ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
National Institute of Nutrition, Service A of Diabetology and Nutrition, Tunis, Tunisia.
Introduction: Hirsutism is clinically defined as presence of excessive body hair in women in androgen-dependent areas. The aim of our study was to determine the prevalence and the characteristics of hirsutism in obesity.
Patients and methods: This was a descriptive cross-sectional study including 65 obese Tunisian women of reproductive age conducted in the obesity unit of the national Institute of nutrition of Tunis. The Ferriman-Gallwey score was used to evaluate hirsutism.
Results: The mean age of the patients was 33.36±10.76 years. The mean body mass index was 37.13±7.31 kg/m2with morbid obesity in 32.3% of patients. The mean body fat percentage was 45.69±5.89% with a mean waist circumference of 110.43±21.86 cm. Diabetes, hypertension and dyslipidemia were found in respectively 23.1%, 16.9% and 15.4% of cases. The mean age at menarche was 11.94±2.46 years. Irregular menstrual cycles and amenorrhea was reported in respectively 28.1% and 17.5% of patients. Hirsutism was found in 41.5% of the patients: mild in 59.3% of cases, moderate in 7% and severe in 3.7% of cases. The mean blood testosterone level was 0.34±0.22 ng/ml [0.030.94]. Of the hirsute patients, blood testosterone level was below 0.6 ng/ml in 87.5% of cases and between 0.6 and 2 ng/ml for 3 patients. No patient had a testosteronemia above 2 ng/ml. Causes were dominated by polycystic ovary syndrome in 55.6% of cases.
Conclusion: Hirsutism is a frequent complication in obese women requiring a rigorous etiological investigation.