Levonorgestrel-releasing IUC compared with no hormonal contraceptive for effect on weight | ||||
Patient or population: women with need for contraception Settings: clinic Intervention: LNG-IUC Comparison: no hormonal contraceptive | ||||
Outcomes by 1 year |
Relative effect (95% CI) |
Participants (study) |
Quality of the evidence (GRADE) |
Comments |
Change in fat mass (%) ; change in lean mass (%) |
Reported mean ± SD (re- ported P): 2.5 ± 8.0 vs −1.3 ± 6.9 (P = 0.029); −1.4 ± 4.7 vs 1.0 ± 3.8 (P = 0.027) |
76 (Dal’Ava 2012) |
Moderate | LNG-IUC vs non-hor- monal IUC; women 18 to 45 years old |
Change in fat mass (%) ; change in fat free mass (%) |
MD 1.60 (0.45 to 2.75); MD −1.60 (−2.75 to −0. 45) |
60 (Napolitano 2015) |
Low | LNG-IUC vs no contra- ceptive; perimenopausal women |
CI: Confidence interval; MD = mean difference; SD = standard deviation | ||||
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. |
IUC: intrauterine contraception
LNG-IUC: levonorgestrel-releasing intrauterine contraception