{"id":"https://openalex.org/W7126411076","doi":"https://doi.org/10.12775/qs.2026.51.68190","title":"The Role of physical activity and nutrition in managing pain, fatigue, and inflammation in endometriosis","display_name":"The Role of physical activity and nutrition in managing pain, fatigue, and inflammation in endometriosis","publication_year":2026,"publication_date":"2026-01-31","ids":{"openalex":"https://openalex.org/W7126411076","doi":"https://doi.org/10.12775/qs.2026.51.68190"},"language":"en","primary_location":{"id":"doi:10.12775/qs.2026.51.68190","doi":"https://doi.org/10.12775/qs.2026.51.68190","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.51.68190","pdf_url":"https://apcz.umk.pl/QS/article/download/68190/45426","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://apcz.umk.pl/QS/article/download/68190/45426","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086425251","display_name":"Dominika Dmowska","orcid":"https://orcid.org/0009-0002-9269-5577","observed_orcids":["https://orcid.org/0009-0002-9269-5577"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dominika Dmowska","raw_affiliation_strings":["Centrum Medyczne HCP"],"raw_orcid":"https://orcid.org/0009-0002-9269-5577","affiliations":[{"raw_affiliation_string":"Centrum Medyczne HCP","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064449731","display_name":"Pawe\u0142 Zdebski","orcid":"https://orcid.org/0009-0004-9718-157X","observed_orcids":["https://orcid.org/0009-0004-9718-157X"]},"institutions":[{"id":"https://openalex.org/I120230055","display_name":"Poznan University of Medical Sciences","ror":"https://ror.org/02zbb2597","country_code":"PL","type":"education","lineage":["https://openalex.org/I120230055"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Pawe\u0142 Zdebski","raw_affiliation_strings":["Poznan University of Medical Sciences:Poznan, Poland"],"raw_orcid":"https://orcid.org/0009-0004-9718-157X","affiliations":[{"raw_affiliation_string":"Poznan University of Medical Sciences:Poznan, Poland","institution_ids":["https://openalex.org/I120230055"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122817239","display_name":"Karolina Rymska","orcid":"https://orcid.org/0009-0009-8826-8899","observed_orcids":["https://orcid.org/0009-0009-8826-8899"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karolina Rymska","raw_affiliation_strings":["University Clinical Hospital Jan Mikulicz-Radecki, Wroc\u0142aw, Poland"],"raw_orcid":"https://orcid.org/0009-0009-8826-8899","affiliations":[{"raw_affiliation_string":"University Clinical Hospital Jan Mikulicz-Radecki, Wroc\u0142aw, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120526949","display_name":"Ewa Gloc","orcid":"https://orcid.org/0009-0001-4293-750X","observed_orcids":["https://orcid.org/0009-0001-4293-750X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ewa Gloc","raw_affiliation_strings":["Centrum Medyczne Bonifrater w \u0141odzi, \u0141\u00f3d\u017a, Poland"],"raw_orcid":"https://orcid.org/0009-0001-4293-750X","affiliations":[{"raw_affiliation_string":"Centrum Medyczne Bonifrater w \u0141odzi, \u0141\u00f3d\u017a, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136966960","display_name":"Rafa\u0142 Ejsner","orcid":"https://orcid.org/0009-0009-0983-2114","observed_orcids":["https://orcid.org/0009-0009-0983-2114"]},"institutions":[{"id":"https://openalex.org/I4210122071","display_name":"Medical University of Lodz","ror":"https://ror.org/02t4ekc95","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210122071"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Rafa\u0142 Ejsner","raw_affiliation_strings":["Medical university of \u0141\u00f3d\u017a, Dr. Karol Jonscher Municipal Medical Center, Poland"],"raw_orcid":"https://orcid.org/0009-0009-0983-2114","affiliations":[{"raw_affiliation_string":"Medical university of \u0141\u00f3d\u017a, Dr. Karol Jonscher Municipal Medical Center, Poland","institution_ids":["https://openalex.org/I4210122071"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124646184","display_name":"Marcelina Kaczmarek","orcid":"https://orcid.org/0009-0009-0114-0607","observed_orcids":["https://orcid.org/0009-0009-0114-0607"]},"institutions":[{"id":"https://openalex.org/I3019271933","display_name":"Nicolaus Copernicus University","ror":"https://ror.org/0102mm775","country_code":"PL","type":"education","lineage":["https://openalex.org/I3019271933"]},{"id":"https://openalex.org/I4210148386","display_name":"Collegium Medicum in Bydgoszcz","ror":"https://ror.org/04c5jwj47","country_code":"PL","type":"education","lineage":["https://openalex.org/I3019271933","https://openalex.org/I4210148386"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Marcelina Kaczmarek","raw_affiliation_strings":["Faculty of Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toru\u0144, Poland"],"raw_orcid":"https://orcid.org/0009-0009-0114-0607","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toru\u0144, Poland","institution_ids":["https://openalex.org/I3019271933","https://openalex.org/I4210148386"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119787132","display_name":"Mateusz Mierniczek","orcid":"https://orcid.org/0009-0009-9571-7859","observed_orcids":["https://orcid.org/0009-0009-9571-7859"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mateusz Mierniczek","raw_affiliation_strings":["St. Raphael\u2019s Voivodeship Specialist Hospital in Czerwona G\u00f3ra, Ch\u0119ciny, Poland"],"raw_orcid":"https://orcid.org/0009-0009-9571-7859","affiliations":[{"raw_affiliation_string":"St. Raphael\u2019s Voivodeship Specialist Hospital in Czerwona G\u00f3ra, Ch\u0119ciny, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120438950","display_name":"Maria Mierniczek","orcid":"https://orcid.org/0009-0000-9108-1552","observed_orcids":["https://orcid.org/0009-0000-9108-1552"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Mierniczek","raw_affiliation_strings":["St. Raphael\u2019s Voivodeship Specialist Hospital in Czerwona G\u00f3ra, Ch\u0119ciny, Poland"],"raw_orcid":"https://orcid.org/0009-0000-9108-1552","affiliations":[{"raw_affiliation_string":"St. Raphael\u2019s Voivodeship Specialist Hospital in Czerwona G\u00f3ra, Ch\u0119ciny, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091171085","display_name":"Daniel Za\u0142\u0119ski","orcid":"https://orcid.org/0009-0000-0449-363X","observed_orcids":["https://orcid.org/0009-0000-0449-363X"]},"institutions":[{"id":"https://openalex.org/I4387153159","display_name":"Szpital Morski im. PCK","ror":"https://ror.org/01akcbx94","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4387153159"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Daniel Za\u0142\u0119ski","raw_affiliation_strings":["Baptism of Poland Memorial Hospital in Gniezno"],"raw_orcid":"https://orcid.org/0009-0000-0449-363X","affiliations":[{"raw_affiliation_string":"Baptism of Poland Memorial Hospital in Gniezno","institution_ids":["https://openalex.org/I4387153159"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135501129","display_name":"Miko\u0142aj Lewandowski","orcid":"https://orcid.org/0009-0001-8533-0660","observed_orcids":["https://orcid.org/0009-0001-8533-0660"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Miko\u0142aj Lewandowski","raw_affiliation_strings":["Regional Hospital in Pozna\u0144, Jurasz\u00f3w 7-19, 60-479 Pozna\u0144, Poland"],"raw_orcid":"https://orcid.org/0009-0001-8533-0660","affiliations":[{"raw_affiliation_string":"Regional Hospital in Pozna\u0144, Jurasz\u00f3w 7-19, 60-479 Pozna\u0144, Poland","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5120438951","display_name":"Aleksandra Bili\u0144ska","orcid":"https://orcid.org/0009-0002-8833-6934","observed_orcids":["https://orcid.org/0009-0002-8833-6934"]},"institutions":[{"id":"https://openalex.org/I4210122071","display_name":"Medical University of Lodz","ror":"https://ror.org/02t4ekc95","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210122071"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Aleksandra Bili\u0144ska","raw_affiliation_strings":["Uniwersity of Medical Sciences Lodz, Poland"],"raw_orcid":"https://orcid.org/0009-0002-8833-6934","affiliations":[{"raw_affiliation_string":"Uniwersity of Medical Sciences Lodz, Poland","institution_ids":["https://openalex.org/I4210122071"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.2687,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.84944137,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"51","issue":null,"first_page":"68190","last_page":"68190"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12054","display_name":"Menstrual Health and Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endometriosis","display_name":"endometriosis","score":1.0},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":1.0},{"id":"https://openalex.org/keywords/nutrition","display_name":"nutrition","score":0.984000027179718},{"id":"https://openalex.org/keywords/pain","display_name":"pain","score":0.6430000066757202},{"id":"https://openalex.org/keywords/fatigue","display_name":"fatigue","score":0.9980000257492065},{"id":"https://openalex.org/keywords/inflammation","display_name":"inflammation","score":0.9860000014305115},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9950000047683716},{"id":"https://openalex.org/keywords/fertility","display_name":"fertility","score":0.9169999957084656},{"id":"https://openalex.org/keywords/alternative-medicine","display_name":"complementary and alternative medicine","score":0.42899999022483826}],"concepts":[{"id":"https://openalex.org/C2779522080","wikidata":"https://www.wikidata.org/wiki/Q205764","display_name":"Endometriosis","level":2,"score":0.8747000098228455},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.78329998254776},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.7055000066757202},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6669999957084656},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5968000292778015},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5823000073432922},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.5748000144958496},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.36890000104904175},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3292999863624573},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.32749998569488525},{"id":"https://openalex.org/C139676723","wikidata":"https://www.wikidata.org/wiki/Q1193832","display_name":"Sign (mathematics)","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.30239999294281006},{"id":"https://openalex.org/C2779771394","wikidata":"https://www.wikidata.org/wiki/Q12171","display_name":"Menstruation","level":2,"score":0.2964000105857849},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.29330000281333923},{"id":"https://openalex.org/C2776914184","wikidata":"https://www.wikidata.org/wiki/Q101991","display_name":"Inflammation","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.27059999108314514},{"id":"https://openalex.org/C181588539","wikidata":"https://www.wikidata.org/wiki/Q219067","display_name":"Physical exercise","level":2,"score":0.2639999985694885},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.2524000108242035}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.12775/qs.2026.51.68190","doi":"https://doi.org/10.12775/qs.2026.51.68190","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.51.68190","pdf_url":"https://apcz.umk.pl/QS/article/download/68190/45426","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:0d1997aad40c41389d86dbaf7408a348","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/0d1997aad40c41389d86dbaf7408a348","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Quality in Sport, Vol 51 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.12775/qs.2026.51.68190","doi":"https://doi.org/10.12775/qs.2026.51.68190","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.51.68190","pdf_url":"https://apcz.umk.pl/QS/article/download/68190/45426","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7126411076.pdf","grobid_xml":"https://content.openalex.org/works/W7126411076.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W1596389679","https://openalex.org/W2012650501","https://openalex.org/W2031811366","https://openalex.org/W2033898136","https://openalex.org/W2037141143","https://openalex.org/W2055778805","https://openalex.org/W2058161683","https://openalex.org/W2078783464","https://openalex.org/W2114280375","https://openalex.org/W2117457995","https://openalex.org/W2121779274","https://openalex.org/W2157570303","https://openalex.org/W2554074980","https://openalex.org/W2771245150","https://openalex.org/W2971722175","https://openalex.org/W2972427353","https://openalex.org/W3116858712","https://openalex.org/W3164593880","https://openalex.org/W3206876719","https://openalex.org/W4296666845","https://openalex.org/W4392916773","https://openalex.org/W4400211453","https://openalex.org/W4400321104","https://openalex.org/W4402650683","https://openalex.org/W4403053019","https://openalex.org/W4407450830"],"related_works":["https://openalex.org/W7160779254","https://openalex.org/W6982932252","https://openalex.org/W4407307106","https://openalex.org/W4415123575","https://openalex.org/W4405402925","https://openalex.org/W4381597867","https://openalex.org/W7214646055","https://openalex.org/W4416249163","https://openalex.org/W4402720734","https://openalex.org/W4406589308"],"abstract_inverted_index":{"Endometriosis":[0,12],"is":[1,23,76,86,90,201,208],"a":[2,61],"highly":[3],"prevalent":[4],"inflammatory":[5],"disease":[6,99],"that":[7],"affects":[8,13],"millions":[9],"of":[10,16,18,35,57,63,72,84,97,118,124,152,179,181,192,194],"women.":[11],"between":[14,163],"10-15%":[15],"women":[17,46],"reproductive":[19],"age":[20],"globally":[21],"what":[22],"representing":[24],"nearly":[25],"180":[26],"million":[27],"cases":[28],"worldwide.":[29],"In":[30,109],"Poland":[31],"alone,":[32],"the":[33,70,73,78,82,91,95,98,116,122,137,146,168,177,190],"number":[34],"sufferers":[36],"reaches":[37],"3":[38],"million.":[39],"Its":[40],"diagnosed":[41],"much":[42],"more":[43,54],"frequently":[44],"among":[45],"seeking":[47],"treatment":[48],"for":[49],"fertility":[50],"problems.":[51],"That\u2019s":[52],"estimated":[53],"than":[55],"half":[56],"them":[58],"may":[59],"have":[60],"sign":[62],"endometriosis.":[64,125,185,197],"Currently":[65],"used":[66],"medications":[67],"only":[68],"reduces":[69],"symptoms":[71],"disease,":[74],"which":[75,207],"why":[77],"interdisciplinary":[79],"aspect":[80],"in":[81,136],"context":[83],"endometriosis":[85],"so":[87],"important,":[88],"as":[89],"attempt":[92],"to":[93,167],"alleviate":[94],"course":[96,123],"through":[100],"alternative":[101],"methods":[102],"like":[103],"balanced":[104],"diet":[105],"and":[106,127,141,170,205],"physical":[107,119,156,173],"activity.":[108,157],"this":[110,212],"study,":[111],"we":[112],"focused":[113],"on":[114,121,160],"examining":[115],"impact":[117,200],"activity":[120,174,187],"Materials":[126],"methods:":[128],"The":[129],"review":[130],"was":[131],"conducted":[132],"using":[133],"publications":[134],"published":[135,162],"PubMed,":[138],"Google":[139],"Scoolar":[140],"UpToDate.":[142],"Our":[143],"search":[144],"included":[145],"following":[147],"keywords:":[148],"pain,":[149],"endometriosis,":[150],"quality":[151,178,191],"life,":[153],"fatigue,":[154],"fertility,":[155],"We":[158],"based":[159],"literature":[161],"2008-2025.":[164],"Results:":[165],"According":[166],"survey":[169],"literary":[171],"reports":[172],"significantly":[175,188],"improves":[176,189],"life":[180,193],"patients":[182,195],"affected":[183],"by":[184,211],"Physical":[186],"with":[196],"This":[198],"positive":[199],"felt":[202],"both":[203],"physically":[204],"mentally,":[206],"often":[209],"disturbed":[210],"condition.":[213]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-02-02T00:00:00"}
