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Risk and incidence of cardiovascular disease associated with polycystic ovary syndrome

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机构： [1]Department of Health Management Center & Institute of Health Management, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, No. 32 West Second Section, First Ring Rd., Qingyang Dist., Chengdu 610072, China [2]Department of School of Public Health, and Epidemiology and Biostatistics, Zhejiang University School of Medicine, Hangzhou, China [3]Department of Gynaecology, Lishui Hospital of Traditional Chinese Medicine, Lishui, China [4]School of Public Health, Southwest Medical University, Luzhou, China [5]Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, China [6]Research Units of Embryo Original Diseases, Chinese Academy of Medical Sciences, Shanghai, China [7]Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China [8]UNSW Microbiome Research Centre, St George and Sutherland Clinical Campuses, UNSW Sydney, Sydney, Australia [9]Department of Obstetrics and Gynecology, The First People’s Hospital of Foshan, No. 81, Lingnan Avenue North, Chancheng District, Foshan City, Guangdong Province 528000, China

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关键词： Cardiovascular disease Polycystic ovary syndrome Risk ratio Population attributable fraction Global burden

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We aimed to evaluate the risk of cardiovascular disease (CVD) in women with polycystic ovary syndrome (PCOS) and estimate the global incidence of PCOS-associated CVD.We conducted a meta-analysis across five databases to evaluate the risk of CVD among women with PCOS. Global incidence of PCOS-associated CVD was calculated by a population attributable fraction (PAF) modelling using the pooled RR, PCOS prevalence, CVD incidence number and age-standardized rate (ASIR), from the Global Burden of Diseases 2019. An estimated annual percentage change (EAPC) was used to assess the temporal trend of PCOS-associated CVD.The risk of CVD was significantly increased in the women with PCOS for all-age group (pooled RR 1.51, 95% CI 1.36-1.69), and 10- to 54-year-old (1.37, 1.17-1.59). Globally, from 1990 to 2019, the PCOS associated CVD cases in women across all-age group has rised from 102 530 to 235 560. The most affected regions were East Asia & Pacific (108 430, 66 090-166 150) in 2019. The South Asia has the highest increase trend of PCOS-associated CVD ASIRs (EAPC 2.61%, 2.49-2.73). The annual increase ASIR in PCOS-CVD incidence for the 10-54 age group (EAPC 0.49%; 0.41-0.56) is faster than that of the all-age group (0.34; 0.27-0.42). The middle- or low-middle sociodemographic index countries, experienced higher increase trend of CVD due to PCOS in the past thirty years.Women with PCOS have a significantly increased risk of CVD. Efficient measures to enhance its prevention and treatment are important for regions with high PCOS-associated CVD burden, especially premature CVD in women under 55 years.© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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大类 | 2 区

医学

小类 | 2 区心脏和心血管系统

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大类 | 2 区

医学

小类 | 2 区心脏和心血管系统

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出版当年[2023]版：

Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

最新[2023]版：

Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子： 8.4 最新[2023版] 7.1 最新五年平均 8.4 出版当年[2023版] 0 出版当年五年平均 8.4 出版前一年[2023版]

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第一作者机构： [1]Department of Health Management Center & Institute of Health Management, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, No. 32 West Second Section, First Ring Rd., Qingyang Dist., Chengdu 610072, China

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Risk and incidence of cardiovascular disease associated with polycystic ovary syndrome

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