{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:40:24Z","timestamp":1792636824984,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Polyendocrine metabolic ovarian syndrome (PMOS) is a common endocrine disorder affecting women of reproductive age. It is associated with various lifestyle and psychological factors. The research aims to evaluate the impact of dietary patterns, physical activity, and stress levels on the severity of PMOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The current study used a cross\u2010sectional study design, and data were collected from 384 PMOS patients attending selected healthcare facilities in Lahore. Participants were recruited through a non\u2010probability convenience sampling. Data were collected using a self\u2010structured questionnaire. The Kruskal\u2010Wallis\n                      <jats:italic>H<\/jats:italic>\n                      test was used to assess the differences in dietary patterns, physical activity, and stress levels across PMOS severity groups. Statistical significance was considered at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In present research, weight (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and family history (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) were significantly associated with PMOS severity among all the sociodemographic characteristics. On evaluating the PMOS patients on DASS 21, highest proportion of responses was observed in category 1, ranging from 37.2% to 52.6%, with the item \u201cI felt I wasn't worth much as a person\u201d showing the highest percentage (52.6%). Our findings also demonstrate the moderated level of psychological load on participants. Overall, dietary pattern (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.017). Physical activity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and stress levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.012) were found to be significantly associated with severity of PMOS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings emphasize the importance of adopting healthy dietary habits, engaging in regular physical activity, maintaining an optimal body weight, and implementing effective stress\u2010reduction strategies may help alleviate symptoms, enhance quality of life, improve psychological well\u2010being, and reduce the long\u2010term complications associated with PMOS in women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70521","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:52:30Z","timestamp":1792205550000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Dietary Habits, Physical Activity, and Stress on Polyendocrine Metabolic Ovarian Syndrome: A Cross\u2010Sectional Study From Pakistan"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4471-676X","authenticated-orcid":false,"given":"Muhammad","family":"Aamir","sequence":"first","affiliation":[{"name":"Faculty of Pharmacy The University of Lahore  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayyaba","family":"Pervaiz","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy The University of Lahore  Lahore Punjab Pakistan"},{"name":"Department of Pharmacy University of Lahore  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeel","family":"Aslam","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy The University of Lahore  Lahore Punjab Pakistan"},{"name":"Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam  Puncak Alam Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6374-3506","authenticated-orcid":false,"given":"Asma Ghulam","family":"Mustafa","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy The University of Lahore  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6966-9616","authenticated-orcid":false,"given":"Saimon","family":"Shahzad","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy The University of Lahore  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2015-1104"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","unstructured":"D.Fahs D.Salloum M.Nasrallah andG. 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