Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success

Abstract Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting up to 13 % of women. Lifestyle interventions are first-line treatments, however attrition in women with PCOS is high. This review summarises current evidence on barriers to lifestyle management in PCOS and suggested s...

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Autores principales:	Carolyn Ee, Stephanie Pirotta, Aya Mousa, Lisa Moran, Siew Lim
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Polycystic ovary syndrome Lifestyle Behaviour change Obesity Weight Health literacy Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/2063778c943046308ac33311e1425646
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spelling	oai:doaj.org-article:2063778c943046308ac33311e14256462021-11-28T12:03:14ZProviding lifestyle advice to women with PCOS: an overview of practical issues affecting success10.1186/s12902-021-00890-81472-6823https://doaj.org/article/2063778c943046308ac33311e14256462021-11-01T00:00:00Zhttps://doi.org/10.1186/s12902-021-00890-8https://doaj.org/toc/1472-6823Abstract Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting up to 13 % of women. Lifestyle interventions are first-line treatments, however attrition in women with PCOS is high. This review summarises current evidence on barriers to lifestyle management in PCOS and suggested strategies for overcoming these challenges, mapped to the Capability, Opportunity, Motivation and Behaviour model. Physical capability for lifestyle changes may be impacted by altered gut hormone regulation and energy expenditure in PCOS. This may contribute to difficulties with weight management. The higher prevalence of eating disorders, disordered eating, fatigue and sleep disturbances are further barriers. Psychological capability may be reduced due psychological symptoms and lack of critical health literacy. Women with PCOS face similar challenges in terms of Opportunity to make lifestyle changes as other women of reproductive age. However, these are complicated by features more common in PCOS including body dissatisfaction. Motivation to adopt healthy lifestyles may be impacted by suboptimal risk perception and intrinsic motivation. To address these barriers, screening for and management of eating disorders, disordered eating, depression, and Obstructive Sleep Apnoea should be undertaken as per international evidence-based guidelines. A weight-neutral approach may be appropriate with disordered eating. Building capability among health professionals to better partner with women with PCOS on their management is essential in addressing health literacy gaps. Behavioural strategies that target risk perception and build intrinsic motivation should be utilised. More research is required to understand optimal self-management strategies, risk perception, energy homeostasis and overcoming attrition in women with PCOS.Carolyn EeStephanie PirottaAya MousaLisa MoranSiew LimBMCarticlePolycystic ovary syndromeLifestyleBehaviour changeObesityWeightHealth literacyDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENBMC Endocrine Disorders, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Polycystic ovary syndrome Lifestyle Behaviour change Obesity Weight Health literacy Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	Polycystic ovary syndrome Lifestyle Behaviour change Obesity Weight Health literacy Diseases of the endocrine glands. Clinical endocrinology RC648-665 Carolyn Ee Stephanie Pirotta Aya Mousa Lisa Moran Siew Lim Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
description	Abstract Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting up to 13 % of women. Lifestyle interventions are first-line treatments, however attrition in women with PCOS is high. This review summarises current evidence on barriers to lifestyle management in PCOS and suggested strategies for overcoming these challenges, mapped to the Capability, Opportunity, Motivation and Behaviour model. Physical capability for lifestyle changes may be impacted by altered gut hormone regulation and energy expenditure in PCOS. This may contribute to difficulties with weight management. The higher prevalence of eating disorders, disordered eating, fatigue and sleep disturbances are further barriers. Psychological capability may be reduced due psychological symptoms and lack of critical health literacy. Women with PCOS face similar challenges in terms of Opportunity to make lifestyle changes as other women of reproductive age. However, these are complicated by features more common in PCOS including body dissatisfaction. Motivation to adopt healthy lifestyles may be impacted by suboptimal risk perception and intrinsic motivation. To address these barriers, screening for and management of eating disorders, disordered eating, depression, and Obstructive Sleep Apnoea should be undertaken as per international evidence-based guidelines. A weight-neutral approach may be appropriate with disordered eating. Building capability among health professionals to better partner with women with PCOS on their management is essential in addressing health literacy gaps. Behavioural strategies that target risk perception and build intrinsic motivation should be utilised. More research is required to understand optimal self-management strategies, risk perception, energy homeostasis and overcoming attrition in women with PCOS.
format	article
author	Carolyn Ee Stephanie Pirotta Aya Mousa Lisa Moran Siew Lim
author_facet	Carolyn Ee Stephanie Pirotta Aya Mousa Lisa Moran Siew Lim
author_sort	Carolyn Ee
title	Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
title_short	Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
title_full	Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
title_fullStr	Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
title_full_unstemmed	Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success
title_sort	providing lifestyle advice to women with pcos: an overview of practical issues affecting success
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2063778c943046308ac33311e1425646
work_keys_str_mv	AT carolynee providinglifestyleadvicetowomenwithpcosanoverviewofpracticalissuesaffectingsuccess AT stephaniepirotta providinglifestyleadvicetowomenwithpcosanoverviewofpracticalissuesaffectingsuccess AT ayamousa providinglifestyleadvicetowomenwithpcosanoverviewofpracticalissuesaffectingsuccess AT lisamoran providinglifestyleadvicetowomenwithpcosanoverviewofpracticalissuesaffectingsuccess AT siewlim providinglifestyleadvicetowomenwithpcosanoverviewofpracticalissuesaffectingsuccess
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Providing lifestyle advice to women with PCOS: an overview of practical issues affecting success

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