Adverse Cardiometabolic Outcomes in Men With Sisters With Polycystic Ovary Syndrome

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

Having a sister with PCOS is associated with adverse cardiometabolic outcomes in men, already in early adulthood. Results contribute further knowledge on the familial impact of PCOS and highlight a patient group who may benefit from early screening and prevention.

Study context

Population
Men born in Sweden (1973–2013) with ≥1 sister, followed from age 5 until 31 December 2018
Participants
1,098,203 men
Exposure
Men with a sister with polycystic ovary syndrome (PCOS) vs men with unaffected sisters
Outcome
Clinical diagnosis of obesity, T2D, or hypertension (Cox regression, adjusted for birth year and parental education)
Methodological detailslongitudinal, subcohort analysis at age 18 to 20 years
  • Longitudinal
  • Subcohort analysis at age 18 to 20 years

Main finding

As reported in the abstract

Clinical diagnoses of obesity, T2D and hypertension
Each group vs unaffected sistersEstimate (95% CI)
Sister with PCOS
aHR, obesity 2.02(1.85–2.21)
Sister with PCOS
aHR, T2D 1.62(1.34–1.96)
Sister with PCOS
aHR, hypertension 1.24(1.08–1.43)

Observational data: associations, not effects.

Further findings

OutcomeEstimate
BMI and blood pressure categories in subcohort (n = 147 802; sister with PCOS n = 2970) · age 18 to 20 yearsSister with PCOSvs Unaffected sistersLogistic regressionaOR, overweight 1.33 (95% CI 1.19–1.49)
BMI and blood pressure categories in subcohort (n = 147 802; sister with PCOS n = 2970) · age 18 to 20 yearsSister with PCOSvs Unaffected sistersLogistic regressionaOR, obese 1.78 (95% CI 1.47–2.15)

BMI and blood pressure categories in subcohort (n = 147 802; sister with PCOS n = 2970) · age 18 to 20 years

Not associated with elevated blood pressure

Original publication

Adverse Cardiometabolic Outcomes in Men With Sisters With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. Published 27 February 2025. doi:10.1210/clinem/dgaf121

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