International Journal of Public Health Science (IJPHS) Vol.6, No.4, December 2017, pp. 356~359 ISSN: 2252-8806, DOI: 10.11591/ijphs.v6i4.10783  356 Journal homepage: https://www.iaescore.com/journals/index.php/IJPHS Central Obesity and BMI Associated with Different Phenotypes of Polycystic Ovary Syndrome in Adolescent 1 Bahar Morshed Behbahani, 2 Marzieh Akbaezadeh 1 Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Iran 2 Community Based Psychiatric Care Research Center, Department of Midwifery, Fatemeh (P.B.U.H) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Iran Article Info ABSTRACT Article history: Received Sep 15, 2017 Revised Nov 10, 2017 Accepted Nov 29, 2017 Adipose tissue distribution is effective in metabolic complications resulting from obesity. Fat accumulation in the body, particularly increase in visceral fat, is a major risk factor of diabetes and cardiovascular diseases. The present study aimed to determine the prevalence of obesity and android obesity based on various phenotypes of Polycystic Ovarian Syndrome (PCOS) in 14-18 year old high-school girl students in Shiraz in 2009. This descriptive study was conducted on 14-18 year old high-school girl students in Shiraz in 2009. Considering the confidence coefficient of 95% and loss rate of 20%, a 3190- subject sample size was determined for the study. The participants were selected through purposive sampling. After obtaining written informed consents, demographic information questionnaire was completed and the participants were examined regarding hirsutism, acne, alopecia, and menstrual disorders. Besides, the criteria proposed by Adams et al. were employed to diagnose PCOS in sonography. Android obesity and Body Mass Index (BMI) were evaluated, as well. The results of independent t-test showed no significant difference among various phenotypes of PCOS regarding mean android obesity and BMI (P>0.05). The results of the present study revealed no significant relationship between girl adolescents' obesity and various phenotypes of PCOS. However, adolescents should be informed about the long-term hyperandrogenic outcomes which are accompanied by insulin secretion and endanger their health after the age of 40 years. Keyword: Android obesity BMI Phenotypes PCOS Teenagers Copyright © 2017 Institute of Advanced Engineering and Science. All rights reserved. Corresponding Author: Bahar Morshed Behbahani Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran. Email: morshe_b@yahoo.com 1. INTRODUCTION In Europe, Polycystic Ovarian Syndrome (PCOS) is diagnosed by existence of cystic ovaries in sonography together with oligomenorrhea, hyperandrogenism, obesity, or increase of serum LH or testosterone. In the U.S., on the other hand, National Institute Health (NIH) in 1990 suggested hyperandrogenism or hyperandrogenemia and ovulatory dysfunction in the absence of non-classical adrenal hyperplasia as the diagnostic criteria for PCOS [1]. PCOS is mainly accompanied by oligomenorrhea or amenorrhea and is identified by the clinical or laboratory indications of hyperandrogenemia. Therefore, the prevalence rate of PCOS is varied from 6% to 22% in different parts of the world [2],[3] and the difference in statistics results from different criteria used for diagnosis of this syndrome [4]. Nowadays, it has been shown that a large number of obese women with PCOS suffer from hyperinsulinemia, as well [5]. Moreover, many adolescents suffering from PCOS are overweight or obese. It seems that PCOS is the endocrine cause of