Increased risk of eating disorders in women with polycystic ovary syndrome: a case-control study

Gökcen, Büşra Başar; Akdevelioğlu, Yasemin; Canan, Sultan; Bozkurt, Nuray

doi:10.1080/09513590.2020.1744554

Cited by 10 publications

(25 citation statements)

References 26 publications

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“…Similar to our study, an Australian cohort of women with PCOS was found to have a higher prevalence of disordered eating disorders when compared to women without PCOS [26]. The average total and subscale values of the EDE-Q were shown to be higher in women with PCOS than in the overweight/obese women (p < 0.05) [27]. However, Michelmore KF et al found no difference in eating disorders between young women with PCO and without PCO [28].…”

Section: Discussionsupporting

confidence: 87%

“…In correlation with this, another study on eating habits in adolescents has reported that girls with PCOS have poorer eating habits and consume more calories per day than the control group [31]. A meta-analysis found increased insulin sensitivity was found related to AN, while a negative, statistically signi cant association was found between BN/BED and insulin sensitivity [32]. Furthermore, it has been shown that having high levels of androgen is linked to a generalized increase in appetite and poor impulse control [33].…”

Section: Discussionmentioning

confidence: 76%

“…It consists of 21 items, each of which is given a 4-point rating (from 0 for no symptoms to 3 for severe symptoms). When the total score is between 0 and 63, depression is categorized as nonexistent or minimal (10), mild to moderate (10)(11)(12)(13)(14)(15)(16)(17)(18), moderate to severe (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29), and severe (63). .…”

Section: Beck Depression Inventorymentioning

confidence: 99%

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Disordered eating and night eating behavior in young women with Polycystic Ovary Syndrome

Yüksel¹,

Gencer

saglam³

2022

Preprint

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Purpose The most prevalent endocrine abnormality in women, polycystic ovarian syndrome (PCOS), is accompanied with symptoms that are related to metabolism, reproduction, and mental health. Eating disorders are well known as a contributing factor to obesity in women. However, there is limited data regarding eating disorders in women with PCOS. The aim of this study is to investigate the prevalence of disordered eating in young women with PCOS and to analyze the possible influencing factors associated with disordered eating. Methods The women aged 18–25 years with and without PCOS (n:110 for each group) were included in this study. Eating Disorder Examination Questionnaire (EDE-Q), Night Eating Questionnaire (NEQ), Beck anxiety, and Beck depression inventories were performed by all patients. Results Disordered eating and night eating syndrome (NES) were found more frequently in women with PCOS than in controls (25.5% vs 2.7%; 17.3% vs 2.7%, respectively, p < 0.001). Anxiety and depression scores were also higher in patients with PCOS than in the control group (p = 0.002, p = 0.001; respectively). PCOS diagnosis (OR:7.1, CI:1.49–33.4, p = 0.014), high Homeostasis model assessment of insulin resistance (HOMA-IR) (OR:0.68, CI:0.47–0.98, p = 0.04), and being overweight (BMI ≥ 25 kg/m2) (OR:1.2, CI:1.09–1.38, p = 0.001) were found as independent factors for disordered eating according to EDE-Q global score (≥ 4). Conclusion Disordered eating and NES were more common in young women with PCOS than in controls. PCOS diagnosis, high HOMA-IR, and being overweight may be independent factors associated with disordered eating in women. Screening for disordered eating and night eating syndrome, especially in young women with PCOS may be recommended to help with weight management.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 76%

Section: Beck Depression Inventorymentioning

confidence: 99%

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Disordered eating and night eating behavior in young women with Polycystic Ovary Syndrome

Yüksel¹,

Gencer

saglam³

2022

Preprint

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“…It is thus reasonable to argue that more severe eating disorder symptoms may be positively related to worsened QoL. A connection between PCOS and eating disorders has been suggested by a few studies ( 50 ) and some insights have shown that individuals with PCOS display altered dietary intakes and higher odds of presenting with food cravings ( 42 – 45 , 47 – 52 ). For instance, Bernadett and Szemán ( 53 ) underlined that the prevalence of clinical and subclinical bulimia nervosa is higher among individuals with PCOS compared to controls.…”

Section: Polycystic Ovary Syndromementioning

confidence: 99%

“…For instance, Bernadett and Szemán ( 53 ) underlined that the prevalence of clinical and subclinical bulimia nervosa is higher among individuals with PCOS compared to controls. In addition, those with PCOS appear to be more likely to report food restriction and weight concerns, which are also key factors in eating disorders, compared with healthy individuals ( 50 , 54 , 55 ). The development of disordered eating in individuals with PCOS seems to be significantly linked to distorted perceptions and beliefs about one's own body image ( 56 – 58 ).…”

Section: Polycystic Ovary Syndromementioning

confidence: 99%

Body mass index and quality of life in individuals with polycystic ovary syndrome: Dysmorphic concerns and eating disorders as mediators

Barberis

Calaresi

Cannavò

et al. 2022

Front. Public Health

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ObjectiveWeight issues, dysmorphic concerns and eating disorders are common among individuals with polycystic ovary syndrome (PCOS) and are linked to poor quality of life (QoL). The goal of the current study was to examine whether the association between body mass index (BMI) and QoL was mediated by dysmorphic concerns, examining also the relations with eating disorder symptomatology.MethodsQuestionnaires were administered to 435 individuals with PCOS aged between 18 and 40 years (M = 27.62; SD = 4.83) to measure dysmorphic concerns, eating disorder symptoms and QoL. Participants were also asked to report their height and weight to compute their BMI.ResultsStructural equation modeling was used to observe the relationship between the variables. The results revealed a direct relationship between QoL, BMI, dysmorphic concerns and eating disorder symptomatology. In addition, dysmorphic concerns were related to BMI and eating disorder symptomatology. Furthermore, the results showed the mediating role of dysmorphic concerns and eating disorder symptoms in the relationship between BMI and QoL.ConclusionThe current results highlight the potential importance of harmful relationships with one's own body and food, explaining why weight issues may be linked to different levels of QoL in PCOS individuals. The implications of these findings are discussed.

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New insights into the interaction between polycystic ovary syndrome and psychiatric disorders: A narrative review

Geng

Huang

et al. 2023

Intl J Gynecology & Obste

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Polycystic ovary syndrome (PCOS) is a prevalent endocrine disease characterized by hyperandrogenism, ovulatory dysfunction, and ovarian polycystic changes, which combines with reproductive problems, metabolic disorders, and psychological disorders to exhibit a far‐reaching impact on the physical and mental health of women. We reviewed previous research and discovered that psychiatric disorders are more common in PCOS patients and their children, potentially exacerbating the condition and creating a vicious loop. To understand the reasons, relevant articles were collected following the Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines from PubMed, Web of Science, and Cochrane Library, through December 2022. Evidence suggested that PCOS‐related clinical manifestations, hyperandrogenism, insulin resistance, obesity, gut dysbiosis, and other variables may increase the risk of psychiatric disorders in patients. In turn, psychiatric disorders may aggravate the pathologic process of PCOS and increase the difficulty of the treatment. We systematically reported the mechanisms underlying the psychiatric disorders‐PCOS interactions, intending to provide potential ways to break the vicious cycle and lay the groundwork for future research. However, research on PCOS and psychiatric disorders were still in initial stages, which limited the scope of this review. More studies are needed to further verify our findings.

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Increased risk of eating disorders in women with polycystic ovary syndrome: a case-control study

Cited by 10 publications

References 26 publications

Disordered eating and night eating behavior in young women with Polycystic Ovary Syndrome

Disordered eating and night eating behavior in young women with Polycystic Ovary Syndrome

Body mass index and quality of life in individuals with polycystic ovary syndrome: Dysmorphic concerns and eating disorders as mediators

New insights into the interaction between polycystic ovary syndrome and psychiatric disorders: A narrative review

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