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Beitl K, Ott J, Rosta K, Holzer I, Foessleitner P, Steininger J, Panay N. Premature ovarian insufficiency and autoimmune profiles: a prospective case-control study. Climacteric 2024; 27:187-192. [PMID: 38108204 DOI: 10.1080/13697137.2023.2287631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 11/14/2023] [Indexed: 12/19/2023]
Abstract
OBJECTIVE Autoimmunity seems to be present in a large proportion of women with spontaneous premature ovarian insufficiency (POI). Whether these women are at increased risk for autoimmune disease has not been determined to date. Therefore, the aim of this study was to investigate a large series of antibodies in order to shed more light into the autoimmune risk of POI women. METHODS In a prospective case-control study, blood samples from 66 patients with spontaneous POI and 66 healthy controls were analyzed for a series of autoimmune antibodies. RESULTS POI women revealed significantly increased thyroglobulin antibodies (TGAb) (p = 0.045) and thyroid peroxidase antibodies (TPOAb) (p = 0.002). At least one abnormal autoimmune parameter was present in 37.9% of POI women, compared to 18.2% in healthy controls (p = 0.045). A strong association between POI and increased TGAb (adjusted odds ratio 3.586, p = 0.028), increased TPOAb (adjusted odds ratio 7.496, p = 0.003) and any increased autoimmune parameter (adjusted odds ratio 3.189, p = 0.008) could be demonstrated in a binary logistic regression model. CONCLUSION A high prevalence of autoimmunity in POI women compared to a healthy young collective could be demonstrated. Thyroid antibodies were significantly increased in POI women. Our data highlight the increased risk for autoimmune diseases, especially for thyroid disorders.
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Affiliation(s)
- K Beitl
- Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria
| | - J Ott
- Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria
| | - K Rosta
- Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria
| | - I Holzer
- Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria
| | - P Foessleitner
- Clinical Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, Vienna, Austria
| | - J Steininger
- Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria
| | - N Panay
- Department of Gynaecology, Imperial College Healthcare, NHS Trust, London, UK
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Puchner A, Rosenberg N, Valenta N, Ritschl V, Stamm T, Mandl P, Aletaha D, Rosta K. AB1177 SEXUALITY, FAMILY PLANNING AND MENTAL HEALTH AMONG REPRODUCTIVE-AGE WOMEN WITH RHEUMATIC DISEASE DURING THE COVID-19 PANDEMIC. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundWomen with rheumatic disease are more likely to suffer from sexual dysfunction, infertility, depression, and anxiety. The pandemic may have affected these constraints.ObjectivesTo investigate the effect of the Covid-19 pandemic on sexuality, family planning and mental health in a sample of women with rheumatic disease.MethodsWomen aged 18-50 with a rheumatic disease and women in an age-matched healthy control group received questionnaires featuring: 1) demographic information, sexual frequency, family planning; 2) the Female Sexual Function Index (FSFI); 3) the Depression, Anxiety and Stress Scale (DASS-21); and 4) the Coronavirus Anxiety Scale (CAS). Recruitment took place 3/21-12/21. Patients with rheumatic conditions were recruited at the Vienna University Clinic (AKH) and the control group through social media. Parameters were compared between the patients and the healthy control group, and with data on sexuality from women with rheumatic disease from 2019.ResultsA preliminary analysis was conducted with 83 patients with rheumatic disease and 124 healthy controls. The rheumatic disease group exhibited lower levels of stress (6.46 vs. 8.36 p<0.01) and Coronavirus Anxiety (6.27 vs 7.50 p<0.01) than the control group and was less likely to report that the pandemic led to a reduction of their sexual frequency (p<0.01). The control group cited “stress” frequently the decrease of sexual frequency. The FSFI analysis revealed that patients with rheumatic disease experienced higher levels of pain (p<0.001) during sex than the control group but were more satisfied with their relationships (p<0.05). In comparison to 58 patients with rheumatic conditions, whose data was collected in 2019, the 2021 cohort reported reduced FSFI values in the domains of desire (p<0.01), arousal (p<0.05), lubrication (p<0.05), and orgasms (p<0.01).ConclusionConsistent with research on female sexuality during the pandemic among healthy women, we found that patients with rheumatic conditions reported lower FSFI values in 2021, in comparison to 2019. Our finding that the pandemic had less impact on the patient group than a healthy control group, is consistent with research on MS and IBD patients, who showed surprising resilience in the face of the Covid-19 pandemic.Disclosure of InterestsNone declared
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Rosenberg N, Mazzucato-Puchner AB, Valenta N, Stamm T, Rosta K. Sexualität, Familienplanung und psychische Gesundheit bei Frauen im gebärfähigen Alter mit rheumatischen Erkrankungen während der Covid-19 Pandemie. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/s-0042-1750216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- N Rosenberg
- Klinische Abteilung für Gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - A B Mazzucato-Puchner
- Klinische Abteilung für Rheumatologie, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien
| | - N Valenta
- Klinische Abteilung für Gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - T Stamm
- Zentrum für Medizinische Statistik, Informatik und Intelligente Systeme, Medizinische Universität Wien
| | - K Rosta
- Klinische Abteilung für Gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
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Zwick C, Hütter L, Mazzucato-Puchner A, Redlich K, Sevelda P, Rosta K. Lupus, das Chamäleon. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- C Zwick
- KH Hietzing, Abteilung für Gynäkologie und Geburtshilfe, Wien
| | - L Hütter
- KH Hietzing, 2. Medizinische Abteilung (Rheumatologie), Wien
| | | | - K Redlich
- KH Hietzing, 2. Medizinische Abteilung (Rheumatologie), Wien
| | - P Sevelda
- KH Hietzing, Abteilung für Gynäkologie und Geburtshilfe, Wien
| | - K Rosta
- Universitätsklinik für Gynäkologie und Geburtshilfe, Wien
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Valenta N, Mrak D, Puchner A, Rosta K. Sexualität und Verhütungsmethoden von Patientinnen mit einer rheumatischen Erkrankung. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- N Valenta
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - D Mrak
- Universitätsklinik für Innere Medizin III, Klinische Abteilung für Rheumatologie, Medizinische Universität Wien
| | - A Puchner
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - K Rosta
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
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Mair K, Mazzucato-Puchner A, Mandl P, Rosta K. Management der hämophagozytären Lymphohistiozytose in der Schwangerschaft. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- K Mair
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde Medizinische Universität Wien
| | - A Mazzucato-Puchner
- Universitätsklinik für Innere Medizin III, Klinische Abteilung für Rheumatologie, Medizinische Universität Wien
| | - P Mandl
- Universitätsklinik für Innere Medizin III, Klinische Abteilung für Rheumatologie, Medizinische Universität Wien
| | - K Rosta
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde Medizinische Universität Wien
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Falcone V, Reischer T, Springer S, Husslein PW, Rosta K. Beta Thalassemia minor and its impact on glucose metabolism during pregnancy: a retrospective study to assess implication for mothers and offspring. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- V Falcone
- Department of obstetrics and gynecology, Medical University of Vienna
| | - T Reischer
- Department of obstetrics and gynecology, Medical University of Vienna
| | - S Springer
- Department of obstetrics and gynecology, Medical University of Vienna
| | - P W Husslein
- Department of obstetrics and gynecology, Medical University of Vienna
| | - K Rosta
- Department of obstetrics and gynecology, Medical University of Vienna
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Rosta K, Mrak D, Valenta N, Stamm T, Ritschl V, Husslein P, Puchner A. Preliminary Results from the Nationwide Austrian Register for Reproduction and Rheumatic Disease (RhePro Register). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- K Rosta
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde Medizinische Universität Wien
| | - D Mrak
- Universitätsklinik für Innere Medizin III, Klinische Abteilung für Rheumatologie, Medizinische Universität Wien
| | - N Valenta
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde Medizinische Universität Wien
| | - T Stamm
- Zentrum für Medizinische Statistik, Informatik und Intelligente Systeme, Medizinische Universität Wien
| | - V Ritschl
- Zentrum für Medizinische Statistik, Informatik und Intelligente Systeme, Medizinische Universität Wien
| | - P Husslein
- Abteilung für Geburtshilfe und fetomaternale Medizin, Universitätsklinik für Frauenheilkunde Medizinische Universität Wien
| | - A Puchner
- Universitätsklinik für Innere Medizin III, Klinische Abteilung für Rheumatologie, Medizinische Universität Wien
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Rosta K, Bancher-Todesca D, Hadarits O, Al-Aissa Z, Kautzky-Willer A, Firneisz G. Neue Aspekte in der Entwicklung des Gestationsdiabetes: Eine Studie an 77 einzelnen Nucleotid-Gen-Polymorphismen in der Schwangerschaft. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1602339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- K Rosta
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - D Bancher-Todesca
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - O Hadarits
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - Z Al-Aissa
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - A Kautzky-Willer
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
| | - G Firneisz
- Abteilung für Geburtshilfe und Fetomaternale Medizin, Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien
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Rosta K, Hadarits O, Al-Aissa Z, List A, Feichtinger M, Sziller I, Rigo J, Somogyi A, Firneisz G, Kautzky-Willer A, Harreiter J, Bancher-Todesca D. VEGF und IL1RA Konzentrationen im Nabelschnurserum von Frauen mit Gestationsdiabetes. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Rosta K, Al-Aissa Z, Hadarits O, Zóka A, Harreiter J, Kautzky-Willer A, Rigó J, Sziller I, Somogyi A, Bancher-Todesca D, Firneisz G. Erniedrigte fetale Dipeptidylpeptidase 4 (DPP4) Aktivität bei Gestationsdiabetes. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Vastagh I, Horváth T, Garamvölgyi Z, Rosta K, Folyovich A, Rigó J, Kollai M, Bereczki D, Somogyi A. Preserved structural and functional characteristics of common carotid artery in properly treated normoglycemic women with gestational diabetes mellitus. ACTA ACUST UNITED AC 2011; 98:294-304. [PMID: 21893468 DOI: 10.1556/aphysiol.98.2011.3.6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Women with gestational diabetes mellitus (GDM) are at high risk of subsequently developing type 2 diabetes mellitus which is an important cardiovascular risk factor. We have evaluated whether preclinical morphological and functional arterial changes are present in GDM. Diameter, intima-media thickness (IMT), intima-media cross-section area (IMCSA) and elasticity features (compliance, distensibility coefficient, circumferential strain, stiffness index (SI) α and β, incremental elastic modulus) of the common carotid arteries (CCA) were studied in the 3rd trimester in 25 women with GDM, and 17 normal pregnant women matched for age and body mass index using an ultrasonographic vessel wall-movement tracking system and applanation tonometry. Mean IMT, IMCSA and SI α tended to be larger, whereas compliance was smaller in women with GDM but none of these differences were significant. Serum glucose (4.99 ± 0.51 vs. 4.79 ± 0.61 mmol/L, p=0.37) and HbA1c (5.33 ± 0.27 vs. 5.36 ± 0.47 mmol/L, p=0.85) proved normoglycemia in both groups. In conclusion, by the combination of methods we applied in this case control study, neither morphological nor functional characteristics of large elastic arteries differ significantly between well-treated normoglycemic women with GDM and non-diabetic pregnant women in the 3rd trimester.
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Affiliation(s)
- Ildikó Vastagh
- Department of Neurology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
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