2011
DOI: 10.1093/humupd/dmr046
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Carotid artery intima-media thickness in polycystic ovary syndrome: a systematic review and meta-analysis

Abstract: Larger studies with a well-defined PCOS population using rigorous methodology may be required to draw a more robust conclusion. However, these results suggest women with PCOS are at a greater risk of premature atherosclerosis, which emphasizes the importance of screening and monitoring CVD risk factors in women with PCOS.

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Cited by 136 publications
(99 citation statements)
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“…42,44 As for the inflammatory molecules, data on the relationship between PCOS and carotid intima-media wall thickness (cIMT), a marker of preclinical atherosclerosis, are not conclusive. In a previous study, 25 in this same cohort of women, we have demonstrated that by adopting stricter diagnostic criteria and excluding major CV risk factors 25,45 no differences were evident in vascular parameters related to early atherosclerosis in women with PCOS. This was also shown by Kahal et al 46 by studying obese women with PCOS diagnosed by strict diagnostic criteria and matched not only for BMI but also for abdominal obesity, blood pressure, lipid profile and smoking history.…”
Section: Declaration Of Interestmentioning
confidence: 58%
“…42,44 As for the inflammatory molecules, data on the relationship between PCOS and carotid intima-media wall thickness (cIMT), a marker of preclinical atherosclerosis, are not conclusive. In a previous study, 25 in this same cohort of women, we have demonstrated that by adopting stricter diagnostic criteria and excluding major CV risk factors 25,45 no differences were evident in vascular parameters related to early atherosclerosis in women with PCOS. This was also shown by Kahal et al 46 by studying obese women with PCOS diagnosed by strict diagnostic criteria and matched not only for BMI but also for abdominal obesity, blood pressure, lipid profile and smoking history.…”
Section: Declaration Of Interestmentioning
confidence: 58%
“…About 60%-70% of PCOS patients present central obesity that is well known to be associated with insulin resistance and increased risk of type 2 diabetes mellitus, hypertension, dyslipidemia, endothelial dysfunction and heart disease (25). In association with insulin resistance, obesity contributes to the 40% prevalence of the metabolic syndrome in PCOS (26)(27)(28)(29)(30)(31)(32)(33). Recent data have shown a complex correlation between insulin resistance and inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…PCOS affects 6-15% of reproductive-age women (2,3). PCOS is often associated with obesity (4), increased oxidative stress (5), systemic chronic inflammation (6), elevated prevalences of metabolic syndrome and type 2 diabetes (7), and potentially increased risks of atherosclerosis and cardiovascular disease (8,9). The etiology of PCOS remains unclear, but studies have suggested that PCOS appears to have a complex, multifactorial etiology in which a variety of predisposing genes interact with environmental factors to produce the disease (10,11).…”
Section: Introductionmentioning
confidence: 99%