{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:00:15Z","timestamp":1777550415565,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Social media plays a significant role in fostering communities around health and wellness. The hashtag #PCOSweightloss has become a pivotal forum on the platform X, where individuals exchange experiences, share information, and motivate each other concerning weight loss strategies connected with Polycystic Ovary Syndrome (PCOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to analyze the trends of #PCOSweightloss on X to gain insights into the social media metrics, including overall hashtag reach, key themes, and potential influence on management practices of PCOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fedica research analytics tool ( https:\/\/fedica.com ) was utilized to automatically evaluate quantitatively the posts on the platform X containing #PCOSweightloss from July 1st, 2017 to July 1st, 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the defined period, 1570 users shared 12,200 posts on X, gathering 2,967,001 views. The highest number of posts originated from the United States (38.6%), followed by India (30.6%) and the United Kingdom (10.6%). Top co-occurring hashtags associated with #PCOSweightloss included #PCOS, #healthyfood, #pcosmood and #diabetes. Physicians were key contributors to the discourse, contributing to 30% of the ten most engaging posts and 20% of the top ten influencers. Sentiment analysis revealed a predominant neutral sentiment (98%), while 1% each revealed positive and negative sentiments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study affirms the substantial presence of #PCOSweightloss in the PCOS discourse on X. The involvement of physicians is particularly noteworthy, as it emphasizes the importance of expert-guided discussions in the online health discourse. On the background of geographical variances and the challenge of engaging a wider audience due to the limited follower counts of many participants, there is a clear opportunity for further community engagement and outreach. The prevailing neutral tone showcases a community engaged primarily in an informational exchange, setting the stage for more profound discussions of novel PCOS weight loss strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076251314100","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T14:09:34Z","timestamp":1738159774000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of #PCOSweightloss: A global X hashtag analysis study of weight loss narratives in the PCOS community"],"prefix":"10.1177","volume":"11","author":[{"given":"Munaza","family":"Afaq","sequence":"first","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumar","family":"Vashisht","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3412-9368","authenticated-orcid":false,"given":"Areen","family":"Al-Dhoon","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"},{"name":"Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Abraham","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atanas G.","family":"Atanasov","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria"},{"name":"Institute of Genetics and Animal Biotechnology of the Polish Academy of Sciences, Jastrzebiec, Poland"},{"name":"Laboratory of Natural Products and Medicinal Chemistry (LNPMC), Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Thandalam, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maima","family":"Matin","sequence":"additional","affiliation":[{"name":"Institute of Genetics and Animal Biotechnology of the Polish Academy of Sciences, Jastrzebiec, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5888-6663","authenticated-orcid":false,"given":"Zara","family":"Arshad","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"},{"name":"Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"},{"name":"WellSpan Health, York, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal A.","family":"Nawaz","sequence":"additional","affiliation":[{"name":"Global Remote Research Scholars Program, St Paul, MN, USA"},{"name":"Al Amal Psychiatric Hospital, Emirates Health Services, Dubai, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"bibr1-20552076251314100","volume":"15","author":"Kanchan S","year":"2023","journal-title":"Cureus"},{"key":"bibr2-20552076251314100","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1065368"},{"key":"bibr3-20552076251314100","doi-asserted-by":"publisher","DOI":"10.37349\/edht.2023.00002"},{"key":"bibr4-20552076251314100","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1249"},{"key":"bibr5-20552076251314100","volume":"14","author":"Malhotra K","year":"2023","journal-title":"Front Endocrinol [Internet"},{"key":"bibr6-20552076251314100","unstructured":"Polycystic ovary syndrome [Internet]\n                      . 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