Cited by 39Endometriosis Research and TreatmentCardiovascular Disease and AdiposityCancer Risks and Factors

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Overall Adiposity, Adipose Tissue Distribution, and Endometriosis: A Systematic Review

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Backonja, Uba, Buck Louis, Germaine M., Lauver, Diane R.·2016·Nursing Research

DOI 10.1097/nnr.0000000000000146PMC PMC4780367

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Abstract

BACKGROUND: Endometriosis has been associated with a lean body habitus. However, we do not understand whether endometriosis is also associated with other characteristics of adiposity, including adipose tissue distribution and amount of visceral adipose tissue (VAT; adipose tissue lining inner organs). Having these understandings may provide insights on how endometriosis develops-some of the physiological actions of adipose tissue differ depending on tissue amount and location and are related to proposed mechanisms of endometriosis development. OBJECTIVES: The aim of this study was to review the literature regarding overall adiposity, adipose tissue distribution and/or VAT, and endometriosis. METHODS: We reviewed and synthesized studies indexed in PubMed and/or Web of Science. We included studies that had one or more measures of overall adiposity, adipose tissue distribution, and/or VAT and women with and without endometriosis for comparison. We summarized the findings and commented on the methods used and potential sources of bias. RESULTS: Of 366 identified publications, 19 (5.2%) were eligible. Two additional publications were identified from reference lists. Current research included measures of overall adiposity (e.g., body figure drawings) or adipose tissue distribution (e.g., waist-to-hip ratio), but not VAT. The weight of evidence indicated that endometriosis was associated with low overall adiposity and with a preponderance of adipose tissue distributed below the waist (peripheral). DISCUSSION: Endometriosis may be associated with being lean or having peripherally distributed adipose tissue. Well-designed studies with various sampling frameworks and precise measures of adiposity and endometriosis are needed to confirm associations between adiposity measures and endometriosis and delineate potential etiological mechanisms underlying endometriosis.

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Authors: Backonja, U., Buck Louis, G. M., & Lauver, D. R.
Affiliations: University of Wisconsin–Madison (US)
ORCID: Backonja, Uba
Lauver, Diane R.
Venue: Nursing Research
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-03
Volume: 65
Issue: 2
Pages: 151-166
ISSN: 0029-6562 (ISSN-L)
DOI: 10.1097/nnr.0000000000000146
PMC: PMC4780367
OpenAlex: W2319146733
Cited by: 39
References: 83
Citations by year: 2026: 2 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 7 · 2020: 3 · 2018: 3 · 2017: 4
FWCI: 3.10
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Nursing Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
University of Washington Tacoma Digital Commons (University of Washington Tacoma) (submittedVersion)
Funders: U.S. National Library of Medicine (T15LM007442)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords: endometriosis, adiposity, visceral adipose tissue, body fat distribution, waist-to-hip ratio, body build, endometriosis etiology
MeSH terms: Endometriosis, Female, Humans, Intra-Abdominal Fat, Adiposity

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Overall Adiposity, Adipose Tissue Distribution, and Endometriosis: A Systematic Review

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