Women with PCOS show significantly lower heart rate variability than women without the condition, according to a meta-analysis of 17 studies. The reduction appeared in normal-weight and overweight women with PCOS, but not in the obese subgroup.
What it shows: Meta-analysis of 17 observational studies of mixed quality (low to high risk of bias) with substantial heterogeneity; this is an association between PCOS and lower HRV, not proof that PCOS causes autonomic dysfunction or cardiovascular events.Meta-analysis · Syst Rev