title: Lifestyle modification intervention among infertile overweight and obese women with polycystic ovary syndrome.
abstract: OBJECTIVE
  To implement an evidence-based lifestyle modification intervention, guided by motivational interviewing, among a sample of infertile overweight and obese women with polycystic ovary syndrome to increase chances of conception while improving overall health.
  
  
  METHODS
  A prospective quantitative design was utilized (n = 12). Infertile overweight and obese women with polycystic ovary syndrome at an infertility practice completed questionnaires to assess diet and exercise practices at study onset and completion. Body mass index and weight measurements were obtained on participants at study onset and completion of intervention. Menstrual history was assessed by interview.
  
  
  CONCLUSIONS
  There was a mean weight loss (p = .005) of 7(±5) pounds although a 5% weight reduction did not occur. Mean daily calorie (p = .005), fat (p = .006), and carbohydrate intake (p = .014) were significantly reduced. Frequency in brisk walking exercise significantly increased (p = .024). Frequency in home or gym exercise increased (p = .050). Menstrual cyclicity improved by 50% among prior amenorrheic subjects.
  
  
  CONCLUSIONS
  An evidence-based lifestyle modification guideline could prove to be a cost effective intervention for infertile women with polycystic ovary syndrome (PCOS) who desire pregnancy. This intervention could be integrated into the primary care and reproductive medicine visits as sole therapy or in conjunction with infertility treatment.
authors.affiliation: School of Nursing, University of Missouri-Kansas City, Olathe, Kansas.
authors.forename: Diane
authors.initials: D
authors.lastname: Mahoney
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007246:Infertility / Q000628:therapy*; D062405:Motivational Interviewing / Q000379:methods*; D009765:Obesity / Q000150:complications / Q000628:therapy*; D050177:Overweight / Q000150:complications / Q000628:therapy*; D011085:Polycystic Ovary Syndrome / Q000150:complications* / Q000628:therapy; D011446:Prospective Studies; D040242:Risk Reduction Behavior
keywords: Polycystic ovary syndrome; dietary intake; infertile women; lifestyle; obesity; physical activity