RESEARCH PAPER
Relationship between eating patterns and emotional distress, and perceived quality of life in women with polycystic ovarian syndrome
 
More details
Hide details
1
Student Scientific Association of Hygiene and Prevention, Department of Social Medicine and Public Health, Medical University, Warsaw, Poland
 
2
Department of Social Medicine and Public Health, Medical University, Warsaw, Poland
 
 
Corresponding author
Katarzyna Okręglicka   

Department of Social Medicine and Public Health, Medical University of Warsaw, Oczki 3/213, 02-007 Warsaw, Poland
 
 
Ann Agric Environ Med. 2023;30(4):693-698
 
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder with numerous hormonal, metabolic, and reproductive manifestations. Because of the variety of adverse consequences associated with the condition, women with PCOS suffer emotional distress, resulting in reduced health-related quality of life. Similar to other chronic conditions, eating patterns have been shown effective in impacting the quality of life of PCOS patients. Therefore, lifestyle modifications are recommended as a first-line therapy for PCOS, before prescribing any pharmaceutical management of the PCOS. The aim of the study was to investigate the relationship between dietary patterns, emotional distress, and perceived quality of life in women with diagnosed PCOS.

Material and methods:
The cross-sectional study included 130 women with PCOS aged 18 – 60 years from the Polish population. The respondents were asked to complete a self-administered questionnaire developed for the purpose of the study, inspired by the Food Frequency Questionnaire (FFQ), Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (PCOSQ), Three-Factor Eating Questionnaire (TFEQ-R18), and the Eating attitude questionnaire (Eat-26).

Results:
Respondents were found to experience emotional distress regardless of how healthy their diet. Nonetheless, the results showed that women who followed a healthier eating pattern had lower occurrence of experiencing mood swings, and less often felt triggered in the social context. The group did not show a tendency to over-eat, gain weight, or binge eating.

Conclusions:
Healthier eating habits, besides providing advantages in weight management, may mitigate symptoms of emotional distress and improve the quality of life in women with PCOS.

REFERENCES (30)
1.
Teede HJ, Misso ML, Costello MF, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril. 2018;110(3):364–379. https://doi:10.1016/j.fertnste....
 
2.
Khan MJ, Ullah A, Basit S. Genetic Basis of Polycystic Ovary Syndrome (PCOS): Current Perspectives. Appl Clin Genet. 2019;12:249–260. https://doi:10.2147/TACG.S2003....
 
3.
Cooney LG, Lee I, Sammel MD, et al. High prevalence of moderate and severe depressive and anxiety symptoms in polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod. 2017;32(5):1075–1091. https://doi:10.1093/humrep/dex....
 
4.
Fatemeh B, Shahideh JS, Negin M. Health related quality of life and psychological parameters in different polycystic ovary syndrome phenotypes: a comparative cross-sectional study. J Ovarian Res. 2021;14(1):57. https://doi:10.1186/s13048-021....
 
5.
Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004;81(1):19–25. https://doi:10.1016/j.fertnste....
 
6.
McAllister JM, Legro RS, Modi BP, et al. Functional genomics of PCOS: from GWAS to molecular mechanisms. Trends Endocrinol Metab. 2015;26(3):118–124. https://doi:10.1016/j.tem.2014....
 
7.
Escobar-Morreale HF. Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment. Nat Rev Endocrinol. 2018;14(5):270–284. https://doi:10.1038/nrendo.201....
 
8.
Joham AE, Norman RJ, Stener-Victorin E, et al. Polycystic ovary syndrome [published correction appears in Lancet Diabetes Endocrinol. 2022 Nov;10(11):e11]. Lancet Diabetes Endocrinol. 2022;10(9):668–680. https://doi:10.1016/S2213-8587....
 
9.
Hoeger KM, Dokras A, Piltonen T. Update on PCOS: Consequences, Challenges, and Guiding Treatment. J Clin Endocrinol Metab. 2021;106(3):e1071-e1083. https://doi:10.1210/clinem/dga....
 
10.
Lin AW, Kazemi M, Jarrett BY, et al. Dietary and Physical Activity Behaviors in Women with Polycystic Ovary Syndrome per the New International Evidence-Based Guideline. Nutrients. 2019;11(11):2711. https://doi:10.3390/nu11112711.
 
11.
Albosta M, Bakke J. Intermittent fasting: is there a role in the treatment of diabetes? A review of the literature and guide for primary care physicians. Clin Diabetes Endocrinol. 2021;7(1):3. https://doi:10.1186/s40842-020....
 
12.
Cowan S, Lim S, Alycia C, et al. Lifestyle management in polycystic ovary syndrome – beyond diet and physical activity. BMC Endocr Disord. 2023;23(1):14. https://doi:10.1186/s12902-022....
 
13.
Papakonstantinou E, Kechribari I, Mitrou P, et al. Effect of meal frequency on glucose and insulin levels in women with polycystic ovary syndrome: a randomised trial [published correction appears in Eur J Clin Nutr. 2016 May;70(5):646]. Eur J Clin Nutr. 2016;70(5):588–594. https://doi:10.1038/ejcn.2015.....
 
14.
Parker J, O’Brien C, Hawrelak J, et al. Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment. Int J Environ Res Public Health. 2022;19(3):1336. https://doi:10.3390/ijerph1903....
 
15.
Kazemi Jaliseh H, Ramezani Tehrani F, Behboudi-Gandevani S, et al. Polycystic ovary syndrome is a risk factor for diabetes and prediabetes in middle-aged but not elderly women: a long-term population-based follow-up study. Fertil Steril. 2017;108(6):1078–1084. https://doi:10.1016/j.fertnste....
 
16.
Dybciak P, Humeniuk E, Raczkiewicz D, et al. Anxiety and Depression in Women with Polycystic Ovary Syndrome. Medicina (Kaunas). 2022;58(7):942. doi:10.3390/medicina58070942.
 
17.
Jiskoot G, de Loos AD, Timman R, et al. Changes in eating behavior through lifestyle treatment in women with polycystic ovary syndrome (PCOS): a randomized controlled trial. J Eat Disord. 2022;10(1):69. doi:10.1186/s40337-022-00593-y.
 
18.
Benrick A, Chanclón B, Micallef P, et al. Adiponectin protects against development of metabolic disturbances in a PCOS mouse model. Proc Natl Acad Sci USA. 2017;114(34):e7187-e7196. https://doi:10.1073/pnas.17088....
 
19.
Cronin L, Guyatt G, Griffith L, et al. Development of a health-related quality-of-life questionnaire (PCOSQ) for women with polycystic ovary syndrome (PCOS). J Clin Endocrinol Metab. 1998;83(6):1976–1987. https://doi:10.1210/jcem.83.6.....
 
20.
Kolnikaj TS, Herman R, Janež A, et al. Assessment of Eating Disorders and Eating Behavior to Improve Treatment Outcomes in Women with Polycystic Ovary Syndrome. Life (Basel). 2022;12(11):1906. doi:10.3390/life12111906.
 
21.
Mirmiran P, Esfahani FH, Mehrabi Y, et al. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010;13(5):654–662. https://doi:10.1017/S136898000....
 
22.
Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71–83. https://doi:10.1016/0022-3999(....
 
23.
Karlsson J, Persson LO, Sjöström L, et al. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes Relat Metab Disord. 2000;24(12):1715–1725. https://doi:10.1038/sj.ijo.080....
 
24.
Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273–279. https://doi:10.1017/s003329170....
 
25.
Wild D, Grove A, Martin M, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005;8(2):94–104. doi:10.1111/j.1524-4733.2005.04054.x.
 
26.
Dokras A, Stener-Victorin E, Yildiz BO, et al. Androgen Excess- Polycystic Ovary Syndrome Society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome. Fertil Steril. 2018;109(5):888–899. https://doi:10.1016/j.fertnste....
 
27.
Chudzicka-Strugała I, Gołębiewska I, Banaszewska B, et al. The Role of Individually Selected Diets in Obese Women with PCOS-A Review. Nutrients. 2022;14(21):4555. https://doi:10.3390/nu14214555.
 
28.
Krug I, Giles S, Paganini C. Binge eating in patients with polycystic ovary syndrome: prevalence, causes, and management strategies. Neuropsychiatr Dis Treat. 2019;15:1273–1285. https://doi:10.2147/NDT.S16894....
 
29.
Chaudhari AP, Mazumdar K, Mehta PD. Anxiety, Depression, and Quality of Life in Women with Polycystic Ovarian Syndrome. Indian J Psychol Med. 2018;40(3):239–246. https://doi:10.4103/IJPSYM.IJP....
 
30.
Suchta K, Smolarczyk R, Czajkowski K, et al. Binge Eating Disorder-The Point Prevalence among Polish Women with Polycystic Ovary Syndrome and Validity of Screening Tool for This Population. Int J Environ Res Public Health. 2022;20(1):546. Published 2022 Dec 29. doi:10.3390/ijerph20010546.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top