Dietary intake, body composition and physical activity levels in women with polycystic ovary syndrome compared with healthy controls

<p>Polycystic Ovary Syndrome is the most common endocrinopathy in women of reproductive age. Although physical activity and weight loss has been proposed as the first line management in patients with PCOS, studies on physical activity in patients with PCOS are limited. The aims of this study were to compare levels of physical activity and its related factors between women with polycystic ovary syndrome and eumenorrheic non hirsute women. We compared the physical activity of our study group using the international physical activity questionnaire (IPAQ), using T-test or Mann-Whitney to compare the means of two groups. Step wise multivariate logistic regression was used to determine the relationship between physical activity and body mass index and demographic factors. The results showed that physical activity levels in PCOS women compared to controls were similar; however the time spent sitting in PCOS women was significantly higher than controls; (6.94±2.2 versus 6.09±2.63 hours, P<0.001).</p><p>Low levels of physical activity were reported by 59.2% of cases and 57.1% of controls. A positive association between physical activity levels and BMI (P=0.001) and age (P=0.03) was observed in PCOS women. In controls, physical activity levels was found to be associated with BMI (P=0.01), education (P=0.03) and pregnancy status (P=0.03). Considering the results of this study, it was concluded that In PCOS women, the impacts of demographic factors on physical activity may be less important than controls.</p>

Download Full-text

The Use of SenseWear Armband for Assessment of Daily Energy Expenditure and the Relation to Body Fat Distribution and Nutritional Intake in Lean Women with Polycystic Ovary Syndrome

Journal of Nutrition and Metabolism ◽

10.1155/2020/9191505 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Gulcan Arusoglu

Keyword(s):

Physical Activity ◽

Body Composition ◽

Energy Expenditure ◽

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Nutritional Intake ◽

Control Group ◽

Ovary Syndrome ◽

Sensewear Armband ◽

Segmental Body Composition

Objective. To evaluate nutritional intake, energy expenditure, and segmental body composition in lean women with polycystic ovary syndrome (PCOS) and compare them with age- and body mass index- (BMI-) matched control women. Methods. 32 nonobese patients with PCOS and 31 age- and BMI-matched healthy women were included in the study. Energy expenditure and physical activity level were assessed by metabolic Holter equipment (SenseWear Armband, SWA) which was never previously used in lean PCOS population. Food intake is recorded with 24 hours of food record. Segmental body composition analysis was assessed by bioelectrical impedance analyses (BIA). Results. Mean BMI was 22.64 ± 3.64 and 21.55 ± 2.77 kg/m2 (p=0.185) in PCOS and control groups, respectively. Mean age was 22.03 ± 4.21 and 21.71 ± 2.67 year (p=0.720), respectively. No significant differences were found in total energy intake and percentage of carbohydrates, fats, and other micronutrients (p>0.05). Energy percentage of proteins (%12.73 ± 1.98, p=0.008) was statistically lower in subjects versus the control group. The measurements of physical activity duration (PAD) (1.40 ± 0.87/2.18 ± 0.99 hours, p=0.002), active energy expenditure (372.35 ± 198.32/494.10 ± 186.50 kcal, p=0.018), and step counting (9370.03 ± 3587.49/11730.90 ± 3564.31 steps, p=0.013) measurement of the PCOS group were lower than the control group, respectively. Conclusions. New diagnosed women with PCOS had similar distribution and quantity of body fat parameters and nutritional status when compared to healthy women. Control subjects were found more active in energy expenditure.

Download Full-text

Dietary and Physical Activity Behaviors in Women with Polycystic Ovary Syndrome per the New International Evidence-Based Guideline

Nutrients ◽

10.3390/nu11112711 ◽

2019 ◽

Vol 11 (11) ◽

pp. 2711 ◽

Cited By ~ 10

Author(s):

Annie W. Lin ◽

Maryam Kazemi ◽

Brittany Y. Jarrett ◽

Heidi Vanden Brink ◽

Kathleen M. Hoeger ◽

...

Keyword(s):

Physical Activity ◽

Polycystic Ovary Syndrome ◽

Dietary Intake ◽

Diet Quality ◽

Polycystic Ovary ◽

Healthy Eating Index ◽

Evidence Based ◽

Ovary Syndrome ◽

International Evidence ◽

Evidence Based Guideline

Lifestyle modifications are recommended as first-line therapy in polycystic ovary syndrome (PCOS). However, usual dietary and physical activity (PA) behaviors of women with PCOS remain uncertain, likely owing to controversy in diagnostic criteria. Our objective was to contrast the usual dietary and PA behaviors of women with PCOS (n = 80) diagnosed by the 2018 International Evidence-based Guideline for the Assessment and Management of PCOS to that of controls (n = 44). Study outcomes were dietary intake, diet quality (Healthy Eating Index-2015), and PA (questionnaire, waist-worn accelerometers). Women with PCOS met the acceptable macronutrient distribution ranges for carbohydrate, fat, and protein, but did not meet the recommended dietary reference intakes for vitamin D (mean (95% confidence interval); 6 (5–7) μg/d), vitamin B9 (275 (252–298) μg/d), total fiber (24 (22–26) g/d), or sodium (4.0 (3.6–4.4) g/d). Women with PCOS also met the US recommendations for PA. No differences were detected in dietary intake, diet quality, or PA levels between groups (p ≥ 0.11). In conclusion, women with and without PCOS have comparable dietary and PA behaviors. A lack of unique targets for dietary or PA interventions supports the position of the new guideline to foster healthy lifestyle recommendations for the management of PCOS.

Download Full-text