Dietary composition in the treatment of polycystic ovary syndrome: a systematic review to inform evidence-based guidelines†

Moran, Lisa J.; Ko, Henry; Misso, Marie; Marsh, Kate; Noakes, Manny; Talbot, Mac; Frearson, Meredith; Thondan, Mala; Stepto, Nigel K.; Teede, Helena

doi:10.1093/humupd/dmt015

Cited by 42 publications

(34 citation statements)

References 2 publications

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“…7 In addition, in a systematic review by Frary et al 8 was observed that a diet low in carbohydrates in PCOS women had a 1%-5% significant additional effect on weight loss compared to a standard diet. In another systematic review by Moran et al 9 greater weight loss in a monounsaturated fat-enriched diet; improved menstrual regularity in a LGI diet; increased free androgen index (FAI) in a high-carbohydrate diet; greater reductions in insulin resistance, fibrinogen, total-and HDL-cholesterol in a low-carbohydrate or LGI diet were observed. We have also reported beneficial effects of the dietary approaches to stop hypertension (DASH) diet on markers of insulin metabolism and inflammatory factors in patients with PCOS, 10 gestational diabetes mellitus (GDM) 11 and nonalcoholic fatty liver disease (NAFLD).…”

mentioning

confidence: 98%

The effects of dietary approaches to stop hypertension diet on weight loss, anti‐Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial

Foroozanfard

Rafiei

Samimi

et al. 2017

Clinical Endocrinology

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confidence: 98%

The effects of dietary approaches to stop hypertension diet on weight loss, anti‐Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial

Foroozanfard

Rafiei

Samimi

et al. 2017

Clinical Endocrinology

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“…Thus, the International Evidence-Based Guidelines for the Assessment and Management of PCOS suggest lifestyle modification targeting weight management as the first-line treatment for women with PCOS regardless of presenting symptoms [17]. There are no specific diet or exercise recommendations for PCOS [18], therefore the general lifestyle advice from guidelines for the general population of a balanced diet and accumulating 150 to 300 min of moderate intensity exercise weekly applies [17]. In clinical practice, dietary and physical activity goals are tailored to the individual, taking into account weight loss or weight gain prevention goals, medical history, weight history and patient preferences.…”

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confidence: 99%

Barriers and facilitators to weight management in overweight and obese women living in Australia with PCOS: a qualitative study

et al. 2019

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BackgroundLifestyle modification targeting weight management is the first-line treatment for women with Polycystic Ovary Syndrome (PCOS) regardless of presenting symptoms. Women with PCOS are more likely to gain more weight compared with women without PCOS, which may be related to barriers in engaging in lifestyle modification. The aim of this study is to explore the experience of women with PCOS in weight management and to determine the facilitators and barriers to lifestyle modifications in women with PCOS.MethodsTen women with PCOS participated in focus groups and semi-structured telephone interviews on lifestyle and weight management in PCOS. Discussions were audio-recorded and transcribed verbatim. Thematic analysis of the transcripts was conducted. Thematic analysis of the transcripts were conducted using the method of constant comparison.ResultsWomen in the current study attempted a wide range of weight loss interventions, but had difficulties losing weight and preventing weight regain. Women felt that having PCOS affected their ability to lose weight and to keep it off. Facilitators to lifestyle modification for weight management were reported as structured approaches such as having balanced meals and support by health professionals, peers, friends or family. Barriers to lifestyle changes in women with PCOS included logistical barriers such as time and cost, motivational barriers including tiredness or feeling unrewarded, environmental barriers such as not having access to safe places to exercise, emotional barriers such as having depressive and defeating thoughts, and relational barriers such as having unsupportive partner or prioritising children’s meal preferences.ConclusionsWomen with PCOS face a number of personal, environmental and social facilitators and barriers to lifestyle modification for weight loss. While many of these are also experienced by women without PCOS, women with PCOS face additional barriers in having low sense of self-confidence and high prevalence of negative thoughts which may impair their ability to maintain efforts in lifestyle modification over the long term. Future research should further explore the impact of the emotional and mental burden of PCOS on the management of weight and other aspects of PCOS. Future lifestyle intervention should also address the psychosocial aspect of PCOS.

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“…The obesity was significantly associated with an increased risk of hirsutism, menstrual cycle disturbance. Furthermore, loss of body weight-induced by diet-has important effect, since it reduces blood androgen levels and can improve ovulation ( Moran et al, 2013 ). Preliminary observations suggest that a gradual normalization of menstrual cycle abnormalities occurs in PCOS patients with increasing FSH and LH levels.…”

Section: Introductionmentioning

confidence: 99%

Body Mass Index and Gonadotropin Hormones (LH & FSH) Associate With Clinical Symptoms Among Women With Polycystic Ovary Syndrome

Esmaeilzadeh¹,

Andarieh²,

Ghadimi³

et al. 2014

GJHS

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To evaluate the relevance of body mass index (BMI), luteinizing hormone (LH), follicle-stimulating hormone (FSH) and LH/FSH ratio with clinical symptoms in polycystic ovary syndrome (PCOS) women.Methods:We reviewed the medical records of all women visited in the PCOS Clinic of Babol (Iran) from 2008 to 2012. A retrospective cross-sectional study was conducted on 175 PCOS women; aged 18–38 years diagnosed based on the Rotterdam criteria. Among the PCOs women, the prevalence of oligomenorrhea, acne, and hirsutism were found to be 92.0%, 31.4%, and 78.9%, respectively. Positive finding of polycystic ovaries was observed in 89.1% of PCOS women with by using sonography. A total of 69.2% overweight/obesity patients had polycystic ovary morphology on ultrasound image. Compared with non- overweight/obesity, the adjusted OR of PCOS women for sonographic view of polycystic ovaries was 4.33 (95% CI, 1.42-13.15, p=0.001), Nevertheless, the adjusted odds ratio (OR) showed no significant associations between LH, FSH, and LH/FSH ratio with clinical symptoms in these women. The findings of this study indicated that the overweight/obese women with PCOS are at an increased risk for sonographic view of polycystic ovaries. Therefore, it is suggested that successful weight loss is the most effective method of restoring ovulation, menstruation that should be used as major advice in obese PCOS patients.

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Dietary composition in the treatment of polycystic ovary syndrome: a systematic review to inform evidence-based guidelines†

Cited by 42 publications

References 2 publications

The effects of dietary approaches to stop hypertension diet on weight loss, anti‐Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial

The effects of dietary approaches to stop hypertension diet on weight loss, anti‐Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial

Barriers and facilitators to weight management in overweight and obese women living in Australia with PCOS: a qualitative study

Body Mass Index and Gonadotropin Hormones (LH & FSH) Associate With Clinical Symptoms Among Women With Polycystic Ovary Syndrome

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