多囊卵巢综合征（PCOS）女性对生活方式干预的认知和体验，作为 PCOS 症状管理策略。
Perceptions and experiences of lifestyle interventions in women with polycystic ovary syndrome (PCOS), as a management strategy for symptoms of PCOS.
机构信息
NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
School of Women's and Children's Health, University of New South Wales, Barker Street, Randwick, NSW, 2031, Australia.
出版信息
BMC Womens Health. 2021 Mar 17;21(1):107. doi: 10.1186/s12905-021-01252-1.
BACKGROUND
The international clinical practice guidelines for PCOS emphasize diet and exercise as first-line management of clinical signs and symptoms. This study aimed to describe the patterns, perceptions and experiences of lifestyle interventions for women in the community with PCOS.
METHOD
An electronic survey of 493 members of two PCOS consumer support groups, collected by cloud-based Survey Monkey, described women's types and patterns of diet and exercise, experiences and perceptions of effectiveness. Women were recruited from the Polycystic Ovary Association of Australia (POSAA) and from the Facebook group, PCOS University Research Group. Associations between participants perceptions of effectiveness, and diet types and exercise patterns were assessed using logistic regression. Response bias for the POSAA group was assessed with a continuum of resistance model.
RESULTS
91% of POSAA members and 311 Facebook group members aged 16-50 years responded to the survey. Nearly all women reported adjusting their dietary and exercise practices with the aim to improve their health and/or PCOS (82% and 73% respectively), however less than 13% reported achievement of health goals (12.2% and 8.1% respectively). Low carbohydrate, high protein diets, and vigorous activity were associated with self-perceived effectiveness (r.0.16, p < 0.01; r.0.15 p < 0.01 and r.0.2 p < 0.01 respectively). Barriers for lifestyle interventions included psychosocial factors. Response bias was not assessed for the Facebook group, however self-reported PCOS aligned with prevalence of clinical phenotypes and suggests results are generalizable to clinical populations of women with PCOS, who are responsible for self-directing and administering lifestyle interventions to manage their PCOS.
CONCLUSIONS
Perceptions of effectiveness for lifestyle interventions by women with PCOS may be complicated by a lack of rigorous evidence. The strength of recommendations in clinical practice guidelines may be enhanced by clinical trials investigating flexible and feasible lifestyle interventions for women in the community with PCOS.
背景
国际多囊卵巢综合征临床实践指南强调饮食和运动是多囊卵巢综合征临床体征和症状的一线管理方法。本研究旨在描述社区中多囊卵巢综合征女性生活方式干预的模式、认知和体验。
方法
通过基于云的 Survey Monkey 对两个多囊卵巢综合征消费者支持小组的 493 名成员进行电子调查，描述了女性的饮食和运动类型和模式、对有效性的体验和认知。该研究从多囊卵巢协会澳大利亚分会（POSAA）和 Facebook 小组多囊卵巢综合征大学研究小组招募女性。使用逻辑回归评估参与者对有效性的认知与饮食类型和运动模式之间的关联。使用连续阻力模型评估 POSAA 组的应答偏倚。
结果
POSAA 成员中有 91%和 Facebook 小组中有 311 名年龄在 16-50 岁的成员对调查做出了回应。几乎所有女性都报告说调整了饮食和运动习惯，旨在改善她们的健康和/或多囊卵巢综合征（分别为 82%和 73%），但只有不到 13%的人报告实现了健康目标（分别为 12.2%和 8.1%）。低碳水化合物、高蛋白饮食和剧烈运动与自我感知的有效性相关（r.0.16，p<0.01；r.0.15，p<0.01 和 r.0.2，p<0.01）。生活方式干预的障碍包括心理社会因素。未对 Facebook 小组进行应答偏倚评估，但自我报告的多囊卵巢综合征与临床表型的患病率一致，表明结果可推广到负责自行指导和管理生活方式干预以管理多囊卵巢综合征的临床多囊卵巢综合征女性人群。
结论
多囊卵巢综合征女性对生活方式干预的有效性认知可能因缺乏严格的证据而变得复杂。通过对社区中多囊卵巢综合征女性进行灵活且可行的生活方式干预的临床试验，可以增强临床实践指南中的推荐力度。
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