Role of hyperandrogenism on disordered eating behaviors in adolescents with PCOS and interplay with insulin resistance

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dc.authorid0000-0003-0915-5546
dc.authorid0000-0002-3962-4799
dc.authorid0000-0002-1046-7638
dc.authorid0000-0002-2159-523X
dc.contributor.authorKaymaz, Nazan
dc.contributor.authorKara, Ozlem
dc.contributor.authorSirin, Hande
dc.contributor.authorKasap, Tolga
dc.contributor.authorUzun, Mehmet Erdem
dc.date.accessioned2026-02-03T12:00:23Z
dc.date.available2026-02-03T12:00:23Z
dc.date.issued2026
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: This study examines the roles of hyperandrogenism (HA) and insulin resistance (IR) in eating behaviors among adolescents with polycystic ovary syndrome (PCOS). Methods: Fifty adolescents with PCOS (mean age 16.04 +/- 1.46 years, BMI 27.55 +/- 6.34) were assessed. IR was evaluated using HOMA-IR, and eating behaviors were measured with the Eating Attitudes Test (EAT) and the Eating Disorders Examination Questionnaire (EDE-Q). Results: IR was present in 46 % of participants, with obesity affecting 71 % of those with IR. While EAT scores showed no significant association with BMI, HA, or IR, the IR group had higher EDE-Q Total scores (p=0.05), particularly in Shape Concern (SC, p=0.003) and Weight Concern (WC, p=0.03). HA primarily influenced WC (p=0.04). BMI correlated more strongly with WC (r=0.579, p<0.001) than IR. ROC analysis indicated BMI>27.5 (AUC=0.967) and HOMA-IR>3.1 (AUC=0.961) as strong predictors of disordered eating. Conclusions: BMI and HOMA-IR are more reliable than HA for identifying disordered eating behaviors in PCOS adolescents. The EDE-Q is recommended for effective screening, emphasizing the need to monitor BMI and HOMA-IR in this population.
dc.identifier.doi10.1515/jpem-2025-0151
dc.identifier.endpage45
dc.identifier.issn0334-018X
dc.identifier.issn2191-0251
dc.identifier.issue1
dc.identifier.pmid41213125
dc.identifier.scopus2-s2.0-105021569609
dc.identifier.scopusqualityQ2
dc.identifier.startpage37
dc.identifier.urihttps://doi.org/10.1515/jpem-2025-0151
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34592
dc.identifier.volume39
dc.identifier.wosWOS:001611759700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWalter De Gruyter Gmbh
dc.relation.ispartofJournal of Pediatric Endocrinology & Metabolism
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectpolycystic ovary syndrome
dc.subjectinsulin resistance
dc.subjecthyperandrogenism
dc.subjectdisordered eating behaviors
dc.subjectadolescent
dc.titleRole of hyperandrogenism on disordered eating behaviors in adolescents with PCOS and interplay with insulin resistance
dc.typeArticle

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