title: Gender Differences in Biochemical and Electroneurographic Parameters of Median and Ulnar Nerve.
abstract: BACKGROUND
  In this article are demonstrated differences in the aspects of the metabolic syndrome (MSy) between genders, as well as the association of MSy and neuropathy.
  
  
  OBJECTIVE
  The aim of our study was that in patients with newly discovered metabolic syndrome of both sexes make comparison of fasting blood glucose levels and after oral glucose tolerance test, as well as neurophysiological parameters of n.medianus and n.ulnaris.
  
  
  METHODS
  All participants were examined dermatologically. The analysis included the 36 male and 36 female respondents with a newly discovered MSy.
  
  
  RESULTS
  The average age of men was 52.75±7.5 (40-65) years and women 52.1±7.7 (38-67) years. The average value of fasting blood glucose in women was 5.86±0.87 (4.5-8) mmol/L, and non significantly higher in men (p=0.0969) as 6.19±0.8 (4.7-8) mmol/L. Average values of blood sugar 120 minutes after oral glucose tolerance test were not significantly different (p=0.7052), and was 5.41±1.63 (3.3-9.7) mmol/L in women and 5.27±1.52 (2.7-9.8) mmol/L in men. Median motor velocity were significantly higher in women for n.medianus on the left (p=0.0024), n.ulnaris on the left (p=0.0081) and n.ulnaris on the right side (p=0.0293), and the median motor terminal latency were significantly longer in n.ulnaris on the left (p=0.0349) and n.ulnaris on the right side (p=0.011). There was no significant difference in the sensory conductivity velocity in n.medianus and n.ulnaris between the groups, but the amplitude with the highest peak of the sensory response was significantly higher in n.medianus on the left (p=0.0269) and n.ulnaris on the left side (p=0.0009) in female patients.
  
  
  CONCLUSIONS
  The results indicate that there are differences in neurophysiological parameters of the investigated nerves between the genders, and that tested nerve structures in the course of MSy are affected slightly more in men. There were no significant differences in skin changes between genders.
authors: Clinic for Neurology, Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
authors: Merita
authors: M
authors: Tiric-Campara
authors: Department for Neuropsychiatry, Primary Health Centre Tuzla, Bosnia and Herzegovina.
authors: Emir
authors: E
authors: Tupkovic
authors: Medical Faculty of Ljubljana, Ljubljana, Slovenia.
authors: Miro
authors: M
authors: Denislic
authors: Clinic for Orthopedics and Traumatology, Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
authors: Mirza
authors: M
authors: Biscevic
authors: Medical Faculty of Sarajevo University, Bosnia and Herzegovina.
authors: Amira
authors: A
authors: Skopljak
authors: Faculty for Health Sciences, University of Zenica, Zenica, Bosnia and Herzegovina.
authors: Lejla
authors: L
authors: Zunic
authors: Clinic for Neurology, Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
authors: Jasminka
authors: J
authors: Djelilovic-Vranic
authors: Clinic for Neurology, Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
authors: Azra
authors: A
authors: Alajbegovic
keywords: median nerve; metabolic syndrome; motor velocity; sensory velocity; ulnar nerve