Diet and nutrition in polycystic ovary syndrome (PCOS): Pointers for nutritional management
Abstract
PCOS patients are not always markedly overweight but PCOS is strongly associated with abdominal obesity and insulin resistance. Effective approaches to nutrition and exercise improve endocrine features, reproductive function and cardiometabolic risk profile--even without marked weight loss. Recent studies allow us to make recommendations on macronutrient intake. Fat should be restricted to < or =30% of total calories with a low proportion of saturated fat. High intake of low GI carbohydrate contributes to dyslipidaemia and weight gain and also stimulates hunger and carbohydrate craving. Diet and exercise need to be tailored to the individual's needs and preferences. Calorie intake should be distributed between several meals per day with low intake from snacks and drinks. Use of drugs to either improve insulin sensitivity or to promote weight loss are justified as a short-term measure, and are most likely to be beneficial when used early in combination with diet and exercise.
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Serum insulin decreased from 12.62 ± 0.48 μU/mL to 11.31 ± 0.60 μU/mL (p < 0.001).
“Glucose decreased from 5.10 ± 0.25 mmol/L to 4.64 ± 0.24 mmol/L (p < 0.001), serum insulin from 12.62 ± 0.48 μU/mL to 11.31 ± 0.60 μU/mL (p < 0.001), and consequently HOMA-IR from 2.85 ± 0.15 to 2.32 ± 0.13 (p < 0.001) [17].”
From Ketogenic Diet as Medical Prescription in Women with Polycystic Ovary Syndrome (PCOS) (2023) · cites this paper as [17]
HOMA-IR decreased from 2.85 ± 0.15 to 2.32 ± 0.13 (p < 0.001).
“Glucose decreased from 5.10 ± 0.25 mmol/L to 4.64 ± 0.24 mmol/L (p < 0.001), serum insulin from 12.62 ± 0.48 μU/mL to 11.31 ± 0.60 μU/mL (p < 0.001), and consequently HOMA-IR from 2.85 ± 0.15 to 2.32 ± 0.13 (p < 0.001) [17].”
From Ketogenic Diet as Medical Prescription in Women with Polycystic Ovary Syndrome (PCOS) (2023) · cites this paper as [17]
Glucose decreased from 5.10 ± 0.25 mmol/L to 4.64 ± 0.24 mmol/L (p < 0.001).
“Glucose decreased from 5.10 ± 0.25 mmol/L to 4.64 ± 0.24 mmol/L (p < 0.001), serum insulin from 12.62 ± 0.48 μU/mL to 11.31 ± 0.60 μU/mL (p < 0.001), and consequently HOMA-IR from 2.85 ± 0.15 to 2.32 ± 0.13 (p < 0.001) [17].”
From Ketogenic Diet as Medical Prescription in Women with Polycystic Ovary Syndrome (PCOS) (2023) · cites this paper as [17]
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holistic view of management of polycystic ovarian syndrome
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- Authors
- Farshchi, H., Rane, A., Love, A., & Kennedy, R. L.
- Affiliations
- James Cook University (AU)
- Corresponding author
- Kennedy, R. L.
- ORCID
- Farshchi, H.
- Venue
- Journal of Obstetrics and Gynaecology
- Publisher
- Informa UK Limited
- Published
- 2007-01
- Volume
- 27
- Issue
- 8
- Pages
- 762-773
- ISSN
- 0144-3615 (ISSN-L)
- 1364-6893
- OpenAlex
- W2154859309
- Semantic Scholar
- 55365b8b0ee9c2f210fdf0992526945d5faa0c11
- Cited by
- 87
- References
- 125
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 12 · 2021: 11 · 2020: 8 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 3
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetrics and Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline at James Cook University (James Cook University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- polycystic ovary syndrome, nutrition, dietary management, macronutrient intake, abdominal obesity, insulin resistance, saturated fat, dyslipidemia, meal distribution, physical activity, weight loss, insulin sensitizers, cardiometabolic risk, reproductive function
- MeSH terms
- Diet, Dietary Carbohydrates, Dietary Fats, Dietary Proteins, Exercise Therapy, Female, Humans, Insulin Resistance, Obesity, Polycystic Ovary Syndrome, Weight Loss, Nutrition Assessment, Body Mass Index, Treatment Outcome
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