Is There Association Between Vitamin D Levels And Insulin Resistance In Polycystic Ovary Syndrome?
Is There An Association Between Vitamin D Levels And Insulin Resistance In Polycystic Ovary Syndrome?
1 other identifier
observational
166
1 country
1
Brief Summary
The primary aim of the current study is to clarify whether serum vitamin D levels \[25(OH)D3\] have a temporal association with insulin resistance and/or insulin sensitivity in PCOS women versus healthy ones. To achieve this aim, the investigators will conduct a prospective observational study involving obese and lean PCOS women in comparison to obese and lean healthy subjects living in Cairo, Egypt.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2016
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
June 10, 2016
CompletedFirst Posted
Study publicly available on registry
June 17, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedJune 17, 2016
June 1, 2016
4 months
June 10, 2016
June 16, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quantitative Insulin Sensitivity Check Index (QUICKI)
A validated measure of Insulin sensitivity based on fasting Insulin (uIU/mL) and Glucose (mg/dL).
After sample collection and analysis, through study completion, an average of 20 weeks.
Secondary Outcomes (3)
Fasting Plasma Insulin
12 hours of fasting.
Fasting Plasma Glucose
12 hours of fasting.
Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)
After sample collection and analysis, through study completion, an average of 20 weeks.
Study Arms (2)
Cases
Polycystic ovary syndrome (PCOS) female patients. 20-35 years of age.
Controls
Non-PCOs female subjects. 20-35 years of age.
Eligibility Criteria
In this study, a total of 166 consenting women with and without PCOS will be asked to participate and divided into two groups; 83 female patients will represent PCOS recruited from the outpatient clinics of Ain Shams university maternity hospital, along with 83 non-PCOS women who will represent controls recruited after fulfilling specific criteria.
You may qualify if:
- PCOS will be diagnosed in accordance with Rotterdam criteria.
- No relevant systemic diseases e.g. hypertension, DM.
You may not qualify if:
- Androgen secreting tumor.
- Cushing syndrome.
- Congenital adrenal hyperplasia.
- Hyperprolactinemia.
- Virilism.
- Pregnant or nursing.
- Conditions known to affect Vitamin D deficiency like renal disease, liver disease, gastrointestinal problems and malnutrition.
- Taking vitamin D or calcium supplements.
- Untreated hypothyroidism or hyperthyroidism.
- Non-PCOS female subjects criteria:
- Regular menstrual cycles
- Not suffering from any conditions known to affect Vitamin D deficiency like renal disease, liver disease, gastro-Intestinal problems and malnutrition.
- Not taking vitamin D or calcium supplements.
- No relevant systemic diseases e.g. hypertension, DM.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ain Shams University Maternity Hospital
Cairo, Abbasseya District., 11566, Egypt
Related Publications (31)
Yildizhan R, Kurdoglu M, Adali E, Kolusari A, Yildizhan B, Sahin HG, Kamaci M. Serum 25-hydroxyvitamin D concentrations in obese and non-obese women with polycystic ovary syndrome. Arch Gynecol Obstet. 2009 Oct;280(4):559-63. doi: 10.1007/s00404-009-0958-7. Epub 2009 Feb 13.
PMID: 19214546BACKGROUNDBoucher BJ, Mannan N, Noonan K, Hales CN, Evans SJ. Glucose intolerance and impairment of insulin secretion in relation to vitamin D deficiency in east London Asians. Diabetologia. 1995 Oct;38(10):1239-45. doi: 10.1007/BF00422375.
PMID: 8690178BACKGROUNDOrwoll E, Riddle M, Prince M. Effects of vitamin D on insulin and glucagon secretion in non-insulin-dependent diabetes mellitus. Am J Clin Nutr. 1994 May;59(5):1083-7. doi: 10.1093/ajcn/59.5.1083.
PMID: 8172095BACKGROUNDThomson RL, Spedding S, Buckley JD. Vitamin D in the aetiology and management of polycystic ovary syndrome. Clin Endocrinol (Oxf). 2012 Sep;77(3):343-50. doi: 10.1111/j.1365-2265.2012.04434.x.
PMID: 22574874BACKGROUNDDunaif A. Insulin resistance and the polycystic ovary syndrome: mechanism and implications for pathogenesis. Endocr Rev. 1997 Dec;18(6):774-800. doi: 10.1210/edrv.18.6.0318.
PMID: 9408743BACKGROUNDSelimoglu H, Duran C, Kiyici S, Ersoy C, Guclu M, Ozkaya G, Tuncel E, Erturk E, Imamoglu S. The effect of vitamin D replacement therapy on insulin resistance and androgen levels in women with polycystic ovary syndrome. J Endocrinol Invest. 2010 Apr;33(4):234-8. doi: 10.1007/BF03345785. Epub 2009 Oct 9.
PMID: 19820295BACKGROUNDArdabili HR, Gargari BP, Farzadi L. Vitamin D supplementation has no effect on insulin resistance assessment in women with polycystic ovary syndrome and vitamin D deficiency. Nutr Res. 2012 Mar;32(3):195-201. doi: 10.1016/j.nutres.2012.02.001.
PMID: 22464806BACKGROUNDLobo RA, Carmina E. The importance of diagnosing the polycystic ovary syndrome. Ann Intern Med. 2000 Jun 20;132(12):989-93. doi: 10.7326/0003-4819-132-12-200006200-00010.
PMID: 10858183BACKGROUNDCarmina E. Genetic and environmental aspect of polycystic ovary syndrome. J Endocrinol Invest. 2003 Nov;26(11):1151-9. doi: 10.1007/BF03345266.
PMID: 15008257BACKGROUNDRosenfield RL. Clinical review: Identifying children at risk for polycystic ovary syndrome. J Clin Endocrinol Metab. 2007 Mar;92(3):787-96. doi: 10.1210/jc.2006-2012. Epub 2006 Dec 19.
PMID: 17179197BACKGROUNDAzziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab. 2004 Jun;89(6):2745-9. doi: 10.1210/jc.2003-032046.
PMID: 15181052RESULTGluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med. 2008 Jul 3;359(1):61-73. doi: 10.1056/NEJMra0708473. No abstract available.
PMID: 18596274RESULTBarber TM, Dimitriadis GK, Andreou A, Franks S. Polycystic ovary syndrome: insight into pathogenesis and a common association with insulin resistance. Clin Med (Lond). 2016 Jun;16(3):262-6. doi: 10.7861/clinmedicine.16-3-262.
PMID: 27251917RESULTFranks S, Stark J, Hardy K. Follicle dynamics and anovulation in polycystic ovary syndrome. Hum Reprod Update. 2008 Jul-Aug;14(4):367-78. doi: 10.1093/humupd/dmn015. Epub 2008 May 22.
PMID: 18499708RESULTRotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004 Jan;19(1):41-7. doi: 10.1093/humrep/deh098.
PMID: 14688154RESULTWehr E, Pilz S, Schweighofer N, Giuliani A, Kopera D, Pieber TR, Obermayer-Pietsch B. Association of hypovitaminosis D with metabolic disturbances in polycystic ovary syndrome. Eur J Endocrinol. 2009 Oct;161(4):575-82. doi: 10.1530/EJE-09-0432. Epub 2009 Jul 23.
PMID: 19628650RESULTHahn S, Haselhorst U, Tan S, Quadbeck B, Schmidt M, Roesler S, Kimmig R, Mann K, Janssen OE. Low serum 25-hydroxyvitamin D concentrations are associated with insulin resistance and obesity in women with polycystic ovary syndrome. Exp Clin Endocrinol Diabetes. 2006 Nov;114(10):577-83. doi: 10.1055/s-2006-948308.
PMID: 17177140RESULTRamagopalan SV, Heger A, Berlanga AJ, Maugeri NJ, Lincoln MR, Burrell A, Handunnetthi L, Handel AE, Disanto G, Orton SM, Watson CT, Morahan JM, Giovannoni G, Ponting CP, Ebers GC, Knight JC. A ChIP-seq defined genome-wide map of vitamin D receptor binding: associations with disease and evolution. Genome Res. 2010 Oct;20(10):1352-60. doi: 10.1101/gr.107920.110. Epub 2010 Aug 24.
PMID: 20736230RESULTKumar S, Davies M, Zakaria Y, Mawer EB, Gordon C, Olukoga AO, Boulton AJ. Improvement in glucose tolerance and beta-cell function in a patient with vitamin D deficiency during treatment with vitamin D. Postgrad Med J. 1994 Jun;70(824):440-3. doi: 10.1136/pgmj.70.824.440.
PMID: 8029165RESULTHe C, Lin Z, Robb SW, Ezeamama AE. Serum Vitamin D Levels and Polycystic Ovary syndrome: A Systematic Review and Meta-Analysis. Nutrients. 2015 Jun 8;7(6):4555-77. doi: 10.3390/nu7064555.
PMID: 26061015RESULTLin MW, Wu MH. The role of vitamin D in polycystic ovary syndrome. Indian J Med Res. 2015 Sep;142(3):238-40. doi: 10.4103/0971-5916.166527. No abstract available.
PMID: 26458338RESULTPal L, Berry A, Coraluzzi L, Kustan E, Danton C, Shaw J, Taylor H. Therapeutic implications of vitamin D and calcium in overweight women with polycystic ovary syndrome. Gynecol Endocrinol. 2012 Dec;28(12):965-8. doi: 10.3109/09513590.2012.696753. Epub 2012 Jul 11.
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PMID: 23303986RESULTRaja-Khan N, Shah J, Stetter CM, Lott ME, Kunselman AR, Dodson WC, Legro RS. High-dose vitamin D supplementation and measures of insulin sensitivity in polycystic ovary syndrome: a randomized, controlled pilot trial. Fertil Steril. 2014 Jun;101(6):1740-6. doi: 10.1016/j.fertnstert.2014.02.021. Epub 2014 Mar 14.
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PMID: 20133466RESULT
Biospecimen
Overnight fasting venous blood samples will be withdrawn between the 2nd and 3rd day of menstruation, and withdrawal bleeding following progesterone therapy for 5 days in amenorheic women, centrifuged and frozen to -80 C until analyzed for the assessment of vitamin D levels, Androgen levels, plasma Glucose and plasma Insulin, FSH and LH analogues.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Hisham M Fathi, Phd, MD
Professor of Obstetrics & Gynecology. Faculty of Medicine - Ain Shams University.
- STUDY DIRECTOR
Sherif A Ashoush, Phd, MD
Professor of Obstetrics & Gynecology. Faculty of Medicine - Ain Shams University.
- PRINCIPAL INVESTIGATOR
Sara S Youssef, MD
MD, Obstetrics and Gynecology. Faculty of Medicine - Ain Shams University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
June 10, 2016
First Posted
June 17, 2016
Study Start
March 1, 2016
Primary Completion
July 1, 2016
Study Completion
August 1, 2016
Last Updated
June 17, 2016
Record last verified: 2016-06
Data Sharing
- IPD Sharing
- Will share