Monash Centre Health Research and Implementation (MCHRI), Clayton 3168, Australia.
Eastern Health Clinical School, Monash University, Box Hill 3128, Australia.
Nutrients. 2023 May 31;15(11):2579. doi: 10.3390/nu15112579.
People with polycystic ovary syndrome (PCOS) have higher weight gain and psychological distress compared to those without PCOS. While COVID-19 restrictions led to population level adverse changes in lifestyle, weight gain and psychological distress, their impact on people with PCOS is unclear. The aim of this study was to investigate the impact the 2020 COVID-19 restrictions had on weight, physical activity, diet and psychological distress for Australians with PCOS.
Australian reproductive-aged women participated in an online survey with assessment of weight, physical activity, diet and psychological distress. Multivariable logistic and linear regression were used to examine associations between PCOS and residential location with health outcomes.
On adjusted analysis, those with PCOS gained more weight (2.9%; 95% CI; 0.027-3.020; = 0.046), were less likely to meet physical activity recommendations (OR 0.50; 95% CI; 0.32-0.79; = 0.003) and had higher sugar-sweetened beverage intake (OR 1.74; 95% CI 1.10-2.75; = 0.019) but no differences in psychological distress compared to women without PCOS.
People with PCOS were more adversely affected by COVID-19 restrictions, which may worsen their clinical features and disease burden. Additional health care support may be necessary to assist people with PCOS to meet dietary and physical activity recommendations.
多囊卵巢综合征（PCOS）患者的体重增加和心理困扰比非 PCOS 患者更为严重。虽然 COVID-19 限制导致人群生活方式发生了负面变化，包括体重增加和心理困扰，但它们对 PCOS 患者的影响尚不清楚。本研究旨在调查 2020 年 COVID-19 限制对澳大利亚 PCOS 患者的体重、身体活动、饮食和心理困扰的影响。
澳大利亚生育年龄的女性参与了一项在线调查，评估体重、身体活动、饮食和心理困扰。采用多变量逻辑回归和线性回归分析 PCOS 与居住地点与健康结果之间的关联。
在调整分析中，PCOS 患者体重增加更多（2.9%；95%CI；0.027-3.020； = 0.046），更不可能达到身体活动建议（OR 0.50；95%CI；0.32-0.79； = 0.003），并且摄入更多的含糖饮料（OR 1.74；95%CI 1.10-2.75； = 0.019），但与非 PCOS 女性相比，心理困扰没有差异。
PCOS 患者受 COVID-19 限制的影响更为不利，这可能会加重他们的临床特征和疾病负担。可能需要额外的医疗保健支持来帮助 PCOS 患者满足饮食和身体活动建议。
