IS THERE A NEED FOR CLINICAL PRACTICE GUIDELINES FOR THE DIETARY TREATMENT OF WOMEN WITH POLYCYSTIC OVARY SYNDROME?

2009 ◽  
Vol 66 (4) ◽  
pp. 249-251 ◽  
Keyword(s):  
Clinical Practice ◽  
Polycystic Ovary Syndrome ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Polycystic Ovary ◽  
Dietary Treatment ◽  
Ovary Syndrome

scholarly journals Clinical practice guidelines on the diagnosis and management of polycystic ovary syndrome: A systematic review and quality assessment study

2021 ◽  
Author(s):  
Bassel H. Al Wattar ◽  
Maria Fisher ◽  
Laura Bevington ◽  
Vikram Talaulikar ◽  
Melanie Davies ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Polycystic Ovary Syndrome ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Methodological Quality ◽  
Polycystic Ovary ◽  
Evidence Based ◽  
Ovary Syndrome ◽  
Diagnosis And Management

Abstract Context Clinical practice guidelines (CPGs) are key instruments to implement the practice of evidence-based medicine. We aimed to evaluate the methodological quality and variations in CPGs recommendations on the diagnosis and management of polycystic ovary syndrome (PCOS). Evidence Acquisition We searched MEDLINE, EMBASE, and CENTRAL until December 2020 for all evidence-based CPGs and consensus statements on PCOS. We extracted data in duplicate to map clinical recommendations across pre-specified disease domains and assessed CPGs methodological quality of using the AGREE II tool. Evidence Synthesis We included thirteen PCOS CPGs were published between 2007-2018. CPGs recommendations were mostly focused on screening for and managing metabolic disease (12/13, 92%), followed by cardiovascular risk assessment (10/13, 77%). Mental health (8/13, 62%) and diagnosis in adolescents (7/13, 54%) were the least reported domains. Most CPGs had a high quality for scope and purpose description (12/13, 92%) while stakeholder’s involvement and applicability of recommendations to clinical practice were appropriate in only two CPGs (2/13, 15%). We identified inconsistency in recommendations on PCOS diagnosis in adolescents, optimal lifestyle interventions, hirsutism and acne treatments, interventions to reduce the risk of ovarian hyperstimulation syndrome, the frequency and screening criteria for metabolic and cardiovascular disease, and on optimal screening tools for mental health illness in women with PCOS. Conclusion Current CPGs on the diagnosis and management of PCOS vary in their scope and methodological quality which may hinder evidence translation into clinical practice. We identified disease domains with existing evidence gap to guide future research and guideline updates.

Improvement in Endocrine and Ovarian Function During Dietary Treatment of Obese Women With Polycystic Ovary Syndrome

1992 ◽  
Vol 47 (9) ◽  
pp. 640-642 ◽  
Author(s):  
DEBORAH S. KIDDY ◽  
DIANA HAMILTON-FAIRLEY ◽  
ANNE BUSH ◽  
FRANCES SHORT ◽  
VICTOR ANYAOKU ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Ovarian Function ◽  
Polycystic Ovary ◽  
Dietary Treatment ◽  
Obese Women ◽  
Ovary Syndrome

scholarly journals Perceptions and experiences of lifestyle interventions in women with polycystic ovary syndrome (PCOS), as a management strategy for symptoms of PCOS

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Susan Arentz ◽  
Caroline A. Smith ◽  
Jason Abbott ◽  
Alan Bensoussan
Keyword(s):  
Clinical Practice ◽  
Support Groups ◽  
Response Bias ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Polycystic Ovary ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Lifestyle Interventions ◽  
Diet And Exercise

Abstract Background The international clinical practice guidelines for PCOS emphasize diet and exercise as first-line management of clinical signs and symptoms. This study aimed to describe the patterns, perceptions and experiences of lifestyle interventions for women in the community with PCOS. Method An electronic survey of 493 members of two PCOS consumer support groups, collected by cloud-based Survey Monkey, described women’s types and patterns of diet and exercise, experiences and perceptions of effectiveness. Women were recruited from the Polycystic Ovary Association of Australia (POSAA) and from the Facebook group, PCOS University Research Group. Associations between participants perceptions of effectiveness, and diet types and exercise patterns were assessed using logistic regression. Response bias for the POSAA group was assessed with a continuum of resistance model. Results 91% of POSAA members and 311 Facebook group members aged 16–50 years responded to the survey. Nearly all women reported adjusting their dietary and exercise practices with the aim to improve their health and/or PCOS (82% and 73% respectively), however less than 13% reported achievement of health goals (12.2% and 8.1% respectively). Low carbohydrate, high protein diets, and vigorous activity were associated with self-perceived effectiveness (r.0.16, p < 0.01; r.0.15 p < 0.01 and r.0.2 p < 0.01 respectively). Barriers for lifestyle interventions included psychosocial factors. Response bias was not assessed for the Facebook group, however self-reported PCOS aligned with prevalence of clinical phenotypes and suggests results are generalizable to clinical populations of women with PCOS, who are responsible for self-directing and administering lifestyle interventions to manage their PCOS. Conclusions Perceptions of effectiveness for lifestyle interventions by women with PCOS may be complicated by a lack of rigorous evidence. The strength of recommendations in clinical practice guidelines may be enhanced by clinical trials investigating flexible and feasible lifestyle interventions for women in the community with PCOS.

scholarly journals Perceptions and experiences of lifestyle interventions in women with polycystic ovary syndrome (PCOS), as a management strategy for symptoms of PCOS.

2020 ◽  
Author(s):  
Susan Arentz ◽  
Caroline A Smith ◽  
Jason Abbott ◽  
Alan Bensoussan
Keyword(s):  
Clinical Practice ◽  
Support Groups ◽  
Response Bias ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Polycystic Ovary ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Lifestyle Interventions ◽  
Diet And Exercise

Abstract Background The international clinical practice guidelines for PCOS emphasize diet and exercise as first-line management of clinical signs and symptoms. This study aimed to describe the patterns, perceptions and experiences of lifestyle interventions for women in the community with self-reported PCOS. Method An electronic survey of 493 members of two PCOS consumer support groups, collected by cloud-based Survey Monkey, described women’s types and patterns of diet and exercise, experiences and perceptions of effectiveness. Women were recruited from the Polycystic Ovary Association of Australia (POSAA) and from the Facebook group, PCOS University Research Group. Associations between participants perceptions of effectiveness, and diet types and exercise patterns were assessed using logistic regression. Response bias for the POSAA group was assessed with a continuum of resistance model. Results 91% of POSAA members and 311 Facebook group members aged 16-50 years responded to the survey . Nearly all women reported adjusting their dietary and exercise practices with the aim to improve their health and/or PCOS (82% and 73% respectively), however less than 13% reported achievement of health goals (12.2% and 8.1% respectively). Low carbohydrate, high protein diets, and vigorous activity were associated with self-perceived effectiveness (r.0.16, p<0.01; r.0.15 p<0.01 and r.0.2 p<0.01 respectively). Barriers for lifestyle interventions included psychosocial factors. Response bias was not assessed for the Facebook group, however self-reported PCOS aligned with prevalence of clinical phenotypes and suggests results are generalizable to clinical populations of women with PCOS, who are responsible for self-directing and administering lifestyle interventions to manage their PCOS. Conclusions Perceptions of effectiveness for lifestyle interventions by women with PCOS may be complicated by a lack of rigorous evidence. The strength of recommendations in clinical practice guidelines may be enhanced by clinical trials investigating flexible and feasible lifestyle interventions for women in the community with PCOS.

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