{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:07:41Z","timestamp":1788898061097,"version":"build-2803163510"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the effects of digital health interventions (DHIs) for improving anthropometric and healthy behavior in women with polycystic ovarian syndrome (PCOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five databases were searched from their inception to April 2025 with no date restrictions. Standardized mean differences (SMDs) and mean differences (MDs) with 95% confidence intervals (CIs) were pooled using random\u2212effects models. The certainty of the evidence was assessed using the GRADE approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten trials with 930 participants were included. In short\u2212term (\u22643 months), DHIs yielded significant reductions in BMI (MD \u20131.19; \u20131.84 to \u20130.55; I\u00b2=0%), waist circumference (MD \u20132.14; \u20133.11 to \u20131.17; I\u00b2=0%) and large improvements in total HPLP\u2212II score (SMD 1.61; 1.20 to 2.01; I\u00b2=0%), physical activity (SMD 1.43; 1.04 to 1.83; I\u00b2=0%), health responsibility (SMD 1.02; 0.64 to 1.39; I\u00b2=0%), interpersonal relationships (SMD 0.96; 0.59 to 1.33; I\u00b2=0%), spiritual growth (SMD 1.25; 0.87 to 1.64; I\u00b2=0%) and stress management (SMD 1.17; 0.79 to 1.55; I\u00b2=0%); there was no significant change in body weight (SMD \u20130.04; \u20130.23 to 0.15; I\u00b2=0%) or HPLP\u2212II nutrition (SMD 0.83; \u20130.11 to 1.78; I\u00b2=84%). In medium\u2212term (3\u20136 months), DHIs continued to reduce BMI (MD \u20132.46; \u20133.04 to \u20131.88; I\u00b2=22%) and waist circumference (MD \u20134.65; \u20136.70 to \u20132.60; I\u00b2=0%), and yielded significant improvements in depressive symptoms (SMD \u20130.85; \u20131.17 to \u20130.53; I\u00b2=17%) and anxiety (SMD \u20130.95; \u20131.33 to \u20130.56; I\u00b2=42%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Digital health interventions confer significant short\u2212 and medium\u2212term improvements in anthropometric and healthy behavior measures among women with PCOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/prospero\/<\/jats:ext-link>\n                      , identifier CRD420251030598.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2026.1676915","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:24:31Z","timestamp":1772169871000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["The effectiveness of digital health interventions on anthropometric and healthy behavior in women with polycystic ovarian syndrome: a systematic review with meta-analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Hui-fang","family":"Zeng","sequence":"first","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine","place":["Tianjin, China"]},{"name":"National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion","place":["Tianjin, China"]},{"name":"The People\u2019s Hospital of Wuchuan","place":["Zunyi, 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