Serum adiponectin and metabolic profile in women with polycystic ovarian syndrome in relation to body mass index

Background: Polycystic ovarian syndrome is a common endocrine disorder which affects approximately 5-10% of women in reproductive age. It is both a reproductive endocrinopathy and a metabolic disorder.Methods: 160 women aged 18 to 40 years attending obstetrics and gynaecology clinic at Federal medical centre, Owerri, Imo State Nigeria were recruited and divided into 2 groups (women diagnosed with PCOS using Rotterdam criteria and control) of 80 participants each. Anthropometric data were collected, and participants categorized into 3 based on BMI. Fasting blood samples was collected for biochemical analyses. Data were analyzed using the Statistical Package for Social Sciences SPSS version 23.0, and level of significance set at p<0.05.Results: The mean serum levels of adiponectin and high density lipoprotein (HDL-C) were significantly lower while fasting plasma glucose, serum insulin, homeostatic model assessment for insulin resistance, total cholesterol, low density lipoprotein (LDL-C), very low density lipoprotein (VLDL-C) and triglyceride were significantly higher in women with PCOS when compared with the control (p<0.05) as well as in obese when compared with normal weight women with PCOS (p<0.05). BMI negatively correlated with serum adiponectin and HDL-C, but positively correlated with FPG, insulin, HOMA-IR, TC, TG, LDL-C and VLDL-C in women with PCOS (p<0.05).Conclusions: This study highlights the prevalent biochemical and metabolic derangements in PCOS patients and was more evident in the obese and overweight patients. Early detection with subsequent application of preemptive measures including lifestyle modifications are therefore essential in the management of PCOS patients

Effect of coffee consumption on liver enzymes (alanine transaminase, aspartate transaminase and alkaline phosphatase), total and conjugated bilirubin levels among students in Nnewi

Background: Coffee has a number of bioactive compounds that have beneficial effects on human health in general and more importantly is the fact that coffee consumption has positive impact on the liver function. The present study investigated the effect of coffee consumption on liver enzymes: alanine transaminase (ALT), aspartate transaminase (AST) and alkaline phosphatase (ALP), total bilirubin (TB) and conjugated bilirubin (CB) levels among student in Nnewi.Methods: A total of twenty-five (25) apparently healthy participants aged between 18 and 30 years which were randomly recruited from College of Health Sciences’ students to serve as both test and control group. Each participant was advised to abstain from coffee and similar beverages for a period of three weeks prior to the commencement of the study. Subsequently, in addition to their normal diet, each of the subjects was given 2 gm of coffee dissolved in 150 ml of hot water in which 50 mg of non-dairy creamer was added before breakfast daily for 28 consecutive days. 6 ml each of baseline and test samples (after an overnight fast) were collected at day 0 and 29 respectively from each participant. Liver enzymes such as ALT, AST, and ALP activity as well as TB and CB levels was determined using standard laboratory methods.Results: This showed significant reductions in the mean serum AST and ALT activity, TB and unconjugated bilirubin (UB) levels with no significant alterations in the mean ALP activity and CB level in participants studied after short-term coffee consumption.Conclusions: This study revealed the hepatoprotective effect of coffee intake at short term basis

Effect of omega-3 supplementation on serum adiponectin and fertility hormones in women with polycystic ovarian syndrome

Background: Polycystic ovarian syndrome (PCOS) is the most common endocrinopathy affecting women of reproductive age with prevalence of about 4%–20%. Aim: This study aims to evaluate serum adiponectin and fertility hormones in women with PCOS, and the subsequent effect of omega-3 supplementation. Subjects and Methods: One hundred and fifty women aged 18–40 years were assigned into groups A and B comprising women with PCOS and control, respectively. Group A was further subdivided into groups 1 and 2 receiving omega-3 and placebo daily for 12 weeks, respectively. Blood samples were collected before and after 12 weeks of supplementation for analysis of adiponectin, follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, prolactin, estradiol, progesterone, and sex hormone binding globulin (SHBG). Statistical Package for Social Sciences (SPSS) version 23.0 was used for data analysis, and the level of statistical significance was set at P < 0.05. Results: Serum adiponectin, progesterone, and SHBG were significantly lower while FSH, LH, testosterone, prolactin, and estradiol were significantly higher in women with PCOS when compared with the control (P < 0.05). Adiponectin and progesterone levels increased significantly while FSH, LH, testosterone, prolactin, and estradiol levels decreased significantly after 12 weeks of omega-3 supplementation when compared with the levels at baseline as well as when compared with those on placebo (P < 0.05). Statistical Package for Social Sciences (SPSS) version 23.0 was used for data analysis. Conclusion: Omega-3 may be beneficial in improving certain hormonal alterations in women with PCOS. Omega-3 supplements may therefore be used as part of the regimen in the management of patients with PCOS