Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis
Summary Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effec...
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| Veröffentlicht in: | Obesity reviews 2024-06, Vol.25 (6), p.e13737-n/a |
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| creator | Benham, Jamie L. Corbett, Kathryn S. Yamamoto, Jennifer M. McClurg, Caitlin Piltonen, Terhi Yildiz, Bulent O. Li, Rong Mousa, Aya Tay, Chau Thien Spritzer, Poli Mara Teede, Helena Boyle, Jacqueline A. Brown, Wendy A. |
| description | Summary
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effective treatment. We performed a systematic review and meta‐analysis of published literature to examine the impact of bariatric surgery in PCOS to inform the 2023 International PCOS Evidence‐based Guidelines. Electronic databases were searched for observational studies and trials comparing pharmacologic or lifestyle treatments to bariatric surgery in women with PCOS or bariatric surgery in women with or without PCOS. Anthropometric, reproductive, hormonal, and metabolic outcomes were included and, where possible, meta‐analyzed using random‐effects models. Risk of bias and evidence quality were assessed. Ten studies were included involving 432 women with and 590 women without PCOS. Comparisons between bariatric surgery and pharmacologic or lifestyle treatments were only reported in one study each, and most reproductive outcomes were limited to a single study; therefore, meta‐analyses could not be performed. Meta‐analysis found that women with PCOS experience similar improvements in anthropometric, hormonal, and metabolic outcomes after bariatric surgery compared to those without PCOS. Existing research is limited and of low quality with high risk of bias, especially in comparison to existing PCOS treatments and with respect to reproductive outcomes including pregnancy, highlighting the need for additional studies to inform clinical recommendations. |
| doi_str_mv | 10.1111/obr.13737 |
| format | Article |
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Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effective treatment. We performed a systematic review and meta‐analysis of published literature to examine the impact of bariatric surgery in PCOS to inform the 2023 International PCOS Evidence‐based Guidelines. Electronic databases were searched for observational studies and trials comparing pharmacologic or lifestyle treatments to bariatric surgery in women with PCOS or bariatric surgery in women with or without PCOS. Anthropometric, reproductive, hormonal, and metabolic outcomes were included and, where possible, meta‐analyzed using random‐effects models. Risk of bias and evidence quality were assessed. Ten studies were included involving 432 women with and 590 women without PCOS. Comparisons between bariatric surgery and pharmacologic or lifestyle treatments were only reported in one study each, and most reproductive outcomes were limited to a single study; therefore, meta‐analyses could not be performed. Meta‐analysis found that women with PCOS experience similar improvements in anthropometric, hormonal, and metabolic outcomes after bariatric surgery compared to those without PCOS. Existing research is limited and of low quality with high risk of bias, especially in comparison to existing PCOS treatments and with respect to reproductive outcomes including pregnancy, highlighting the need for additional studies to inform clinical recommendations.</description><identifier>ISSN: 1467-7881</identifier><identifier>ISSN: 1467-789X</identifier><identifier>EISSN: 1467-789X</identifier><identifier>DOI: 10.1111/obr.13737</identifier><identifier>PMID: 38491863</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anthropometry ; Bariatric Surgery ; Bias ; Clinical trials ; drug therapy ; Endocrine disorders ; Female ; Gastrointestinal surgery ; Humans ; lifestyle ; Lifestyles ; Meta-analysis ; metabolic surgery ; Metabolism ; obesity ; Obesity - complications ; Obesity - surgery ; Observational studies ; Ovaries ; Pharmacology ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - complications ; Polycystic Ovary Syndrome - therapy ; Pregnancy ; risk ; Surgery ; Systematic review ; Treatment Outcome ; Weight loss ; Weight Loss - physiology ; women's health</subject><ispartof>Obesity reviews, 2024-06, Vol.25 (6), p.e13737-n/a</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd on behalf of World Obesity Federation.</rights><rights>2024 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4217-72dc6557c9f9468821dcea8c9d1bbd6e9b05dcebd37ff24aaf31b60f5c8fe1273</citedby><cites>FETCH-LOGICAL-c4217-72dc6557c9f9468821dcea8c9d1bbd6e9b05dcebd37ff24aaf31b60f5c8fe1273</cites><orcidid>0000-0001-7609-577X ; 0000-0002-2233-4613 ; 0000-0002-7356-4523 ; 0000-0002-6734-7688</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fobr.13737$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fobr.13737$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38491863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benham, Jamie L.</creatorcontrib><creatorcontrib>Corbett, Kathryn S.</creatorcontrib><creatorcontrib>Yamamoto, Jennifer M.</creatorcontrib><creatorcontrib>McClurg, Caitlin</creatorcontrib><creatorcontrib>Piltonen, Terhi</creatorcontrib><creatorcontrib>Yildiz, Bulent O.</creatorcontrib><creatorcontrib>Li, Rong</creatorcontrib><creatorcontrib>Mousa, Aya</creatorcontrib><creatorcontrib>Tay, Chau Thien</creatorcontrib><creatorcontrib>Spritzer, Poli Mara</creatorcontrib><creatorcontrib>Teede, Helena</creatorcontrib><creatorcontrib>Boyle, Jacqueline A.</creatorcontrib><creatorcontrib>Brown, Wendy A.</creatorcontrib><title>Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis</title><title>Obesity reviews</title><addtitle>Obes Rev</addtitle><description>Summary
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effective treatment. We performed a systematic review and meta‐analysis of published literature to examine the impact of bariatric surgery in PCOS to inform the 2023 International PCOS Evidence‐based Guidelines. Electronic databases were searched for observational studies and trials comparing pharmacologic or lifestyle treatments to bariatric surgery in women with PCOS or bariatric surgery in women with or without PCOS. Anthropometric, reproductive, hormonal, and metabolic outcomes were included and, where possible, meta‐analyzed using random‐effects models. Risk of bias and evidence quality were assessed. Ten studies were included involving 432 women with and 590 women without PCOS. Comparisons between bariatric surgery and pharmacologic or lifestyle treatments were only reported in one study each, and most reproductive outcomes were limited to a single study; therefore, meta‐analyses could not be performed. Meta‐analysis found that women with PCOS experience similar improvements in anthropometric, hormonal, and metabolic outcomes after bariatric surgery compared to those without PCOS. Existing research is limited and of low quality with high risk of bias, especially in comparison to existing PCOS treatments and with respect to reproductive outcomes including pregnancy, highlighting the need for additional studies to inform clinical recommendations.</description><subject>Anthropometry</subject><subject>Bariatric Surgery</subject><subject>Bias</subject><subject>Clinical trials</subject><subject>drug therapy</subject><subject>Endocrine disorders</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>lifestyle</subject><subject>Lifestyles</subject><subject>Meta-analysis</subject><subject>metabolic surgery</subject><subject>Metabolism</subject><subject>obesity</subject><subject>Obesity - complications</subject><subject>Obesity - surgery</subject><subject>Observational studies</subject><subject>Ovaries</subject><subject>Pharmacology</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - complications</subject><subject>Polycystic Ovary Syndrome - therapy</subject><subject>Pregnancy</subject><subject>risk</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Treatment Outcome</subject><subject>Weight loss</subject><subject>Weight Loss - physiology</subject><subject>women's health</subject><issn>1467-7881</issn><issn>1467-789X</issn><issn>1467-789X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNqFkc9qFTEUh4NYbK0ufAEJuFHwtnOSySRxp0XbQqEgCu6G_NWUmcmYzNwyOx_Bra_nk5jpbbsQxGzOIefjg3N-CD2D6gjKO446HQHllD9AB1A3fMOF_PLwvhewjx7nfFVVwCWFR2ifilqCaOgB-nXej8pMOHqsVQpqSsHgPKevLi04DlgN07cUx9i7dfIal6p07NZWDRYnN6ZoZzOFrcNxnkwBMw4DHmO3mCVPxRa3qrjyMthUpm-wKn2eXK_WYXLb4K5vXKv694-falDdkkN-gva86rJ7elsP0ecP7z-dnG0uLk_PT95ebExNoKxHrGkY40Z6WTdCELDGKWGkBa1t46SuWPnRlnLvSa2Up6CbyjMjvAPC6SF6ufOWTb7PLk9tH7JxXacGF-fcUmCU8QoY_BclkgkiCaF1QV_8hV7FOZXVirBiVLCG0VX4akeZFHNOzrdjCn05VwtVu0bblmjbm2gL-_zWOOve2XvyLssCHO-A69C55d-m9vLdx53yD-9Csls</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Benham, Jamie L.</creator><creator>Corbett, Kathryn S.</creator><creator>Yamamoto, Jennifer M.</creator><creator>McClurg, Caitlin</creator><creator>Piltonen, Terhi</creator><creator>Yildiz, Bulent O.</creator><creator>Li, Rong</creator><creator>Mousa, Aya</creator><creator>Tay, Chau Thien</creator><creator>Spritzer, Poli Mara</creator><creator>Teede, Helena</creator><creator>Boyle, Jacqueline A.</creator><creator>Brown, Wendy A.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0001-7609-577X</orcidid><orcidid>https://orcid.org/0000-0002-2233-4613</orcidid><orcidid>https://orcid.org/0000-0002-7356-4523</orcidid><orcidid>https://orcid.org/0000-0002-6734-7688</orcidid></search><sort><creationdate>202406</creationdate><title>Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis</title><author>Benham, Jamie L. ; Corbett, Kathryn S. ; Yamamoto, Jennifer M. ; McClurg, Caitlin ; Piltonen, Terhi ; Yildiz, Bulent O. ; Li, Rong ; Mousa, Aya ; Tay, Chau Thien ; Spritzer, Poli Mara ; Teede, Helena ; Boyle, Jacqueline A. ; Brown, Wendy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4217-72dc6557c9f9468821dcea8c9d1bbd6e9b05dcebd37ff24aaf31b60f5c8fe1273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anthropometry</topic><topic>Bariatric Surgery</topic><topic>Bias</topic><topic>Clinical trials</topic><topic>drug therapy</topic><topic>Endocrine disorders</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>lifestyle</topic><topic>Lifestyles</topic><topic>Meta-analysis</topic><topic>metabolic surgery</topic><topic>Metabolism</topic><topic>obesity</topic><topic>Obesity - complications</topic><topic>Obesity - surgery</topic><topic>Observational studies</topic><topic>Ovaries</topic><topic>Pharmacology</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - complications</topic><topic>Polycystic Ovary Syndrome - therapy</topic><topic>Pregnancy</topic><topic>risk</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Treatment Outcome</topic><topic>Weight loss</topic><topic>Weight Loss - physiology</topic><topic>women's health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benham, Jamie L.</creatorcontrib><creatorcontrib>Corbett, Kathryn S.</creatorcontrib><creatorcontrib>Yamamoto, Jennifer M.</creatorcontrib><creatorcontrib>McClurg, Caitlin</creatorcontrib><creatorcontrib>Piltonen, Terhi</creatorcontrib><creatorcontrib>Yildiz, Bulent O.</creatorcontrib><creatorcontrib>Li, Rong</creatorcontrib><creatorcontrib>Mousa, Aya</creatorcontrib><creatorcontrib>Tay, Chau Thien</creatorcontrib><creatorcontrib>Spritzer, Poli Mara</creatorcontrib><creatorcontrib>Teede, Helena</creatorcontrib><creatorcontrib>Boyle, Jacqueline A.</creatorcontrib><creatorcontrib>Brown, Wendy A.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Obesity reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benham, Jamie L.</au><au>Corbett, Kathryn S.</au><au>Yamamoto, Jennifer M.</au><au>McClurg, Caitlin</au><au>Piltonen, Terhi</au><au>Yildiz, Bulent O.</au><au>Li, Rong</au><au>Mousa, Aya</au><au>Tay, Chau Thien</au><au>Spritzer, Poli Mara</au><au>Teede, Helena</au><au>Boyle, Jacqueline A.</au><au>Brown, Wendy A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis</atitle><jtitle>Obesity reviews</jtitle><addtitle>Obes Rev</addtitle><date>2024-06</date><risdate>2024</risdate><volume>25</volume><issue>6</issue><spage>e13737</spage><epage>n/a</epage><pages>e13737-n/a</pages><issn>1467-7881</issn><issn>1467-789X</issn><eissn>1467-789X</eissn><abstract>Summary
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effective treatment. We performed a systematic review and meta‐analysis of published literature to examine the impact of bariatric surgery in PCOS to inform the 2023 International PCOS Evidence‐based Guidelines. Electronic databases were searched for observational studies and trials comparing pharmacologic or lifestyle treatments to bariatric surgery in women with PCOS or bariatric surgery in women with or without PCOS. Anthropometric, reproductive, hormonal, and metabolic outcomes were included and, where possible, meta‐analyzed using random‐effects models. Risk of bias and evidence quality were assessed. Ten studies were included involving 432 women with and 590 women without PCOS. Comparisons between bariatric surgery and pharmacologic or lifestyle treatments were only reported in one study each, and most reproductive outcomes were limited to a single study; therefore, meta‐analyses could not be performed. Meta‐analysis found that women with PCOS experience similar improvements in anthropometric, hormonal, and metabolic outcomes after bariatric surgery compared to those without PCOS. Existing research is limited and of low quality with high risk of bias, especially in comparison to existing PCOS treatments and with respect to reproductive outcomes including pregnancy, highlighting the need for additional studies to inform clinical recommendations.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38491863</pmid><doi>10.1111/obr.13737</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7609-577X</orcidid><orcidid>https://orcid.org/0000-0002-2233-4613</orcidid><orcidid>https://orcid.org/0000-0002-7356-4523</orcidid><orcidid>https://orcid.org/0000-0002-6734-7688</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anthropometry Bariatric Surgery Bias Clinical trials drug therapy Endocrine disorders Female Gastrointestinal surgery Humans lifestyle Lifestyles Meta-analysis metabolic surgery Metabolism obesity Obesity - complications Obesity - surgery Observational studies Ovaries Pharmacology Polycystic ovary syndrome Polycystic Ovary Syndrome - complications Polycystic Ovary Syndrome - therapy Pregnancy risk Surgery Systematic review Treatment Outcome Weight loss Weight Loss - physiology women's health |
| title | Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis |
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