Impact of lifestyle intervention on clinical outcomes in PCOD: A Systematic Review
Notice bibliographique
Résumé
Background: The three main characteristics of PCOD, a prevalent endocrine disorder affecting women of reproductive age, are hyperandrogenism, ovulatory failure, and polycystic ovaries. Lifestyle therapies, including dietary modifications, physical exercise, and behavioral changes, are often recommended as first-line therapeutic strategies. This systematic investigation evaluates the impact of lifestyle changes on clinical outcomes in women with PCOD. Objective: To compile data on how well lifestyle changes may help women with PCOD with their clinical, metabolic, and reproductive results. Methods: A thorough analysis was conducted to assess the impact of lifestyle changes on clinical outcomes in women with polycystic ovarian disorder (PCOD). To locate relevant studies, a comprehensive search of electronic databases, including PubMed, Scopus, and Web of Science, covering works published up to December 2023, was conducted. The inclusion criteria included observational studies and randomized controlled trials (RCTs) that evaluated the effects of lifestyle interventions, such as diet, exercise, and behavioral therapy, on key clinical outcomes in PCOD, including metabolic parameters, weight control, menstrual regularity, ovulation rates, and hormonal profiles. Two reviewers separately extracted the data, and disagreements were settled by consensus. The quality of the included studies was assessed using standardized tools, such as the Cochrane Risk of Bias tool for RCTs and the Newcastle-Ottawa Scale for observational studies. Results: The review comprised 6 studies. The results showed that lifestyle modifications greatly enhanced the clinical results for PCOD-afflicted women. Combined dietary modifications and structured physical activity were associated with weight reduction, improved insulin sensitivity, and enhanced lipid profiles. Behavioral interventions were effective in promoting adherence to lifestyle changes, resulting in improved menstrual regularity and ovulation rates. Additionally, reductions in androgen levels and improvements in hirsutism were observed. The studies highlighted that personalized and multidisciplinary approaches yielded the most substantial benefits. The comparability of outcomes across research was, however, constrained by variations in study designs, intervention types, and outcome measures. Conclusions: Women with PCOD may improve their clinical, metabolic, and reproductive outcomes with lifestyle changes. Comprehensive and sustained interventions addressing both diet and physical activity provide the most significant benefits. Future research should focus on identifying patient-specific factors influencing intervention success and optimizing strategies for long-term adherence.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,011 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,004 | 0,003 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».