there a role for diet in ameliorating the reproductive sequelae associated with chronic low-grade inflammation in polycystic ovary syndrome and obesity? Fertil Steril 2016;106:520–7. https://doi.org/10.1016/j.fertnstert.2016.07.1069.Suche in Google Scholar PubMed
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- A 70th birthday tribute to the pediatrician Joav Merrick
- Original Articles
- Determinants of waterpipe smoking among high school students in Jakarta, Indonesia
- Sociodemographic profile of psychoactive substance use among selected secondary school students in rural Nigeria
- An initiative to limit screen-time in children aged between 6 and 18 years in an urban area in Puducherry: a qualitative study
- Prevalence of ear morbidities among school children in Delhi, India: a cross-sectional study
- Lifestyle factors influencing the academic performance among the secondary school students in an urban area of south India
- Perceived burden, causes and consequences of adolescent pregnancy in the rural Maharashtra: a cultural domain analysis
- Association of alopecia with self-esteem in children and adolescents
- Balanced diet related knowledge, attitude and practices (KAP) among adolescent school girls in Noakhali district, Bangladesh: a cross sectional study
- Contraceptive use and its determinants among adolescent women in Tigray, Ethiopia: a multilevel modeling
- The burden of the probable polycystic ovarian syndrome and its associated factor among college going late adolescents and young adults: a cross sectional analytical study in urban Puducherry, South India
- Stress, self-compassion, and school burnout in Thai high school students
- The correlation of Internet addiction towards adolescents’ social interaction
- Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners
- Short Communication
- COVID-19 on TikTok: harnessing an emerging social media platform to convey important public health messages
Artikel in diesem Heft
- Frontmatter
- Editorial
- A 70th birthday tribute to the pediatrician Joav Merrick
- Original Articles
- Determinants of waterpipe smoking among high school students in Jakarta, Indonesia
- Sociodemographic profile of psychoactive substance use among selected secondary school students in rural Nigeria
- An initiative to limit screen-time in children aged between 6 and 18 years in an urban area in Puducherry: a qualitative study
- Prevalence of ear morbidities among school children in Delhi, India: a cross-sectional study
- Lifestyle factors influencing the academic performance among the secondary school students in an urban area of south India
- Perceived burden, causes and consequences of adolescent pregnancy in the rural Maharashtra: a cultural domain analysis
- Association of alopecia with self-esteem in children and adolescents
- Balanced diet related knowledge, attitude and practices (KAP) among adolescent school girls in Noakhali district, Bangladesh: a cross sectional study
- Contraceptive use and its determinants among adolescent women in Tigray, Ethiopia: a multilevel modeling
- The burden of the probable polycystic ovarian syndrome and its associated factor among college going late adolescents and young adults: a cross sectional analytical study in urban Puducherry, South India
- Stress, self-compassion, and school burnout in Thai high school students
- The correlation of Internet addiction towards adolescents’ social interaction
- Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners
- Short Communication
- COVID-19 on TikTok: harnessing an emerging social media platform to convey important public health messages
