Evidence map›Paper›PMID 40886026›Full record

ArticleJournal of ovarian research2025

Potential impact of air pollution on polycystic ovary syndrome incidence: a global analysis of 171 countries and regions from 1990 to 2021.

Yihao Chen, Yangyang Dai, Jiahua Qian, Yuhe Si, Fangyuan Chen, Zhiqing Hong, Jingwei Wang, Chunbao Mo, Jianxiong Ma

Abstract read
In one paragraph

Article in Journal of ovarian research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Yihao ChenThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Yangyang DaiThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Jiahua QianDepartment of Nephrology, the First Affiliated Hospital of Zhejiang, Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Yuhe SiDepartment of Nephrology, the First Affiliated Hospital of Zhejiang, Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Fangyuan ChenThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Zhiqing HongThe Third Clinical Medical College, School of Rehabilitation Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Jingwei WangAcademy of Chinese Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Chunbao MoReproductive Medicine, Guangxi Medical and Health Key Discipline Construction Project, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China. molipol@163.com.
Jianxiong MaDepartment of Nephrology, the First Affiliated Hospital of Zhejiang, Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China. daxiong1990@zcmu.edu.cn.

Funding

China Postdoctoral Science Foundation grant number 2023M743146National Natural Science Foundation of China grant number 81804092Postdoctoral Fellowship Program of CPSF grant number GZC20232373Young Elite Scientists Sponsorship Program by CACM grant number CACM-2022-QNRC2-A01Zhejiang Chinese Medical University Scientific Research Project for Talent grant number 2023RCZXZK47Zhejiang Provincial Natural Science Foundation of China under grant number ZCLMS25H2706
6 · The paper itself

Abstract

backgroundAlthough polycystic ovary syndrome (PCOS) incidence is associated with air pollution, the relationship between air pollution, especially fluctuations in global NO₂ concentrations, and the burden of PCOS remains unclear. In this ecological study, we aimed to investigate this relationship using the Global Burden of Disease 2021 dataset.

methodsData on age-standardized incidence rates (ASIR) of PCOS were collected from 171 countries and regions over a 30-year period (1990-2021). Corresponding data on air pollution (NO₂, SO

resultsResults from the mixed linear models and geographic detectors showed that NO₂, SO₂, PM, and O₃ were associated with an increased ASIR of PCOS. Meanwhile, the mixed linear models further demonstrated a positive correlation between the incidence of PCOS and the concentration of air pollutants. In further investigating the relationship between NO₂ and PCOS, we found that the associations between the concentration of NO₂ and ASIR were non-linear (P for non-linear < 0.001). Moreover, the association between NO₂ and PCOS was more pronounced in regions with middle to high economic development.

conclusionsThe continuous presence and fluctuations in the concentrations of multiple air pollutants, particularly NO₂, may be potential contributors to the increasing burden of PCOS. These findings may suggest that improvements in air quality could be associated with a reduced burden of PCOS.

Indexed as

Air PollutionPolycystic Ovary SyndromeAir PollutantsEnvironmental ExposureFemaleHumansIncidenceNitrogen DioxideParticulate MatterAir PollutantsNitrogen DioxideParticulate MatterAir pollutionGlobal burden of diseaseIncidence rateNitrogen dioxidePolycystic ovary syndrome

Identifiers

PMID40886026
PMCPMC12398071

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.