Evidence map›Paper›PMID 28199736›Full record

Trial reportClinical endocrinology2017

Impact of hormonal contraception and weight loss on high-density lipoprotein cholesterol efflux and lipoprotein particles in women with polycystic ovary syndrome.

Anuja Dokras, Martin Playford, Penny M Kris-Etherton, Allen R Kunselman, Christy M Stetter, Nancy I Williams, Carol L Gnatuk, Stephanie J Estes, David B Sarwer, Kelly C Allison and 3 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

13 authors at 5 institutions in 1 country.

Anuja DokrasThe Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1085-3969
Martin PlayfordSection of Inflammation and Cardiometabolic Disease, National Heart, Lung and Blood Institute, Bethesda, MA, USA.
Penny M Kris-EthertonDepartment of Nutritional Sciences, Penn State College of Health and Human Development, University Park, Philadelphia, PA, USA.
Allen R KunselmanPublic Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Christy M StetterPublic Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Nancy I WilliamsDepartment of Kinesiology, Penn State College of Health and Human Development, University Park, Philadelphia, PA, USA.
Carol L GnatukDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, PA, USA.
Stephanie J EstesDepartment of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, PA, USA.
David B SarwerDepartment of Psychiatry, Temple University, Philadelphia, PA, USA.
Kelly C AllisonDepartment of Psychiatry, Temple University, Philadelphia, PA, USA.
Christos CoutifarisThe Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Nehal MehtaSection of Inflammation and Cardiometabolic Disease, National Heart, Lung and Blood Institute, Bethesda, MA, USA.
Richard S LegroPublic Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Pennsylvania State University · USNational Heart Lung and Blood Institute · USPenn State Milton S. Hershey Medical Center · USTemple University · USUniversity of Pennsylvania · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
Treatment of Hyperandrogenism vs. Insulin Resistance in Infertile PCOS WomenR01HD056510 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2008 to 2012
$3.1M
MIGRATION AND URBAN FERTILITYR01HD029834 · NICHD · YALE UNIVERSITY · PI GUINNANE, TIMOTHY W · 1995 to 1997
–
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NICHD NIH HHS R01 HD029834NICHD NIH HHS R01 HD056510
6 · The paper itself

Abstract

objectiveTo study the effects of oral contraceptive pills (OCP), the first-line treatment for PCOS, on high-density lipoprotein cholesterol (HDL-C) function (reverse cholesterol efflux capacity) and lipoprotein particles measured using nuclear magnetic resonance spectroscopy in obese women.

designSecondary analysis of a randomized controlled trial (OWL-PCOS) of OCP or Lifestyle (intensive Lifestyle modification) or Combined (OCP + Lifestyle) treatment groups for 16 weeks. PATIENTS: Eighty-seven overweight/obese women with PCOS at two academic centres. MEASUREMENTS: Change in HDL-C efflux capacity and lipoprotein particles.

resultsHigh-density lipoprotein cholesterol efflux capacity increased significantly at 16 weeks in the OCP group [0·11; 95% confidence interval (CI) 0·03, 0·18, P = 0·008] but not in the Lifestyle (P = 0·39) or Combined group (P = 0·18). After adjusting for HDL-C and TG levels, there was significant mean change in efflux in the Combined group (0·09; 95% CI 0·01, 0·15; P = 0·01). Change in HDL-C efflux correlated inversely with change in serum testosterone (r

conclusionsOral contraceptive pills use is associated with improved HDL-C function and a concomitant atherogenic LDL-C profile. Combination of a Lifestyle program with OCP use improved HDL-C function and mitigated adverse effects of OCP on lipoproteins. Our study provides evidence for use of OCP in overweight/obese women with PCOS when combined with Lifestyle changes.

Indexed as

Risk Reduction BehaviorWeight LossAdultCholesterol, HDLCholesterol, LDLContraceptives, OralFemaleHumansObesityOverweightPolycystic Ovary SyndromeYoung AdultCholesterol, HDLCholesterol, LDLContraceptives, Oral

Identifiers

PMID28199736
PMCPMC5651984
OpenAlexW2587909021

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.