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Structured education programme for women with polycystic ovary syndrome: a randomised controlled trial
| Content Provider | Semantic Scholar |
|---|---|
| Author | Mani, Hamidreza Chudasama, Yogini V. Hadjiconstantinou, Michelle Bodicoat, Danielle H. Edwardson, Charlotte Levy, Miles J. Gray, L. J. Barnett, Janette Daly, Heather I. Howlett, Trevor A. Khunti, Kamlesh Davies, Melanie J. |
| Copyright Year | 2018 |
| Abstract | OBJECTIVE To evaluate the effectiveness of a structured education programmes in women with polycystic ovary syndrome (PCOS). METHODS Single-centre, randomised controlled trial, testing a single exposure to a group-based, face-to-face, structured education programme. Inclusion criteria were women with PCOS, aged 18-49 years inclusive and body mass index ≥23 kg/m2 for black and minority ethnicities or ≥25 kg/m2 for white Europeans. Primary outcome was step-count/day at 12 months. Secondary outcomes included indices of physical activity, cardiovascular risk factors, quality of life (QoL) and illness perception (IP). RESULTS 161 women were included (78 control, 83 intervention); 69% white; mean age 33.4 (s.d. 7.6) years, of whom 100 (48 intervention; 52 control) attended their 12-month visit (38% attrition). 77% of the intervention arm attended the education programme. No significant change in step-count was observed at 12 months (mean difference: +351 steps/day (95% confidence interval -481, +1183); P = 0.40). No differences were found in biochemical or anthropometric outcomes. The education programme improved participants' IP in 2 dimensions: understanding their PCOS (P < 0.001) and sense of control (P < 0.01) and improved QoL in 3 dimensions: emotions (P < 0.05), fertility (P < 0.05), weight (P < 0.01) and general mental well-being (P < 0.01). DISCUSSION A single exposure to structured education programme did not increase physical activity or improve biochemical markers in overweight and obese women with PCOS. However, providing a structured education in parallel to routine medical treatment can be beneficial for participants' understanding of their condition, reducing their anxiety and improving their QoL. |
| Starting Page | 26 |
| Ending Page | 35 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 29133383v1 |
| Alternate Webpage(s) | https://doi.org/10.1530/EC-17-0274 |
| DOI | 10.1530/ec-17-0274 |
| Journal | Endocrine connections |
| Volume Number | 7 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Anxiety Disorders Confidence Intervals Dimensions Exercise Forty Nine Infertility study Kilogram Per Square Meter Neoplasm Metastasis Obesity Overweight Perceived quality of life Polycystic Ovary Syndrome Sixty Nine Stiff-Person Syndrome Tooth Attrition |
| Content Type | Text |
| Resource Type | Article |
