Tkachenko S. S., Rodynskyi O. G., Reshetnikova Y. Yu.
MECHANISMS OF INTERRELATIONSHIP BETWEEN OBESITY AND DEVELOPMENT OF POLYCYSTIC OVARY SYNDROME
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About the author:
Tkachenko S. S., Rodynskyi O. G., Reshetnikova Y. Yu.
Heading:
LITERATURE REVIEWS
Type of article:
Scientific article
Annotation:
Polycystic ovary syndrome is becoming increasingly common nowadays, with one in ten women worldwide fac- ing this problem. Detecting this endocrinopathy is considered a difficult task, but this field is currently undergoing intensive development due to the percentage increase in prevalence and the danger of development, as the disease provokes the appearance of concomitant pathologies, including infertility, metabolic syndrome, obesity, impaired glucose tolerance, type 2 diabetes mellitus, cardiovascular risk, depression, obstructive sleep apnoea, endometrial cancer, etc. The aim of this study is to substantiate the influence of central and peripheral obesity on the onset of the disease. Adipose tissue secretes several biologically active substances – adipokines, for example, leptin, which has an inhibitory effect on insulin-induced ovarian steroidogenesis; adiponectin, which plays an essential role in the production of progesterone and oestrogen, ovulation and reduction of gonadotropin-releasing hormone secretion, including affects the secretion of luteinising hormone by the pituitary gland and triggers the secretion of oestradiol; chemerin, which can disrupt follicle-stimulating hormone-induced follicular steroidogenesis, and others. As we can see, tissue secretion has a direct impact on a woman's reproductive function. The lipid profile of adipose tissue can also change, affecting PCOS symptoms (primarily by acting on the hypothalamic-pituitary-ovarian axis) and the fur- ther development of the pathology. Understanding these changes, as well as the relationship between excess weight and ovarian dysfunction, will allow for a comprehensive approach to the creation of screening programmes and treatment standards, as well as preventive measures for patients with polycystic ovary syndrome.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», Issue 2,177, 121-129 pages, index UDC 612.83:612.662.9:618.173-073.7/-076-085:615.2.1-092.9