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      Ansiedad y depresión en mujeres con el síndrome de ovario poliquístico Translated title: Anxiety and depression in women with polycystic ovary syndrome

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          Abstract

          RESUMEN Introducción: El síndrome de ovario poliquístico es una condición muy frecuente en la mujer durante la etapa fértil y tiene implicaciones en la esfera reproductiva y cardiometabólica. Sin embargo, se ha observado que estas mujeres también pueden ver afectada su esfera psicoafectiva. Objetivo: Demostrar que las mujeres con síndrome de ovario poliquístico tienen mayor frecuencia de padecer alteraciones del ánimo (ansiedad y depresión). Métodos: Con la metodología de la investigación documental se analizaron 54 artículos publicados desde 2002, procedentes de las bases de PubMed/MEDLINE, Embase, PsycINFO and Web. Se usaron como palabras clave: síndrome de ovario poliquístico, ansiedad, depresión, alteraciones psicológicas y alteraciones psicoafectivas. Conclusiones: Los resultados de las investigaciones revisadas coinciden en que las mujeres con síndrome de ovario poliquístico tienen niveles más latos de depresión y ansiedad que las mujeres sin el síndrome, lo cual se basa en mecanismos biológicos y socioculturales.

          Translated abstract

          ABSTRACT Introduction: Polycystic ovary syndrome is a very frequent condition in women during the fertile stage and has reproductive and cardiometabolic implications. However, it has been observed that these women may also be affected in their psychoaffective sphere. Objective: To demonstrate that women with polycystic ovary syndrome have a higher frequency of mood disorders (anxiety and depression). Methods: Using documentary research methodology, 54 articles published since 2002 were analyzed from PubMed/MEDLINE, Embase, PsycINFO and Web databases. Polycystic ovary syndrome, anxiety, depression, psychological alterations and psychoaffective alterations were used as keywords. Conclusions: The results of the reviewed research coincide in demonstrating that women with PCOS have lower levels of depression and anxiety than women without the syndrome which is based on biological and sociocultural mechanisms.

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          Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies.

          Floriana Luppino, Leonore de Wit, Paul Bouvy … (2010)
          Association between obesity and depression has repeatedly been established. For treatment and prevention purposes, it is important to acquire more insight into their longitudinal interaction. To conduct a systematic review and meta-analysis on the longitudinal relationship between depression, overweight, and obesity and to identify possible influencing factors. Studies were found using PubMed, PsycINFO, and EMBASE databases and selected on several criteria. Studies examining the longitudinal bidirectional relation between depression and overweight (body mass index 25-29.99) or obesity (body mass index > or =30) were selected. Unadjusted and adjusted odds ratios (ORs) were extracted or provided by the authors. Overall, unadjusted ORs were calculated and subgroup analyses were performed for the 15 included studies (N = 58 745) to estimate the effect of possible moderators (sex, age, depression severity). Obesity at baseline increased the risk of onset of depression at follow-up (unadjusted OR, 1.55; 95% confidence interval [CI], 1.22-1.98; P or =60 years) but not among younger persons (aged <20 years). Baseline depression (symptoms and disorder) was not predictive of overweight over time. However, depression increased the odds for developing obesity (OR, 1.58; 95% CI, 1.33-1.87; P < .001). Subgroup analyses did not reveal specific moderators of the association. This meta-analysis confirms a reciprocal link between depression and obesity. Obesity was found to increase the risk of depression, most pronounced among Americans and for clinically diagnosed depression. In addition, depression was found to be predictive of developing obesity.
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            Obesity and neuroinflammation: a pathway to cognitive impairment.

            Alyson A. Miller, Sarah J. Spencer (2014)
            Obesity is a growing problem worldwide and is associated with a range of comorbidities, including cognitive dysfunction. In this review we will address the evidence that obesity and high fat feeding can lead to cognitive dysfunction. We will also examine the idea that obesity-associated systemic inflammation leads to inflammation within the brain, particularly the hypothalamus, and that this is partially responsible for these negative cognitive outcomes. Thus, obesity, and high fat feeding, lead to systemic inflammation and excess circulating free fatty acids. Circulating cytokines, free fatty acids and immune cells reach the brain at the level of the hypothalamus and initiate local inflammation, including microglial proliferation. This local inflammation likely causes synaptic remodeling and neurodegeneration within the hypothalamus, altering internal hypothalamic circuitry and hypothalamic outputs to other brain regions. The result is disruption to cognitive function mediated by regions such as hippocampus, amygdala, and reward-processing centers. Central inflammation is also likely to affect these regions directly. Thus, central inflammation in obesity leads not just to disruption of hypothalamic satiety signals and perpetuation of overeating, but also to negative outcomes on cognition. Copyright © 2014 Elsevier Inc. All rights reserved.
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              Inflammation is detrimental for neurogenesis in adult brain.

              Christine T. Ekdahl, Jan-Hendrik Claasen, Sara Bonde … (2003)
              New hippocampal neurons are continuously generated in the adult brain. Here, we demonstrate that lipopolysaccharide-induced inflammation, which gives rise to microglia activation in the area where the new neurons are born, strongly impairs basal hippocampal neurogenesis in rats. The increased neurogenesis triggered by a brain insult is also attenuated if it is associated with microglia activation caused by tissue damage or lipopolysaccharide infusion. The impaired neurogenesis in inflammation is restored by systemic administration of minocycline, which inhibits microglia activation. Our data raise the possibility that suppression of hippocampal neurogenesis by activated microglia contributes to cognitive dysfunction in aging, dementia, epilepsy, and other conditions leading to brain inflammation.
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                Author and article information

                Journal
                Journal ID (publisher-id): end
                Title: Revista Cubana de Endocrinología
                Abbreviated Title: Rev Cubana Endocrinol
                Publisher: Editorial Ciencias Médicas (Ciudad de la Habana, , Cuba )
                ISSN (Electronic): 1561-2953
                Publication date (Print and electronic): August 2022
                Volume: 33
                Issue: 2
                Electronic Location Identifier: e305
                Affiliations
                [1] La Habana orgnameUniversidad de Ciencias Médicas de La Habana orgdiv1Instituto Nacional de Endocrinología (INEN) Cuba
                Article
                Publisher ID: S1561-29532022000200002 Publisher ID: S1561-2953(22)03300200002
                SO-VID: 3ca88c82-7428-4231-88b3-d7648ef0b861
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Date received : 24 March 2021
                Date accepted : 22 October 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 42, Pages: 0
                Product

                SciELO Cuba

                Categories
                Subject: ARTÍCULO DE REVISIÓN

                Keywords: ansiedad,polycystic ovary syndrome,depression,anxiety,psychoaffective disorder.,síndrome de ovario poliquístico,depresión,trastorno psicoafectivo
                Data availability:
                Keywords: ansiedad, polycystic ovary syndrome, depression, anxiety, psychoaffective disorder., síndrome de ovario poliquístico, depresión, trastorno psicoafectivo

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