Evidence map›Paper›PMID 33153014›Full record

ReviewInternational journal of molecular sciences2020

Polycystic Ovary Syndrome: A Brain Disorder Characterized by Eating Problems Originating during Puberty and Adolescence.

Régine P M Steegers-Theunissen, Rosalieke E Wiegel, Pauline W Jansen, Joop S E Laven, Kevin D Sinclair

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  7. Review
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  11. Hyperemesis in Pregnancy: Complications and Treatment.Medical sciences (Basel, Switzerland) · 2025
    Review
  12. Article
  13. Brain-Specific Gata4 Downregulation in Greywick Female Mice Models the Metabolic Subtype of Polycystic Ovary Syndrome.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  14. Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Régine P M Steegers-TheunissenDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, 3000 CA Rotterdam, The Netherlands.
Rosalieke E WiegelDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, 3000 CA Rotterdam, The Netherlands.
Pauline W JansenDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Centre, 3000 CB Rotterdam, The Netherlands.
Joop S E LavenDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, 3000 CA Rotterdam, The Netherlands.
Kevin D SinclairSchool of Biosciences, Sutton Bonnington Campus, University of Nottingham, Leicestershire LE12 6HD, UK.ORCID 0000-0002-6375-215X
Erasmus MC · NLUniversity of Nottingham · GB

Funding

Transgenerational consequences of pre-conceptional and in utero exposure to real-life chemical mixtures on fertility and metabolic healthR01ES030374 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI EVANS, NEIL PRICE, LEA, RICHARD · 2020 to 2024
$2.3M
Biotechnology and Biological Sciences Research Council BB/R007985/1the National Institute of Environmental Health Sciences, USA 1R01ES030374-01A1ZonMw 636320005
6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is an endocrine condition associated with reproductive and psychiatric disorders, and with obesity. Eating disorders, such as bulimia and recurrent dieting, are also linked to PCOS. They can lead to the epigenetic dysregulation of the hypothalamic-pituitary-gonadal (HPG) axis, thereby impacting on ovarian folliculogenesis. We postulate that PCOS is induced by psychological distress and episodes of overeating and/or dieting during puberty and adolescence, when body dissatisfaction and emotional distress are often present. We propose that upregulated activation of the central HPG axis during this period can be epigenetically altered by psychological stressors and by bulimia/recurrent dieting, which are common during adolescence and which can lead to PCOS. This hypothesis is based on events that occur during a largely neglected stage of female reproductive development. To date, most research into the origins of PCOS has focused on the prenatal induction of this disorder, particularly in utero androgenization and the role of anti-Müllerian hormone. Establishing causality in our peripubertal model requires prospective cohort studies from infancy. Mechanistic studies should consider the role of the gut microbiota in addition to the epigenetic regulation of (neuro) hormones. Finally, clinicians should consider the importance of underlying chronic psychological distress and eating disorders in PCOS.

Indexed as

AdolescentAdolescent BehaviorAge of OnsetBrain DiseasesChildFeeding and Eating DisordersFemaleHumansPolycystic Ovary SyndromePsychology, AdolescentPubertyRisk FactorsDNA methylationeating disordersemotional disturbanceneuroendocrine hormonesnutritionPCOSpreventionpsychological stress

Identifiers

PMID33153014
PMCPMC7663730
OpenAlexW3094851791

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.