Assess the Effectiveness of Life Style Modification Regimen on Polycystic Ovary Syndrome among Adolescent Girls in Selected Colleges, Puducherry - Pilot study

Abstract

Background: Polycystic ovary syndrome is a common endocrinopathy affecting women of reproductive age. Commonly manifested by polycystic ovary, menstrual irregularities and hyperandrogenism even though the presentation could be heterogeneous. Insulin resistance (IR) is considered to be accountable for the associated hormonal and metabolic derangements. Polycystic ovary syndrome has two phenotypes, overweight/obese and lean. Objectives & Methodology: Quasi experimental one group pre and posttest timeseries research design was adopted to assess the effect of Life Style Modification Regimen on Polycystic Ovary Syndrome among 16 Adolescent Girls in selected Arts and Science Colleges, Puducherry. Baseline screening was done for 112 adolescent girls by census method using modified PCOS risk assessment questionnaire and identified adolescent girls with PCOS. Adolescent girls at moderate risk of PCOS with BMI 23 and above were included in the study. PCOS risk and Lifestyle habits were assessed before and after implementation of Lifestyle Modification Regimen, whereas clinical features of PCOS were assessed at baseline, at 2months (Posttest-1), 4 months (Posttest-2) and at 5 months (Posttest-3). Results: Study results shows that significant difference between Pre and posttest PCOS risk (17.507) and lifestyle habits (Dietary habits: -3.873 and Physical activity: -2.236) at p < 0.05 level. Improvement found in the clinical features of PCOS including weight, BMI, menstrual cycle, Hirsutism and Acne at p < 0.05 level. Similar percentage (50%) of them had unfavorable and moderately favorable dietary habits during pretest, whereas in posttest 81.3% and 18.7% had moderately favorable and favorable dietary habits and highest percentage (62.5%) of them had Moderately favorable physical activity in pretest, whereas 75.8 and 24.2% had Moderately favorable and favorable physical activity respectively in posttest. Significant association found between the pretest level of PCOS risk and lifestyle habits of adolescent girls (dietary habits: 12.444 & Physical activity: 6.661) at p < 0.05 level and also observed association between the pretest level of PCOS risk and selected demographic variables such as age in years and monthly family income in Rs at p < 0.05 level. Conclusion: Lifestyle Modification brings positive change in lifestyle habits, risk of PCOS and clinical features of PCOS among adolescent girls at risk of PCOS. Study concludes that Healthy lifestyle practices prevents the development of PCOS by risk reduction. Primordial prevention involving early identification of Risk of PCOS promotes reproductive health of the adolescent girls.

Imprint

Hemavathi. P., Malathi S.. Assess the Effectiveness of Life Style Modification Regimen on Polycystic Ovary Syndrome among Adolescent Girls in Selected Colleges, Puducherry - Pilot study. Cardiometry; Issue 24; November 2022; p.1073-1078; DOI: 10.18137/cardiometry.2022.24.10731078; Available from: https://www.cardiometry.net/issues/no24-november-2022/assess-effectiveness-life-style