The Role of Obesity in Increasing the Risk of Endometriosis in Women: A Population-based Study
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M Saei Ghare Naz , M Mousavi , Sh Amirshekari , K Nakhoda , Sh Noori Ardebili , F Azizi , F Ramezani Tehrani  |
Reproductive Endocrinology Research Center, Research Institute for Endocrine Molecular Biology, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, , fah.tehrani@gmail.com |
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Abstract: (291 Views) |
Introduction: Endometriosis is a chronic disorder in women. There is conflicting evidence regarding the association of various anthropometric indices or endometriosis. This study aimed to determine the association between anthropometric measures and endometriosis in women. Materials and Methods: In this population-based cross-sectional study, eligible women were selected from the Tehran Lipid and Glucose Study participants. Endometriosis diagnosis was made by reviewing medical records confirming the disease. A logistic regression model assessed the association between various anthropometric indices and the chance of developing endometriosis. Results: A total of 1,303 women were included in the study. Of the participants, 250 (19.2%) had endometriosis, and 1,053 (80.8%) did not. After adjusting for age, physical activity, and smoking, anthropometric indices, weight (odds ratio: 1.0084, 95% CI: 0.9959-1.0209), height (odds ratio: 0.99, 95% CI: 0.9661-1.0196), hip circumference (odds ratio: 1.001, 95% CI: 0.9838-1.0186), and body mass index (odds ratio: 1.024, 95% CI: 0.9912-1.0583) were not associated with an increased risk of endometriosis in this study population, (P>0.05). However, waist circumference (odds ratio: 1.017, 95% CI: 1.0019-1.0324), (P=0.02) visceral fat index (odds ratio: 1.03, 95% CI: 1.0017-1.0762), (P=0.04) and body roundness index (odds ratio: 1.13, 95% CI: 1.0115-1.2628) (P=0.03) were significantly associated with increased risk of endometriosis. Conclusion: This study's results suggest that indicators related to obesity measurement can be considered risk factors for endometriosis. |
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Keywords: Endometriosis, Obesity, Women |
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Full-Text [PDF 819 kb]
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Type of Study: Original |
Subject:
Gynecology Received: 2025/01/18 | Accepted: 2025/02/22 | Published: 2025/03/30
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