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Analysis of serum levels of anti-Mullerian hormone, inhibin B, insulin-like growth factor-I, insulin-like growth factor binding protein-3, and follicle-stimulating hormone with respect to age and menopausal status

Cited 27 time in Web of Science Cited 28 time in Scopus
Authors

Shin, Sun Young; Lee, Jung Ryeol; Noh, Gyung Woon; Kim, Hyun Joo; Kang, Won Jun; Kim, Seok Hyun; Chung, June-Key

Issue Date
2008-02-28
Publisher
Korean Academy of Medical Sciences
Citation
J Korean Med Sci. 2008; 23(1): 104-10
Keywords
AdultAge FactorsAnti-Mullerian Hormone/*bloodAnti-Mullerian Hormone/*bloodFollicle Stimulating Hormone/*bloodHumansInhibins/*bloodInsulin-Like Growth Factor Binding Protein 3/*bloodInsulin-Like Growth Factor I/*analysisMenopause/*bloodMiddle AgedROC Curve
Abstract
This study was undertaken to investigate age-dependent and postmenopausal changes in the serum levels of anti-Mullerian hormone (AMH), inhibin B, insulin-like growth factor (IGF)-I, IGF-binding protein-3 (IGFBP-3), and follicle-stimulating hormone (FSH), and to determine which of these markers best reflects the aging process in women. A total of 144 women aged 20-59 yr were enrolled in this cross-sectional study. Blood samples were obtained on cycle day 3 of regularly menstruating women (n=111), or at random in postmenopausal women (n=33). Data were analyzed with respect to premenopausal women age groups and compared in pre- and postmenopausal women. Area under the receiver operating characteristic curve (ROCAUC) analyses were performed to assess the ability of each marker to discriminate between the pre- and postmenopausal status. Serum levels of AMH, IGF-I, and IGFBP-3 decreased and serum levels of FSH increased significantly with age in premenopausal women. Serum luteinizing hormone (LH) was higher and inhibin B was lower in women in their 20-30's than in 40's. Serum levels of AMH and IGF-I showed a consistent decrease with all age groups. ROCAUC analysis showed that the diagnostic accuracy of AMH for menopausal status was similar to those of FSH, LH, and inhibin B, and was better than that of IGF-I. In conclusion, the serum AMH level appears to be the best marker of the aging process in premenopausal women.
ISSN
1011-8934 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18303208

https://hdl.handle.net/10371/67673
DOI
https://doi.org/10.3346/jkms.2008.23.1.104
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