TY - JOUR
T1 - Associations Between Anti-Mullerian Hormone and Cardiometabolic Health in Reproductive Age Women Are Explained by Body Mass Index
AU - Rios, Julie S.
AU - Greenwood, Eleni A.
AU - Pavone, Mary Ellen G.
AU - Cedars, Marcelle I.
AU - Legro, Richard S.
AU - Diamond, Michael P.
AU - Santoro, Nanette
AU - Sun, Fangbai
AU - Robinson, Randal D.
AU - Christman, Gregory
AU - Zhang, Heping
AU - Huddleston, Heather G.
N1 - Funding Information:
of Child Health and Human Development (NICHD) and the Reproductive Medicine Network in making the database available is acknowledged. This research is supported by R25HD075737, 3U10HD055925-02S1, 5U10HD055925, 3U10HD039005-08S1, 5U10HD039005, ARRA, R01HD044876, U10 HD27049, U10 UD38992, U10HD055925, U10 HD39005, U10 HD38998, U10 HD055936, U10 HD055942, U10 HD55944, U10 HD29834. The contents of this report represent the views of the authors and do not represent the views of the NICHD Reproductive Medicine Network.
Funding Information:
Assistance of the National Institute of Child Health and Human Development (NICHD) and the Reproductive Medicine Network in making the database available is acknowledged. This research is supported by R25HD075737, 3U10HD055925-02S1, 5U10HD055925, 3U10HD039005-08S1, 5U10HD039005, ARRA, R01HD044876, U10 HD27049, U10 UD38992, U10HD055925, U10 HD39005, U10 HD38998, U10 HD055936, U10 HD055942, U10 HD55944, U10 HD29834. The contents of this report represent the views of the authors and do not represent the views of the NICHD Reproductive Medicine Network.
Publisher Copyright:
© 2019 Endocrine Society 2019.
PY - 2020/1/8
Y1 - 2020/1/8
N2 - Context: The relationship between reproductive and cardiometabolic aging is unclear. It is unknown if the relationship differs across different clinical populations. Objective: To determine whether markers of ovarian reserve are associated with cardiometabolic risk in reproductive aged women with unexplained infertility (UI), polycystic ovary syndrome (PCOS), and regularly cycling women (OVA). Design and setting: Cross-sectional data from 8 US-based academic centers. Participants: Women aged 25-40 from 3 clinical populations: 870 with UI, 640 with PCOS, and 921 community-based OVA. Main Outcome Measures: Multivariable linear regression models were used to relate anti-mullerian hormone (AMH) and antral follicle count with cardiometabolic parameters including body mass index (BMI), waist circumference (WC), fasting glucose and insulin, homeostasis model assessment-insulin resistance (HOMA-IR), lipids, and C-reactive protein. Results: In age and study site-adjusted models, AMH inversely related to BMI in the UI and OVA groups (P = 0.02 and P < 0.001). Among women with PCOS, AMH inversely related to BMI (P < 0.001), and also to WC (P < 0.001), fasting insulin (P < 0.01), HOMA-IR (P < 0.01), triglycerides (P = 0.04), and C-reactive protein (P < 0.001) and directly related to higher total (P = 0.02), low-density lipoprotein (P < 0.01), and high-density lipoprotein cholesterol (P < 0.01). In OVA, AMH also varied inversely with WC (P < 0.001), fasting insulin (P = 0.02), and HOMA-IR (P = 0.02). Adjustment for BMI eliminated associations in the OVA group but in PCOS, the relationship of AMH to total (P = 0.03) and low-density lipoprotein cholesterol (P = 0.003) remained. Conclusion: Associations observed between AMH and cardiometabolic indices are largely explained by BMI in women with and without PCOS.
AB - Context: The relationship between reproductive and cardiometabolic aging is unclear. It is unknown if the relationship differs across different clinical populations. Objective: To determine whether markers of ovarian reserve are associated with cardiometabolic risk in reproductive aged women with unexplained infertility (UI), polycystic ovary syndrome (PCOS), and regularly cycling women (OVA). Design and setting: Cross-sectional data from 8 US-based academic centers. Participants: Women aged 25-40 from 3 clinical populations: 870 with UI, 640 with PCOS, and 921 community-based OVA. Main Outcome Measures: Multivariable linear regression models were used to relate anti-mullerian hormone (AMH) and antral follicle count with cardiometabolic parameters including body mass index (BMI), waist circumference (WC), fasting glucose and insulin, homeostasis model assessment-insulin resistance (HOMA-IR), lipids, and C-reactive protein. Results: In age and study site-adjusted models, AMH inversely related to BMI in the UI and OVA groups (P = 0.02 and P < 0.001). Among women with PCOS, AMH inversely related to BMI (P < 0.001), and also to WC (P < 0.001), fasting insulin (P < 0.01), HOMA-IR (P < 0.01), triglycerides (P = 0.04), and C-reactive protein (P < 0.001) and directly related to higher total (P = 0.02), low-density lipoprotein (P < 0.01), and high-density lipoprotein cholesterol (P < 0.01). In OVA, AMH also varied inversely with WC (P < 0.001), fasting insulin (P = 0.02), and HOMA-IR (P = 0.02). Adjustment for BMI eliminated associations in the OVA group but in PCOS, the relationship of AMH to total (P = 0.03) and low-density lipoprotein cholesterol (P = 0.003) remained. Conclusion: Associations observed between AMH and cardiometabolic indices are largely explained by BMI in women with and without PCOS.
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U2 - 10.1210/clinem/dgz012
DO - 10.1210/clinem/dgz012
M3 - Article
C2 - 31586179
AN - SCOPUS:85077952165
SN - 0021-972X
VL - 105
JO - Journal of Clinical Endocrinology and Metabolism
JF - Journal of Clinical Endocrinology and Metabolism
IS - 3
M1 - dgz012
ER -