Reproductive endocrinology

Polycystic Ovary Syndrome, Metabolic Syndrome, and Inflammation in the Hispanic Community Health Study/Study of Latinos

J Clin Endocrinol MetabPublished Cross-sectional study

Main finding · MetSResult — go to the resultOdds ratio 1.41 95% CI 1.13–1.76

Authors' conclusion

Hispanic/Latino females with PCOS had higher odds of MetS, IFG, and elevated TGL than their peers without PCOS. Interaction analyses revealed that the odds of MetS are higher among PCOS females who have premenopausal status or high inflammation. Interventions in Hispanic/Latinas should target these outcomes for effective management of the disease.

Study context

Population
US Hispanic/Latino females, ages 23–82 years, visit 2 of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
Participants
7,316 females
Exposure
Polycystic ovary syndrome (PCOS) vs no PCOS
Outcome
Metabolic syndrome (MetS)
Methodological detailsmulticenter, observational, secondary analysis of HCHS/SOL visit 2
  • Multicenter
  • Observational
  • Secondary analysis of HCHS/SOL visit 2

Main finding

MetS

Odds ratio

1.41

95% CI 1.13–1.76

PCOSvs No PCOS
OR 1.41 (95% CI 1.13–1.76)

As reported in the abstract

PCOS prevalence
18.8%

Observational data: associations, not effects.

Further findings

OutcomeOR (CI)
Impaired fasting glucose (IFG)1.42 (1.18–1.72)
Elevated TG1.48 (1.20–1.83)
MetS, adjusted for superadditive CRP-PCOS interactionAttenuated effect1.29 (0.93–1.78)
OutcomeORP value
MetS, effect modification by menopausal statusPCOS vs No PCOS · premenopausal1.46Pint= .02
MetS, effect modification by menopausal statusPCOS vs No PCOS · postmenopausal1.34Pint= .06
MetS, effect modification by CRPPCOS vs No PCOS · elevated CRP1.41Pint= .04
MetS, effect modification by CRPPCOS vs No PCOS · normal CRP1.26Pint= .16

Original publication

Polycystic Ovary Syndrome, Metabolic Syndrome, and Inflammation in the Hispanic Community Health Study/Study of Latinos. J Clin Endocrinol Metab. Published 18 June 2024. doi:10.1210/clinem/dgae426

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