Difference in dietary intake between women with polycystic ovary syndrome and healthy controls

Douglas, Crystal Clark; Norris, Leigh E.; Oster, Robert A.; Darnell, Betty E.; Azziz, Ricardo; Gower, Barbara A.

doi:10.1016/j.fertnstert.2005.12.054

Cited by 129 publications

(131 citation statements)

References 46 publications

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“…This is supported by a study demonstrating that women with PCOS have higher energy intakes even though they have lower intakes of saturated fats and higher intakes of low glycemic index foods than women without PCOS [7]. Other studies have found no difference in carbohydrate intake between women with PCOS and controls but higher intakes of high glycemic index foods [8]. Contrary to these results, recent studies have demonstrated that the habitual dietary intakes of energy, fat, protein, and carbohydrates in overweight and obese women with PCOS do not differ from agematched controls with somewhat lower BMIs [5].…”

Section: Introductionmentioning

confidence: 83%

Dietary intake, resting energy expenditure, and eating behavior in women with and without polycystic ovary syndrome

et al. 2016

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Section: Introductionmentioning

confidence: 83%

Dietary intake, resting energy expenditure, and eating behavior in women with and without polycystic ovary syndrome

et al. 2016

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“…In a small retrospective case-control study, Douglas et al (2006b) found that women with PCOS had a greater intake of high glycemic index foods, particularly white bread and fried potatoes, than age, race and BMI-matched controls. In a small feeding trial among women with PCOS conducted by the same group (Douglas et al, 2006a), consuming a low carbohydrate diet (43 vs 56% of energy) led to changes that would be expected to result in improved reproductive and metabolic outcomes including significant reductions in fasting and post glucose challenge insulin levels and a reduction in free testosterone levels of borderline statistical significance (Douglas et al, 2006a).…”

Section: Discussionmentioning

confidence: 99%

A prospective study of dietary carbohydrate quantity and quality in relation to risk of ovulatory infertility

et al. 2007

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Objective: To evaluate whether the amount or quality of carbohydrate in diet is associated with ovulatory infertility. Subjects and Methods: In total, 18 555 married, premenopausal women without a history of infertility were followed as they attempted a pregnancy or became pregnant during an 8-year period. Diet was assessed two times during follow-up using a validated food-frequency questionnaire and prospectively related to the incidence of infertility due ovulatory disorder. Results: During follow-up, 438 women reported ovulatory infertility. Total carbohydrate intake and dietary glycemic load were positively related to ovulatory infertility in analyses adjusted for age, body mass index, smoking, parity, physical activity, recency of contraception, total energy intake, protein intake and other dietary variables. The multivariable-adjusted risk ratio (RR) (95% confidence interval (CI)) of ovulatory infertility comparing the highest-to-lowest quintile of total carbohydrate intake was 1.91 (1.27-3.02). The corresponding RR (95% CI) for dietary glycemic load was 1.92 (1.26-2.92). Dietary glycemic index was positively related to ovulatory infertility only among nulliparous women. Intakes of fiber from different sources were unrelated to ovulatory infertility risk. Conclusions:The amount and quality of carbohydrate in diet may be important determinants of ovulation and fertility in healthy women.

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“…Reducing dietary glycaemic index (GI) may be advantageous with demonstrated benefits of low GI diets in non-PCOS insulin resistant populations (McMillian-Price et al, 2006;Barclay et al, 2008). Low GI diets are popular with women with PCOS (Jeanes et al, 2009), yet there is a paucity of data describing the habitual diet and lifestyle of women with PCOS, with just two studies reporting dietary intake of women with PCOS in the United States and one comparison of US and Italian women with PCOS (Carmina et al, 2003;Wright et al, 2004;Douglas et al, 2006). There are no publications describing the habitual diet or snacking habits of UK women with PCOS.…”

Section: Introductionmentioning

confidence: 99%

Habitual dietary intake, eating pattern and physical activity of women with polycystic ovary syndrome

et al. 2011

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Background/Objective: Diet and lifestyle modifications may be of benefit in the management of polycystic ovary syndrome (PCOS), but there is a paucity of data on these behaviours in women with PCOS. This study aims to address this through a comprehensive investigation of the habitual diet and activity patterns of UK women with PCOS and their alignment with dietary recommendations for health. Subjects/Methods: A 7-day-estimated food and activity diary and questionnaire was completed by 210 women with PCOS for calculation of activity levels, energy and nutrient intakes and dietary glycaemic index (GI). Results: Mean (s.d.) body mass index (BMI) was 27.4 (7.3) kg/m 2 (n ¼ 183), with 53% of women with PCOS having a BMI425 kg/m 2 . Of the overweight women, approximately half were not achieving sufficient physical activity to promote weight loss. More frequent eating episodes and a lower BMI were weakly associated (r ¼ À0.158, P ¼ 0.034). Mean percentage energy from fat was 38 (7)% (12% energy from saturated fat), with 68% of women with PCOS consuming 4 35% energy from fat. Mean dietary GI was higher in obese women with PCOS, compared with healthy weight women with PCOS (55.7 (3.4) and 53.8 (4.0), respectively; P ¼ 0.043). Conclusion: Many women with PCOS are not achieving dietary intakes and levels of physical activity that optimise symptom management and disease prevention. Advice should focus on fat quality and quantity and carbohydrate modification. There is a need for further robust research into the role of dietary GI in the PCOS population.

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Difference in dietary intake between women with polycystic ovary syndrome and healthy controls

Cited by 129 publications

References 46 publications

Dietary intake, resting energy expenditure, and eating behavior in women with and without polycystic ovary syndrome

Dietary intake, resting energy expenditure, and eating behavior in women with and without polycystic ovary syndrome

A prospective study of dietary carbohydrate quantity and quality in relation to risk of ovulatory infertility

Habitual dietary intake, eating pattern and physical activity of women with polycystic ovary syndrome

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