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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 4, April 2024
Prevalance of PCOS in Teenagers (13 - 19 Years) in Rural South India - Screening and Early Detection by Anthropometric Method
Dr. Mohanambal | Dr. Mohanapriya | Dr. Nikita [7]
Abstract: Background: Polycystic ovarian syndrome (PCOS) is a common hormonal disorder in women of reproductive age. Early identification of girls at risk during adolescence can help mitigate long - term complications. Simple anthropometric tools may be useful for screening. Aim: To evaluate mid - arm circumference (MAC) / hip circumference, arm - chest ratio, arm - hip ratio and body mass index (BMI) as predictors of PCOS risk in teenage girls in rural South India. Methodology: This cross - sectional study included 2940 girls aged 13 - 19 years from South Indian schools in and around Sri Muthukumaran medical college and research institute, Mangadu during July 2022 to august 2023. Height, weight, MAC, hip and chest circumference were measured. BMI, arm - chest and arm - hip ratios were calculated. Data was analysed using logistic regression. Inclusion criteria: The school students aged between 13 - 19 years willing to participate with consent from parents and head of the institution. Exclusion criteria: 1) The school students age above 19 years situated in and around Sri Muthukumaran medical college and research institute and not willing to participate. 2) Students on continuous medication for other diseases. (Eg: Heart disease, Nephrotic syndrome, Juvenile diabetes) 3) Incomplete proforma. Results: The mean BMI was 20.49 kg/m2. Overall, 17.7% were overweight/obese as per WHO criteria. Significant correlations were observed between BMI and arm - chest ratio (r=0.176, p=0.033) and arm - hip ratio (r= - 0.282, p=0.001). Arm - hip ratio decreased significantly with higher BMI category (p=0.014). Conclusion: Anthropometric indices correlated significantly with BMI. In increasing BMI, reduction in arm - hip ratio indicated disproportionate fat distribution. These tools may help identify teenage girls at risk of abnormal weight gain and prone for future PCOS.
Keywords: Arm - chest ratio, Arm - hip ratio, polycystic ovary syndrome, adolescence, body mass index
Edition: Volume 13 Issue 4, April 2024,
Pages: 779 - 781