{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:36:28Z","timestamp":1790044588857,"version":"4.0.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100016209","name":"Erciyes University Scientific Research Projects Coordination Unit","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016209","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.ejogrb.2025.114648","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T15:52:33Z","timestamp":1754927553000},"page":"114648","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"special_numbering":"C","title":["Adolescent PCOS and metabolic health: An analysis of fat, muscle, and hormones"],"prefix":"10.1016","volume":"314","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5261-9222","authenticated-orcid":false,"given":"Leyla","family":"Kara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilek","family":"Cicek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Sarikaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebru","family":"Gok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugur","family":"Berber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulku Gul","family":"Siraz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Kendirci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihal","family":"Hatipoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2025.114648_b0005","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1159\/000479371","article-title":"An International Consortium Update: Pathophysiology, Diagnosis, and Treatment of Polycystic Ovarian Syndrome in Adolescence","volume":"88","author":"Ib\u00e1\u00f1ez","year":"2017","journal-title":"Horm Res Pediatr"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.114648_b0010","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.molmed.2023.02.006","article-title":"Adolescent PCOS: a postpubertal central obesity syndrome","volume":"29","author":"Ib\u00e1\u00f1ez","year":"2023","journal-title":"Trends Mol Med"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.114648_b0015","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12902-019-0381-4","article-title":"Polycystic ovary syndrome is a risk factor for sarcopenic obesity: a case control study","volume":"19","author":"McBreairty","year":"2019","journal-title":"BMC Endocr Disord"},{"key":"10.1016\/j.ejogrb.2025.114648_b0020","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.numecd.2007.10.002","article-title":"Sarcopenicobesity: a new category of obesity in the elderly","volume":"18","author":"Zamboni","year":"2008","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"10.1016\/j.ejogrb.2025.114648_b0025","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1046\/j.1532-5415.2002.50216.x","article-title":"Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability","volume":"50","author":"Janssen","year":"2002","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.ejogrb.2025.114648_b0030","doi-asserted-by":"crossref","unstructured":"Ferrara LA, Capaldo B, MancusiC, et al. Cardiometabolic risk in overweight subjects with or without relative fat-free mass deficiency: the Strong Heart Study. Nutr Metab Cardiovasc Dis, 2014; 24, 271-6.","DOI":"10.1016\/j.numecd.2013.08.009"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114648_b0035","first-page":"261","article-title":"Fat-to-muscle Ratio: a New Anthropometric Indicator for predicting Metabolic Syndrome in the Han and Bouyei Populations from Guizhou Province","volume":"31","author":"Xu","year":"2018","journal-title":"China Biomed Environ Sci"},{"key":"10.1016\/j.ejogrb.2025.114648_b0040","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1590\/0102-672020180001e1362","article-title":"Trunk body mass index: a new reference for the assessment of body mass distribution","volume":"31","author":"Takesian","year":"2018","journal-title":"Arq Bras Cir Dig"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.114648_b0045","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1111\/j.1399-5448.2007.00271.x","article-title":"IDF Consensus Group. the metabolic syndrome in children and adolescents - an IDF consensus report","volume":"8","author":"Zimmet","year":"2007","journal-title":"Pediatr Diabetes"},{"issue":"7","key":"10.1016\/j.ejogrb.2025.114648_b0050","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/0002-9378(81)90746-8","article-title":"Hirsutism: implications, etiology, and management","volume":"140","author":"Hatch","year":"1981","journal-title":"Am J Obstet Gynecol"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114648_b0055","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s00431-007-0502-3","article-title":"Waist circumference percentiles for 7- to 17-year-old Turkish children and adolescents","volume":"167","author":"Hatipoglu","year":"2008","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.ejogrb.2025.114648_b0060","doi-asserted-by":"crossref","DOI":"10.1515\/JPEM.2008.21.9.827","article-title":"Reference body mass index curves for Turkish children 6 to 18 years of age","author":"Ozturk","year":"2008","journal-title":"J Pediatr Endocrinol Metab"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.114648_b0065","first-page":"1","article-title":"T\u00fcrk \u00e7ocuklar\u0131nda v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131, boy uzunlu\u011fu, ba\u015f \u00e7evresi ve v\u00fccut kitle indeksi referans de\u011ferleri","volume":"51","author":"Neyzi","year":"2008","journal-title":"\u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Dergisi"},{"issue":"6","key":"10.1016\/j.ejogrb.2025.114648_b0070","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1111\/cen.12803","article-title":"Sympathetic activation and endothelial dysfunction in polycystic ovary syndrome are not explained by either obesity or insulin resistance","volume":"83","author":"Lambert","year":"2015","journal-title":"Clin Endocrinol"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114648_b0075","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.bpobgyn.2009.09.005","article-title":"PCOS in adolescents","volume":"24","author":"Diamanti-Kandarakis","year":"2010","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114648_b0080","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/obr.12762","article-title":"Metabolic syndrome in polycystic ovary syndrome: a systematic review, meta-analysis and meta-regression","volume":"20","author":"Lim","year":"2019","journal-title":"Obes Rev"},{"key":"10.1016\/j.ejogrb.2025.114648_b0085","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/978-3-319-57379-3_26","article-title":"Bioimpedance Measurements in Adolescents with Polycystic Ovary Syndrome: a pilot Study","volume":"987","author":"Geronikolou","year":"2017","journal-title":"Adv Exp Med Biol"},{"issue":"10","key":"10.1016\/j.ejogrb.2025.114648_b0090","doi-asserted-by":"crossref","first-page":"589","DOI":"10.5603\/GP.2019.0103","article-title":"Body mass composition and dietary habits in adolescents with polycystic ovary syndrome","volume":"90","author":"Bialka-Kosiec","year":"2019","journal-title":"Ginekol Pol"},{"key":"10.1016\/j.ejogrb.2025.114648_b0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.maturitas.2024.107982","article-title":"Evaluation of muscle and bone composition and function in aging women with polycystic ovary syndrome","volume":"185","author":"\u00c7elik Ero\u011flu","year":"2024","journal-title":"Maturitas"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.114648_b0100","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1186\/s12902-024-01783-2","article-title":"Body composition analysis in women with polycystic ovary syndrome: a cross-sectional study from the Tehran Lipid and Glucose Study (TLGS)","volume":"24","author":"Zakeri","year":"2024","journal-title":"BMC Endocr Disord"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.114648_b0105","first-page":"337","article-title":"Serum androgen levels and muscle mass in women with polycystic ovary syndrome","volume":"94","author":"Douchi","year":"1999","journal-title":"Obstet Gynecol"},{"issue":"7","key":"10.1016\/j.ejogrb.2025.114648_b0110","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1093\/humrep\/deu096","article-title":"Association of fat to lean mass ratio with metabolic dysfunction in women with polycystic ovary syndrome","volume":"29","author":"Ezeh","year":"2014","journal-title":"Hum Reprod"},{"key":"10.1016\/j.ejogrb.2025.114648_b0115","doi-asserted-by":"crossref","DOI":"10.1016\/j.molmet.2020.01.001","article-title":"Metabolic dysfunction in polycystic ovarysyndrome: Pathogenic role of androgen excess and potential therapeutic strategies","volume":"35","author":"Sanchez-Garrido","year":"2020","journal-title":"Mol Metab"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.114648_b0120","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1530\/EJE-14-1108","article-title":"Morbidity and medicine prescriptions in a nationwide danish population of patients diagnosed with polycystic ovary syndrome","volume":"172","author":"Glintborg","year":"2015","journal-title":"Eur J Endocrinol"},{"issue":"15","key":"10.1016\/j.ejogrb.2025.114648_b0125","article-title":"Treatment and complications of PCOS in adolescents - what's new in 2023?","volume":"2","author":"Jakubowska-Kowal","year":"2024","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114648_b0130","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jpag.2014.08.011","article-title":"What is the risk of Metabolic Syndrome in Adolescents with Normal BMI who have Polycystic Ovary Syndrome?","volume":"28","author":"Aydin","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"6","key":"10.1016\/j.ejogrb.2025.114648_b0135","doi-asserted-by":"crossref","first-page":"289","DOI":"10.5603\/GP.a2017.0055","article-title":"The incidence of metabolic syndrome in adolescents with different phenotypes of PCOS","volume":"88","author":"Altintas","year":"2017","journal-title":"Ginekol Pol"},{"key":"10.1016\/j.ejogrb.2025.114648_b0140","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s43032-022-00864-8","article-title":"The association between polycystic ovary syndrome and metabolic syndrome in adolescents: a systematic review and meta-analysis","volume":"30","author":"Fu","year":"2023","journal-title":"Reprod Sci"},{"issue":"Suppl 2","key":"10.1016\/j.ejogrb.2025.114648_b0145","doi-asserted-by":"crossref","first-page":"S71","DOI":"10.1038\/sj.ijo.0801282","article-title":"Obesity, insulin, sex steroids and ovulation","volume":"24","author":"Nestler","year":"2000","journal-title":"Int J Obes Relat Metab Disord"},{"key":"10.1016\/j.ejogrb.2025.114648_b0150","doi-asserted-by":"crossref","unstructured":"Nowak-Cio\u0142ek M, et al. Adolescent PCOS and long-term metabolic risk: insights from triglycerides to high-density lipoprotein cholesterol ratio and high-density lipoprotein cholesterol profiles. Front Endocrinol (Lausanne). 2025 Ju, 3;16:1579217.","DOI":"10.3389\/fendo.2025.1579217"},{"issue":"21","key":"10.1016\/j.ejogrb.2025.114648_b0155","first-page":"4755","article-title":"The effect of abdominal obesity in patients with polycystic ovary syndrome on metabolic parameters","volume":"21","author":"Franik","year":"2017","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"10","key":"10.1016\/j.ejogrb.2025.114648_b0160","doi-asserted-by":"crossref","first-page":"2447","DOI":"10.1210\/clinem\/dgad463","article-title":"Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome","volume":"108","author":"Teede","year":"2023","journal-title":"J Clin Endocrinol Metab"},{"issue":"10","key":"10.1016\/j.ejogrb.2025.114648_b0165","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1249\/00005768-199510000-00001","article-title":"Body composition by DXA: tried and true?","volume":"27","author":"Kohrt","year":"1995","journal-title":"Med Sci Sports Exerc"},{"issue":"7","key":"10.1016\/j.ejogrb.2025.114648_b0170","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0200465","article-title":"Comparison of body composition assessment by DXA and BIA according to the body mass index: a retrospective study on 3655 measures","volume":"13","author":"Achamrah","year":"2018","journal-title":"PLoS One"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114648_b0175","doi-asserted-by":"crossref","first-page":"483","DOI":"10.3390\/jcm13020483","article-title":"Association of Fat Mass and Skeletal Muscle Mass with Cardiometabolic Risk Varied in Distinct PCOS Subtypes: a Propensity Score-Matched Case-Control Study","volume":"13","author":"Cai","year":"2024","journal-title":"J Clin Med"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525009248?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525009248?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T14:22:52Z","timestamp":1760365372000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211525009248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":35,"alternative-id":["S0301211525009248"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114648","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Adolescent PCOS and metabolic health: An analysis of fat, muscle, and hormones","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114648","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"114648"}}