Lifestyle management of polycystic ovary syndrome: a single-center study in Bosnia and Herzegovina

Djedjibegović, Jasmina; Marjanović, Aleksandra; Kobilica, Ilhana; Turalic, Amıla; Lugusić, Aida; Sober, Mıroslav

doi:10.3934/publichealth.2020041

Cited by 2 publications

(1 citation statement)

References 49 publications

(50 reference statements)

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“…In addition, studies have also confirmed that the pregnancy rate of PCOS patients is significantly higher after lifestyle management, and depression, anxiety and stress are also improved [ 6 , 15 ]. Although there have been researches on PCOS lifestyle management, the research to date has tended to focus on the overall impact of different diets, exercise types and/or compliance on PCOS patients rather than health behavior subtypes [ 15 , 16 ]. Due to the individuals differences and heterogeneity, the rationality and scientificity of using the same intervention method remains to be studied, as they may require different lifestyle management and have different consequences.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2023

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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.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2023

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Understanding barriers and facilitators to lifestyle management in people with polycystic ovary syndrome: A mixed method systematic review

McGowan,

Garad,

Wadhwani

et al. 2024

Obesity Reviews

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SummaryPolycystic ovary syndrome (PCOS) is an endocrine disorder affecting 10–13% of reproductive‐aged women. Lifestyle management through diet and physical activity changes can improve reproductive, metabolic, and psychological comorbidities. The aim of this systematic review is to understand the barriers and facilitators to lifestyle changes from the perspective of people with PCOS and health care professionals (HCP) using the theoretical domains framework and capability, opportunity, motivation, and behavior model. Six databases were systematically searched for qualitative, quantitative, and mixed‐methods studies to 22nd September 2022. Quantitative outcomes from quantitative and mixed‐methods studies were narratively synthesized and all studies were thematically analyzed. Sixty‐eight papers met the eligibility criteria. HCP education on lifestyle management in PCOS was viewed by all to be inadequate, impacting the quality of care and health outcomes. Lifestyle advice delivered by a multidisciplinary team, including dietitians, was identified as a key component for change. All agreed that there was a need for individualized and PCOS‐specific lifestyle advice. Weight stigma was identified as negatively impacting both those in larger and smaller bodies with PCOS, reducing the quality of care and affecting self‐perception and mental health. People with PCOS perceived that lifestyle management was overly focused on weight loss and fertility, independent of their own personal motivations and goals. Systemic changes, including increasing HCP education on lifestyle management and multidisciplinary collaboration, focusing on lifestyle advice that meets individual needs, and reducing the use of weight‐centric care are necessary for long‐term sustainable changes and improvements in health outcomes in people with PCOS.

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Lifestyle management of polycystic ovary syndrome: a single-center study in Bosnia and Herzegovina

Cited by 2 publications

References 49 publications

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

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

Understanding barriers and facilitators to lifestyle management in people with polycystic ovary syndrome: A mixed method systematic review

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