Department of Obstetrics and Gynecology, University of Groningen, University Medical Centre Groningen, 9700 RB Groningen, The Netherlands.
Department of Epidemiology, University of Groningen, University Medical Centre Groningen, 9700 RB Groningen, The Netherlands.
Nutrients. 2021 Oct 8;13(10):3526. doi: 10.3390/nu13103526.
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: = 170; non-PCOS: = 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 ( = 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.
为了针对多囊卵巢综合征（PCOS）和肥胖女性制定个性化的生活方式建议，详细了解饮食摄入、饮食行为、身体活动水平和生活质量（QoL）可能会很有用。我们旨在通过一项大型多中心随机对照试验的事后横断面分析，调查患有不孕症的女性中，PCOS 和肥胖女性与非 PCOS 肥胖对照组之间的饮食摄入（蔬菜、水果、含糖饮料、酒精饮料、咸味零食和甜食）、饮食行为（情绪性进食、外部进食和限制性进食）、身体活动和 QoL 是否存在显著差异。研究对象被要求在研究开始时完成食物频率问卷（FFQ）、荷兰饮食行为问卷（DEBQ）、简短健康促进身体活动问卷（SQUASH）和 36 项简短健康调查（SF-36）。PCOS 组（n=170）和非 PCOS 组（n=321）的平均 BMI 为 36。采用线性和二元（多项）逻辑回归进行分析，调整了年龄、腰围-臀围比和稳态模型评估的胰岛素抵抗（HOMA-IR）。两组之间的饮食摄入或身体活动没有统计学上的显著差异。PCOS 组的情绪性进食总分为 34.6±11.2，非 PCOS 组为 34.1±11.3（ = 0.11）。PCOS 和非 PCOS 女性的 QoL 评分（身体和心理）没有差异。这些发现表明，患有不孕症的 PCOS 和肥胖女性与患有不孕症的非 PCOS 肥胖对照组之间的饮食习惯没有差异，且具有相似的心理和身体 QoL。
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