PMID- 24591551 OWN - NLM STAT- MEDLINE DCOM- 20140610 LR - 20220409 IS - 1479-683X (Electronic) IS - 0804-4643 (Linking) VI - 170 IP - 5 DP - 2014 May TI - Influence of a positive family history of both type 2 diabetes and PCOS on metabolic and endocrine parameters in a large cohort of PCOS women. PG - 727-39 LID - 10.1530/EJE-13-1035 [doi] AB - OBJECTIVE: There is evidence suggesting a strong genetic background of polycystic ovary syndrome (PCOS). We aim to study the metabolic and endocrine characteristics of PCOS women with and without a family history (FHx) of type 2 diabetes mellitus (T2DM) and PCOS. DESIGN: Cross-sectional study. METHODS: We analysed the association of T2DM FHx and PCOS FHx with metabolic and endocrine parameters in 714 PCOS women. RESULTS: A positive FHx of T2DM and PCOS were prevalent in 36.8 and 21.4% of PCOS women respectively. We found an independent association of T2DM FHx with central fat accumulation, obesity, prediabetes, metabolic syndrome (MS), insulin resistance, low HDL and elevated blood pressure (P<0.05 for all). PCOS FHx was independently associated with prediabetes (P<0.05). We observed an independent association of PCOS FHx with clinical and biochemical hyperandrogenism (P<0.05 for all), whereas there was no independent association of T2DM FHx with hyperandrogenism. PCOS women with a positive FHx of both T2DM and PCOS had an adverse metabolic and endocrine profile including a linear increase in risk of obesity, central fat accumulation, MS, prediabetes and low HDL (P<0.05 for all). CONCLUSIONS: Our findings suggest that the assessment of FHx might allow risk stratification of PCOS women, which is important considering the high prevalence of PCOS. FAU - Lerchbaum, Elisabeth AU - Lerchbaum E AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria. FAU - Schwetz, Verena AU - Schwetz V FAU - Giuliani, Albrecht AU - Giuliani A FAU - Obermayer-Pietsch, Barbara AU - Obermayer-Pietsch B LA - eng PT - Journal Article DEP - 20140410 PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 SB - IM MH - Abdominal Fat/pathology MH - Adiposity MH - Adult MH - Austria/epidemiology MH - Body Mass Index MH - Cohort Studies MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology/physiopathology MH - Dyslipidemias/epidemiology/physiopathology MH - *Family Health MH - Female MH - Humans MH - Hyperandrogenism/epidemiology/physiopathology MH - Hypertension/epidemiology/physiopathology MH - Insulin Resistance MH - Metabolic Syndrome/epidemiology/physiopathology MH - Obesity/epidemiology/physiopathology MH - Polycystic Ovary Syndrome/blood/*epidemiology/etiology/pathology MH - Prediabetic State/epidemiology/physiopathology MH - Risk Factors EDAT- 2014/03/05 06:00 MHDA- 2014/06/11 06:00 CRDT- 2014/03/05 06:00 PHST- 2014/03/05 06:00 [entrez] PHST- 2014/03/05 06:00 [pubmed] PHST- 2014/06/11 06:00 [medline] AID - EJE-13-1035 [pii] AID - 10.1530/EJE-13-1035 [doi] PST - epublish SO - Eur J Endocrinol. 2014 Apr 10;170(5):727-39. doi: 10.1530/EJE-13-1035. Print 2014 May.