Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis

Introduction Most overweight/obese women with polycystic ovary syndrome (PCOS) have infertility issues which are difficult to treat. Non-pharmacological interventions used for the management of infertility include lifestyle interventions, acupuncture therapies and nutritional supplements. These inte...

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Main Authors: Juan Li, Jie Yang, Fan-rong Liang, Jun Zhou, Gui-Xing Xu, Han Yang, Yan-qun Xiao, Jia-jia Liu, Zhi-yong Xiao, Xiao-yan Zheng, Li-ying Liu, Zheng Yu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e059090.full
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author Juan Li
Jie Yang
Fan-rong Liang
Jun Zhou
Gui-Xing Xu
Han Yang
Yan-qun Xiao
Jia-jia Liu
Zhi-yong Xiao
Xiao-yan Zheng
Li-ying Liu
Zheng Yu
author_facet Juan Li
Jie Yang
Fan-rong Liang
Jun Zhou
Gui-Xing Xu
Han Yang
Yan-qun Xiao
Jia-jia Liu
Zhi-yong Xiao
Xiao-yan Zheng
Li-ying Liu
Zheng Yu
author_sort Juan Li
collection DOAJ
description Introduction Most overweight/obese women with polycystic ovary syndrome (PCOS) have infertility issues which are difficult to treat. Non-pharmacological interventions used for the management of infertility include lifestyle interventions, acupuncture therapies and nutritional supplements. These interventions have been reported to be beneficial in alleviating infertility among overweight women with PCOS. However, effect and safety of these non-pharmacological interventions vary, and there is no standard method of clinical application. Therefore, it is necessary to conduct a systematic review and network meta-analysis (NMA) to rank these non-pharmacological interventions in terms of effect and determine which one is more effective for clinical application.Methods and analysis We will retrieve eight databases including Cochrane Library, Medline, Embase, PsycINFO, Chinese National Knowledge Infrastructure, WanFang Data, the Chongqing VIP Database and China Biology Medicine disc from their inceptions onwards. In addition, four clinical trial registries and the related references will be manually retrieved. The primary outcome will be clinical pregnancy. Live birth, ovulation, pregnancy loss, multiple pregnancy and adverse events related to interventions will be considered as the secondary outcomes. STATA software V.15.0 and Aggregate Data Drug Information System V.1.16.8 will be used to conduct pairwise meta-analysis and NMA. The Grading of Recommendations Assessment, Development and Evaluation system will be adopted to evaluate the certainty of evidence.Ethics and dissemination Ethical approval will not be required because the study will not include the original information of participants. The results will be published in a peer-reviewed journal or disseminated in relevant conferences.PROSPERO registration number CRD42021283110.
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spelling doaj-art-029c336d29eb4d69a386e5e29e6b0ba02025-01-24T20:05:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059090Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysisJuan Li0Jie Yang1Fan-rong Liang2Jun Zhou3Gui-Xing Xu4Han Yang5Yan-qun Xiao6Jia-jia Liu7Zhi-yong Xiao8Xiao-yan Zheng9Li-ying Liu10Zheng Yu118 Huashan Hospital affiliated to Fudan University, Shanghai, ChinaDepartment of Neurology, Xinqiao Hospital and the Second Affiliated Hospital of Army Medical University, Chongqing, ChinaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Pathology, Shanghai Jiao Tong University Affiliated Sixth People`s Hospital, Shanghai, ChinaAcupuncture and Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine/Clinical Research Center for Acupuncture and Moxibustion in Sichuan province, Chengdu, ChinaHenan Province Clinical Research Center for Cardiovascular Diseases, Zhengzhou, Henan, ChinaInfertility Clinic, Chengdu Xinan Gynecological Hospital, Chengdu, ChinaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaCollege of Medical Information and Engineering, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaIntroduction Most overweight/obese women with polycystic ovary syndrome (PCOS) have infertility issues which are difficult to treat. Non-pharmacological interventions used for the management of infertility include lifestyle interventions, acupuncture therapies and nutritional supplements. These interventions have been reported to be beneficial in alleviating infertility among overweight women with PCOS. However, effect and safety of these non-pharmacological interventions vary, and there is no standard method of clinical application. Therefore, it is necessary to conduct a systematic review and network meta-analysis (NMA) to rank these non-pharmacological interventions in terms of effect and determine which one is more effective for clinical application.Methods and analysis We will retrieve eight databases including Cochrane Library, Medline, Embase, PsycINFO, Chinese National Knowledge Infrastructure, WanFang Data, the Chongqing VIP Database and China Biology Medicine disc from their inceptions onwards. In addition, four clinical trial registries and the related references will be manually retrieved. The primary outcome will be clinical pregnancy. Live birth, ovulation, pregnancy loss, multiple pregnancy and adverse events related to interventions will be considered as the secondary outcomes. STATA software V.15.0 and Aggregate Data Drug Information System V.1.16.8 will be used to conduct pairwise meta-analysis and NMA. The Grading of Recommendations Assessment, Development and Evaluation system will be adopted to evaluate the certainty of evidence.Ethics and dissemination Ethical approval will not be required because the study will not include the original information of participants. The results will be published in a peer-reviewed journal or disseminated in relevant conferences.PROSPERO registration number CRD42021283110.https://bmjopen.bmj.com/content/12/6/e059090.full
spellingShingle Juan Li
Jie Yang
Fan-rong Liang
Jun Zhou
Gui-Xing Xu
Han Yang
Yan-qun Xiao
Jia-jia Liu
Zhi-yong Xiao
Xiao-yan Zheng
Li-ying Liu
Zheng Yu
Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
BMJ Open
title Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
title_full Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
title_fullStr Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
title_full_unstemmed Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
title_short Effect of non-pharmacological interventions for overweight/obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes: a protocol for a systematic review and network meta-analysis
title_sort effect of non pharmacological interventions for overweight obese women with polycystic ovary syndrome on ovulation and pregnancy outcomes a protocol for a systematic review and network meta analysis
url https://bmjopen.bmj.com/content/12/6/e059090.full
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