Reproductive endocrinology

Pre‐conception weight loss interventions in women with polycystic ovary syndrome and the effect on perinatal outcomes: A quantitative synthesis of surrogate outcomes

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Limited data on antenatal outcomes highlight a knowledge gap amongst a group at high perinatal risk.

Study context

Population
Women with polycystic ovary syndrome (PCOS) and body mass index (BMI) ≥25 kg/m²37 randomised controlled trials (RCTs)
Comparison
Pre-conception weight loss interventions vs standard care
Outcome
Pregnancy rates, live births and miscarriages
Methodological detailsLimitations: outcome measure and intervention heterogeneity, inconsistent definitions, low use of core outcome sets
  • Limitations: outcome measure and intervention heterogeneity, inconsistent definitions, low use of core outcome sets

Pooled result

As reported in the abstract

Pregnancy rate (one study) · 12-month lifestyle intervention

Lifestyle intervention

23.3%-26.7%

Standard care

16.7%

Further pooled results

OutcomeReduction (kg/m²) (CI)
BMIQuantitative meta-analysis−0.34 (−0.65 to −0.02)

Original publication

Pre‐conception weight loss interventions in women with polycystic ovary syndrome and the effect on perinatal outcomes: A quantitative synthesis of surrogate outcomes. Diabetes Obes Metab. Published 1 October 2025. doi:10.1111/dom.70116

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