Adiposity and endometriosis severity and typology
Open accessAbstract
Study objective Prior research has collectively shown that endometriosis is inversely related to women's adiposity. The aim of this study was to assess whether this inverse relationship holds true by disease severity and typology. Design Cross-sectional study among women with no prior diagnosis of endometriosis. Setting Fourteen clinical centers in Salt Lake City, UT, and San Francisco, CA. Patients A total of 495 women (of which 473 were analyzed), aged 18-44 years, were enrolled in the operative cohort of the Endometriosis, Natural History, Diagnosis, and Outcomes (ENDO) Study. Interventions Gynecologic laparoscopy/laparotomy regardless of clinical indication. Measurements and main results Participants underwent anthropometric assessments, body composition measurements, and evaluations of body fat distribution ratios before surgery. Surgeons completed a standardized operative report immediately after surgery to capture revised American Society for Reproductive Medicine staging (I-IV) and typology of disease (superficial endometriosis [SE], ovarian endometrioma [OE], and deep infiltrating endometriosis [DIE]). Linear mixed models, taking into account within-clinical-center correlation, were used to generate least square means (95% confidence intervals) to assess differences in adiposity measures by endometriosis stage (no endometriosis, I-IV) and typology (no endometriosis, SE, DIE, OE, OE + DIE) adjusting for age, race/ethnicity, and parity. Although most confidence intervals were wide and overlapping, 3 general impressions emerged: (1) women with incident endometriosis had the lowest anthropometric/body composition indicators compared with those without incident endometriosis, (2) women with stage I or IV endometriosis had lower indicators compared with women with stage II or III, and (3) women with OE and/or DIE tended to have the lowest indicators, whereas women with SE had the highest indicators. Conclusion Our research highlights that the relationship between women's adiposity and endometriosis severity and typology may be more complicated than prior research indicates.
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Women with deep infiltrating endometriosis and endometriomas have the lowest adiposity indicators compared with women with superficial endometriosis.
“Given our and other's previous research indicating that women with deep infiltrating endometriosis and endometriomas have the lowest adiposity indicators40 than women with superficial endometriosis”
From Examining the co-occurrence of endometriosis and polycystic ovarian syndrome (2023) · cites this paper as [40]
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- Authors
- Byun, J., Peterson, C. M., Backonja, U., Taylor, R. N., Stanford, J. B., Allen-Brady, K. L., Smith, K. R., Louis, G. M. B., & Schliep, K. C.
- Affiliations
- Stanford University (US)
- University of Utah (US)
- University of Washington (US)
- George Mason University (US)
- Corresponding author
- Schliep, Karen C.
- ORCID
- Venue
- Journal of Minimally Invasive Gynecology
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 27
- Issue
- 7
- Pages
- 1516-1523
- ISSN
- 1553-4650 (ISSN-L)
- PMC
- PMC7343585
- OpenAlex
- W2999121680
- Cited by
- 27
- References
- 39
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 1
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Minimally Invasive Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- University of Washington Tacoma Digital Commons (University of Washington Tacoma) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- endometriosis, adiposity, body fat distribution, endometriosis severity, superficial endometriosis, endometrioma, deep infiltrating endometriosis, body composition, anthropometry
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Diagnostic Techniques, Obstetrical and Gynecological, Endometriosis, Female, Humans, Ovarian Diseases, Peritoneal Diseases, Pregnancy, Prognosis, Severity of Illness Index, Gynecologic Surgical Procedures, Cohort Studies, Body Mass Index, Adiposity, Young Adult
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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