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Type: Journal article
Title: Lifestyle management in polycystic ovary syndrome – beyond diet and physical activity
Author: Cowan, S.
Lim, S.
Alycia, C.
Pirotta, S.
Thomson, R.
Gibson-Helm, M.
Blackmore, R.
Naderpoor, N.
Bennett, C.
Ee, C.
Rao, V.
Mousa, A.
Alesi, S.
Moran, L.
Citation: BMC Endocrine Disorders, 2023; 23(1):14-14
Publisher: Springer Science and Business Media LLC
Issue Date: 2023
ISSN: 1472-6823
Statement of
Stephanie Cowan, Siew Lim, Chelsea Alycia, Stephanie Pirotta, Rebecca Thomson, Melanie Gibson, Helm, Rebecca Blackmore, Negar Naderpoor, Christie Bennett, Carolyn Ee, Vibhuti Rao, Aya Mousa, Simon Alesi, and Lisa Moran
Abstract: Polycystic ovary syndrome (PCOS) is a common condition affecting reproductive-aged women with reproductive, metabolic and psychological consequences. Weight and lifestyle (diet, physical activity and behavioural) management are first-line therapy in international evidence-based guidelines for PCOS. While these recommend following population-level diet and physical activity guidelines, there is ongoing interest and research in the potential benefit of including psychological and sleep interventions, as well as a range of traditional, complimentary and integrative medicine (TCIM) approaches, for optimal management of PCOS. There is limited evidence to recommend a specific diet composition for PCOS with approaches including modifying protein, carbohydrate or fat quality or quantity generally having similar effects on the presentations of PCOS. With regards to physical activity, promising evidence supports the provision of vigorous aerobic exercise, which has been shown to improve body composition, cardiorespiratory fitness and insulin resistance. Psychological and sleep interventions are also important considerations, with women displaying poor emotional wellbeing and higher rates of clinical and subclinical sleep disturbance, potentially limiting their ability to make positive lifestyle change. While optimising sleep and emotional wellbeing may aid symptom management in PCOS, research exploring the efficacy of clinical interventions is lacking. Uptake of TCIM approaches, in particular supplement and herbal medicine use, by women with PCOS is growing. However, there is currently insufficient evidence to support integration into routine clinical practice. Research investigating inositol supplementation have produced the most promising findings, showing improved metabolic profiles and reduced hyperandrogenism. Findings for other supplements, herbal medicines, acupuncture and yoga is so far inconsistent, and to reduce heterogeneity more research in specific PCOS populations, (e.g. defined age and BMI ranges) and consistent approaches to intervention delivery, duration and comparators are needed. While there are a range of lifestyle components in addition to population-recommendations for diet and physical activity of potential benefit in PCOS, robust clinical trials are warranted to expand the relatively limited evidence-base regarding holistic lifestyle management. With consumer interest in holistic healthcare rising, healthcare providers will be required to broaden their knowledge pertaining to how these therapies can be safely and appropriately utilised as adjuncts to conventional medical management.
Keywords: Humans
Polycystic Ovary Syndrome
Life Style
Polycystic ovary syndrome; diet; guideline; physical activity; sleep; cognitive behavioural therapy; quality of life; complementary medicine
Rights: © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The Creative Commons Public Domain Dedication waiver (http:// creat iveco mmons. org/ publi cdoma in/ zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
DOI: 10.1186/s12902-022-01208-y
Appears in Collections:Medicine publications

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