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PapersPMID:34407851

Comparative efficacy of oral insulin sensitizers metformin, thiazolidinediones, inositol, and berberine in improving endocrine and metabolic profiles in women with PCOS: a network meta-analysis.

Reproductive health2021The record ↗

  1. Finding, moderate evidencelowersBody mass index

What moved

1 findingHow to read these marks →
  • Decreases body mass index

    moderatereplicated ×4

    “With respect to BMI reduction, the TMA showed that Met + BBR (MD − 1.85 [95% CI (− 2.76)–(− 0.94)]; P = 0.32, I2 = 0%) was superior to Met monotherapy, whereas the NMA revealed that Met + BBR was more efficacious than Met, MI, TZDs, and Met + TZDs (MDs ranging from − 1.85 [95% CI (− 2.76)–(− 0.94)] for Met to − 3.08 [95% CI (− 4.10)–(− 2.05)] for TZDs).”
    Study
    meta-analysis
    Duration
    3 months
    Effect
    −1.85 mean difference, 95% CI −2.76 to −0.94
    Dose studied
    berberine 500 mg three times daily added to metformin 500 mg three times daily
    Population
    Women with polycystic ovary syndrome in 2 pooled RCTs (140 women) comparing metformin plus berberine against metformin alone, so metformin was given in both arms

Study record

Design
meta-analysis
Species
human
Population
Women aged 18 to 49 years with polycystic ovary syndrome in RCTs of oral insulin sensitizers
Participants
1,079
Comparator
an active treatment
Duration
not reported
Endpoints measured
58
Declined
a direction is stated and the estimate does not support it