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The Impact of Nutritional Status on Hormonal and Metabolic Disorders in Women with Polycystic Ovary Syndrome

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition in Women".

Deadline for manuscript submissions: closed (15 September 2021) | Viewed by 15812

Special Issue Editor


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Guest Editor
Health Promotion and Obesity Management Unit, Department of Pathophysiology, Medical Faculty of Silesia in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Interests: the role of adipokines in pathogenesis of insulin resistance; obesity complications and polycystic ovary syndrome; the effects of macronutrients on gastrointestinal hormone release; the factors regulating feelings of satiety and hunger, as well as appetite; the role of psychological factors in the pathogenesis of obesity; pharmacotherapy of obesity; treatment of obesity complications

Special Issue Information

Dear Colleagues,

The incidence of obesity among young women is constantly increasing. The problem of infertility is also growing. One of the most common causes of infertility is ovulation disturbances, especially associated with polycystic ovary syndrome (PCOS).

Obesity, especially visceral, is a known risk factor of PCOS development. Over the last few years, significant attention has been placed on the role of excessive visceral fat depot in pathogenesis of polycystic ovary syndrome (PCOS). Inflammation in visceral adipose tissue results in adipokines secretion disturbances and local insulin resistance development. Adipose tissue becomes ineffective as a place of energy storage, and the excess energy accumulates ectopically in liver and muscle and, there, results in the development of insulin resistance. All of these disturbances are a linked to the pathogenesis of PCOS.

In this context, both of the factors influencing the development of obesity and its impact on hormonal and metabolic disturbances are important directions of study.

The purpose of this Special Issue is to collect several original research articles and reviews dealing with the impact of nutritional status on hormonal and metabolic disturbances in PCOS. In addition, the factors condusive to the development of obesity in PCOS women and the effect of obesity treatment on fertility are areas of interest.

Prof. Dr. Magdalena Olszanecka-Glinianowicz
Guest Editor

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Keywords

  • polycystic ovary syndrome
  • nutritional status
  • adipokines
  • insulin resistance and its markers
  • hepatic steatosis and hepatokines
  • oxidative stress
  • hormonal disturbances
  • metabolic disorders
  • cardiovascular diseases
  • the effect of weight loss on fertility
  • emotional eating and nutritional status of PCOS women

Published Papers (3 papers)

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Research

11 pages, 483 KiB  
Article
Dietary Intake, Eating Behavior, Physical Activity, and Quality of Life in Infertile Women with PCOS and Obesity Compared with Non-PCOS Obese Controls
by Zheng Wang, Henk Groen, Astrid E. P. Cantineau, Tessa M. van Elten, Matty D. A. Karsten, Anne M. van Oers, Ben W. J. Mol, Tessa J. Roseboom and Annemieke Hoek
Nutrients 2021, 13(10), 3526; https://doi.org/10.3390/nu13103526 - 8 Oct 2021
Cited by 18 | Viewed by 7062
Abstract
To personalize lifestyle advice for women with polycystic ovary syndrome (PCOS) and obesity, detailed information regarding dietary intake, eating behavior, physical activity levels, and quality of life (QoL) may be useful. We aimed to investigate in a post-hoc cross-sectional analysis within a large [...] Read more.
To personalize lifestyle advice for women with polycystic ovary syndrome (PCOS) and obesity, detailed information regarding dietary intake, eating behavior, physical activity levels, and quality of life (QoL) may be useful. We aimed to investigate in a post-hoc cross-sectional analysis within a large multicenter randomized controlled trial in women with infertility whether there are significant differences in dietary intake (vegetables, fruits, sugary drinks, alcoholic beverages, savory snacks, and sweet snacks); eating behavior (emotional eating, external eating, and restricted eating); physical activity; and QoL between women with PCOS and obesity and non-PCOS obese controls. Participants were asked to complete the food frequency questionnaire (FFQ), the Dutch Eating Behavior Questionnaire (DEBQ), the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH), and the 36-item Short Form Health Survey (SF-36) at study entry (PCOS: n = 170; non-PCOS: n = 321, mean BMI: 36). Linear and binary (multinomial) logistic regressions were used, and the analyses were adjusted for age, waist–hip circumference ratio, and homeostasis model assessment of insulin resistance (HOMA-IR). No statistically significant differences in dietary intake or physical activity were observed between the two groups. The overall score of emotional eating was 34.6 ± 11.2 in the PCOS group and 34.1 ± 11.3 in the non-PCOS group (p = 0.11). QoL scores (physical and mental) did not differ between PCOS and non-PCOS women. These findings suggest that infertile women with PCOS and obesity and infertile non-PCOS obese controls do not have different dietary habits and have similar mental and physical QoL. Full article
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12 pages, 777 KiB  
Article
Effectiveness of a 6-Month Lifestyle Intervention on Diet, Physical Activity, Quality of Life, and Markers of Cardiometabolic Health in Women with PCOS and Obesity and Non-PCOS Obese Controls: One Size Fits All?
by Zheng Wang, Henk Groen, Astrid E. P. Cantineau, Tessa M. van Elten, Matty D. A. Karsten, Anne M. van Oers, Ben W. J. Mol, Tessa J. Roseboom and Annemieke Hoek
Nutrients 2021, 13(10), 3425; https://doi.org/10.3390/nu13103425 - 28 Sep 2021
Cited by 8 | Viewed by 4005
Abstract
Little is known about the difference in effectiveness of lifestyle intervention between women with PCOS and non-PCOS women. In a post hoc longitudinal analysis of a randomized, controlled trial, we aimed to investigate whether infertile women with PCOS and obesity (N = [...] Read more.
Little is known about the difference in effectiveness of lifestyle intervention between women with PCOS and non-PCOS women. In a post hoc longitudinal analysis of a randomized, controlled trial, we aimed to investigate whether infertile women with PCOS and obesity (N = 87) responded differently to a 6-month lifestyle intervention program than infertile non-PCOS obese controls (N = 172). We evaluated several aspects of the intervention such as changes in diet, physical activity, and dropout rate, as well as the effect on weight, quality of life (QoL), and cardiometabolic outcomes. Multilevel analyses were used, and analyses were adjusted for baseline characteristics such as age, education, and smoking. Although BMI in both groups significantly decreased at 3 months and 6 months, there were no significant differences between the groups at 3 months (adjusted B: −0.3, 95% CI: −0.9 to 0.3, p = 0.35) and 6 months (adjusted B: 0.5, 95% CI: −0.4 to 1.4, p = 0.29). Women with PCOS and non-PCOS women had similar compliance with the lifestyle intervention in terms of actual change in diet and physical activity. Mental QoL scores were not different at either 3 or 6 months. Physical QoL scores were lower in women with PCOS compared with non-PCOS women at 3 months (adjusted B: −2.4, 95% CI: −4.8 to −0.06, p = 0.045) but not at 6 months. Cardiometabolic parameters did not differ between the groups. Our results showed that infertile women with PCOS and obesity and non-PCOS obese controls responded largely similarly to our lifestyle intervention and achieved the same level of improvement in markers of cardiometabolic health. Full article
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12 pages, 307 KiB  
Article
The Content of Minerals in the PCOS Group and the Correlation with the Parameters of Metabolism
by Kamila Pokorska-Niewiada, Agnieszka Brodowska and Małgorzata Szczuko
Nutrients 2021, 13(7), 2214; https://doi.org/10.3390/nu13072214 - 28 Jun 2021
Cited by 15 | Viewed by 4032
Abstract
Polycystic ovary syndrome (PCOS) is a common disease in women of childbearing age. It is characterized by excessive androgen production, ovulation disorders, and developing metabolic syndrome. The aim of the study was to check whether selected minerals were related to the pathophysiological mechanisms [...] Read more.
Polycystic ovary syndrome (PCOS) is a common disease in women of childbearing age. It is characterized by excessive androgen production, ovulation disorders, and developing metabolic syndrome. The aim of the study was to check whether selected minerals were related to the pathophysiological mechanisms of PCOS. The concentrations of minerals were determined using an inductively coupled atomic plasma-emission spectrometer (ICP-AES Jobin Yvon JY-24). Blood samples from PCOS and control women were collected, processed, and digested with a microwave system in women with PCOS with and without insulin resistance and in the control group. It was found: zinc (Zn)-10.14 ± 2.11, 9.89 ± 1.44 and 10.30 ± 1.67; nickel (Ni) 0.001 ± 0.0009, 0.001 ± 0.0006 and 0.002 ± 0.00001; iron (Fe) 868.0 ± 155.8, 835.3 ± 156.4 and 833.0 ± 94.6; manganese (Mn) 0.017 ± 0.006, 0.017 ± 0.008 and 0.020 ± 0.009; copper (Cu) 0.714 ± 0.129, 0.713 ± 0.114 and 0.761 ± 0.146; magnesium (Mg) 48.4 ± 8.3, 50.0 ± 8.4 and 45.3 ± 10.7; sodium (Na) 374.3 ± 84.3, 396.3 ± 66.6 and 367.9 ± 88.9; potassium (K) 2541.8 ± 330.9, 2409.6 ± 347.1 and 2336.9 ± 211.4 (µg/g). Some micronutrient deficiencies may have a negative effect on the lipid profile in PCOS patients (Ni, Na). Further studies are needed to better understand dependencies. Full article
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