Effects of multidimensional life management on healthy behavior in polycystic ovary syndrome patients: A randomized controlled trial

Guo, Yunmei; Liu, Ying; Yan, Xin; Ding, Rui; Wang, LianHong

doi:10.3389/fpsyg.2022.918991

Cited by 4 publications

(8 citation statements)

References 42 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These eight studies were published between 2015 and 2022. Two of the studies were performed in China ( 26 , 27 ), and the remaining six were performed in Iran ( 25 ), Sweden ( 29 ), the United Kingdom ( 28 ), Pennsylvania ( 30 ), Canada ( 31 ), and Australia ( 32 ), respectively. Two studies evaluated the effectiveness of behavioral interventions using mobile health applications ( 26 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

“…Two of the studies were performed in China ( 26 , 27 ), and the remaining six were performed in Iran ( 25 ), Sweden ( 29 ), the United Kingdom ( 28 ), Pennsylvania ( 30 ), Canada ( 31 ), and Australia ( 32 ), respectively. Two studies evaluated the effectiveness of behavioral interventions using mobile health applications ( 26 , 27 ). These interventions aimed to modify individuals’ behavior patterns in order to achieve positive health outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…All included trials reported adequate randomized sequence generation. Two studies used random number tables ( 30 , 32 ), five studies used block randomization ( 25 – 27 , 29 , 31 ), and one study only mentioned randomization but did not provide further details ( 30 ). Four trials were assessed as being at unclear risk of selection bias because allocation concealment details were not provided ( 28 – 30 , 32 ).…”

Section: Resultsmentioning

confidence: 99%

“…Four trials were assessed as having an unclear risk of performance bias because they did not require blinding of participants or researchers ( 28 , 29 , 31 , 32 ). Similarly, four studies mentioned the blinding of outcome assessors ( 25 – 27 , 30 ), but the other four studies did not mention whether blinding of outcome assessors was carried out. All trials were preregistered in a clinical trial registry, which might have efficiently controlled reporting bias.…”

Section: Resultsmentioning

confidence: 99%

“…The meta-analysis of RCTs using fixed effects models revealed that behavioral interventions were significantly more effective in reducing weight in patients with PCOS compared to the controls (MD: -1.07; 95% CI: -2.1 to -0.03; I 2 = 0%; P=0.04; Figure 4 ). Three studies ( 25 – 27 ) were excluded from the meta-analysis as they did not report weight at the end of the study. However, these studies provided information on changes in BMI.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

The effects of behavioral intervention on anthropometric, clinical, and biochemical parameters in patients with polycystic ovary syndrome: a systematic review and meta-analysis

Xie,

Yang,

Zhang

2024

Front. Endocrinol.

View full text Add to dashboard Cite

ObjectiveTo evaluate the effects of behavioral intervention for polycystic ovary syndrome (PCOS).MethodsElectronic databases were searched, including Pubmed, Medline, EMBASE, and the Cochrane Central Register of Controlled Trials from inception to 1 April 2023. Inclusion criteria for this study required a diagnosis of PCOS. Interventions of interest included behavioral intervention and routine treatment compared with routine treatment. The studies included in the analysis were designed as randomized controlled trials (RCTs). We conducted meta-analyses following the recommended guidelines. The data was analyzed using either the random effects model or fixed effects model. The results of the studies were expressed as either mean differences (MD) or standardized mean differences (SMD) along with their corresponding 95% confidence intervals (CIs).ResultsEight RCTs were identified, including data from 744 patients (415 in the intervention group and 329 in the control group). The results indicate an improvement in the effectiveness of behavioral interventions for weight loss (MD: -1.07; 95% CI: -2.1 to 0.03; I2 = 0%; P=0.04), body mass index (BMI) (MD: -1.12; 95% CI: -1.92 to -0.33; I2 = 73%; P=0.006), waist circumference (MD: -3.97; 95% CI: -5.64 to -2.29; I2 = 0%; P<0.00001), quality of life about weight (MD: 0.58; 95% CI: 0.15 to 1.02; I2 = 0%; P=0.008), depression (SMD: -1.12; 95% CI: -2.35 to -0.07; I2 = 92%; P=0.04), and triglycerides (MD: -0.16; 95% CI: -0.27 to -0.05; I2 = 27%; P=0.004). However, there were no significant differences in menstrual cycles, hirsutism, emotions, and infertility. The study also found that behavioral interventions had no significant effect on systolic and diastolic blood pressure, high-density lipoprotein, low-density lipoprotein, homeostasis model assessment of insulin resistance, testosterone, total cholesterol, fasting glucose, fasting insulin, hemoglobin A1C, and sex hormone binding globulin.ConclusionBehavioral intervention supplementation contributes to weight loss, reduction in BMI and waist circumference, and improvement in depression among patients with PCOS. However, no significant improvement was observed in the biochemical index and quality of life. The long-term effects of behavioral intervention for PCOS remain unclear due to limitations in the quality of the studies involved and the short duration of treatment.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42023442875.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The effects of behavioral intervention on anthropometric, clinical, and biochemical parameters in patients with polycystic ovary syndrome: a systematic review and meta-analysis

Xie,

Yang,

Zhang

2024

Front. Endocrinol.

View full text Add to dashboard Cite

show abstract

Heterogeneity and associated factors of patients with polycystic ovary syndrome health behaviors: a latent class analysis

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objective Using latent class to analyze whether there are subtypes of health behaviors in patients with PCOS can be addressed using targeted interventions. Methods October 2021 to June 2022, 471 PCOS patients were surveyed using the Health Promoting Lifestyle Profile Questionnaire. Latent class analysis (LCA) was used to identify subgroups of PCOS patients. Subsequent multinomial latent variable regressions identified factors that were associated with health behaviors. Results A three-class subtypes was the optimum grouping classification: (1)High healthy behavior risk; (2)high healthy responsibility and physical activity risk; (3)low healthy behavior risk. The multinomial logistic regression analysis revealed that (1)Single (OR = 2.061,95% CI = 1.207–3.659), Education level is primary school or below (OR = 4.997,95%CI = 1.732–14.416), participants is student (OR = 0.362,95%=0.138–0.948), participants with pregnancy needs (OR = 1.869,95%=1.009–3.463) were significantly more likely to be in the high healthy behavior risk subtypes; (2)The older the age (OR = 0.953,95%=0.867–1.047) and the larger the WC (OR = 0.954,95%=0.916–0.993), participants is married (OR = 1.126,95%=0.725–1.961), participants is employed ( OR = 1.418,95%=0.667–3.012) were significantly more likely to be in the high health responsibility and physical activity risk subtypes. Conclusion Patients with PCOS are a heterogeneous population with potential subtypes that may be suitable for customized multi-level care and targeted interventions.

show abstract

Effects of multidimensional exercise management on self-efficacy, blood glucose control, and delivery outcomes in pregnant women with gestational diabetes mellitus

He,

Liu,

Yang

2024

Front. Physiol.

View full text Add to dashboard Cite

ObjectiveThis study aimed to evaluate the effects of multidimensional quantitative exercise management on self-efficacy, blood glucose control, and delivery outcomes in pregnant women with gestational diabetes mellitus (GDM).MethodsA randomized controlled trial was conducted with 150 pregnant women diagnosed with gestational diabetes mellitus (GDM). Participants were randomly assigned to either the experimental group (Exp), which received a multidimensional quantitative exercise management intervention, or the control group (Con), which received standard GDM management. Results were compared between the groups included self-efficacy scores, blood glucose levels, and delivery outcomes.ResultsExp group of pregnant women exhibited drastically superior self-efficacy scores as well as more stable blood glucose levels during pregnancy relative to Con group (P < 0.05). Moreover, visual analogue scale (VAS) of pregnant women and Apgar scores of infants in Exp group were considerably better than those in Con group (P < 0.05). In contrast to Con group, pregnant women in Exp group had considerably better labor outcomes along neonatal complication rates (P < 0.05).ConclusionMultidimensional quantitative exercise management had a positive impact on pregnant women with GDM. This intervention method can improve self-efficacy levels along better blood glucose control, and enhance delivery outcomes. These findings suggested that multidimensional quantitative exercise management has potential clinical value in the management of GDM, providing an effective management strategy to improve the health conditions of both pregnant women and infants.

show abstract

Effects of multidimensional life management on healthy behavior in polycystic ovary syndrome patients: A randomized controlled trial

Cited by 4 publications

References 42 publications

The effects of behavioral intervention on anthropometric, clinical, and biochemical parameters in patients with polycystic ovary syndrome: a systematic review and meta-analysis

The effects of behavioral intervention on anthropometric, clinical, and biochemical parameters in patients with polycystic ovary syndrome: a systematic review and meta-analysis

Heterogeneity and associated factors of patients with polycystic ovary syndrome health behaviors: a latent class analysis

Effects of multidimensional exercise management on self-efficacy, blood glucose control, and delivery outcomes in pregnant women with gestational diabetes mellitus

Contact Info

Product

Resources

About