Cited by 20Ovarian function and disordersCardiovascular Function and Risk FactorsDiabetes, Cardiovascular Risks, and Lipoproteins

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Blood pressure regulation and resting heart rate abnormalities in adolescent girls with polycystic ovary syndrome

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Zachurzok-Buczynska, Agnieszka, Szydlowski, Leslaw, Gawlik, Aneta, Wilk, Krzysztof, Malecka-Tendera, Ewa·2011·Fertility and Sterility

Abstract

Objective To assess the risk of cardiovascular disease on the basis of biochemical, echocardiographic, and 24-hour blood pressure (BP) monitoring parameters in adolescent girls with polycystic ovary syndrome (PCOS). Design Cross-sectional study. Setting Academic and research institution. Patient(s) Thirty-four obese and nonobese girls with PCOS were evaluated and compared with body mass index-matched girls with regular menses. Intervention(s) None. Main outcome measure(s) Androgens, gonadotropins, lipids, and fasting and oral glucose tolerance test-stimulated glucose and insulin concentrations were measured. Echocardiographic assessment and 24-hour BP monitoring were done. Result(s) Compared with obese controls, obese girls with PCOS had significantly higher 24-hour mean BP, day mean BP, day diastolic BP, and diastolic BP nighttime dip (75.5 ± 4.5 mm Hg vs. 71.7 ± 3.7 mm Hg; 78.2 ± 5.0 mm Hg vs. 73.6 ± 4.0 mm Hg; 67.6 ± 4.9 mm Hg vs. 63.7 ± 3.7 mm Hg; and 20.2% ± 5.2% vs. 15.0% ± 6.6%, respectively). Obese girls with PCOS had significantly higher night heart rate than obese controls (60.4 ± 5.6 beats per minute vs. 61.7 ± 4.8 beats per minute). Left ventricle end-diastolic (4.6 ± 0.3 cm vs. 4.2 ± 0.2 cm) and end-systolic diameter (3.0 ± 0.3 cm vs. 2.7 ± 0.2 cm) were also significantly higher in nonobese girls with PCOS than in nonobese controls; however, all values were still within the accepted range of normal limits. Conclusion(s) Higher night heart rate in obese girls with PCOS and higher day BP but preserved diastolic nocturnal dip in nonobese girls with PCOS may be regarded as early cardiovascular disease risk factors.

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Crossref · 10.1016/j.fertnstert.2011.09.043

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  • Ten studies included information regarding the use of wearables.

    “Ten studies included information regarding the use of wearables [77,78,79,80,81,82,83,84,85,86] (Supplementary File S3).”
  • Adolescents with PCOS, particularly those with obesity, may present asymptomatic adverse alterations (e.g., in blood pressure and resting heart rate), which are considered early cardiovascular disease risk factors.

    “Adolescents with PCOS, particularly those with obesity, may present asymptomatic adverse alterations (e.g., in blood pressure and resting heart rate), which are considered early cardiovascular disease risk factors [83].”
  • Wearables used included activity trackers, sleep monitors, 24-h blood pressure monitors, and more invasive ones inserted into the abdominal interstitial tissue for continuous glucose monitoring.

    “Wearables used included activity trackers [78,79,82], sleep monitors [77,80], 24-h blood pressure monitors [83], and more invasive ones inserted into the abdominal interstitial tissue for continuous glucose monitoring [81,84,85,86].”

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Metadata

Authors
Zachurzok-Buczynska, A., Szydlowski, L., Gawlik, A., Wilk, K., & Malecka-Tendera, E.
Affiliations
Medical University of Silesia (PL)
Venue
Fertility and Sterility
Publisher
Elsevier BV
Published
2011-12
Volume
96
Issue
6
Pages
1519-1525
ISSN
0015-0282 (ISSN-L)
OpenAlex
W1999017576
Cited by
20
References
0
Citations by year
2026: 1 · 2024: 2 · 2023: 3 · 2021: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 3 · 2013: 3 · 2012: 2
FWCI
1.79
Type
journal article
Language
en
Open access
Locations
  • Fertility and Sterility (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
polycystic ovary syndrome, adolescent girls, blood pressure, resting heart rate, cardiovascular risk, obesity, nocturnal blood pressure dipping, left ventricular dimensions, androgens, insulin resistance, dyslipidemia, gonadotropins
MeSH terms
Adolescent, Blood Glucose, Blood Pressure, Cardiovascular Diseases, Child, Cross-Sectional Studies, Female, Glucose Tolerance Test, Heart Rate, Humans, Insulin, Monitoring, Physiologic, Obesity, Polycystic Ovary Syndrome, Rest, Risk Factors, Body Mass Index

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