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Relationship of Adolescent Polycystic Ovary Syndrome to Parental Metabolic Syndrome
Abstract
CONTEXT: We determined the relationship of metabolic syndrome (MBS) to polycystic ovary syndrome (PCOS). OBJECTIVE: We tested the hypothesis that parental MBS is related to the PCOS phenotype in their offspring. DESIGN/SETTING: We phenotyped for MBS and PCOS in our General Clinical Research Center. PATIENTS: Girls with PCOS, 12-19 yr old (n = 36, including one pair of siblings), and their parents (35 mothers, 19 fathers) were recruited from the Pediatric Endocrinology Clinic. Healthy girls, 12-19 yr old (n = 21), were recruited as a reference population. INTERVENTIONS: We measured anthropometrics, blood pressure, fasting lipids and androgens, oral glucose tolerance, and ultrasonographically determined polycystic ovary status. MAIN OUTCOME MEASURES: MBS in parents, and PCOS features in mothers, were related to the presence of PCOS features in probands. RESULTS: Fathers had strikingly high prevalence of excess adiposity (94% were obese or overweight) and MBS (79%). Premenopausal mothers more commonly had MBS (36%) than features of PCOS (< or =22%). Polycystic ovaries in proband offspring of premenopausal mothers were associated with maternal polycystic ovaries only in a minority of cases. Proband polycystic ovary status was completely concordant to fathers' MBS status (P = 0.008), but not their own or their mothers' MBS status, in families whose premenopausal mothers lacked polycystic ovaries. Proband prevalence of MBS was 27.8%, 3-fold greater than expected for obesity status. CONCLUSION: Familial factors related to paternal MBS seem to be fundamental to the pathogenesis of PCOS.
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“Fasting insulin and 24-hour insulin concentrations as well as stimulated insulin responses to intravenous glucose are elevated in adolescent girls at risk for PCOS even after adjusting for BMI [113]”
From The Diagnosis of Polycystic Ovary Syndrome during Adolescence (2015) · cites this paper as [113]
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Metadata
- Authors
- Leibel, N. I., Baumann, E. E., Kocherginsky, M., & Rosenfield, R. L.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Rosenfield, Robert L.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2006-04
- Volume
- 91
- Issue
- 4
- Pages
- 1275-1283
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2129794022
- Cited by
- 118
- References
- 83
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 10 · 2017: 2 · 2016: 3 · 2015: 8 · 2014: 9 · 2013: 12 · 2012: 2
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- University of Chicago
- U.S. Public Health Service (U54-041859)
- Pfizer Pharmaceuticals
- National Center for Research Resources (RR-00055)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-39267, R01HD039267)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Keywords
- polycystic ovary syndrome, metabolic syndrome, adolescent girls, parental influence, paternal obesity, family transmission, maternal metabolic syndrome, androgens, insulin resistance, hyperandrogenism
- MeSH terms
- Adolescent, Adult, Androgens, Anthropometry, Blood Pressure, Child, Fathers, Female, Glucose Tolerance Test, Humans, Insulin Resistance, Male, Middle Aged, Obesity, Parents, Phenotype, Polycystic Ovary Syndrome, Metabolic Syndrome, Dyslipidemias, Lipid Metabolism
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