Reproductive endocrinology

Body image concerns in women with polycystic ovary syndrome: a systematic review and meta-analysis

Eur J EndocrinolPublished Systematic review and meta-analysis

Authors' conclusion

Those with PCOS experience more significant body image concerns, emphasising the importance of awareness in the clinical care of PCOS. Considering the limited evidence, further studies are warranted to identify drivers and mitigating factors.

Study context

Population
Women with and without polycystic ovary syndrome (PCOS) in studies using validated body image questionnaires; databases searched from inception through July 20229 studies
Participants
918 vs 865
Comparison
Women with PCOS vs women without PCOS
  • PCOSn = 918
  • Without PCOSn = 865reference
Outcome
Body image concerns on validated questionnaires
Methodological detailsrandom or fixed effects models, inverse variance method, Grading of Recommendations, Assessment, Development and Evaluations (GRADE) quality assessment, risk of bias assessment
  • Random or fixed effects models
  • Inverse variance method
  • GRADE quality assessment
  • Risk of bias assessment

Pooled result

As reported in the abstract

Body image concerns (MBSRQ-AS appearance evaluation and appearance orientation; 3 studies)

MD

−0.78

P < 0.00001

Appearance evaluation; higher dissatisfaction with PCOS; I2 = 0%

MD

0.22

P = 0.004

Appearance orientation; higher dissatisfaction with PCOS; I2 = 54%

Further pooled results

OutcomeP value
MBSRQ-AS subscales: overweight preoccupation, body area satisfaction, body weight classification (2 studies)all P < .001
BESAA weight subscale (2 studies)Significantly lower scores with PCOSP = 0.03
  • Multidimensional Body-Self Relations Questionnaire Appearance Scale (MBSRQ-AS) subscales: overweight preoccupation, body area satisfaction, body weight classification (2 studies): higher dissatisfaction with overweight preoccupation, lower body area satisfaction and body weight classification with PCOS

Original publication

Body image concerns in women with polycystic ovary syndrome: a systematic review and meta-analysis. Eur J Endocrinol. Published 24 August 2023. doi:10.1093/ejendo/lvad110

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