PMID- 35363325 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220509 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 26 IP - 6 DP - 2022 Mar TI - Short period-administration of myo-inositol and metformin on hormonal and glycolipid profiles in patients with polycystic ovary syndrome: a systematic review and updated meta-analysis of randomized controlled trials. PG - 1792-1802 LID - 28322 [pii] LID - 10.26355/eurrev_202203_28322 [doi] AB - OBJECTIVE: This meta-analysis aims to perform an updated meta-analysis to evaluate myo-inositol (myo-ins) and the classical insulin sensitizer metformin in terms of efficacy and safety for treating women with polycystic ovary syndrome (PCOS). MATERIALS AND METHODS: A comprehensive literature search was performed using PubMed, Web of Science, EMBASE, Cochrane Library, PhRMA Clinical Study Results, Wan Fang, and CNKI databases; the database was searched from inception to June 2021. The random effects model was chosen to synthesize the effect sizes of individual trails. The registration number is CRD42021239786. RESULTS: Nine randomized controlled trials (RCTs) and 612 patients were included in the analysis. Compared with metformin, myo-ins might be more effective in lowering triglycerides (TG) levels (SMD -0.49, 95% CI -0.74 to -0.24, p=0.0001, I2 = 0%) and avoiding side effects (RR=0.14, 95% CI 0.08-0.24, p<0.00001, I2 = 2%), while no significant differences were observed in other relevant indexes, such as total testosterone (TT) and sex-hormone binding globulin (SHBG). CONCLUSIONS: Compared with metformin, the suitable supplemental dosage of myo-ins may be helpful in lowering levels of TG and avoiding adverse events (AEs). FAU - Zhang, J-Q AU - Zhang JQ AD - Department of Endocrinology, Shengjing Hospital, China Medical University, Shenyang, Liaoning province, PR China. hebing7557@163.com. FAU - Xing, C AU - Xing C FAU - He, B AU - He B LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Glycolipids) RN - 0 (Hypoglycemic Agents) RN - 4L6452S749 (Inositol) RN - 9100L32L2N (Metformin) SB - IM MH - Female MH - Glycolipids MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Inositol/therapeutic use MH - *Metformin/therapeutic use MH - *Polycystic Ovary Syndrome/drug therapy/metabolism MH - Randomized Controlled Trials as Topic EDAT- 2022/04/02 06:00 MHDA- 2022/04/08 06:00 CRDT- 2022/04/01 12:21 PHST- 2022/04/01 12:21 [entrez] PHST- 2022/04/02 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] AID - 28322 [pii] AID - 10.26355/eurrev_202203_28322 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2022 Mar;26(6):1792-1802. doi: 10.26355/eurrev_202203_28322.