Possible link between stress-related factors and altered body composition in women with polycystic ovarian syndrome
Open accessAbstract
BACKGROUND: Stress is an invisible factor affecting modern day living and is strongly associated with many disease pathogenesis including polycystic ovarian syndrome (PCOS) in women. PCOS is the most frequent endocrinological disorder that affects women of reproductive age, leading to metabolic dysfunction and body composition alterations. Salivary amylase and cortisol are major stress mediators that have been implicated in PCOS. However, their role in altering body composition in PCOS is yet to be deciphered. AIM: The present study aimed at understanding the relation between stress-associated factors and alterations in body composition among PCOS patients. DESIGN: This study enrolled a total of 100 patients (PCOS) and 60 age-matched controls. The female patients were of ages between 13 and 30 years. MATERIALS AND METHODS: Standard assay kits were used to evaluate the α-amylase activity and cortisol level in saliva. The participants were chosen on the basis of the Rotterdam American Society for Reproductive Medicine/European Society of Human Reproduction criteria. Saliva was collected from each participant as per the protocol of Salimetrics, USA. STATISTICAL ANALYSIS: < 0.05 was considered significant. RESULTS: Increased salivary cortisol level and α-amylase activity were seen in the PCOS population as compared to age-matched controls suggesting patients a sustained stress scenario in their system. Moreover, overweight PCOS participants reflected higher amylase activity than the lean patients participants. Pulse rate, body mass index (BMI), visceral adiposity, and waist-hip ratio (WHR) was considerably higher in the PCOS patients participants compared to controls. A significant correlation could be drawn between the α-amylase activity and BMI or WHR, respectively, among PCOS patients. These observations indicate a strong link between the stress marker and alterations in the body composition parameters of PCOS patients participants. CONCLUSION: Higher prevalence of stress in PCOS patients participants has a critical role in their altered body composition.
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PCOS is thought to be increasing in incidence in both developing and developed nations as a result of lifestyle-related changes in diet quality, reduced physical activity, ubiquitous environmental endocrine-disrupting chemicals, altered light exposures, sleep disturbance, heightened levels of stress and other environmental factors.
“PCOS is thought to be increasing in incidence in both developing and developed nations as a result of lifestyle-related changes in diet quality, reduced physical activity, ubiquitous environmental endocrine-disrupting chemicals (EDC), altered light exposures, sleep disturbance, heightened levels of stress and other environmental factors [11,34,35,36,37,38].”
From Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment (2022) · cites this paper as [37]
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Experimental — accuracy not yet measuredSeveral studies found an age-related increase in LNSC.
“Several studies found that there appears to be an age-related increase in LNSC (14, 15).”
From Late-night salivary cortisol and cortisone should be the initial screening test for cushing's syndrome (2022) · cites this paper as [14]
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Uncovering the Metabolic Origins of Polycystic Ovary Syndrome
Iyer, P. J., Reza, H., Chitteti, N., Singh, A., Goyal, R., Saiyad, S. S., Raj, A. E. R. S., Singla, N., Vats, B., Kamaladasan, D., et al. (2026) · Cureus · doi:10.7759/cureus.114165
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- Authors
- Basu, B., Chowdhury, O., & Saha, S.
- Affiliations
- Surendranath College (IN)
- Institute of Post Graduate Medical Education and Research (IN)
- ORCID
- Chowdhury, Olivia
- Venue
- Journal of Human Reproductive Sciences
- Published
- 2018
- Volume
- 11
- Issue
- 1
- Pages
- 10
- ISSN
- 0974-1208 (ISSN-L)
- PMC
- PMC5892097
- OpenAlex
- W2790351843
- Cited by
- 61
- References
- 40
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 13 · 2023: 12 · 2022: 13 · 2021: 8 · 2020: 5 · 2019: 3
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Human Reproductive Sciences (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- polycystic ovary syndrome, psychological stress, body composition, salivary cortisol, salivary amylase, visceral fat, waist-to-hip ratio, body mass index, overweight, women of reproductive age
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