Anti‐obesity pharmacological agents for polycystic ovary syndrome: A systematic review and meta‐analysis to inform the 2023 international evidence‐based guideline Article Swipe
Alyse S. Goldberg
,
Sandro Graca
,
Jing Liu
,
Vibhuti Rao
,
Selma F. Witchel
,
Alexia Peña
,
Rong Li
,
Aya Mousa
,
Chau Thien Tay
,
Loyal Pattuwage
,
Helena Teede
,
Bülent Okan Yıldız
,
Carolyn Ee
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/obr.13704
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/obr.13704
Summary This systematic review and meta‐analysis evaluated the efficacy of anti‐obesity agents for hormonal, reproductive, metabolic, and psychological outcomes in polycystic ovary syndrome (PCOS) to inform the 2023 update of the International Evidence‐based Guideline on PCOS. We searched Medline, EMBASE, PsycInfo, and CINAHL until July 2022 with a 10‐year limit to focus on newer agents. Eleven trials (545 and 451 participants in intervention and control arms respectively, 12 comparisons) were included. On descriptive analyses, most agents improved anthropometric outcomes; liraglutide, semaglutide and orlistat appeared superior to placebo for anthropometric outcomes. Meta‐analyses were possible for two comparisons (exenatide vs. metformin and orlistat + combined oral contraceptive pill [COCP] vs. COCP alone). On meta‐analysis, no differences were identified between exenatide versus metformin for anthropometric, biochemical hyperandrogenism, and metabolic outcomes, other than lower fasting blood glucose more with metformin than exenatide (MD: 0.10 mmol/L, CI 0.02–0.17, I 2 = 18%, 2 trials). Orlistat + COCP did not improve metabolic outcomes compared with COCP alone (fasting insulin MD: −8.65 pmol/L, −33.55 to 16.26, I 2 = 67%, 2 trials). Published data examining the effects of anti‐obesity agents in women with PCOS are very limited. The role of these agents in PCOS should be a high priority for future research.
Related Topics
Concepts
Medicine
Orlistat
Polycystic ovary
Exenatide
Metformin
Liraglutide
Internal medicine
Meta-analysis
Sitagliptin
Endocrinology
Insulin resistance
Obesity
Weight loss
Type 2 diabetes
Insulin
Diabetes mellitus
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/obr.13704
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/obr.13704
- OA Status
- hybrid
- Cited By
- 30
- References
- 61
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391837998
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391837998Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/obr.13704Digital Object Identifier
- Title
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Anti‐obesity pharmacological agents for polycystic ovary syndrome: A systematic review and meta‐analysis to inform the 2023 international evidence‐based guidelineWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-14Full publication date if available
- Authors
-
Alyse S. Goldberg, Sandro Graca, Jing Liu, Vibhuti Rao, Selma F. Witchel, Alexia Peña, Rong Li, Aya Mousa, Chau Thien Tay, Loyal Pattuwage, Helena Teede, Bülent Okan Yıldız, Carolyn EeList of authors in order
- Landing page
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https://doi.org/10.1111/obr.13704Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/obr.13704Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/obr.13704Direct OA link when available
- Concepts
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Medicine, Orlistat, Polycystic ovary, Exenatide, Metformin, Liraglutide, Internal medicine, Meta-analysis, Sitagliptin, Endocrinology, Insulin resistance, Obesity, Weight loss, Type 2 diabetes, Insulin, Diabetes mellitusTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
30Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 23, 2024: 7Per-year citation counts (last 5 years)
- References (count)
-
61Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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