Evidence mapPaperPMID 42147115Full record

ArticleFrontiers in endocrinology2026

Thyroid autoimmunity does not delineate a cardiometabolic or androgenic phenotype in women with polycystic ovary syndrome: a pre-specified cross-sectional analysis.

Natalia Piórkowska, Lech Madeyski, Marcin Leśniewski, Grzegorz Franik, Anna Bizoń

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Natalia PiórkowskaFaculty of Information and Communication Technology, Wroclaw University of Science and Technology, Wrocław, Poland.
Lech MadeyskiFaculty of Information and Communication Technology, Wroclaw University of Science and Technology, Wrocław, Poland.
Marcin LeśniewskiDepartment of Medical Anthropology, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland.
Grzegorz FranikDepartment of Endocrinological Gynecology, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland.
Anna BizońDepartment of Toxicology, Faculty of Pharmacy, Wroclaw Medical University, Wrocław, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyroid autoimmunity (TAI) is frequently reported in women with polycystic ovary syndrome (PCOS), yet its clinical relevance for cardiometabolic and androgenic severity remains uncertain. We evaluated whether TAI identifies a metabolically or androgenically more severe PCOS phenotype using pre-specified exposure definitions and cardiometabolic endpoints. Methods: This cross-sectional study included 1,300 women with confirmed PCOS in the source dataset. Thyroid autoimmunity was defined Results: TAI_A was not significantly associated with the primary endpoint (TG/HDL >3.5) (OR 0.77, 95% CI 0.21-1.67). No significant associations were observed for secondary endpoints including non-HDL-C ≥130 mg/dL (OR 1.09, 95% CI 0.61-1.76) or impaired glucose tolerance on OGTT (OR 1.27, 95% CI 0.63-2.18). Results remained directionally consistent across alternative TAI definitions and sensitivity analyzes, including restriction to euthyroid women and trimming of extreme values. In exploratory analyzes, thyroid-stimulating hormone levels differed between TAI-positive and TAI-negative women, while no androgenic or cardiometabolic parameters remained significant after false discovery rate correction. Model diagnostics did not indicate major violations of model assumptions. Conclusion: In this large cross-sectional cohort of women with PCOS, thyroid autoimmunity was not associated with an adverse cardiometabolic or androgenic phenotype. Anti-TPO positivity alone therefore does not appear to identify a metabolically high-risk PCOS subgroup under the studied conditions. Prospective studies are needed to clarify the longitudinal implications of thyroid autoimmunity in PCOS.

Indexed as

AndrogensAutoimmunityPolycystic Ovary SyndromeThyroid GlandAdultAutoantibodiesCross-Sectional StudiesFemaleHumansPhenotypeYoung AdultAndrogensAutoantibodiesandrogenscardiometabolic riskinsulin resistanceoral glucose tolerance testpolycystic ovary syndromethyroid autoimmunitytriglyceride-to-HDL cholesterol ratio

Identifiers

PMID42147115
PMCPMC13175869

What Socratic 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 Socratic graph.