OBJECTIVE To assess differences in body image concerns among women with and without polycystic ovary syndrome (PCOS). DESIGN This is a systematic review and meta-analysis. METHODS Electronic databases (MEDLINE, EMBASE, APA PsychInfo, PUBMED, Web-of-Science Core Collection, and Cochrane Controlled Register of Trials [CENTRAL]) were searched from inception through July 2022. Outcome measures included validated questionnaires reporting on body image concerns. Methodological quality was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system, and included studies were assessed for risk of bias. Meta-analyses were performed using the inverse variance method based on random or fixed effects models (Review Manager, Version 5). RESULTS A total of 918 women with PCOS and 865 women without PCOS from 9 studies were included. Meta-analysis of 3 studies using Multidimensional Body-Self Relations Questionnaire Appearance Scale (MBSRQ-AS) showed those with PCOS reported higher dissatisfaction with appearance evaluation and appearance orientation compared to those without PCOS (mean difference [MD] = -0.78, I2 = 0%, P < .00001, and MD = 0.22, I2 = 54%, P = .004, respectively). Meta-analysis of 2 studies showed higher dissatisfaction with overweight preoccupation, lower body area satisfaction, and body weight classification on MBSRQ-AS subscales in those with PCOS compared to those without PCOS (all P < .001). Meta-analysis of 2 studies using the Body Esteem Scale for Adolescents and Adults (BESAA) showed significantly lower scores for the weight subscale in those with PCOS compared to those without PCOS (P = .03). CONCLUSIONS Those with PCOS experience more significant body image concerns, emphasising the importance of awareness in the clinical care of PCOS. Considering the limited evidence, further studies are warranted to identify drivers and mitigating factors.

中文翻译：

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多囊卵巢综合征女性的身体形象问题：系统评价和荟萃分析。

目的 评估患有和不患有多囊卵巢综合征 (PCOS) 的女性对身体形象的关注差异。设计这是一项系统回顾和荟萃分析。方法 从开始到 2022 年 7 月，对电子数据库（MEDLINE、EMBASE、APA PsychInfo、PUBMED、Web-of-Science 核心合集和 Cochrane 受控试验注册库 [CENTRAL]）进行检索。结果指标包括报告身体形象问题的经过验证的问卷。方法学质量通过建议、评估、开发和评价分级（GRADE）系统进行评估，并对纳入的研究进行偏倚风险评估。使用基于随机或固定效应模型（Review Manager，版本 5）的逆方差方法进行荟萃分析。结果 9 项研究共纳入了 918 名患有 PCOS 的女性和 865 名未患 PCOS 的女性。使用多维身体自我关系问卷外观量表（MBSRQ-AS）对 3 项研究进行荟萃分析，结果显示，与非 PCOS 患者相比，PCOS 患者对外观评估和外观取向的满意度更高（平均差 [MD] = -0.78，I2 = 0%，P < .00001，MD = 0.22，I2 = 54%，P = .004，分别）。两项研究的荟萃分析显示，与非 PCOS 患者相比，PCOS 患者对超重关注、较低的身体面积满意度和 MBSRQ-AS 分量表体重分类的满意度更高（所有 P < .001）。使用青少年和成人身体自尊量表 (BESAA) 对两项研究进行荟萃分析显示，与非 PCOS 患者相比，PCOS 患者的体重分量表得分显着较低 (P = .03)。结论 PCOS 患者对身体形象的关注更为严重，这强调了认识在 PCOS 临床护理中的重要性。考虑到证据有限，有必要进行进一步研究以确定驱动因素和缓解因素。