Table 3.
Behavioral intervention compared with control for PCOS patients.
| Outcome | Study included number | Heterogeneity | Effect model | Meta analysis | |||
|---|---|---|---|---|---|---|---|
| P value | I2 | Relative effect (95%CI) | P value | ||||
| Anthropometric measurements | Weight loss | 4 | 1.00 | 0% | Fixed | -1.07 (-2.10, -0.03) | 0.04 |
| Body mass index | 6 | 0.002 | 73% | Random | -1.12 (-1.92, -0.33) | 0.006 | |
| Waist circumference | 4 | 0.88 | 0% | Fixed | -3.97 (-5.64, -2.29) | <0.00001 | |
| Clinical outcomes | Depression | 3 | <0.00001 | 92% | Random | -1.21 (-2.35, -0.07)a | 0.04 |
| Menstrual problems | 3 | 0.93 | 0% | Fixed | 0.17 (-0.11, 0.46) | 0.23 | |
| Hirsutism | 3 | 0.16 | 46% | Fixed | -0.26 (-0.53, 0.00) | 0.05 | |
| Emotion | 3 | 0.79 | 0% | Fixed | 0.11 (-0.13, 0.36) | 0.35 | |
| Infertility | 3 | 0.28 | 22% | Fixed | 0.24 (-0.06, 0.54) | 0.11 | |
| Weight | 2 | 0.40 | 0% | Fixed | 0.58 (0.15, 1.02) | 0.008 | |
| Biochemical indexes | High-density lipoprotein | 2 | 0.08 | 67% | Random | 0.03 (-0.12, 0.18) | 0.69 |
| Low-density lipoprotein | 2 | 0.76 | 0% | Fixed | -0.04 (-0.20, 0.12) | 0.65 | |
| Systolic blood pressure | 2 | 0.49 | 0% | Fixed | 1.31 (-2.36, 4.98) | 0.48 | |
| Diastolic blood pressure | 2 | 0.42 | 0% | Fixed | -0.32 (-3.04, 2.40) | 0.82 | |
| HOMA-IR | 3 | 0.61 | 0% | Fixed | -0.14 (-0.47, 0.19) | 0.41 | |
| Triglycerides | 3 | 0.25 | 27% | Fixed | -0.16 (-0.27, -0.05) | 0.004 | |
| Total cholesterol | 2 | 0.55 | 0% | Fixed | -0.04 (-0.23, 0.16) | 0.71 | |
| Testosterone | 3 | 0.02 | 76% | Random | 0.30 (-0.18, 0.78)a | 0.22 | |
| Fasting glucose | 3 | 0.06 | 64% | Random | 0.00 (-0.21, 0.21) | 0.99 | |
| Fasting insulin | 3 | 0.41 | 0% | Fixed | -0.56 (-2.79, 1.68) | 0.63 | |
| HbA1C | 2 | 0.95 | 0% | Fixed | -0.34 (-0.68, -0.00)a | 0.05 | |
| SHBG | 2 | 0.63 | 0% | Fixed | 0.05 (-0.27, 0.26)a | 0.78 | |
HOMA-IR, homeostasis model assessment as an index of insulin resistance; HbA1C, hemoglobin A1C; SHBG, sex hormone binding globulin; a, standardized mean difference.