Reproductive endocrinology

Fasting and postprandial oxytocin and incretin dynamics in women with polycystic ovary syndrome and healthy controls

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

Women with PCOS show lower fasting oxytocin and incretin levels and impaired postprandial responses. The correlation between oxytocin and GLP-1 indicates a potentially shared pathway in appetite regulation, which may be altered in PCOS and warrants further investigation.

Study context

Population
Women with polycystic ovary syndrome (PCOS) and age- and BMI-matched healthy controls undergoing a mixed meal test (MMT) in the early follicular phase
Participants
36 vs 36
Exposure
Women with PCOS vs healthy controls
  • PCOSn = 36
  • Controlsn = 36reference
Outcome
Baseline oxytocin
Follow-up
Baseline
Methodological detailsage- and BMI-matched controls
  • Age- and BMI-matched controls

Main finding

As reported in the abstract

P = 0.024

Observational data: associations, not effects.

Further findings

OutcomeP value
GLP-1: baseline and AUCPCOS vs Controls · reduced with PCOSP < 0.001
GLP-1: baseline and AUCPCOS vs Controls · reduced with PCOSP = 0.022
GIP: baseline and AUCPCOS vs Controls · reduced with PCOSP < 0.001
GIP: baseline and AUCPCOS vs Controls · reduced with PCOSP = 0.033
Food Craving Questionnaire (FCQ) scoresHigher with PCOSP < 0.001

Postprandial oxytocin response to MMT · 30 min

Oxytocin declined within 30 min in controls but remained unchanged in PCOS

Oxytocin–GLP-1 correlation · all time points

Oxytocin and GLP-1 significantly correlated at all time points

Oxytocin changes vs hunger and satiety · early

In controls only, early oxytocin changes correlated negatively with hunger and positively with satiety

Original publication

Fasting and postprandial oxytocin and incretin dynamics in women with polycystic ovary syndrome and healthy controls. Eur J Endocrinol. Published 31 July 2025. doi:10.1093/ejendo/lvaf154

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