María Eugenia Fonseca

Upper Body Obesity and Hyperinsulinemia Are Associated with Anovulation

The objective of this study was to determine the effect of body fat distribution and hyperinsulinemia on the occurrence of ovulation. Fifty-six women (20–35 years old) either with overweight or obesity (body mass index ≥25) were studied. They were classified in two groups according to waist/hip ratio (WHR); one with predominance of adiposity in the upper body segment (n = 29, WHR >0.85) and the other with predominant adiposity in the lower body segment (n = 27, WHR ≤0.85). Basal body temperature and serum progesterone were determined in each cycle during 6 months. Serum insulin levels were measured at baseline and 30, 60, 90, 120 and 180 min after a 75-gram oral glucose load. The mean insulin values in response to oral glucose load in patients with upper body segment obesity were significantly higher than those corresponding to women with lower body segment obesity. Furthermore, the ratio between ovulated cycles and all the cycles studied in patients with upper body segment obesity was significantly lower than that observed in patients with lower body segment obesity. Upper body obesity seems to affect the ovulatory process and this may be related to the presence of hyperinsulinemia.

Salivary Testosterone and EEG Spectra of 9- to 11-Year-Old Male Children

Although most investigators agree that there are electroencephalogram (EEG) changes with chronological age around puberty, no one has remarked on why this is so. As the increase in testosterone at the end of prepubertal childhood is a biomarker for the onset of a period of accelerated growth and development, we searched for an association between testosterone level and the spectral power and topography of EEG. We tested 60 children between 9- and 11-years-old, each demonstrating normal neurological examination and Wechsler intelligence scale over 90. Salivary testosterone was measured using immunoenzymatic chemiluminescent assay. Children were divided into 3 groups according to measured testosterone level. EEG was processed with a Fast Fourier Transform; average of relative power spectral analyses were calculated and data divided into delta, theta, alpha, and beta bands. The principal finding was the highly significant interaction between EEG band and testosterone group, F(6, 171) = 4.54, Huynh-Feldt ??= 0.853, p = .001. Delta relative power decreased significantly and Alpha relative power increased significantly in the 2 groups with higher salivary testosterone concentration when compared to the lowest testosterone group. This work suggests that increased testosterone in prepubertal children can predict some of the same EEG changes that are usually associated with increased chronological age.

Steroid secretion by a lipoid cell tumor causing virilization and its diagnosis with computerized tomography.

Presented is the case of a virilized woman with a lipoid cell tumor of the ovary localized by computerized tomography. The major secretory products of the tumor were testosterone and estradiol; the production of androgens was responsible for the clinical features and hindered the effects of estrogens. Elevated levels of estradiol indicated important ovarian aromatase activity as reflected by large ovarian-peripheral venous gradients.