title: Prevalence of metabolic syndrome in women with polycystic ovary syndrome attending an infertility clinic in a tertiary care hospital in south India.
abstract: OBJECTIVE
  The aim of the present study was to evaluate the prevalence of metabolic syndrome in women with polycystic ovary syndrome (PCOS).
  
  
  METHODS
  Infertility clinic in a tertiary care hospital.
  
  
  METHODS
  A prospective cross-sectional study.
  
  
  METHODS
  All the women attending the infertility clinic categorized as polycystic ovary syndrome according to Rotterdam criteria (2003) during the study period were included in the study. The women with PCOS underwent screening for metabolic syndrome as defined by the modified American Heart Association/National Heart Lung Blood Institute (AHA/NHLBI) modified ATP 111 (2005) definition. A multivariate logistic regression analysis was applied and significant predictors identified for the prediction of metabolic syndrome.
  
  
  RESULTS
  The overall prevalence of metabolic syndrome according to the modified AHA/NHLBI ATP III (2005) criteria was 37.5%. A total of 5.8 % cases were detected to have diabetes mellitus, 8.3% had impaired fasting glucose, and 11.7 % had an impaired glucose test. Dyslipidemia was present in 93.3% cases of PCOS. Among all the risk factors, age and waist hip ratio ≥0.85 were strongly associated with the presence of metabolic syndrome.
  
  
  CONCLUSIONS
  Infertile women with PCOS, particularly those with age ≥25 years or with central obesity (a waist hip ratio of ≥0.85), are at a higher risk of developing metabolic syndrome and should be offered screening tests.
authors.affiliation: Reproductive Medicine Unit, Christian Medical College, Vellore, India.
authors.forename: Kavita
authors.initials: K
authors.lastname: Mandrelle
authors.forename: Mohan S
authors.initials: MS
authors.lastname: Kamath
authors.forename: Dian J
authors.initials: DJ
authors.lastname: Bondu
authors.forename: Achamma
authors.initials: A
authors.lastname: Chandy
authors.forename: Tk
authors.initials: T
authors.lastname: Aleyamma
authors.forename: Korula
authors.initials: K
authors.lastname: George