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  • 1
    Online Resource
    Online Resource
    Obesity, polycystic ovary syndrome and breastfeeding: an observational study
    Wiley ; 2016
    In:  Acta Obstetricia et Gynecologica Scandinavica Vol. 95, No. 4 ( 2016-04), p. 458-466
    Details
    In: Acta Obstetricia et Gynecologica Scandinavica, Wiley, Vol. 95, No. 4 ( 2016-04), p. 458-466
    Abstract: Polycystic ovary syndrome ( PCOS ) affects 9–21% of reproductive‐age women. The relations between PCOS , body mass index ( BMI ) and breastfeeding are unclear. Our aim was to examine breastfeeding in women with and without PCOS and the relation with BMI . Material and methods This is a cross‐sectional study set in the general community. Participants are women, aged 31–36 years, from the Australian Longitudinal Study on Women's Health ( ALSWH ), a large community‐based study. Data was analyzed from the first child of respondents to Survey five (2009) reporting at least one live born child. Logistic regression analysis was used to examine factors associated with breastfeeding. The main outcome measures studied were breastfeeding initiation and duration and the main explanatory variables included self‐reported PCOS and BMI . Results Of the 4898 women, 6.5% reported PCOS (95% confidence interval 5.8–7.2%). Median duration of breastfeeding was lower in women reporting PCOS (6 months, range 2–10 months) than in women not reporting PCOS (7 months, range 3–12 months) ( p = 0.001). On multivariable regression analysis, there was no association between PCOS and breastfeeding outcomes. However, being overweight or obese was associated with not initiating breastfeeding and with breastfeeding for less than 6 months, after adjusting for confounders. Conclusions High BMI is negatively associated with breastfeeding, whereas PCOS status per se does not appear to be related to breastfeeding initiation and duration, after adjusting for BMI .
    Type of Medium: Online Resource
    ISSN: 0001-6349 , 1600-0412
    URL: Issue
    URL: Article
    DOI: 10.1111/aogs.2016.95.issue-4
    DOI: 10.1111/aogs.12850
    RVK:
    YM 6500
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2024554-3
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  • 2
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    Negative associations of ideal family size achievement with hypertension, obesity and maternal age in women with and without polycystic ovary syndrome
    Wiley ; 2022
    In:  Clinical Endocrinology Vol. 97, No. 2 ( 2022-08), p. 217-226
    Details
    In: Clinical Endocrinology, Wiley, Vol. 97, No. 2 ( 2022-08), p. 217-226
    Abstract: To investigate lifetime reproductive outcomes and the relationship of ideal family size (IFS) achievement with metabolic, psychiatric and reproductive history in women with and without polycystic ovary syndrome (PCOS). Design Cross‐sectional. Patient(s) A total of 9034 women with ( n  = 778) and without self‐reported PCOS ( n  = 8256) born between 1973 and 1978 in the Australian Longitudinal Study on Women's Health. Measurements Self‐reported IFS achievement and total number of live births. Results Women with and without PCOS aspired for similar IFS. Compared with women without PCOS, significantly less women with PCOS achieved their IFS (53.08% vs. 60.47%, p   〈  0.001). Higher proportion of women with PCOS did not achieve a live birth (37.15% vs. 31.64%, p  = 0.002) and their median total number of live births was also lower (1 vs. 2, p   〈  0.001) than women without PCOS. After controlling for sociodemographic factors, negative associations were observed between IFS achievement and PCOS status, various metabolic, psychiatric and reproductive history. However, only hypertension (adjusted odds ratio [OR]: 0.82, 95% confidence interval [CI] : 0.67–1.00), obesity (adjusted OR: 0.79, 95% CI: 0.69–0.90), history of in vitro fertilisation use (IVF) (adjusted OR: 0.49, 95% CI: 0.38–0.63) and maternal age at first childbirth (adjusted OR: 0.92, 95% CI: 0.91–0.93) remained inversely associated with achievement of IFS in further multivariable regression models. Conclusion Metabolic conditions and reproductive history of maternal age at first childbirth and history of IVF use, but not psychological conditions, were associated with reduced odds of achieving IFS. Early family planning/initiation and optimisation of metabolic health may help to improve reproductive outcomes.
    Type of Medium: Online Resource
    ISSN: 0300-0664 , 1365-2265
    URL: Issue
    URL: Article
    DOI: 10.1111/cen.v97.2
    DOI: 10.1111/cen.14736
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2004597-9
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  • 3
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    Obesity, menstrual irregularity and polycystic ovary syndrome in young women with type 1 diabetes: A population‐based study
    Wiley ; 2020
    In:  Clinical Endocrinology Vol. 93, No. 5 ( 2020-11), p. 564-571
    Details
    In: Clinical Endocrinology, Wiley, Vol. 93, No. 5 ( 2020-11), p. 564-571
    Abstract: Type 1 diabetes (T1D) is associated with reproductive dysfunction, particularly in the setting of poor metabolic control. Improvements in contemporary management ameliorate these problems, albeit at the cost of increased exogenous insulin and rising obesity, with emerging reproductive implications. Objective To evaluate changes in body mass index (BMI) and the relationship between obesity, menstrual irregularity and polycystic ovary syndrome (PCOS) in young women with T1D, compared with controls. Methods Longitudinal observational study using data from the Australian Longitudinal Study in Women's Health of the cohort born in 1989‐95, from 2013 to 2015. Three questionnaires administered at baseline and yearly intervals were used to evaluate self‐reported menstrual irregularity, PCOS and BMI. Results Overall, 15 926 women were included at baseline (T1D, n = 115; controls, n = 15 811). 61 women with T1D and 8332 controls remained at Year 2. Median BMI was higher in women with type 1 diabetes (25.5 vs 22.9 kg/m 2 , P   〈  .001), where over half were overweight or obese (54.4% vs 32.9%, P   〈  .001). Median BMI increased by 1.11 and 0.45 kg/m 2 , in the T1D and control groups, respectively. T1D was independently associated with an increased risk of menstrual irregularity (RR 1.22, 95% CI 1.02‐1.46) and PCOS (RR 2.41, 95% CI 1.70‐3.42). Obesity conferred a 4‐fold increased risk of PCOS, compared to those with normal BMI (RR 3.93, 95% CI 3.51‐4.42). Conclusions Obesity is prevalent amongst women with T1D and may be a key contributor to the higher risk of menstrual irregularity and PCOS in this cohort, representing an important opportunity for prevention and intervention.
    Type of Medium: Online Resource
    ISSN: 0300-0664 , 1365-2265
    URL: Issue
    URL: Article
    DOI: 10.1111/cen.v93.5
    DOI: 10.1111/cen.14281
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2004597-9
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  • 4
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    Table_3.docx
    Frontiers Media SA ; 2022
    In:  Frontiers in Endocrinology Vol. 13 ( 2022-12-22)
    Details
    In: Frontiers in Endocrinology, Frontiers Media SA, Vol. 13 ( 2022-12-22)
    Abstract: Pre-clinical evidence suggests that prolactin has important metabolic functions in pregnancy and postpartum, in addition to lactogenic actions. Objective To explore the relationship between prolactin and maternal metabolic outcomes in human pregnancy and postpartum, particularly in relation to gestational diabetes mellitus (GDM). Data sources MEDLINE via OVID, CINAHL plus, Embase. Study selection Eligible studies included women who were pregnant or up to 12 months postpartum, reporting at least one maternal serum prolactin level in relation to key metabolic outcomes including GDM, glycaemic parameters, obesity, and gestational weight gain. Data extraction Two independent reviewers extracted data. Data synthesis Twenty-six articles were included. Meta-analysis showed no relationship between maternal prolactin levels and GDM status, with a weighted mean difference of -2.14 ng/mL (95% CI -12.54 to 8.27 ng/mL, p=0.7) between GDM and controls in early pregnancy (n=3 studies) and -3.89 ng/mL (95% CI, -15.20 to 7.41 ng/mL, p=0.5) in late pregnancy (n=11 studies). In narrative synthesis of other outcomes (due to study heterogeneity and/or lack of data), prolactin levels were not associated with maternal glycaemic or weight-related parameters during pregnancy, but in the postpartum period (particularly with lactation) a high-prolactin environment was associated with low circulating insulin and beta-cell function, and increased insulin sensitivity. Conclusions Current evidence from human studies does not clearly support a relationship between prolactin and metabolic parameters during pregnancy, including with GDM status. Elevated prolactin was associated with lower insulin and beta-cell function and higher insulin sensitivity in the post-partum period, but the direction of causality remains unclear. Systematic review registration https://www.crd.york.ac.uk/prospero/ , identifier [CRD42021262771].
    Type of Medium: Online Resource
    ISSN: 1664-2392
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    DOI: 10.3389/fendo.2022.1069625
    DOI: 10.3389/fendo.2022.1069625.s001
    DOI: 10.3389/fendo.2022.1069625.s002
    DOI: 10.3389/fendo.2022.1069625.s003
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2592084-4
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  • 5
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    Increased maternal pregnancy complications in polycystic ovary syndrome appear to be independent of obesity—A systematic review, meta‐analysis, and meta‐regression
    Wiley ; 2019
    In:  Obesity Reviews Vol. 20, No. 5 ( 2019-05), p. 659-674
    Details
    In: Obesity Reviews, Wiley, Vol. 20, No. 5 ( 2019-05), p. 659-674
    Abstract: Polycystic ovary syndrome (PCOS) is associated with an increased risk of maternal pregnancy and delivery complications. However, the impact of clinical features of PCOS and other potential risk factors in PCOS is still unknown. We aimed to investigate the association of PCOS with maternal pregnancy and delivery complications with consideration of risk factors and potential confounders. The meta‐analysis included 63 studies. PCOS was associated with higher miscarriage, gestational diabetes mellitus, gestational hypertension, pre‐eclampsia, induction of labour, and caesarean section. The association of PCOS with these outcomes varied by geographic continent, PCOS phenotypes, and study quality. Pre‐eclampsia and induction of labour were not associated with PCOS on body mass index‐matched studies. No outcome was associated with PCOS on assisted pregnancies. Age was significantly associated with higher miscarriage on meta‐regression. There were no studies assessing perinatal depression. We confirm that PCOS is associated with an increased risk of maternal pregnancy and delivery complications. The association of PCOS with the outcomes is worsened in hyperandrogenic PCOS phenotypes, in specific geographic continents, and in the highest quality studies but disappears in assisted pregnancies. Future studies in PCOS are warranted to investigate proper timing for screening and prevention of maternal pregnancy and delivery complications with consideration of clinical features of PCOS.
    Type of Medium: Online Resource
    ISSN: 1467-7881 , 1467-789X
    URL: Issue
    URL: Article
    DOI: 10.1111/obr.v20.5
    DOI: 10.1111/obr.12829
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2020497-8
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  • 6
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    The role of maternal obesity in infant outcomes in polycystic ovary syndrome—A systematic review, meta‐analysis, and meta‐regression
    Wiley ; 2019
    In:  Obesity Reviews Vol. 20, No. 6 ( 2019-06), p. 842-858
    Details
    In: Obesity Reviews, Wiley, Vol. 20, No. 6 ( 2019-06), p. 842-858
    Abstract: Polycystic ovary syndrome (PCOS) is associated with worsened pregnancy and infant outcomes, higher body mass index (BMI), and longitudinal weight gain. Despite most of the clinical features of PCOS being risk factors for worsened infant outcomes in the general population, their impact on infant outcomes in PCOS is unknown. We aimed to investigate the association of PCOS with infant outcomes considering maternal adiposity, other known risk factors, and potential confounders. The meta‐analyses included 42 studies in 7041 women with PCOS and 63 722 women without PCOS. PCOS was associated with higher gestational weight gain (GWG) and with higher preterm birth and large for gestational age and with lower birth weight with this association varying by geographic continent, PCOS phenotypes, and study quality. However, PCOS was associated with none of these outcomes on BMI‐matched studies. Gestational diabetes was significantly associated with an increased preterm birth on meta‐regression. We report for the first time that GWG is higher in PCOS. Infant outcomes vary by geographic continent and study quality but are similar in BMI‐matched women with and without PCOS. This suggests that infant outcomes in PCOS may be related to maternal obesity. These novel findings warrant future studies in PCOS investigating screening and management of infant outcomes with consideration of maternal obesity.
    Type of Medium: Online Resource
    ISSN: 1467-7881 , 1467-789X
    URL: Issue
    URL: Article
    DOI: 10.1111/obr.v20.6
    DOI: 10.1111/obr.12832
    Language: English
    Publisher: Wiley
    Publication Date: 2019
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  • 7
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    Online Resource
    Polycystic Ovary Syndrome Models of Care: A Review and Qualitative Evaluation of a Guideline-Recommended Integrated Care
    Georg Thieme Verlag KG ; 2021
    In:  Seminars in Reproductive Medicine Vol. 39, No. 03/04 ( 2021-07), p. 133-142
    Details
    In: Seminars in Reproductive Medicine, Georg Thieme Verlag KG, Vol. 39, No. 03/04 ( 2021-07), p. 133-142
    Abstract: Polycystic ovary syndrome (PCOS) is a heterogeneous disorder and many women are dissatisfied with their healthcare under the current fragmented health services. Here, we review existing literature on PCOS healthcare services and qualitatively evaluate an integrated PCOS service based on experiences of women with PCOS. Limited prior PCOS-dedicated services have been studied and their quantitative and efficacy-focused evaluations are summarized. Here, we also provide a broader PCOS service evaluation via semistructured interviews and surveys, with thematic analysis based on a predetermined evaluation framework. Fifteen women completed interviews and surveys. Overall the integrated, evidence-based PCOS service was well-received and women were generally satisfied with appropriateness, effectiveness, and reported positive health impact resulting from the service. Integrated care, tailored treatments, education, lifestyle support, and laser therapy were highly valued. Patients reported improvements on symptoms, understanding and confidence in managing PCOS, and emotional well-being. Elements of efficiency in the initial stages, awareness and communication, and the need for service expansion and tensions between evidence-based treatments and patient preferences were also captured to guide improvement. Further research into models of care is recommended to meet the needs of women with PCOS.
    Type of Medium: Online Resource
    ISSN: 1526-8004 , 1526-4564
    URL: Article
    DOI: 10.1055/s-0041-1727191
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2021
    detail.hit.zdb_id: 2072473-1
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  • 8
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    Increased prevalence of eating disorders, low self-esteem, and psychological distress in women with polycystic ovary syndrome: a community-based cohort study
    Elsevier BV ; 2019
    In:  Fertility and Sterility Vol. 112, No. 2 ( 2019-08), p. 353-361
    Details
    In: Fertility and Sterility, Elsevier BV, Vol. 112, No. 2 ( 2019-08), p. 353-361
    Type of Medium: Online Resource
    ISSN: 0015-0282
    URL: Article
    DOI: 10.1016/j.fertnstert.2019.03.027
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 1500469-7
    SSG: 12
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  • 9
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    Polycystic ovary syndrome: an intrinsic risk factor for diabetes compounded by obesity
    Elsevier BV ; 2021
    In:  Fertility and Sterility Vol. 115, No. 6 ( 2021-06), p. 1449-1450
    Details
    In: Fertility and Sterility, Elsevier BV, Vol. 115, No. 6 ( 2021-06), p. 1449-1450
    Type of Medium: Online Resource
    ISSN: 0015-0282
    URL: Article
    DOI: 10.1016/j.fertnstert.2021.03.024
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 1500469-7
    SSG: 12
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  • 10
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    Response to ‘insulin sensitivity and leptin in women with Polycystic Ovary Syndrome (PCOS)’
    Wiley ; 2015
    In:  Clinical Endocrinology Vol. 82, No. 5 ( 2015-05), p. 777-778
    Details
    In: Clinical Endocrinology, Wiley, Vol. 82, No. 5 ( 2015-05), p. 777-778
    Type of Medium: Online Resource
    ISSN: 0300-0664 , 1365-2265
    URL: Issue
    URL: Article
    DOI: 10.1111/cen.2015.82.issue-5
    DOI: 10.1111/cen.12678
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2004597-9
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