Wednesday, December 11, 2019

Daughters of Women With PCOS Five Times More Likely to Inherit the Disorder

The exact cause of polycystic ovary syndrome (PCOS) hasn’t been well researched to date, but a new study has now found daughters of women who have PCOS are five times more likely to inherit the condition compared to those born to women who don’t have PCOS.

Researchers also identified four alterations in genetic function present in both daughters of women who have PCOS as well as unrelated women with PCOS, helping to clarify a long-suspected hereditary genetic predisposition to the condition and raising the possibility of a screening test in the future.

PCOS is a hormonal disorder in which women of reproductive age may experience infrequent or prolonged menstrual periods or produce male hormones, known as androgens, in excess. This may cause them to develop excess body hair, acne, and even suffer from fertility problems.

Researchers of the current study,  said when pregnant, women with PCOS have higher levels of the androgen hormone that increases the likelihood for their daughters to develop PCOS later in life.

They reached the above conclusion after studying both humans and mice. Scientists from Sweden-based Karolinska Institute studied 21 Chilean women whose mothers were diagnosed with PCOS and 14 women whose mothers didn’t have the condition. Of this group, 15 women were found to show symptoms of PCOS, whereas, of those whose mothers didn’t have PCOS, only one was diagnosed with the disorder.

In addition to this study group, scientists also analyzed data from 29,000 Swedish women, of which more than 2,000 women’s mothers had PCOS. The results showed that 3.4% of women whose mothers had PCOS were also later diagnosed with the disorder themselves a rate roughly five times higher than the 0.6% diagnosis rate among women whose mothers didn’t have PCOS.

“Our work shows that the daughters of women with PCOS have an increased risk of developing the disorder,” said the lead author of the study, Elisabet Stener-Victorin, to The Guardian. “This is an under-recognized condition. Many women out there have either diagnosed themselves or are not diagnosed and are not feeling good.”

To further study how this condition is inherited, researchers led animal studies wherein pregnant mice were given injections of testosterone, an androgen, in order to mimic PCOS in mothers. They found the resulting female pups displayed PCOS-like symptoms, which were passed on for up to three generations. Each generation showed the same, unique altered gene function as well.

One in 5 women in India have PCOS ; globally, according to the World Health Organization, it is known to have affected about 2% to 26% women, and many women remain undiagnosed, per another study. Despite its prevalence, PCOS remains an under-recognized condition; for as many as one-third of women, it takes more than two years and consultations with at least three health professionals to establish a diagnosis for PCOS and start treatment.

Therefore, “if further work confirms the genes’ role in PCOS, they could potentially form the basis for a screening test in young women,” said Stener-Victorin to The Guardian. “It is very important for women with PCOS to be diagnosed and treated, if possible maybe lowering the androgen levels, because it may affect their future children and grandchildren.”

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Sunday, March 24, 2019

Menstrual cycle influences sleep quality in women

Young women are more likely to experience sleep disruption in the days leading up to their menstrual period, a study has found.

" Sleep is  more disrupted in the several days directly prior to menses in young healthy women," said a researcher.


" Increased sleep disruption was found in the late luteal phase, which corresponds with the days directly prior to menses," said the researcher.


Menstrual phase affected sleep efficiency, wake after sleep onset (WASO), number of awakening per night, and sleep fragmentation index, in keeping with increased sleep disruption in the late luteal phase.


Compared with the early follicular phase, sleep efficiency decreased by 3.3 %, WASO increased by 15 minutes, and the number of awakenings per night increased by 3 in the late luteal phase.


Researchers collected daily sleep data from 10 healthy women between the ages of 18-28 who had regular menstrual cycles. The researchers tracked the women\s sleep during 2 of their cycles.


The women wore actigraphic sensors on their wrist to record patterns of activity and rest over 578 sleep episodes and they provided morning urine samples for measurement of concentration of luteinizing hormone (LH), estrone-3-glucuronide (EIG) andpregnanediol-3-glucuronide (PDG).
All participants ovulated in both cycles.


The women also completed 5 day diets during the early follicular phases of each cycle. The diet during one cycle contained neutral energy availability, and the diet during the other cycle contained 55% fewer calories.


Menstrual cycle lengths were standardized to 14 day follicular and 14 day luteal phases, centered on the day of ovulation.


" Short term caloric restriction had negative effects on sleep in both the late follicular phase, just before ovulation, and in the late luteal phase, just before the onset of menses, " said the researcher who performed this study.


Decreased energy availability increased sleep disruption, with less sleep efficiency, greater WASO and a higher sleep fragmentation index in the late follicular phase in addition to the effects noted above in the late luteal phase.


It is likely these effects are mediated by the dynamic changes in ovarian hormones across the menstrual cycle.


Their study found that EIG was linked with more awakenings, and PDG was linked with a trend toward higher sleep fragmentation index.


The study validates perceptions using objective measures, and further documents the negative impact of dieting on sleep.


" These findings suggest that women need to be particularly cognisant pf practising good sleep hygiene in the week before menses and with decreased caloric intake," she noted.


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Young women are more likely to experience sleep disruption in the days leading up to their menstrual period, a study has found. "Sleep is more disrupted in the several days directly prior to menses in young healthy women," said Anne E Kim, a medic...

Read more at: https://www.deccanherald.com/science-and-environment/menstrual-cycle-influences-sleep-quality-in-women-724878.html
Young women are more likely to experience sleep disruption in the days leading up to their menstrual period, a study has found. "Sleep is more disrupted in the several days directly prior to menses in young healthy women," said Anne E Kim, a medic...

Read more at: https://www.deccanherald.com/science-and-environment/menstrual-cycle-influences-sleep-quality-in-women-724878.html

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