Motivational interviewing in obese women with polycystic ovary syndrome - a pilot study

被引:10
|
作者
Moeller, Laerke Vendelbo [1 ]
Lindhardt, Christina Louise [1 ]
Andersen, Marianne Skovsager [2 ]
Glintborg, Dorte [2 ]
Ravn, Pernille [1 ]
机构
[1] Odense Univ Hosp, Dept Gynecol & Obstet, Odense, Denmark
[2] Odense Univ Hosp, Dept Endocrinol, Odense, Denmark
关键词
Polycystic ovary syndrome; body mass index; motivational interview; obesity; quality of life; QUALITY-OF-LIFE; WEIGHT-LOSS; OVERWEIGHT; METFORMIN;
D O I
10.1080/09513590.2018.1498832
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lifestyle intervention is first line treatment in obese women with polycystic ovary syndrome (PCOS). The effect of motivational interviewing (MI) as add on to standard advice (SA) on weight loss and quality of life (QoL) has not been evaluated in obese women with PCOS. We aimed to examine whether MI as add on to SA induced higher weight loss and improved QoL in obese women with PCOS. Thirty-seven obese women with PCOS (BMI >= 30 kg/m2) were randomized to MI + SA (n = 19) vs. SA (n = 18) for six months. Anthropometric measures (BMI, waist) and questionnaires (World Health Organization-5 (WHO-5), Major Depression Index (MDI), Short Form-36 (SF-36) and PCOS-Questionnaire (PCOS-Q)) were performed at baseline and at follow-up, www.clinicaltrials.gov, NCT02924025. Twenty-eight (14 + 14) women completed the study. At baseline, 24/28 women had WHO-5 scores <67 and 12/28 women had MDI scores indicating depression. Changes in weight and QoL were similar between MI + SA vs. SA group. However, WHO-5 (p=.028) and MDI (p=.008) scores improved significantly in the 12/24 women with MDI scores indicating depression. MI as add on to SA did not improve QoL or weight loss. Obese women with PCOS had low QoL.
引用
收藏
页码:76 / 80
页数:5
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