A pulse-based diet and the Therapeutic Lifestyle Changes diet in combination with health counseling and exercise improve health-related quality of life in women with polycystic ovary syndrome: secondary analysis of a randomized controlled trial
Open accessAbstract
Objective: A favorable dietary composition to increase health-related quality of life (HRQoL) in PCOS remains unclear. We compared changes in HRQoL of women with PCOS who participated in a low-glycemic-index pulse-based (lentils, beans, split peas, and chickpeas) or the Therapeutic Lifestyle Changes (TLC) diet intervention.Methods: Thirty women in the pulse-based and 31 in the TLC groups (18–35 years) completed a 16-week intervention without energy-restriction. Groups participated in health counseling (monthly) and aerobic exercise (5 days/week; 45 minutes/day).Results: Fifty-five (90.2%) women completed a PCOS-specific HRQoL survey. Greatest mean increases in time-effects occurred in the domains of healthy eating, PCOS knowledge, active living, healthcare satisfaction, feelings and experiences about intervention, and health concerns, respectively (p ≤ 0.02), without group-by-time interactions (p ≥ 0.13). Decreased weight (r = −0.35) and homeostatic model assessment of insulin resistance (r = −0.18) correlated with increased scores of PCOS knowledge; adherence to intervention correlated with increased scores of active living (r = 0.39) and healthy eating (r = 0.53; p ≤ 0.03).Conclusions: Both interventions improved HRQoL scores in women with PCOS without prescribed energy-restriction. Our observations add novel insights into current evidence and elucidate the need for future psychological research to target lifestyle modifications for improving HRQoL and unique psychological complications of PCOS in this high-risk population (CinicalTrials.gov identifier:NCT01288638).
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Dietary food packages and organized exercise workouts improve body composition, regularize menstrual cycles, and improve lifestyle in PCOS females.
“The duty of dietary food packages and organized exercise workouts in not only fat loss but also health improvement are the main culprits of body composition transforming, menstrual cycle regularizing, and deteriorating lifestyle in PCOS females [169].”
Cites
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“agement issues as common concerns associated with compromised HRQoL and dissatisfaction with treatment in women with PCOS [7,21].”
BackgroundDokras, A., Stener-Victorin, E., Yildiz, B. O., Li, R., Ottey, S., Shah, D., Epperson, N., & Teede, H. (2018) · Fertility and Sterility · doi:10.1016/j.fertnstert.2018.01.038 · Cited by 285 · see citing works
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Moran, L., Gibson-Helm, M., Teede, H., & Deeks, A. (2010) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674820903477593 · Cited by 127 · see citing works
Kazemi, M., McBreairty, L. E., Chizen, D. R., Pierson, R. A., Chilibeck, P. D., & Zello, G. A. (2018) · Nutrients · doi:10.3390/nu10101387 · Cited by 118 · see citing works
Self-citationCooney, L. G., Milman, L. W., Hantsoo, L., Kornfield, S., Sammel, M. D., Allison, K. C., Epperson, C. N., & Dokras, A. (2018) · Fertility and Sterility · doi:10.1016/j.fertnstert.2018.03.028 · Cited by 117 · see citing works
Body image, personality profiles and alexithymia in patients with polycystic ovary syndrome (PCOS)
Scaruffi, E., Franzoi, I. G., Civilotti, C., Guglielmucci, F., La Marca, L., Tomelini, M., Veglia, F., & Granieri, A. (2019) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2018.1530210 · Cited by 62 · see citing works
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Self-citationAssessing Self-efficacy and Self-help Methods in Women with and without Polycystic Ovary Syndrome
Kozica, S. L., Gibson-Helm, M. E., Teede, H. J., & Moran, L. J. (2013) · Behavioral Medicine · doi:10.1080/08964289.2012.720312 · Cited by 31 · see citing works
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Bednarz, K., Kowalczyk, K., Cwynar, M., Czapla, D., Czarkowski, W., Kmita, D., Nowak, A., & Madej, P. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23084334 · Cited by 148 · see citing works
Butt, M. S., Saleem, J., Zakar, R., Aiman, S., Khan, M. Z., & Fischer, F. (2023) · BMC Public Health · doi:10.1186/s12889-023-15730-8 · Cited by 52 · see citing works
Pirotta, S., Joham, A., Grieger, J. A., Tay, C. T., Bahri-Khomami, M., Lujan, M., Lim, S. S., & Moran, L. J. (2020) · Seminars in Reproductive Medicine · doi:10.1055/s-0041-1726866 · Cited by 29 · see citing works
Muhammed Saeed, A. A., Noreen, S., Awlqadr, F. H., Farooq, M. I., Qadeer, M., Rai, N., Farag, H. A., & Saeed, M. N. (2025) · Journal of Health, Population and Nutrition · doi:10.1186/s41043-025-00899-y · Cited by 29 · see citing works
“The duty of dietary food packages and organized exercise workouts in not only fat loss but also health improvement are the main culprits of body composition transforming, menstrual cycle regular-izing, and deteriorating lifestyle in PCOS females [169].”
- Authors
- Kazemi, M., McBreairty, L. E., Zello, G. A., Pierson, R. A., Gordon, J. J., Serrao, S. B., Chilibeck, P. D., & Chizen, D. R.
- Affiliations
- Cornell University (US)
- University of Saskatchewan (CA)
- Corresponding author
- Chizen, Donna R.
- ORCID
- Venue
- Journal of Psychosomatic Obstetrics & Gynecology
- Publisher
- Informa UK Limited
- Published
- 2019-09-27
- Volume
- 41
- Issue
- 2
- Pages
- 144-153
- ISSN
- 0167-482X (ISSN-L)
- 1743-8942
- OpenAlex
- W2975156840
- Cited by
- 40
- References
- 11
- Citations by year
- 2025: 7 · 2024: 7 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 7 · 2019: 1
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (cc-by)
- 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 › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- polycystic ovary syndrome, health-related quality of life, low glycemic index diet, dietary intervention, health counseling, aerobic exercise, insulin resistance, PCOS knowledge, intervention adherence, weight loss, women
- MeSH terms
- Adolescent, Adult, Counseling, Diet, Exercise Therapy, Female, Humans, Insulin Resistance, Life Style, Obesity, Polycystic Ovary Syndrome, Quality of Life, Exercise, Body Mass Index, Young Adult
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