Lifestyle changes in women with polycystic ovary syndrome (PCOS), overweight and a wish to become pregnant.

Purpose:

Evaluation of the effectiveness of a multidisciplinary cognitive-behavioral program combined with a lifestyle maintenance via Short Message Service (SMS) in infertile women with PCOS and overweight or obese.



Study design:

RCT with 3 groups. At the start of the study participants were randomized in a 2:1 ratio in a treatment group ( n = 156) and a control group (n = 78) . After three months the treatment group will be randomized into two groups. One group receives an SMS maintenance ( n = 78) the other group will not.

1. Is a multidisciplinary cognitive behavioural lifestyle program more effective in losing weight and permanent weight loss for women with PCOS and obesity then regular care?

2. Is a multidisciplinary cognitive behavioural lifestyle program in combination with SMS-interventions more effective in losing weight and permanent weight loss then a multidisciplinary cognitive behavioural lifestyle program without SMS-intervention?

3. Is a multidisciplinary cognitive behavioural lifestyle program in combination with SMS-intervention effective on the menstrual cycle, the anthropomorphic morphometric- , ultrasound-, endocrine- and psychological parameters , as well as physical activity?

1. Before the study (T0);

2. After 3 months (T1);

3. After 6 months (T2);

4. After 9 months (T3);

5. After 12 months (T4).

A nine month during lifestyle change program focusing on sustainable eating and living habits, using SMS with the aim of sustainable weight loss. The team is consisting of a psychologist, a dietician, a physiotherapist and a gynecologist.