Reproductive endocrinology

Increased prospective cardiovascular disease risk in 127 517 Nordic women with polycystic ovary syndrome: a national cohort study

Eur J EndocrinolPublished Register-based cohort study

Main finding · CVD, combined meta-analysisResult — go to the resultAdjusted hazard ratio 1.32 95% CI 1.25–1.39

Authors' conclusion

The risk of CVD was increased in women with PCOS across the 3 Nordic countries, also among women with BMI < 25 kg/m2.

Study context

Population
Nordic women with polycystic ovary syndrome (PCOS) and age-matched controls from national registers of Denmark, Finland and Sweden; median age at entry 28 years (Denmark) and 29 years (Finland and Sweden)3 national cohorts
Participants
127,517 vs 587,810
Exposure
PCOS vs age-matched controls
  • PCOSn = 127,517
  • Controlsn = 587,810reference
Outcome
CVD
Methodological detailsnational, age-matched controls, Denmark, Finland and Sweden, combined meta-analysis
  • National
  • Age-matched controls
  • Denmark, Finland and Sweden
  • Combined meta-analysis

Main finding

CVD, combined meta-analysis

Adjusted hazard ratio

1.32

95% CI 1.25–1.39

PCOSvs Controls
adjusted HR 1.32 (95% CI 1.25–1.39)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
CVD, unadjusted, by countryPCOSvs ControlsDenmarkunadjusted HR 1.30 (95% CI 1.20–1.41)
CVD, unadjusted, by countryPCOSvs ControlsFinlandunadjusted HR 1.45 (95% CI 1.31–1.60)
CVD, unadjusted, by countryPCOSvs ControlsSwedenunadjusted HR 1.52 (95% CI 1.44–1.60)
CVD in women with BMI < 25 kg/m² and no T2Dadjusted HR 1.40 (95% CI 1.26–1.55)

Cardiovascular disease (CVD), unadjusted, by country

Models remained significant after adjusting for obesity and level of education

Original publication

Increased prospective cardiovascular disease risk in 127 517 Nordic women with polycystic ovary syndrome: a national cohort study. Eur J Endocrinol. Published 24 December 2025. doi:10.1093/ejendo/lvaf266

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