PMID- 38010903 OWN - NLM STAT- MEDLINE DCOM- 20231129 LR - 20231129 IS - 1364-6893 (Electronic) IS - 0144-3615 (Linking) VI - 43 IP - 2 DP - 2023 Dec TI - Diminished ovarian reserve is associated with metabolic disturbances and hyperhomocysteinemia in women with infertility. PG - 2282722 LID - 10.1080/01443615.2023.2282722 [doi] AB - BACKGROUND: To distinguish the metabolic profile between women with diminished ovarian reserve (DOR) and those with normal ovarian reserve (NOR). METHODS: In this retrospective study, we enrolled 524 women under the age of 40 who were experiencing infertility: 261 in the DOR group and 263 in the NOR group. Physical characteristics and metabolic parameters were compared between these two groups. RESULTS: Women with DOR exhibited a higher propensity for elevated parameters including body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), as well as heightened serum levels of homocysteine (Hcy), triglycerides (TG), low-density lipoprotein (LDL), and triglyceride-glucose (TyG) index, while concurrently experiencing reduced serum levels of high-density lipoprotein (HDL) (P < 0.05). Furthermore, the incidence rates of TG >/= 1.7 mmol/L, hyperhomocysteinemia (HHcy), BMI >/= 25 kg/m(2), SBP/DBP >/= 130/85 mmHg, and metabolic syndrome (MS) were significantly elevated within the DOR group as compared to the NOR group (P < 0.05). CONCLUSION: The prevalence of metabolic disturbances and HHcy were notably elevated in women with infertility and DOR compared to those with NOR. FAU - Lu, Yuehong AU - Lu Y AD - Center for Reproductive Medicine of Shaoxing Women and Children's Hospital, Shaoxing, China. FAU - Xia, Zhoulan AU - Xia Z AUID- ORCID: 0000-0002-0571-9765 AD - Center for Reproductive Medicine of Shaoxing Women and Children's Hospital, Shaoxing, China. LA - eng PT - Journal Article DEP - 20231127 PL - England TA - J Obstet Gynaecol JT - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JID - 8309140 RN - 0 (Triglycerides) SB - IM MH - Humans MH - Female MH - Retrospective Studies MH - *Hyperhomocysteinemia/complications/epidemiology MH - *Ovarian Reserve MH - *Infertility MH - *Metabolic Syndrome/complications/epidemiology MH - Triglycerides MH - *Ovarian Diseases OAB - This study focused on the metabolic condition of women who had difficulty getting pregnant and had a decreased ovarian reserve. The findings indicated that these women had a higher likelihood of glucose and lipid metabolic disorders and elevated serum homocysteine levels compared to those with a normal ovarian reserve. These metabolic issues and elevated serum homocysteine levels were associated with an increased risk of cardiovascular disease. OABL- eng OTO - NOTNLM OT - Cardiovascular risk OT - dyslipidemia OT - hyperhomocysteinemia OT - metabolic disturbances OT - ovarian reserve EDAT- 2023/11/27 18:44 MHDA- 2023/11/29 06:42 CRDT- 2023/11/27 12:24 PHST- 2023/11/29 06:42 [medline] PHST- 2023/11/27 18:44 [pubmed] PHST- 2023/11/27 12:24 [entrez] AID - 10.1080/01443615.2023.2282722 [doi] PST - ppublish SO - J Obstet Gynaecol. 2023 Dec;43(2):2282722. doi: 10.1080/01443615.2023.2282722. Epub 2023 Nov 27.