Defining Constant Versus Variable Phenotypic Features of Women with Polycystic Ovary Syndrome Using Different Ethnic Groups and Populations
Context: The phenotype of women with polycystic ovary syndrome (PCOS) is variable, depending on the ethnic background. Objective: The phenotypes of women with PCOS in Iceland and Boston were compared. Design: The study was observational with a parallel design. Setting: Subjects were studied in an ou...
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| creator | Welt, C. K. Arason, G. Gudmundsson, J. A. Adams, J. Palsdóttir, H. Gudlaugsdóttir, G. Ingadóttir, G. Crowley, W. F. |
| description | Context: The phenotype of women with polycystic ovary syndrome (PCOS) is variable, depending on the ethnic background.
Objective: The phenotypes of women with PCOS in Iceland and Boston were compared.
Design: The study was observational with a parallel design.
Setting: Subjects were studied in an outpatient setting.
Patients: Women, aged 18–45 yr, with PCOS defined by hyperandrogenism and fewer than nine menses per year, were examined in Iceland (n = 105) and Boston (n = 262).
Intervention: PCOS subjects underwent a physical exam, fasting blood samples for androgens, gonadotropins, metabolic parameters, and a transvaginal ultrasound.
Main Outcome Measures: The phenotype of women with PCOS was compared between Caucasian women in Iceland and Boston and among Caucasian, African-American, Hispanic, and Asian women in Boston.
Results: Androstenedione (4.0 ± 1.3 vs. 3.5 ± 1.2 ng/ml; P < 0.01) was higher and testosterone (54.0 ± 25.7 vs. 66.2 ± 35.6 ng/dl; P < 0.01), LH (23.1 ± 15.8 vs. 27.6 ± 16.2 IU/liter; P < 0.05), and Ferriman Gallwey score were lower (7.1 ± 6.0 vs. 15.4 ± 8.5; P < 0.001) in Caucasian Icelandic compared with Boston women with PCOS. There were no differences in fasting blood glucose, insulin, or homeostasis model assessment in body mass index-matched Caucasian subjects from Iceland or Boston or in different ethnic groups in Boston. Polycystic ovary morphology was demonstrated in 93–100% of women with PCOS in all ethnic groups.
Conclusions: The data demonstrate differences in the reproductive features of PCOS without differences in glucose and insulin in body mass index-matched populations. These studies also suggest that measuring androstenedione is important for the documentation of hyperandrogenism in Icelandic women. Finally, polycystic ovary morphology by ultrasound is an almost universal finding in women with PCOS as defined by hyperandrogenism and irregular menses. |
| doi_str_mv | 10.1210/jc.2006-1191 |
| format | Article |
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Objective: The phenotypes of women with PCOS in Iceland and Boston were compared.
Design: The study was observational with a parallel design.
Setting: Subjects were studied in an outpatient setting.
Patients: Women, aged 18–45 yr, with PCOS defined by hyperandrogenism and fewer than nine menses per year, were examined in Iceland (n = 105) and Boston (n = 262).
Intervention: PCOS subjects underwent a physical exam, fasting blood samples for androgens, gonadotropins, metabolic parameters, and a transvaginal ultrasound.
Main Outcome Measures: The phenotype of women with PCOS was compared between Caucasian women in Iceland and Boston and among Caucasian, African-American, Hispanic, and Asian women in Boston.
Results: Androstenedione (4.0 ± 1.3 vs. 3.5 ± 1.2 ng/ml; P < 0.01) was higher and testosterone (54.0 ± 25.7 vs. 66.2 ± 35.6 ng/dl; P < 0.01), LH (23.1 ± 15.8 vs. 27.6 ± 16.2 IU/liter; P < 0.05), and Ferriman Gallwey score were lower (7.1 ± 6.0 vs. 15.4 ± 8.5; P < 0.001) in Caucasian Icelandic compared with Boston women with PCOS. There were no differences in fasting blood glucose, insulin, or homeostasis model assessment in body mass index-matched Caucasian subjects from Iceland or Boston or in different ethnic groups in Boston. Polycystic ovary morphology was demonstrated in 93–100% of women with PCOS in all ethnic groups.
Conclusions: The data demonstrate differences in the reproductive features of PCOS without differences in glucose and insulin in body mass index-matched populations. These studies also suggest that measuring androstenedione is important for the documentation of hyperandrogenism in Icelandic women. Finally, polycystic ovary morphology by ultrasound is an almost universal finding in women with PCOS as defined by hyperandrogenism and irregular menses.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2006-1191</identifier><identifier>PMID: 16940441</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject><![CDATA[Adolescent ; Adult ; African Americans - statistics & numerical data ; Androgens ; Androstenedione ; Asian Continental Ancestry Group - statistics & numerical data ; Biological and medical sciences ; Body Mass Index ; Boston - epidemiology ; Boston - ethnology ; Disorders of Sex Development - blood ; Endocrinopathies ; Ethnic Groups - statistics & numerical data ; European Continental Ancestry Group - statistics & numerical data ; Fasting ; Female ; Fundamental and applied biological sciences. Psychology ; Gonadotropins ; Hispanic Americans - statistics & numerical data ; Homeostasis ; Humans ; Iceland - epidemiology ; Iceland - ethnology ; Insulin ; Insulin - blood ; Mass Screening - methods ; Medical sciences ; Middle Aged ; Minority & ethnic groups ; Morphology ; Ovaries ; Ovary - anatomy & histology ; Phenotype ; Phenotypes ; Pituitary (anterior) ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - diagnosis ; Polycystic Ovary Syndrome - epidemiology ; Polycystic Ovary Syndrome - metabolism ; Population ; Population studies ; Reproduction - physiology ; Testosterone ; Ultrasonic imaging ; Ultrasound ; Vertebrates: endocrinology ; Waist-Hip Ratio - statistics & numerical data ; White people]]></subject><ispartof>The journal of clinical endocrinology and metabolism, 2006-11, Vol.91 (11), p.4361-4368</ispartof><rights>Copyright © 2006 by The Endocrine Society 2006</rights><rights>Copyright © 2006 by The Endocrine Society</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4688-13a28802f374e786f84da0099f1555012e8c4e72bbc14f9b4b0f289493fb7afe3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18274612$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16940441$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Welt, C. K.</creatorcontrib><creatorcontrib>Arason, G.</creatorcontrib><creatorcontrib>Gudmundsson, J. A.</creatorcontrib><creatorcontrib>Adams, J.</creatorcontrib><creatorcontrib>Palsdóttir, H.</creatorcontrib><creatorcontrib>Gudlaugsdóttir, G.</creatorcontrib><creatorcontrib>Ingadóttir, G.</creatorcontrib><creatorcontrib>Crowley, W. F.</creatorcontrib><title>Defining Constant Versus Variable Phenotypic Features of Women with Polycystic Ovary Syndrome Using Different Ethnic Groups and Populations</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Context: The phenotype of women with polycystic ovary syndrome (PCOS) is variable, depending on the ethnic background.
Objective: The phenotypes of women with PCOS in Iceland and Boston were compared.
Design: The study was observational with a parallel design.
Setting: Subjects were studied in an outpatient setting.
Patients: Women, aged 18–45 yr, with PCOS defined by hyperandrogenism and fewer than nine menses per year, were examined in Iceland (n = 105) and Boston (n = 262).
Intervention: PCOS subjects underwent a physical exam, fasting blood samples for androgens, gonadotropins, metabolic parameters, and a transvaginal ultrasound.
Main Outcome Measures: The phenotype of women with PCOS was compared between Caucasian women in Iceland and Boston and among Caucasian, African-American, Hispanic, and Asian women in Boston.
Results: Androstenedione (4.0 ± 1.3 vs. 3.5 ± 1.2 ng/ml; P < 0.01) was higher and testosterone (54.0 ± 25.7 vs. 66.2 ± 35.6 ng/dl; P < 0.01), LH (23.1 ± 15.8 vs. 27.6 ± 16.2 IU/liter; P < 0.05), and Ferriman Gallwey score were lower (7.1 ± 6.0 vs. 15.4 ± 8.5; P < 0.001) in Caucasian Icelandic compared with Boston women with PCOS. There were no differences in fasting blood glucose, insulin, or homeostasis model assessment in body mass index-matched Caucasian subjects from Iceland or Boston or in different ethnic groups in Boston. Polycystic ovary morphology was demonstrated in 93–100% of women with PCOS in all ethnic groups.
Conclusions: The data demonstrate differences in the reproductive features of PCOS without differences in glucose and insulin in body mass index-matched populations. These studies also suggest that measuring androstenedione is important for the documentation of hyperandrogenism in Icelandic women. Finally, polycystic ovary morphology by ultrasound is an almost universal finding in women with PCOS as defined by hyperandrogenism and irregular menses.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Androgens</subject><subject>Androstenedione</subject><subject>Asian Continental Ancestry Group - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Boston - epidemiology</subject><subject>Boston - ethnology</subject><subject>Disorders of Sex Development - blood</subject><subject>Endocrinopathies</subject><subject>Ethnic Groups - statistics & numerical data</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Fasting</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gonadotropins</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>Iceland - epidemiology</subject><subject>Iceland - ethnology</subject><subject>Insulin</subject><subject>Insulin - blood</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Morphology</subject><subject>Ovaries</subject><subject>Ovary - anatomy & histology</subject><subject>Phenotype</subject><subject>Phenotypes</subject><subject>Pituitary (anterior)</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - blood</subject><subject>Polycystic Ovary Syndrome - diagnosis</subject><subject>Polycystic Ovary Syndrome - epidemiology</subject><subject>Polycystic Ovary Syndrome - metabolism</subject><subject>Population</subject><subject>Population studies</subject><subject>Reproduction - physiology</subject><subject>Testosterone</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Vertebrates: endocrinology</subject><subject>Waist-Hip Ratio - statistics & numerical data</subject><subject>White people</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV-LEzEUxYMo7lp981kCor44a5LJzGQepftHYWEXdFffhkx6Y1OnyWySsfQz-KW9pYWCaCCEkN899-QeQl5ydsYFZx9W5kwwVhect_wROeWtrIqGt81jcsqY4EXbiO8n5FlKK8a4lFX5lJzwupVMSn5Kfp-Ddd75H3QefMraZ3oPMU2J3uvodD8AvV2CD3k7OkMvQecpQqLB0m9hDZ5uXF7S2zBszTZlJG5-6bilX7Z-EfGd3qWd9LmzFiKg9kVeeqSuYpjGRLVfYO04DTo77P6cPLF6SPDicM7I3eXF1_mn4vrm6vP843VhZK1UwUstlGLClo2ERtVWyYVmrG0tr6qKcQHK4IPoe8OlbXvZMytUK9vS9o22UM7I273uGMPDBCl3a5cMDIP2EKbU1YqLsqkqBF__Ba7CFD1660peS8kETh6p93vKxJBSBNuN0a1xDB1n3S6ibmW6XUTdLiLEXx1Ep34NiyN8yASBNwdAJ6MHG7U3Lh05JRpZo8MZkXtuE4aMmf0cpg3Ebgl6yMuO4ZJ1o4pdZ87xVuAWCsve7cswgv85LQ5Oyz0JfhFMdB5GzD4dh_DP__0BRUnGlg</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Welt, C. K.</creator><creator>Arason, G.</creator><creator>Gudmundsson, J. A.</creator><creator>Adams, J.</creator><creator>Palsdóttir, H.</creator><creator>Gudlaugsdóttir, G.</creator><creator>Ingadóttir, G.</creator><creator>Crowley, W. F.</creator><general>Endocrine Society</general><general>Oxford University Press</general><general>Copyright by The Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>Defining Constant Versus Variable Phenotypic Features of Women with Polycystic Ovary Syndrome Using Different Ethnic Groups and Populations</title><author>Welt, C. K. ; Arason, G. ; Gudmundsson, J. A. ; Adams, J. ; Palsdóttir, H. ; Gudlaugsdóttir, G. ; Ingadóttir, G. ; Crowley, W. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4688-13a28802f374e786f84da0099f1555012e8c4e72bbc14f9b4b0f289493fb7afe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Androgens</topic><topic>Androstenedione</topic><topic>Asian Continental Ancestry Group - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Boston - epidemiology</topic><topic>Boston - ethnology</topic><topic>Disorders of Sex Development - blood</topic><topic>Endocrinopathies</topic><topic>Ethnic Groups - statistics & numerical data</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Fasting</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gonadotropins</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Iceland - epidemiology</topic><topic>Iceland - ethnology</topic><topic>Insulin</topic><topic>Insulin - blood</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Morphology</topic><topic>Ovaries</topic><topic>Ovary - anatomy & histology</topic><topic>Phenotype</topic><topic>Phenotypes</topic><topic>Pituitary (anterior)</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - blood</topic><topic>Polycystic Ovary Syndrome - diagnosis</topic><topic>Polycystic Ovary Syndrome - epidemiology</topic><topic>Polycystic Ovary Syndrome - metabolism</topic><topic>Population</topic><topic>Population studies</topic><topic>Reproduction - physiology</topic><topic>Testosterone</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Vertebrates: endocrinology</topic><topic>Waist-Hip Ratio - statistics & numerical data</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Welt, C. K.</creatorcontrib><creatorcontrib>Arason, G.</creatorcontrib><creatorcontrib>Gudmundsson, J. A.</creatorcontrib><creatorcontrib>Adams, J.</creatorcontrib><creatorcontrib>Palsdóttir, H.</creatorcontrib><creatorcontrib>Gudlaugsdóttir, G.</creatorcontrib><creatorcontrib>Ingadóttir, G.</creatorcontrib><creatorcontrib>Crowley, W. F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Welt, C. K.</au><au>Arason, G.</au><au>Gudmundsson, J. A.</au><au>Adams, J.</au><au>Palsdóttir, H.</au><au>Gudlaugsdóttir, G.</au><au>Ingadóttir, G.</au><au>Crowley, W. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Defining Constant Versus Variable Phenotypic Features of Women with Polycystic Ovary Syndrome Using Different Ethnic Groups and Populations</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2006-11</date><risdate>2006</risdate><volume>91</volume><issue>11</issue><spage>4361</spage><epage>4368</epage><pages>4361-4368</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context: The phenotype of women with polycystic ovary syndrome (PCOS) is variable, depending on the ethnic background.
Objective: The phenotypes of women with PCOS in Iceland and Boston were compared.
Design: The study was observational with a parallel design.
Setting: Subjects were studied in an outpatient setting.
Patients: Women, aged 18–45 yr, with PCOS defined by hyperandrogenism and fewer than nine menses per year, were examined in Iceland (n = 105) and Boston (n = 262).
Intervention: PCOS subjects underwent a physical exam, fasting blood samples for androgens, gonadotropins, metabolic parameters, and a transvaginal ultrasound.
Main Outcome Measures: The phenotype of women with PCOS was compared between Caucasian women in Iceland and Boston and among Caucasian, African-American, Hispanic, and Asian women in Boston.
Results: Androstenedione (4.0 ± 1.3 vs. 3.5 ± 1.2 ng/ml; P < 0.01) was higher and testosterone (54.0 ± 25.7 vs. 66.2 ± 35.6 ng/dl; P < 0.01), LH (23.1 ± 15.8 vs. 27.6 ± 16.2 IU/liter; P < 0.05), and Ferriman Gallwey score were lower (7.1 ± 6.0 vs. 15.4 ± 8.5; P < 0.001) in Caucasian Icelandic compared with Boston women with PCOS. There were no differences in fasting blood glucose, insulin, or homeostasis model assessment in body mass index-matched Caucasian subjects from Iceland or Boston or in different ethnic groups in Boston. Polycystic ovary morphology was demonstrated in 93–100% of women with PCOS in all ethnic groups.
Conclusions: The data demonstrate differences in the reproductive features of PCOS without differences in glucose and insulin in body mass index-matched populations. These studies also suggest that measuring androstenedione is important for the documentation of hyperandrogenism in Icelandic women. Finally, polycystic ovary morphology by ultrasound is an almost universal finding in women with PCOS as defined by hyperandrogenism and irregular menses.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>16940441</pmid><doi>10.1210/jc.2006-1191</doi><tpages>8</tpages></addata></record> |
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| ispartof | The journal of clinical endocrinology and metabolism, 2006-11, Vol.91 (11), p.4361-4368 |
| issn | 0021-972X 1945-7197 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult African Americans - statistics & numerical data Androgens Androstenedione Asian Continental Ancestry Group - statistics & numerical data Biological and medical sciences Body Mass Index Boston - epidemiology Boston - ethnology Disorders of Sex Development - blood Endocrinopathies Ethnic Groups - statistics & numerical data European Continental Ancestry Group - statistics & numerical data Fasting Female Fundamental and applied biological sciences. Psychology Gonadotropins Hispanic Americans - statistics & numerical data Homeostasis Humans Iceland - epidemiology Iceland - ethnology Insulin Insulin - blood Mass Screening - methods Medical sciences Middle Aged Minority & ethnic groups Morphology Ovaries Ovary - anatomy & histology Phenotype Phenotypes Pituitary (anterior) Polycystic ovary syndrome Polycystic Ovary Syndrome - blood Polycystic Ovary Syndrome - diagnosis Polycystic Ovary Syndrome - epidemiology Polycystic Ovary Syndrome - metabolism Population Population studies Reproduction - physiology Testosterone Ultrasonic imaging Ultrasound Vertebrates: endocrinology Waist-Hip Ratio - statistics & numerical data White people |
| title | Defining Constant Versus Variable Phenotypic Features of Women with Polycystic Ovary Syndrome Using Different Ethnic Groups and Populations |
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