Endometriosis and Body Fat Distribution
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This case-control study found that among women under 30, a lower waist-to-hip and waist-to-thigh ratio was associated with a higher risk of endometriosis.
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Abstract
OBJECTIVE: To examine the association of body fat distribution with risk of endometriosis in an effort to determine whether a specific somatotype is related to the disease. METHODS: We conducted a case-control study of 88 laparoscopically confirmed cases of endometriosis, identified in a specialty gynecologic practice in western New York, and 88 age-matched friend controls. Data were collected by standardized personal interview, and body measurements were taken in a standardized fashion by one interviewer. Risk of endometriosis associated with body fat distribution, as expressed by waist-to-hip and waist-to-thigh ratios, was assessed using logistic regression. RESULTS: For women under 30 years of age (45 cases, 46 controls), endometriosis was inversely related to both waist-to-hip ratio (odds ratio 6.18, 95% confidence interval [CI] 2.01-19.01) and waist-to-thigh ratio (odds ratio 3.64, 95% CI 1.23-10.78). This effect was not evident among women aged 30 years and older (43 cases, 42 controls). CONCLUSION: Our results suggest a specific somatotype with a predominance of peripheral body fat among women with endometriosis. This finding may provide information useful in both the diagnosis and understanding of the disease etiology.
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- Epidemiological and Clinical Risk Factors for Endometriosis 2017
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- Beyond Body Mass Index: Using Anthropometric Measures and Body Composition Indicators to Assess Odds of an Endometriosis Diagnosis 2017
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- Overall Adiposity, Adipose Tissue Distribution, and Endometriosis 2016
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- Pelvic and Extragenital Endometriosis: A Review of the Surgical Management of Deeply Infiltrating Lesions 2013
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- Body size and endometriosis: results from 20 years of follow-up within the Nurses' Health Study II prospective cohort 2013
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- Deep infiltrating endometriosis is associated with markedly lower body mass index: a 476 case-control study 2011
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- Pelvic pain in endometriosis: is success of therapy gone in cigarette smoke? 2011
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- Association of body mass index with severity of endometriosis in Korean women 2008
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- Incidence of Laparoscopically Confirmed Endometriosis by Demographic, Anthropometric, and Lifestyle Factors 2004
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- Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy 2003
- The Epidemiology of Endometriosis 2002
- What makes a good case–control study? 2002
- Menopause and gynaecological disorders: a life course perspective 2002
- Increased Leptin Levels in Serum and Peritoneal Fluid of Patients with Pelvic Endometriosis1 2000
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- Risk Factors for Endometriosis: Menstrual and Life-Style Characteristics 1998
- Epidemiologic determinants of endometriosis: A hospital-based case-control study 1997
- EPIDEMIOLOGY OF ENDOMETRIOSIS 1997
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