Polycystic ovary syndrome (PCOS) and the risk of coronary heart disease (CHD): a meta-analysis.
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// Luqian Zhao 1 , Zhigang Zhu 1 , Huiling Lou 1 , Guodong Zhu 1 , Weimin Huang 1 , Shaogang Zhang 1 and Feng Liu 1 1 Department of Geriatrics, Guangzhou First People’s Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China Correspondence to: Feng Liu, email: // Keywords : PCOS; cardiovascular disease; association; meta-analysis; Pathology Section Received : April 03, 2016 Accepted : May 13, 2016 Published : May 22, 2016 Abstract Some studies reported a significant association between polycystic ovary syndrome (PCOS) and risk of cardiovascular disease (CVD). However, the results are controversial. A systematic search was conducted in the PubMed, Science Direct, EMBASE, and Cochrane Library databases. Five case-control studies and 5 cohort studies were selected, involving a total of 104392 subjects in this meta-analysis. PCOS was significantly associated with the increased risk of CVD (OR = 1.30; 95% CI 1.09 – 1.56; P = 0.004). In the subgroup analysis of study design, both case-control studies and prospective cohort studies showed significant results (OR = 1.79; 95% CI 1.16 – 2.77; P = 0.009; OR = 1.20; 95% CI 1.06 – 1.37; P = 0.005), while retrospective cohort studies did not show positive result (OR = 0.91; 95% CI 0.60 – 1.40; P = 0.68). In a further stratified analysis by type of CVD, a significant association was found between PCOS and coronary heart disease (CHD) (OR = 1.44; 95% CI 1.13 – 1.84; P = 0.004). However, no significant association was observed between PCOS and myocardial infarction (MI) (OR = 1.01; 95% CI 0.68 – 1.51; P = 0.95). In conclusion, this meta-analysis suggested that PCOS is significantly associated with increased CHD risk.
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Women with PCOS have a 30% increased risk of developing cardiovascular disease and a 44% increased risk of coronary heart disease compared with age- and BMI-matched healthy women.
“a meta-analysis recently reported that women with PCOS have a 30% increased risk of developing CVD and 44% increased risk of coronary heart disease compared with age and BMI-matched healthy women (1).”
From Effect of liraglutide on atrial natriuretic peptide, adrenomedullin, and copeptin in PCOS (2018) · cites this paper as [1]
Women with polycystic ovary syndrome have a 1.3-fold greater risk of developing composite cardiovascular disease than women who do not have polycystic ovary syndrome.
“Women with polycystic ovary syndrome had a 1.3-fold greater risk of developing composite cardiovascular disease than women who did not have polycystic ovary syndrome (table 1).66”
From Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review (2020) · cites this paper as [66]
The increased risk of composite cardiovascular disease in women with polycystic ovary syndrome is maintained when examining ischaemic heart disease separately.
“This increased risk was maintained when examining ischaemic heart disease66 and stroke85 separately (supplementary table 3).”
From Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review (2020) · cites this paper as [66]
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- Authors
- Zhao, L., Zhu, Z., Lou, H., Zhu, G., Huang, W., Zhang, S., & Liu, F.
- Affiliations
- Guangzhou First People's Hospital (CN)
- Venue
- Oncotarget
- Publisher
- Impact Journals, LLC
- Published
- 2016-05-22
- Volume
- 7
- Issue
- 23
- Pages
- 33715-33721
- ISSN
- 1949-2553 (ISSN-L)
- PMC
- PMC5085114
- OpenAlex
- W2402673221
- Cited by
- 174
- References
- 22
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 31 · 2023: 16 · 2022: 23 · 2021: 22 · 2020: 17 · 2019: 11 · 2018: 14 · 2017: 13 · 2016: 1
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Oncotarget (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- polycystic ovary syndrome, coronary artery disease, cardiovascular risk, myocardial infarction, cardiovascular risk factors, hyperinsulinemia, dyslipidemia, insulin resistance, hyperandrogenism, type 2 diabetes, hypertension, smoking, physical inactivity, menopause, hormone replacement therapy, cardiovascular risk stratification
- MeSH terms
- Coronary Disease, Female, Humans, Polycystic Ovary Syndrome, Risk Factors, Incidence
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