The Significance of Plant-Based Foods and Intense Physical Activity on the Metabolic Health of Women with PCOS: A Priori Dietary-Lifestyle Patterns Approach

Bykowska-Derda, Aleksandra; Kałużna, Małgorzata; Ruchała, Marek; Ziemnicka, Katarzyna; Człapka-Matyasik, Magdalena

doi:10.3390/app13042118

Cited by 3 publications

(7 citation statements)

References 45 publications

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“…The Mediterranean diet, DASH diet (Dietary Approaches to Stop Hypertension) and low glycemic index diet seem to be the healthiest dietary approaches that have the strongest relationship with greater insulin sensitivity among PCOS women [12][13][14][15]. A study by Bykowska-Derda et al [3] showed that PCOS women with low adherence to the western dietary pattern were at a lower risk of having IR. In particular, high intake of meat was associated with metabolic disorders in PCOS.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, the excessive accumulation of the visceral adipose tissue is also reported in PCOS women with normal body weight; thus, this parameter is not only related to BMI (body mass index). In addition, such fat distribution is strongly linked to hyperglycemia, compensatory hyperinsulinemia and insulin resistance [3,4]. Moreover, the adipose tissue is a very crucial and active endocrine organ which synthesizes and secretes a variety of adipokines influencing the regulation of metabolism related to the sensitivity of tissues to insulin [5].…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity, Rather Than Diet, Is Linked to Lower Insulin Resistance in PCOS Women—A Case-Control Study

et al. 2023

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Insulin resistance (IR) is a prominent feature of polycystic ovary syndrome (PCOS). The importance of lifestyle interventions in the management of PCOS is strongly highlighted and it is suggested that diet and physical activity may significantly influence insulin sensitivity. Therefore, we evaluated the link between diet and physical activity and various indices of insulin resistance, including adipokines secreted by the adipose tissue in 56 PCOS and 33 healthy control women. The original food frequency questionnaire and Actigraph GT3X-BT were used to assess the adherence to the diet recommended in IR and the level of physical activity, respectively. We observed that higher levels of physical activity were associated with lower HOMA-IR and a greater chance of its normal value in PCOS group. No such relationship was observed for other IR indices and adipokines or for the diet. However, we noted a strong correlation between HOMA-IR (Homeostatic Model Assessment of Insulin Resistance) and HOMA-AD (Homeostatic Model Assessment-Adiponectin) in PCOS women. Additionally, when we used HOMA-AD we observed a higher prevalence of IR among PCOS women. Our study supports the beneficial role of physical activity in the management of insulin resistance in PCOS women. Moreover, our findings indicate that HOMA-AD may be a promising surrogate marker for insulin resistance assessment in women with PCOS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical Activity, Rather Than Diet, Is Linked to Lower Insulin Resistance in PCOS Women—A Case-Control Study

et al. 2023

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“…Principal component analysis (PCA) was used to isolate dietary patterns (DPs). The dietary patterns were identified by considering the following criteria: (1) the eigenvalues of the variable correlations >1.0, (2) the plot of the eigenvalues, and (3) the total explained variance [49]. Rotated factor loadings with an absolute value of |0.50| were considered to be specific to the pattern [49].…”

Section: Discussionmentioning

confidence: 99%

“…The dietary patterns were identified by considering the following criteria: (1) the eigenvalues of the variable correlations >1.0, (2) the plot of the eigenvalues, and (3) the total explained variance [49]. Rotated factor loadings with an absolute value of |0.50| were considered to be specific to the pattern [49]. For each patient and each pattern, the scores were calculated as a product of the factor loading and food frequency consumption [49].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Sugar-Related Dietary Patterns to Personality Traits and Cognitive–Behavioural and Emotional Functioning in Working-Age Women

Garbacz,

Stelcer,

Wielgosik

et al. 2024

Applied Sciences

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This cross-sectional study investigated interactions among sugar-related dietary patterns (DPs), personality traits, and cognitive–behavioural and emotional functioning. The study involved working-age women aged 18–54. Data were collected between Winter and Spring of 2020/21. The survey was conducted using anonymised questionnaires. The ten-item personality inventory (TIPI-PL) was used to examine personality traits based on the Big Five personality trait model. A three-factor eating questionnaire (TFEQ-13) was used to measure the following eating behaviours: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The KomPAN questionnaire collected the frequency of the intake. Dietary patterns (DPs) were derived by principal component analysis (PCA). A logistic regression (OR) was applied to verify the associations among the DPs, personality traits, and cognitive–behavioural and emotional functioning. Three DPs were identified: sweet-Western (SWDP), pro-healthy (PHDP), and dairy (DDP). Women with high conscientiousness were less likely, by 33%, to adhere to the upper tercile of the SWDP and 80% more likely to the upper tercile of the PHDP. Elevated CR intensity increased by almost twofold (OR: 1.93; p < 0.001) the likelihood of high adherence to the SWDP. The high intensity in the EE decreased by 37% (OR: 0.63; p < 0.01) the likelihood of increased adherence to the SWDP. Personality traits and eating behaviours significantly correlated with the extracted SWDP.

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“…11 However, a range of dietary patterns underpinned by general healthy eating principles are beneficial for PCOS management, independent of weight change. 51,52 The benefits are potentially due to the effects on the chronic low-grade inflammatory environment of PCOS, which is mediated by higher fat mass, insulin resistance, and high androgen concentration. 53 For example, the Mediterranean Diet (MedDiet) has been found to be beneficial in PCOS populations, 20,54,55 as it reduces inflammatory markers, testosterone, and Ferriman-Gallwey score and improves insulin resistance and hyperandrogenemia.…”

Section: Lifestyle Intervention: Important With or Without Medical Th...mentioning

confidence: 99%

Diet and Exercise in the Management of Polycystic Ovary Syndrome: Practical Considerations for Person-Centered Care

Colombo,

Pirotta,

Sabag

2023

Semin Reprod Med

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Polycystic ovary syndrome (PCOS) is a complex multisystem condition associated with life-long reproductive, metabolic, and psychological symptoms. Individuals with PCOS are at an increased risk of cardiovascular disease and type 2 diabetes, with approximately 70% of all PCOS cases presenting with insulin resistance. Lifestyle interventions have historically been recommended as first-line therapies for the management of PCOS-related cardiometabolic disorders. The term “lifestyle management” incorporates a multifaceted approach to dietary, exercise, and behavioral strategies, aiming to promote a healthy lifestyle. This approach has been commonly employed in practice, in particular through exercise and dietary modulation, due to its effect on cardiometabolic outcomes as well as its tolerability. Furthermore, there is evidence to suggest that combining dietary change with exercise may yield the greatest improvements in clinical outcomes. However, such practices require careful consideration and coordination, as there are instances where certain exercise and/or dietary prescriptions may compromise the effectiveness of the respective interventions. Thus, this review aims to provide practical guidance on diet and exercise planning in the routine care of PCOS. Such recommendations include emphasizing realistic and achievable goals, as well as minimizing barriers to lifestyle changes in order to increase the long-term sustainability of this treatment strategy.

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The Significance of Plant-Based Foods and Intense Physical Activity on the Metabolic Health of Women with PCOS: A Priori Dietary-Lifestyle Patterns Approach

Cited by 3 publications

References 45 publications

Physical Activity, Rather Than Diet, Is Linked to Lower Insulin Resistance in PCOS Women—A Case-Control Study

Physical Activity, Rather Than Diet, Is Linked to Lower Insulin Resistance in PCOS Women—A Case-Control Study

Assessment of Sugar-Related Dietary Patterns to Personality Traits and Cognitive–Behavioural and Emotional Functioning in Working-Age Women

Diet and Exercise in the Management of Polycystic Ovary Syndrome: Practical Considerations for Person-Centered Care

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