{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:32:57Z","timestamp":1759336377747,"version":"3.37.3"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"03\/04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Reprod Med"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Polycystic ovary syndrome (PCOS) is the most common endocrinological disorder affecting women of reproductive age, affecting 8\u201313% in this group. Women with PCOS are more likely to have excess BMI, which in turn exacerbates the symptoms of PCOS in these women. The latest evidence-based guideline recommends lifestyle management as the first-line treatment for PCOS. However, the implementation of this recommendation through health services faces a significant challenge. As part of the mapping of the implementation plan for lifestyle management in PCOS, citizen panels and semi-structured interviews were conducted to capture the voices of consumers. Women with PCOS expressed the need for multidisciplinary, integrated care as a recurrent theme. Other important considerations included health professionals who listen and are open to learning about PCOS, the empowerment of women to self-manage PCOS and the provision of peer support. Women with PCOS also expressed the key recommendation of focusing on practical skills when providing lifestyle advice. Within that, both individual and group lifestyle sessions were valued for privacy and peer support respectively and delivery by a dietitian is preferred. These recommendations by women with PCOS should be considered when developing the implementation plan for the PCOS lifestyle guideline.<\/jats:p>","DOI":"10.1055\/s-0041-1735575","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T23:01:35Z","timestamp":1630364495000},"page":"153-160","source":"Crossref","is-referenced-by-count":7,"title":["An Analysis on the Implementation of the Evidence-based PCOS Lifestyle Guideline: Recommendations from Women with PCOS"],"prefix":"10.1055","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5333-6451","authenticated-orcid":false,"given":"Siew","family":"Lim","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breanna","family":"Wright","sequence":"additional","affiliation":[{"name":"BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Savaglio","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Goodwin","sequence":"additional","affiliation":[{"name":"BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Pirotta","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Moran","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"2841","DOI":"10.1093\/humrep\/dew218","article-title":"The prevalence and phenotypic features of polycystic ovary syndrome: a systematic review and meta-analysis","volume":"31","author":"G Bozdag","year":"2016","journal-title":"Hum Reprod"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1111\/j.1471-0528.2006.01008.x","article-title":"PCOS according to the Rotterdam consensus criteria: Change in prevalence among WHO-II anovulation and association with metabolic factors","volume":"113","author":"F J Broekmans","year":"2006","journal-title":"BJOG"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1093\/humupd\/dmq001","article-title":"Impaired glucose tolerance, type 2 diabetes and metabolic syndrome in polycystic ovary syndrome: a systematic review and meta-analysis","volume":"16","author":"L J Moran","year":"2010","journal-title":"Hum Reprod Update"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/obr.12762","article-title":"Metabolic syndrome in polycystic ovary syndrome: a systematic review, meta-analysis and meta-regression","volume":"20","author":"S S Lim","year":"2019","journal-title":"Obes Rev"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"5801","DOI":"10.1210\/jc.2003-030562","article-title":"Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome","volume":"88","author":"S Elsenbruch","year":"2003","journal-title":"J Clin Endocrinol Metab"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1177\/1359105306065021","article-title":"Depression and body image among women with polycystic ovary syndrome","volume":"11","author":"M J Himelein","year":"2006","journal-title":"J Health Psychol"},{"volume-title":"The mental health of women with polycystic ovary syndrome: a systematic review and meta-analysis","year":"2020","author":"X Yin","key":"ref7"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"E1682","DOI":"10.3390\/jcm8101682","article-title":"Disordered Eating Behaviours and Eating Disorders in Women in Australia with and without Polycystic Ovary Syndrome: A Cross-Sectional Study","volume":"8","author":"S Pirotta","year":"2019","journal-title":"J Clin Med"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/humupd\/dmy007","article-title":"Ethnicity, obesity and the prevalence of impaired glucose tolerance and type 2 diabetes in PCOS: a systematic review and meta-regression","volume":"24","author":"N S Kakoly","year":"2018","journal-title":"Hum Reprod Update"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1093\/humupd\/dms030","article-title":"Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"18","author":"S S Lim","year":"2012","journal-title":"Hum Reprod Update"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1002\/oby.20213","article-title":"Longitudinal weight gain in women identified with polycystic ovary syndrome: results of an observational study in young women","volume":"21","author":"H J Teede","year":"2013","journal-title":"Obesity (Silver Spring)"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1467-789X.2012.01053.x","article-title":"The effect of obesity on polycystic ovary syndrome: a systematic review and meta-analysis","volume":"14","author":"S S Lim","year":"2013","journal-title":"Obes Rev"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1210\/jcem-62-5-904","article-title":"Insulin stimulates androgen accumulation in incubations of ovarian stroma obtained from women with hyperandrogenism","volume":"62","author":"R L Barbieri","year":"1986","journal-title":"J Clin Endocrinol Metab"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1001\/jama.2017.7092","article-title":"Associations of Weight Gain From Early to Middle Adulthood With Major Health Outcomes Later in Life","volume":"318","author":"Y Zheng","year":"2017","journal-title":"JAMA"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"E996","DOI":"10.3390\/nu9090996","article-title":"Weight Management Interventions in Women with and without PCOS: A Systematic Review","volume":"9","author":"J Kataoka","year":"2017","journal-title":"Nutrients"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.clnu.2015.02.006","article-title":"Dietary intake, resting energy expenditure, and eating behavior in women with and without polycystic ovary syndrome","volume":"35","author":"I Larsson","year":"2016","journal-title":"Clin Nutr"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1093\/ajcn\/86.5.1603","article-title":"Postprandial ghrelin, cholecystokinin, peptide YY, and appetite before and after weight loss in overweight women with and without polycystic ovary syndrome","volume":"86","author":"L J Moran","year":"2007","journal-title":"Am J Clin Nutr"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"3337","DOI":"10.1210\/jc.2003-031583","article-title":"Ghrelin and measures of satiety are altered in polycystic ovary syndrome but not differentially affected by diet composition","volume":"89","author":"L J Moran","year":"2004","journal-title":"J Clin Endocrinol Metab"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.fertnstert.2008.04.067","article-title":"Basal metabolic rate is decreased in women with polycystic ovary syndrome and biochemical hyperandrogenemia and is associated with insulin resistance","volume":"92","author":"N A Georgopoulos","year":"2009","journal-title":"Fertil Steril"},{"issue":"09","key":"ref20","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1007\/s40618-019-01029-2","article-title":"The resting metabolic rate in women with polycystic ovary syndrome and its relation to the hormonal milieu, insulin metabolism, and body fat distribution: a cohort study","volume":"42","author":"D Romualdi","year":"2019","journal-title":"J Endocrinol Invest"},{"issue":"08","key":"ref21","doi-asserted-by":"crossref","first-page":"2276","DOI":"10.1093\/humrep\/det256","article-title":"The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome","volume":"28","author":"L J Moran","year":"2013","journal-title":"Hum Reprod"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/1472-6874-14-51","article-title":"Physical activity and mental health in women with polycystic ovary syndrome","volume":"14","author":"L K Banting","year":"2014","journal-title":"BMC Womens Health"},{"issue":"12","key":"ref23","doi-asserted-by":"crossref","first-page":"4655","DOI":"10.1210\/jc.2013-2385","article-title":"Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis","volume":"98","author":"J P Domecq","year":"2013","journal-title":"J Clin Endocrinol Metab"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1210\/jc.2002-020815","article-title":"Dietary composition in restoring reproductive and metabolic physiology in overweight women with polycystic ovary syndrome","volume":"88","author":"L J Moran","year":"2003","journal-title":"J Clin Endocrinol Metab"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1093\/ajcn\/78.1.31","article-title":"Effect of a high-protein, energy-restricted diet on body composition, glycemic control, and lipid concentrations in overweight and obese hyperinsulinemic men and women","volume":"78","author":"E Farnsworth","year":"2003","journal-title":"Am J Clin Nutr"},{"issue":"S 02","key":"ref26","first-page":"S41","article-title":"Expert Panel Report: Guidelines (2013) for the management of overweight and obesity in adults","volume":"22","author":"American College of Cardiology\/American Heart Association Task Force on Practice Guidelines, Obesity Expert Panel, 2013","year":"2014","journal-title":"Obesity (Silver Spring)"},{"volume-title":"Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia","year":"2013","author":"National Health and Medical Research Council","key":"ref27"},{"issue":"06","key":"ref28","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1111\/j.1365-277X.2009.00988.x","article-title":"Dietary management of women with polycystic ovary syndrome in the United Kingdom: the role of dietitians","volume":"22","author":"Y M Jeanes","year":"2009","journal-title":"J Hum Nutr Diet"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"e13612","DOI":"10.5812\/ijem.13612","article-title":"The experience of women affected by polycystic ovary syndrome: a qualitative study from iran","volume":"12","author":"F Nasiri Amiri","year":"2014","journal-title":"Int J Endocrinol Metab"},{"issue":"09","key":"ref30","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1093\/humrep\/dey256","article-title":"Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome","volume":"33","author":"H J Teede","year":"2018","journal-title":"Hum Reprod"},{"issue":"04","key":"ref31","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1530\/EJE-14-0252","article-title":"European survey of diagnosis and management of the polycystic ovary syndrome: results of the ESE PCOS Special Interest Group's Questionnaire","volume":"171","author":"G Conway","year":"2014","journal-title":"Eur J Endocrinol"},{"issue":"02","key":"ref32","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ejogrb.2010.07.015","article-title":"National survey on management of weight reduction in PCOS women in the United Kingdom","volume":"152","author":"A Sharma","year":"2010","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"01","key":"ref33","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/1747-0080.12377","article-title":"Referrals to dietitians\/nutritionists: A cross-sectional analysis of Australian GP registrars' clinical practice","volume":"75","author":"K J Mulquiney","year":"2018","journal-title":"Nutr Diet"},{"issue":"05","key":"ref34","doi-asserted-by":"crossref","first-page":"E1024","DOI":"10.3390\/nu11051024","article-title":"Barriers and Facilitators to Weight and Lifestyle Management in Women with Polycystic Ovary Syndrome: General Practitioners' Perspectives","volume":"11","author":"A Arasu","year":"2019","journal-title":"Nutrients"},{"issue":"01","key":"ref35","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1370\/afm.2144","article-title":"A Longitudinal Study of Interactions Between Health Professionals and People With Newly Diagnosed Diabetes","volume":"16","author":"A Dowell","year":"2018","journal-title":"Ann Fam Med"},{"volume-title":"Public deliberation for health system decision-making: An evaluative case study of the McMaster Health Forum's citizen panels","year":"2016","author":"T D'Ovidio","key":"ref36"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1186\/s12966-014-0134-8","article-title":"Limiting postpartum weight retention through early antenatal intervention: the HeLP-her randomised controlled trial","volume":"11","author":"C L Harrison","year":"2014","journal-title":"Int J Behav Nutr Phys Act"},{"volume-title":"The SAGE handbook of interview research: The complexity of the craft","year":"2012","author":"J F Gubrium","key":"ref38"},{"volume-title":"Transforming qualitative information: Thematic analysis and code development","year":"1998","author":"R E Boyatzis","key":"ref39"},{"issue":"02","key":"ref40","first-page":"604","article-title":"Delayed Diagnosis and a Lack of Information Associated With Dissatisfaction in Women With Polycystic Ovary Syndrome","volume":"102","author":"M Gibson-Helm","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"issue":"02","key":"ref41","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1093\/humrep\/dep399","article-title":"The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria","volume":"25","author":"W A March","year":"2010","journal-title":"Hum Reprod"},{"issue":"03","key":"ref42","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.fertnstert.2018.04.028","article-title":"Development of a question prompt list for women with polycystic ovary syndrome","volume":"110","author":"N N Khan","year":"2018","journal-title":"Fertil Steril"},{"issue":"07","key":"ref43","first-page":"E76","article-title":"Barriers and Facilitators to the Implementation of Evidence-Based Lifestyle Management in Polycystic Ovary Syndrome: A Narrative Review","volume":"7","author":"L CD Blackshaw","year":"2019","journal-title":"Med Sci (Basel)"},{"issue":"05","key":"ref44","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1530\/EC-17-0053","article-title":"Understanding and supporting women with polycystic ovary syndrome: a qualitative study in an ethnically diverse UK sample","volume":"6","author":"M Hadjiconstantinou","year":"2017","journal-title":"Endocr Connect"},{"key":"ref45","first-page":"CD007506","article-title":"Lifestyle changes in women with polycystic ovary syndrome","volume":"3","author":"S S Lim","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1186\/1472-6963-11-198","article-title":"Uncovering tacit knowledge: a pilot study to broaden the concept of knowledge in knowledge translation","volume":"11","author":"A R Kothari","year":"2011","journal-title":"BMC Health Serv Res"},{"issue":"01","key":"ref47","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions","volume":"46","author":"S Michie","year":"2013","journal-title":"Ann Behav Med"},{"issue":"01","key":"ref48","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: a new method for characterising and designing behaviour change interventions","volume":"6","author":"S Michie","year":"2011","journal-title":"Implement Sci"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.socscimed.2016.08.007","article-title":"'Keep complaining til someone listens': Exchanges of tacit healthcare knowledge in online illness communities","volume":"166","author":"D Foster","year":"2016","journal-title":"Soc Sci Med"},{"issue":"06","key":"ref50","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1111\/inm.12256","article-title":"Peer support interventions seeking to improve physical health and lifestyle behaviours among people with serious mental illness: A systematic review","volume":"25","author":"B Stubbs","year":"2016","journal-title":"Int J Ment Health Nurs"},{"issue":"02","key":"ref51","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.pcd.2018.11.007","article-title":"Effectiveness of peer led intervention in improvement of clinical outcomes among diabetes mellitus and hypertension patients-A systematic review and meta-analysis","volume":"13","author":"Y Krishnamoorthy","year":"2019","journal-title":"Prim Care Diabetes"}],"container-title":["Seminars in Reproductive Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1735575.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T23:20:39Z","timestamp":1631834439000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1735575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":51,"journal-issue":{"issue":"03\/04","published-online":{"date-parts":[[2021,9,16]]},"published-print":{"date-parts":[[2021,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1735575","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1526-8004","1526-4564"],"issn-type":[{"type":"print","value":"1526-8004"},{"type":"electronic","value":"1526-4564"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}