scholarly journals MON-043 Sleep Disturbances in Women with and Without Polycystic Ovary Syndrome (PCOS) and Their Association with Lifestyle Factors (Diet, Physical Activity and Sitting Time)

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Christie Bennett ◽  
Darren Mansfield ◽  
Lin Mo ◽  
Allison Hodge ◽  
Anju Joham ◽  
...  
Keyword(s):  
Physical Activity ◽  
Polycystic Ovary Syndrome ◽  
Sedentary Behaviour ◽  
Energy Intake ◽  
Diet Quality ◽  
Sleep Disturbances ◽  
Polycystic Ovary ◽  
Sitting Time ◽  
Ovary Syndrome ◽  
Lifestyle Behaviours

Abstract Sleep disturbances in women with and without polycystic ovary syndrome (PCOS) and their association with lifestyle factors (diet, physical activity and sitting time) Bennett C1, Mansfield DR2, Mo L2, Hodge A3, Joham A4, 5, Cain SW6, Blumfield M1, Teede H4, 5, Moran LJ4 1. Be Active Sleep and Eat (BASE) Facility, Department of Nutrition and Dietetics, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria 2. Monash Lung and Sleep, Monash Health, Clayton, Victoria 3. Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, Victoria 4. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria 5. Diabetes and Vascular Medicine Unit, Monash Health, Clayton, Victoria 6. Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Clayton, Victoria Sleep disturbances are a risk factor for poorer lifestyle behaviours. While PCOS is associated with a higher prevalence of sleep disturbances, the relationship between sleep and lifestyle behaviours is unknown in PCOS. Self-reported data from the Australian Longitudinal Study on Women’s Health young cohort (31–36 years, n=6067, n=464 PCOS, n=5603 non-PCOS) were collected on PCOS, anthropometry, physical activity, sedentary behaviour, diet (74-item validated food frequency questionnaire) and sleeping behaviour (sleep quantity and adverse sleep symptoms). Multivariate regression models controlled for sleeping behaviour, BMI, age, marital status, education, income and area of residence. Women with PCOS reported greater adverse sleep symptoms, higher energy intake, diet quality (dietary guidelines index (DGI)), fibre intake and sedentary time and lower glycaemic index, compared to women without PCOS. This was not maintained for energy intake and sedentary behaviour on adjustment for confounders. For diet quality, there was an interaction between PCOS and sleep disturbances. Only for women with fewer sleep disturbances (~8 hours sleep/no adverse sleep symptoms) was PCOS associated with better diet quality (DGI higher by 3.14±0.86, p<0.001), with no differences in diet quality for women with poorer sleep. Lifestyle behaviours in women with PCOS appear to be influenced by sleep quality and quantity. Nothing to disclose: CB, DM, LM, AH, AJ, SC, MB, HT, LM

scholarly journals 607Longitudinal weight gain and lifestyle factors in women with and without polycystic ovary syndrome

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Mamaru Ayenew Awoke ◽  
Arul Earnest ◽  
Anju Joham ◽  
Allison Hodge ◽  
Wendy Brown ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Polycystic Ovary Syndrome ◽  
Energy Intake ◽  
Glycemic Index ◽  
Weight Change ◽  
Polycystic Ovary ◽  
Lifestyle Factors ◽  
Sitting Time ◽  
Ovary Syndrome

Abstract Background Women with polycystic ovary syndrome (PCOS) have a higher prevalence of overweight/obesity and greater weight gain than women without PCOS. The association of lifestyle factors with weight change in PCOS is not known. Methods We used data from the 1973-78 birth cohort of the Australian Longitudinal Study on Women’s Health collected from seven surveys over 19 years (N = 14127 survey 1). Linear mixed-effects models were used to examine associations between diet, physical activity, and sitting time with weight change, after adjustment for socio-demographics, psychological factors, and health care utilisation. Results Women with PCOS gained more weight annually (0·26 kg/year, 95% CI 0·13, 0·39; P < 0·0001) and over 19 years (4·75 kg; 95% CI 3·17, 6·34; P < 0·0001) than women without PCOS (adjusted analyses). For all women, there were positive associations between weight gain and energy intake, sitting time, and stress; inverse associations with fibre intake and physical activity; and no associations with diet quality, glycemic index, healthcare utilization, depression, or anxiety. There were interactions between lifestyle factors (energy intake P = 0·006, glycemic index P = 0·007, sitting time P = 0·029, and physical activity P = 0·022), PCOS status and time (age) such that weight gain varied between women with and without PCOS according to these factors. Conclusions Women with PCOS had a higher rate of weight gain than women without PCOS. This was most marked in those with indicators of unhealthy lifestyles. Increased stress, energy intake and sitting time and lower physical activity contributed to weight gain in women with and without PCOS. Key messages The findings reinforce the importance of early and ongoing lifestyle intervention and the potential use of specific lifestyle factors for weight gain prevention and management in PCOS.

Sleep disturbances may influence lifestyle behaviours in women with self-reported polycystic ovary syndrome

2021 ◽  
pp. 1-25
Author(s):  
Christie J Bennett ◽  
Darren R Mansfield ◽  
Lin Mo ◽  
Anju E Joham ◽  
Sean W Cain ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Diet Quality ◽  
Sleep Disturbances ◽  
Latent Class ◽  
Polycystic Ovary ◽  
Dietary Guidelines ◽  
Poor Sleep ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Lifestyle Behaviours

Abstract Background: Polycystic ovary syndrome (PCOS) is associated with a higher prevalence of sleep disturbances and obesity. Treatment of PCOS includes modifying lifestyle behaviours associated with weight management. However, poor sleep in the non-PCOS population has been associated with poorer lifestyle behaviours. Objective: To investigate whether sleep disturbance confounds or modifies the association between lifestyle factors and PCOS. Design & Setting: This study was a cross-sectional analysis from the Australian Longitudinal Study on Women’s Health cohort aged 31-36 years in 2009 were analysed (n=6067, n=464 PCOS, n=5603 non-PCOS). Main outcome measures: Self-reported data were collected on PCOS, anthropometry, validated modified version of the Active Australia Physical Activity survey, validated food frequency questionnaire and sleep disturbances through latent class analysis. Results: Women with PCOS had greater adverse sleep symptoms including severe tiredness (p=0.001), difficulty sleeping (p<0.001) and restless sleep (p<0.001), compared to women without PCOS. Women with PCOS also had higher energy consumption (6911±2453 vs 6654±2215kJ, p=0.017), fibre intake (19.8±7.8 vs 18.9±6.9g, p=0.012) and diet quality (dietary guidelines index (DGI)) (88.1±11.6 vs 86.7±11.1, p=0.008), lower glycaemic index (50.2±4.0 vs 50.7±3.9, p=0.021) and increased sedentary behaviour (6.3±2.8 vs 5.9±2.8 hours, p=0.009). There was a significant interaction between PCOS and sleep disturbances for DGI (p=0.035), therefore only for women who had adequate sleep was PCOS associated with a higher DGI. For women with poorer sleep, there was no association between PCOS and DGI. Conclusion: The association between PCOS and improved diet quality may only be maintained if women can obtain enough good quality sleep.

scholarly journals Longitudinal Weight Gain and Lifestyle Factors in Women With and Without Polycystic Ovary Syndrome

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A20-A20
Author(s):  
Mamaru Ayenew Awoke ◽  
Arul Earnest ◽  
Anju Elizabeth Joham ◽  
Allison M Hodge ◽  
Wendy J Brown ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Polycystic Ovary Syndrome ◽  
Energy Intake ◽  
Weight Change ◽  
Polycystic Ovary ◽  
Glycaemic Index ◽  
Lifestyle Factors ◽  
Sitting Time ◽  
Ovary Syndrome

Abstract Background: While women with polycystic ovary syndrome (PCOS) have a higher prevalence of overweight/obesity and increased weight gain than women without PCOS, the association of lifestyle behaviours with weight change is not known. Methods: We used data from the 1973–78 cohort of the Australian Longitudinal Study on Women’s Health for longitudinal analysis over 19 years (N=14127 at survey 1). Linear mixed-effects models were used to examine weight change and its association with diet, physical activity and sitting time, adjusted for sociodemographic, psychological factors and health care utilisation. Results: Women with PCOS gained more weight annually (0.27 kg/year, 95% CI 0.14, 0.40; P&lt;0.001) and over 19 years (15.3 kg 95% CI 10.9, 19.7 Vs. 10.8 kg 95% CI 5.5, 16.2) than women without PCOS. There was a three-way interaction between energy intake (0.31 kg, 95% CI 0.004, 0.61; P=0.047), glycaemic index (0.44 kg, 95% CI 0.13, 0.74; P=0.005), sitting time (0.55 kg 95% CI 0.002, 1.10; P=0.049), physical activity (-0.37 kg, 95% CI -0.69, -0.05; P=0.022) and PCOS and time. While women with PCOS had higher weight gain than those without PCOS overall, this difference was greater for women with PCOS with higher energy intake, glycaemic index and longer sitting time and those not meeting PA guidelines. Conclusions: Women with PCOS had a higher rate of weight gain than those without PCOS with those with unhealthy lifestyle behaviours having the greatest weight gain. Women with PCOS may be biologically predisposed to weight gain when experiencing adverse lifestyle factors. This reinforces the contribution of lifestyle factors to weight change and the importance of early lifestyle intervention in PCOS.

scholarly journals Associations of diet, physical activity and polycystic ovary syndrome in the Coronary Artery Risk Development in Young Adults Women’s Study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annie W. Lin ◽  
David Siscovick ◽  
Barbara Sternfeld ◽  
Pamela Schreiner ◽  
Cora E. Lewis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Coronary Artery ◽  
Polycystic Ovary Syndrome ◽  
Total Energy ◽  
Energy Intake ◽  
Diet Quality ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
Diet And Physical Activity

Abstract Background Current evidence supports the adoption of healthy diet and physical activity (PA) behaviors in patients with polycystic ovary syndrome (PCOS), given the positive effects of those behaviors on physical well-being. An improved understanding of the associations between diet and PA with PCOS is needed to ascertain whether tailored dietary and PA recommendations are needed for this population. Thus, we investigated the associations of diet and PA with PCOS and its isolated features. Methods Cross-sectional study. Of the 748 women who were included in this study from the Coronary Artery Risk Development in Young Adults (CARDIA) Women’s Study, 40 were classified as having PCOS, 104 had isolated hyperandrogenism (HA) and 75 had isolated oligomenorrhea (OA). Dietary intake was measured using the CARDIA diet history questionnaire and diet quality was scored using the Alternative Healthy Eating Index 2010; a higher score indicated a better quality diet. Self-reported PA was measured using a validated interviewer-administered questionnaire. Polytomous logistic regression analyses examined the associations between diet and PA with PCOS, HA, and OA status (outcomes), adjusting for age, race, total energy intake, education, and/or body mass index. The threshold for statistical significance was set at p < 0.05. Results Mean age of the participants was 25.4 years (SD 3.6) and 46.8% of participants were Black women. There was little to no association of total energy intake, nutrients, diet quality, and PA with PCOS, HA or OA status. Conclusion Energy intake, nutrient composition, diet quality, and PA were not associated with PCOS, supporting recent PCOS guidelines of using national recommendations for the general population to encourage health-promoting behaviors among women with PCOS. However, longitudinal studies evaluating changes in diet and physical activity in relation to the development and/or the progression of PCOS are needed to establish a causal association.

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

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2711 ◽  
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.

scholarly journals The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome

2013 ◽  
Vol 28 (8) ◽  
pp. 2276-2283 ◽  
Author(s):  
L.J. Moran ◽  
S. Ranasinha ◽  
S. Zoungas ◽  
S.A. McNaughton ◽  
W.J. Brown ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Polycystic Ovary Syndrome ◽  
Sedentary Behaviour ◽  
Body Mass ◽  
Polycystic Ovary ◽  
Ovary Syndrome

scholarly journals 536Patterns of change in lifestyle behaviours following childbirth

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Maureen Makama ◽  
Siew Lim ◽  
Briony Hill ◽  
Helen Skouteris ◽  
Helena Teede ◽  
...  
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Diet Quality ◽  
Healthy Lifestyle ◽  
Analysis Of Covariance ◽  
Sitting Time ◽  
Community Based ◽  
Lifestyle Behaviours ◽  
Nulliparous Women ◽  
Need Support

Abstract Background Lifestyle behaviours may worsen following childbirth due to barriers such as time constraints and reduced prioritization of personal health. We therefore aimed to assess the patterns of change in weight and lifestyle behaviours following childbirth in a longitudinal community-based cohort. Methods Data from surveys 3 and 5 (ages 25-30 and 31-36 years) of the 1973-8 birth cohort of the Australian Longitudinal Study on Women’s Health were used. We assessed changes in weight, energy intake, diet (diet quality, macronutrients and micronutrients), physical activity and sitting time in parous women compared to those who remained nulliparous by survey 5 using one-way analysis of covariance. Results Of 4927 nulliparous women at survey 3, 2503 became parous by survey 5. Over 6 years, parous women had an increase in weight (1 kg; 95%CI 0.50, 1.54), higher energy intake (833.3 kJ/day; 95%CI 706.07, 960.52), better diet quality (1.4 units; 95%CI 0.81, 2.08), lower physical activity (-370.5 METmin/day; 95%CI -427.07, -313.87) and less sitting time (-1.8 hours/day; 95%CI -1.93, -1.60) than nulliparous women on adjusted analyses. On stratification of parity, the improvement in diet quality was only present in primiparous women and sitting time decreased with higher parity. Conclusion There is a worsening in weight and some lifestyle behaviours following childbirth in Australian women. While higher parity was associated with further decreases in sitting time, improvements in diet quality were not maintained. Key message Women need support to maintain healthy lifestyle behaviours amidst the challenges of caring for children, particularly with increasing family size.

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