Effect of lifestyle changes intervention on quality of life and self-esteem of adolescent female with polycystic ovary syndrome

Polycystic Ovary Syndrome (PCOS) is the most common endocrine-metabolic pathology among women at reproductive age. It has a multifactorial character, and its etiology has not yet been precisely explained. The pathogenesis of PCOS is related to metabolic issues such as hyperandrogenism and insulin resistance, and is also associated with obesity, type 2 diabetes and increased cardiovascular risk. Manifestations such as irregular menstruation, acne, hisurtism and androgenic alopecia are common in addition to the consequent psychological and quality of life impacts. Thus, knowing that the adoption of healthy habits have therapeutic impacts in the face of various signs and symptoms of PCOS, there is a need to analyze the influence of lifestyle on the prognosis of PCOS. The present study carried out its searches in the PUBMED database, using the descriptors "polycystic ovary syndrome", "life style" and "prognosis", using the Boolean operator "and". Inclusion criteria were used: articles written in Portuguese, English and Spanish, published in the last 5 years. 19 results were obtained, 5 of which were excluded, resulting in 14 articles chosen for theoretical reference. The influence of lifestyle on the prognosis of PCOS is notorious, especially in patients with overweight and obesity. Thus, healthy behaviors have the potential to improve pathological conditions and bad habits demonstrate that they can induce clinical manifestations of PCOS in predisposed people. Lifestyle changes, mainly associated with weight loss, show improvements in aspects such as insulin resistance, free testosterone, acne, hirsutism and reproductive function, reduced cardiovascular risk, in addition to positively influence to the psychic and quality of life in analyzed patients. Therapeutic strategies that combine lifestyle changes and drug interventions have been shown to be more effective, as well as strategies structered with the monitoring of professionals tend to increase adherence to treatment.

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Psychiatric Disorders, Self-Esteem, and Quality of Life in Adolescents with Polycystic Ovary Syndrome

Journal of Pediatric and Adolescent Gynecology ◽

10.1016/j.jpag.2019.07.008 ◽

2019 ◽

Vol 32 (6) ◽

pp. 600-604 ◽

Cited By ~ 6

Author(s):

Özge Gizli Çoban ◽

Özge Demircan Tulacı ◽

Asli Sürer Adanır ◽

Arif Önder

Keyword(s):

Quality Of Life ◽

Polycystic Ovary Syndrome ◽

Psychiatric Disorders ◽

Polycystic Ovary ◽

Self Esteem ◽

Ovary Syndrome

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Improvement in quality-of-life questionnaire measures in obese adolescent females with polycystic ovary syndrome treated with lifestyle changes and oral contraceptives, with or without metformin

Fertility and Sterility ◽

10.1016/j.fertnstert.2009.08.006 ◽

2010 ◽

Vol 93 (3) ◽

pp. 1016-1019 ◽

Cited By ~ 37

Author(s):

Miranda Harris-Glocker ◽

Kristin Davidson ◽

Lynda Kochman ◽

David Guzick ◽

Kathleen Hoeger

Keyword(s):

Quality Of Life ◽

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Adolescent Females ◽

Lifestyle Changes ◽

Life Questionnaire ◽

Ovary Syndrome ◽

Obese Adolescent ◽

Quality Of Life Questionnaire

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Level of Anxiety, Depression, Self-Esteem, Social Anxiety, and Quality of Life among the Women with Polycystic Ovary Syndrome

The Scientific World JOURNAL ◽

10.1155/2013/851815 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 17

Author(s):

Gökhan Açmaz ◽

Evrim Albayrak ◽

Banu Acmaz ◽

Mürüvvet Başer ◽

Murat Soyak ◽

...

Keyword(s):

Quality Of Life ◽

Social Anxiety ◽

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Well Being ◽

Self Esteem ◽

Ovary Syndrome ◽

Role Function ◽

Quality Of Life Scale

Introduction. Polycystic ovary syndrome (PCOS) is a heterogeneous disease and many symptoms are seen with varying degrees. The aim of the present study was to determine which symptoms increased such problems as depression, anxiety, low self-esteem, and social worry by classifying PCOS according to symptoms.Methods. The study was carried out with two groups. The first group consisted of 86 patients who were diagnosed with PCOS and the second group consisted of 47 healthy volunteers. Liebowitz’ Social Anxiety Scale, Rosenberg’ Self-Esteem Scale, Short-Form 36, Quality of Life Scale, Beck Anxiety Inventory, and Beck Depression Inventory were administered to each volunteer.Results. Depression scores of infertile group were higher while anxiety scores of the obese group were bigger than other groups. It was the obesity group that received the smallest score in self-esteem and trust in people and the highest score in sensitiveness to criticism. The most affected group was oligomenorrhea-hirsutism group in terms of physical functioning, physical role function, pain, social functioning, emotional role function, and emotional well-being.Conclusion. We suggest that not only gynecologist but also a multidisciplinary team may examine these patients.

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