title: Factors contributing to initial weight loss among adolescents with polycystic ovary syndrome.
abstract: OBJECTIVE
  To evaluate the impact of a multidisciplinary clinic on weight management among adolescents with PCOS.
  
  
  METHODS
  140 adolescent females were evaluated in a multidisciplinary PCOS clinic from March 2005 to December 2008. The team included a pediatric endocrinologist, health psychologist, dietitian, and pediatric gynecologist. 110 were diagnosed with PCOS based on the Rotterdam Criteria. Height, weight, BMI, number of subspecialists seen, use of metformin, and compliance with return visits were obtained from medical records.
  
  
  METHODS
  American Family Children's Hospital in Madison, Wisconsin.
  
  
  METHODS
  110 adolescent females with polycystic ovary syndrome.
  
  
  METHODS
  Consultation with a dietitian and health psychologist.
  
  
  METHODS
  Change in weight.
  
  
  RESULTS
  The average age at first visit was 15.9 years. The average BMI was 34.7 kg/m(2) (range 18.1-55.5). Seventy-six percent had an initial BMI above the 95(th) percentile. Interactions with providers at the initial visit included a pediatric endocrinologist (100%), health psychologist (60.9%), dietitian (75.5%) and gynecologist (70.9%). Seventy one percent returned for a follow-up visit, (average time of 4.5 months between visits) with 57% achieving weight loss (average 3.5 kg) and an additional 12.6% demonstrating no significant weight gain (< 1.5 kg). Thus, 69.6% demonstrated weight loss/stabilization.
  
  
  CONCLUSIONS
  In this multidisciplinary clinic for adolescents with PCOS, nearly 70% of patients succeeded in short-term weight stabilization, with 57% demonstrating weight loss. Interactions with the health psychologist and dietitian appeared to play a key role in successful weight control, supporting the importance of psychology and nutrition expertise in the management of this disorder.
authors.affiliation: Division of Pediatric Endocrinology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.
authors.forename: L M
authors.initials: LM
authors.lastname: Geier
authors.forename: M T
authors.initials: MT
authors.lastname: Bekx
authors.forename: E L
authors.initials: EL
authors.lastname: Connor
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy; D015992:Body Mass Index; D002648:Child; D004046:Dietetics; D004704:Endocrinology; D005247:Feeding Behavior; D005260:Female; D006176:Gynecology; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008687:Metformin / Q000627:therapeutic use; D009765:Obesity / Q000150:complications / Q000178:diet therapy / Q000628:therapy*; D010348:Patient Care Team; D010349:Patient Compliance; D011085:Polycystic Ovary Syndrome / Q000150:complications*; D011584:Psychology; D012189:Retrospective Studies; D015431:Weight Loss; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents; D008687:Metformin