Please use this identifier to cite or link to this item:
https://repository.monashhealth.org/monashhealthjspui/handle/1/29109| Title: | Evidence summaries and recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome: Lifestyle management. | Authors: | Moran L.J.;Tassone E.C.;Boyle J. ;Brennan L.;Harrison C.L.;Hirschberg A.L.;Lim S. ;Marsh K.;Misso M.L.;Redman L.;Thondan M.;Wijeyaratne C.;Garad R.;Stepto N.K.;Teede H.J. | Monash Health Department(s): | Diabetes and Vascular Medicine Endocrinology Obstetrics and Gynaecology (Monash Women's) |
Institution: | (Moran, Tassone, Boyle, Harrison, Lim, Misso, Garad, Stepto, Teede) Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicineh, Monash University, Clayton, Melbourne, VIC, Australia (Moran, Teede) Department of Endocrinology and Diabetes, Monash Health, Clayton, Melbourne, VIC, Australia (Boyle) Department of Obstetrics and Gynaecology, Monash Health, Clayton, Melbourne, VIC, Australia (Brennan, Redman) Pennington Biomedical Research Center, Baton Rouge, LA, United States (Hirschberg) Department of Gynecology and Reproductive Medicine, Karolinska University Hospital, Stockholm, Sweden (Marsh) Northside Nutrition & Dietetics, Chatswood, NSW, Australia (Thondan) Harp Family Medical, Kew East, VIC, Australia (Wijeyaratne) Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Sri Lanka (Stepto) Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia (Stepto) Medicine Western Health, Faculty of Medicine, Dentistry and Health Sciences, Melbourne University, Melbourne, VIC, Australia | Issue Date: | 14-Sep-2020 | Copyright year: | 2020 | Publisher: | Blackwell Publishing Ltd | Place of publication: | United Kingdom | Publication information: | Obesity Reviews. 21 (10) (no pagination), 2020. Article Number: e13046. Date of Publication: 01 Oct 2020. | Journal: | Obesity Reviews | Abstract: | Lifestyle is fundamental in chronic disease prevention and management, and it has been recommended as a first-line treatment in the Australian polycystic ovary syndrome (PCOS) guideline 2011. The first international evidence-based guideline on PCOS was developed in 2018, which expanded the scope and evidence in the Australian guideline. This paper summarizes the lifestyle recommendations and evidence summaries from the guideline. International multidisciplinary guideline development groups delivered the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2018. The process followed the Appraisal of Guidelines for Research and Evaluation II and The Grading of Recommendations, Assessment, Development and Evaluation framework. Extensive communication and meetings addressed six prioritized clinical questions through five reviews. Evidence-based recommendations were formulated before consensus voting within the panel. Evidence shows the benefits of multicomponent lifestyle intervention, efficacy of exercise and weight gain prevention with no specific diet recommended. Lifestyle management is the first-line management in the intervention hierarchy in PCOS. Multicomponent lifestyle intervention including diet, exercise and behavioural strategies is central to PCOS management with a focus on weight and healthy lifestyle behaviours. The translation programme optimizes reach and dissemination for health professionals and consumers.Copyright © 2020 World Obesity Federation | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/obr.13046 | PubMed URL: | 32452622 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32452622] | ISSN: | 1467-7881 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/29109 | Type: | Review | Subjects: | glucose/ec [Endogenous Compound] insulin/ec [Endogenous Compound] lipid/ec [Endogenous Compound] sex hormone binding globulin/ec [Endogenous Compound] testosterone/ec [Endogenous Compound] healthy lifestyle algorithm behavior change behavior therapy body weight gain body weight management clinical effectiveness consensus diet composition diet therapy *evidence based practice health behavior hirsutism human kinesiotherapy *lifestyle modification oral glucose tolerance test *ovary polycystic disease/th [Therapy] patient satisfaction physical activity *practice guideline prevalence randomized controlled trial (topic) review systematic review (topic) waist circumference waist hip ratio androgen/ec [Endogenous Compound] glucose insulin lipid sex hormone binding globulin testosterone healthy lifestyle algorithm behavior change behavior therapy body weight gain body weight management clinical effectiveness diet composition diet therapy evidence based practice health behavior hirsutism kinesiotherapy lifestyle modification oral glucose tolerance test ovary polycystic disease physical activity practice guideline waist circumference waist hip ratio androgen health behavior healthy lifestyle hirsutism human kinesiotherapy *lifestyle modification oral glucose tolerance test *ovary polycystic disease / *therapy patient satisfaction physical activity *practice guideline prevalence randomized controlled trial (topic) Review systematic review (topic) waist circumference algorithm waist hip ratio behavior change behavior therapy body weight gain body weight management clinical effectiveness consensus diet composition diet therapy *evidence based practice |
Type of Clinical Study or Trial: | Review article (e.g. literature review, narrative review) |
| Appears in Collections: | Articles |
Show full item record
Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.