Cited by 274Obstructive Sleep Apnea ResearchOvarian function and disordersSleep and related disorders

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Increased Prevalence of Obstructive Sleep Apnea Syndrome in Obese Women with Polycystic Ovary Syndrome1

Fogel, Robert B., Malhotra, Atul, Pillar, Giora, Pittman, Stephen D., Dunaif, Andrea, White, David P.·2001·The Journal of Clinical Endocrinology & Metabolism

Abstract

Obstructive Sleep Apnea (OSA) is considerably more common in men than women. Preliminary data suggest that androgens may play a role in the male predominance of apnea. Polycystic Ovary Syndrome (PCOS) is characterized by menstrual disturbances, androgen excess, and frequently obesity. These features suggest that women with PCOS may be at increased risk for OSA. To determine whether obese women with PCOS have an increased prevalence of sleep apnea compared with age and weight-matched reproductively normal women, we performed overnight polysomnography for determination of the apnea-hypopnea index (AHI) in 18 obese women with PCOS and age and weight-matched control women. Additional measurements included waist, hip, and neck circumferences, serum total testosterone, unbound testosterone, and DHEAS. Women with PCOS had a higher AHI than controls (22.5 +/- 6.0, vs. 6.7 +/- 1.0, P = 0.008). Women with PCOS were also more likely to suffer from symptomatic OSA syndrome (44.4% vs. 5.5%, P = 0.008). AHI correlated with waist-hip ratio (r = 0.51, P < 0.03), serum testosterone (r = 0.52, P < 0.03) and unbound testosterone (r = 0.50, P < 0.05) in women with PCOS. We conclude that obese women with PCOS are at increased risk of OSA when compared with matched reproductively normal women. Women with PCOS should be carefully questioned regarding symptoms of sleep apnea.

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References 51 · Cited by 274

Metadata

Authors
Fogel, R. B., Malhotra, A., Pillar, G., Pittman, S. D., Dunaif, A., & White, D. P.
Affiliations
Brigham and Women's Hospital (US)
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2001-03
Volume
86
Issue
3
Pages
1175-1180
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2159415187
Cited by
274
References
51
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 6 · 2019: 11 · 2018: 9 · 2017: 14 · 2016: 13 · 2015: 11 · 2014: 15 · 2013: 6 · 2012: 8
FWCI
5.78
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Sleep Foundation
  • Brigham and Women's Hospital
  • University of Pennsylvania
  • National Institutes of Health (1f32hl010246-01)
  • National Heart, Lung, and Blood Institute (HL 60292, HL-48531, HL-10246, P50HL060292, R01HL048531)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
obstructive sleep apnea, polycystic ovary syndrome, obesity, women, apnea-hypopnea index, hyperandrogenism, testosterone, dehydroepiandrosterone sulfate, waist-to-hip ratio, sleep apnea prevalence, risk factors
MeSH terms
Adult, Body Constitution, Female, Humans, Obesity, Polycystic Ovary Syndrome, Risk Factors, Testosterone, Body Mass Index, Linear Models, Dehydroepiandrosterone Sulfate, Sleep Apnea, Obstructive

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CoChat. (2026). Citation check: Increased Prevalence of Obstructive Sleep Apnea Syndrome in Obese Women with Polycystic Ovary Syndrome1. https://app.cochat.ai/papers/10.1210/jcem.86.3.7316
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Fogel, R. B., Malhotra, A., Pillar, G., Pittman, S. D., Dunaif, A., & White, D. P. (2001). Increased Prevalence of Obstructive Sleep Apnea Syndrome in Obese Women with Polycystic Ovary Syndrome1. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/jcem.86.3.7316