Dietary intake, eating behaviors, and quality of life in women with polycystic ovary syndrome who are trying to conceive
- 12 June 2014
- journal article
- research article
- Published by Taylor & Francis Ltd in Human Fertility
- Vol. 18 (1), 16-21
- https://doi.org/10.3109/14647273.2014.922704
Abstract
The Healthy Eating for Reproductive Health study was conducted among 18 (45% non-white) mostly obese (BMI 39.9 ± 6.1) women with polycystic ovary syndrome (PCOS) who were experiencing infertility and interested in losing weight. A variety of markers were measured at baseline: body mass index (BMI), diet, physical activity, eating behaviors (using an Eating Behavior Inventory, a questionnaire which assesses both positive and negative eating behaviors associated with weight status, with a higher score indicating adoption of eating behaviors which have been shown in prior weight-loss research to promote a healthy weight (EBI) and the Three-Factor Eating Questionnaire, which assesses cognitive and behavioral components of eating among overweight adults), and a quality of life (PCOS Health-Related Quality of Life (PCOSQ)) index, which assesses satisfaction around five ‘domains’: emotional health, presence of body hair, infertility, weight, and menstrual problems). A comparison group of overweight women without PCOS (n = 28) was used to examine differences in measured outcomes between women with and without PCOS. Participants’ habitual diets were high in fat and saturated fat and low in fiber, folate, and iron and contained significantly lower amounts of carbohydrate, iron, and whole grains compared with women without PCOS who had enrolled in a behavioral weight loss programme. Participants had a low EBI (indicating that most were not adopting eating behaviors associated with achieving a healthy weight), disinhibition (indicating participants had a tendency to overeat in the presence of highly palatable foods or were susceptible to emotional cues for eating, such as stress), and hunger scores (indicating participants did not report being susceptible to hunger, prompting overeating) and moderate dietary restraint (indicating they were not consistently attempting to restrict food intake consciously). PCOSQ scores were lowest for infertility and weight domains (indicating low satisfaction with current infertility and weight status); however all domains received low scores (emotional health, body hair, and menstrual problems). Higher energy intakes (kcal/day) were associated with a lower EBI score (r = − 0.60, P = 0.02), lower dietary restraint (r =− 0.50, P = 0.04), and higher disinhibition (r = 0.63, P = 0.01). Greater energy expenditure (kcal/day) was associated with lower PCOSQ scores for body weight (r =−0.54, P = 002) and infertility (r =− 0.51, P = 0.003) domains. Results suggest that overweight women with PCOS-related infertility have poor dietary intake, particularly in terms of whole grains, fiber, and iron, and eating behaviors inconsistent with achieving a healthy body weight, as well as low scores for PCOS-related quality of life.Keywords
This publication has 21 references indexed in Scilit:
- Dietary Composition in the Treatment of Polycystic Ovary Syndrome: A Systematic Review to Inform Evidence-Based GuidelinesJournal of the Academy of Nutrition and Dietetics, 2013
- Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010Jama-Journal Of The American Medical Association, 2012
- Habitual dietary intake, eating pattern and physical activity of women with polycystic ovary syndromeEuropean Journal of Clinical Nutrition, 2011
- Local recruitment experience in a study comparing the effectiveness of a low glycaemic index diet with a low calorie healthy eating approach at achieving weight loss and reducing the risk of endometrial cancer in women with polycystic ovary syndrome (PCOS)Contemporary Clinical Trials, 2009
- Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiersClinical Endocrinology, 2007
- Short-term meal replacements followed by dietary macronutrient restriction enhance weight loss in polycystic ovary syndromeThe American Journal of Clinical Nutrition, 2006
- Health-Related Quality of Life Issues in Women With Polycystic Ovary SyndromeJournal of Obstetric, Gynecologic & Neonatal Nursing, 2005
- Health-related quality of life in women with polycystic ovary syndrome, a self-administered questionnaire, was validatedJournal of Clinical Epidemiology, 2004
- The Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (PCOSQ): a validationHuman Reproduction, 2004
- Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) studyInternational Journal of Obesity, 2000