Reproductive endocrinology

The Association Between Obesity and Polycystic Ovary Syndrome: An Epidemiologic Study of Observational Data

J Clin Endocrinol MetabPublished Systematic review and meta-regression of population studies

Authors' conclusion

The prevalences of PCOS and obesity appear to be modestly associated, although our data cannot establish causality. This study also emphasizes the need to undertake only high-quality studies in assessing PCOS epidemiology.

Study context

Population
Population studies on polycystic ovary syndrome (PCOS) prevalence globally through July 2023; adults from 24 countries
Participants
85,956 participants58 studies
Comparison
Population mean body mass index (BMI) or obesity prevalence vs PCOS prevalence
Outcome
Association of mean BMI or obesity prevalence with PCOS prevalence by NIH, Rotterdam and AE-PCOS criteria
Methodological detailslinear regression, random-effect models, subgroup analyses by recruitment method and study quality
  • Linear regression
  • Random-effect models
  • Subgroup analyses by recruitment method and study quality

Pooled result

As reported in the abstract

Association between obesity prevalence and PCOS prevalence

Increase in PCOS prevalence (Rotterdam) per 1% increase in obesity prevalence

≈0.4%

Further pooled results

Subgroup: studies with better recruitment methods

Significant positive association of population mean BMI or obesity prevalence with PCOS prevalence using Rotterdam or Androgen Excess-PCOS (AE-PCOS) criteria

Subgroup: high-quality studies only

Association using National Institutes of Health (NIH) as well as Rotterdam and AE-PCOS criteria

Original publication

The Association Between Obesity and Polycystic Ovary Syndrome: An Epidemiologic Study of Observational Data. J Clin Endocrinol Metab. Published 30 July 2024. doi:10.1210/clinem/dgae488

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