Effect of Healthy Lifestyle Promotion on Anthropometric Variables, Eating Behavior and Cardiometabolic Risk Factors in Women with Polycystic Ovarian Syndrome
Background: In women with Polycystic Ovarian Syndrome (PCOS), metabolic abnormalities are common, including insulin resistance, obesity, and dyslipidemia, suggesting an increased risk for cardiovascular disease (CVD).
Aims: To evaluate the effect of healthy lifestyle promotion on eating behavior and metabolic biomarkers in women with PCOS.
Subjects and Methods: The study was carried out in 102 women (30±7 years) with PCOS. Patients received nutritional counseling based on Mediterranean diet principles and recommendations to practice a regular physical activity, and were followed up during six weeks. Dietary survey and biomarkers analysis were assessed at baseline (T0), after three weeks (T1) and 6 weeks (T2).
Results: After six weeks of intervention, there was a significant decrease in total energy intake by (-30%) at T1 and (-32%) at T2 (p˂0.001), compared to baseline. Significant decrease was recorded in carbohydrates, proteins and lipids intake at T1 and T2 (p˂0.001). An increase in monounsaturated fatty acid intake was noted at T1 and T2 (p˂0.001). The body mass index (BMI) was diminished at T2 (p˂0.01), and waist circumference at T1 and T2 (p˂0.001). Glucose values decreased at T1 (p˂0.05) and T2 (p˂0.001). Total cholesterol decreased at T1 (p˂0.05) and T2 (p˂0.01). HDL-C increased at T1 (p˂0.001) and T2 (p˂0.001), when CRP values remained unchanged. A decrease in Thiobarbituric acid reactive substances concentrations was observed at T1 and T2 (p˂0.05). Superoxyde Dismutase, Catalase activities and thiols amount increased at T2 (p˂0.001).
Conclusion: In the long term, healthy lifestyle promotion could be beneficial to prevent or reverse the clustering of metabolic abnormalities and prevent CVD in women with PCOS.
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1. Wang, R., & Mol, B. W. (2016). The Rotterdam criteria for polycystic ovary syndrome: Evidence-based criteria? Human Reproduction, 32(2), 261-264. https://doi.org/10.1093/humrep/dew287
2. Jalilian, A., Kiani, F., Sayehmiri, F., Sayehmiri, K., Khodaee, Z., & Akbari, M. (2015). Prevalence of polycystic ovary syndrome and its associated complications in Iranian women: A meta-analysis. Iranian Journal of Reproductive Biomedicine, 13(10), 591–604.
3. Zore, T., Joshi, N., Lizneva, D., & Azziz, R. (2017). Polycystic ovarian syndrome: Long-term health consequences. Seminars in Reproductive Medicine, 35(03), 271-281. https://doi.org/10.1055/s-0037-1603096
4. Azziz, R., Carmina, E., Chen, Z., Dunaif, A., Laven, J. S., Legro, R. S., Lizneva, D., Natterson-Horowtiz, B., Teede, H. J., & Yildiz, B. O. (2016). Polycystic ovary syndrome. Nature reviews. Disease primers, 2, 16057. https://doi.org/10.1038/nrdp.2016.57
5. Dumesic, D. A., Oberfield, S. E., Stener-Victorin, E., Marshall, J. C., Laven, J. S., & Legro, R. S. (2015). Scientific statement on the diagnostic criteria, epidemiology, pathophysiology, and molecular genetics of polycystic ovary syndrome. Endocrine Reviews, 36(5), 487-525. https://doi.org/10.1210/er.2015-1018
6. Abdelazim, I. A., & Elsawah, W. F. (2015). Metabolic syndrome among infertile women with polycystic ovary syndrome. Asian Pacific Journal of Reproduction, 4(1), 44-48. https://doi.org/10.1016/s2305-0500(14)60057-9
7. Madani, T., Hosseini, R., Ramezanali, F., Khalili, G., Jahangiri, N., Ahmadi, J., ... & Zolfaghari, Z. (2016). Metabolic syndrome in infertile women with polycystic ovarian syndrome. Archives of endocrinology and metabolism, 60(3), 199-204. https://doi.org/10.1590/2359-3997000000135
8. Yao, K., Bian, C., & Zhao, X. (2017). Association of polycystic ovary syndrome with metabolic syndrome and gestational diabetes: Aggravated complication of pregnancy. Experimental and Therapeutic Medicine, 14(2), 1271-1276. https://doi.org/10.3892/etm.2017.4642
9. Kim, J. J., & Choi, Y. M. (2013). Dyslipidemia in women with polycystic ovary syndrome. Obstetrics & Gynecology Science, 56(3), 137-142. https://doi.org/10.5468/ogs.2013.56.3.137
10. Polak, K., Czyzyk, A., Simoncini, T., & Meczekalski, B. (2017). New markers of insulin resistance in polycystic ovary syndrome. Journal of endocrinological investigation, 40(1), 1–8.
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