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Cited by 44Ovarian function and disordersEating Disorders and BehaviorsNutrition, Health and Food Behavior

Dietary intake, eating behaviors, and quality of life in women with polycystic ovary syndrome who are trying to conceive

Turner-McGrievy, Gabrielle, Davidson, Charis R., Billings, Deborah L.·2015·Human Fertility
DOI 10.3109/14647273.2014.922704
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Abstract

The Healthy Eating for Reproductive Health study was conducted among 18 (45% non-white) mostly obese (BMI 39.9 ± 6.1) women with polycystic ovary syndrome (PCOS) who were experiencing infertility and interested in losing weight. A variety of markers were measured at baseline: body mass index (BMI), diet, physical activity, eating behaviors (using an Eating Behavior Inventory, a questionnaire which assesses both positive and negative eating behaviors associated with weight status, with a higher score indicating adoption of eating behaviors which have been shown in prior weight-loss research to promote a healthy weight (EBI) and the Three-Factor Eating Questionnaire, which assesses cognitive and behavioral components of eating among overweight adults), and a quality of life (PCOS Health-Related Quality of Life (PCOSQ)) index, which assesses satisfaction around five 'domains': emotional health, presence of body hair, infertility, weight, and menstrual problems). A comparison group of overweight women without PCOS (n = 28) was used to examine differences in measured outcomes between women with and without PCOS. Participants' habitual diets were high in fat and saturated fat and low in fiber, folate, and iron and contained significantly lower amounts of carbohydrate, iron, and whole grains compared with women without PCOS who had enrolled in a behavioral weight loss programme. Participants had a low EBI (indicating that most were not adopting eating behaviors associated with achieving a healthy weight), disinhibition (indicating participants had a tendency to overeat in the presence of highly palatable foods or were susceptible to emotional cues for eating, such as stress), and hunger scores (indicating participants did not report being susceptible to hunger, prompting overeating) and moderate dietary restraint (indicating they were not consistently attempting to restrict food intake consciously). PCOSQ scores were lowest for infertility and weight domains (indicating low satisfaction with current infertility and weight status); however all domains received low scores (emotional health, body hair, and menstrual problems). Higher energy intakes (kcal/day) were associated with a lower EBI score (r = - 0.60, P = 0.02), lower dietary restraint (r =- 0.50, P = 0.04), and higher disinhibition (r = 0.63, P = 0.01). Greater energy expenditure (kcal/day) was associated with lower PCOSQ scores for body weight (r =-0.54, P = 002) and infertility (r =- 0.51, P = 0.003) domains. Results suggest that overweight women with PCOS-related infertility have poor dietary intake, particularly in terms of whole grains, fiber, and iron, and eating behaviors inconsistent with achieving a healthy body weight, as well as low scores for PCOS-related quality of life.

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  • Obese women with PCOS-related infertility have been shown to engage in inappropriate eating behaviors, which can often interfere with traditional weight-loss programs.

    “Also, it should be noted that obese women with PCOS-related infertility have also been shown to engage in inappropriate eating behaviors, which can often interfere with traditional weight-loss programs [128,129].”

    From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [128]

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Authors
Turner-McGrievy, G., Davidson, C. R., & Billings, D. L.
Affiliations
University of South Carolina (US)
ORCID
Venue
Human Fertility
Publisher
Informa UK Limited
Published
2014-06-12
Volume
18
Issue
1
Pages
16-21
ISSN
  • 1464-7273 (ISSN-L)
  • 1742-8149
DOI
10.3109/14647273.2014.922704
OpenAlex
W2146788361
Cited by
44
References
29
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 10 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 2 · 2015: 2 · 2014: 1
FWCI
2.02
Type
journal article
Language
en
Open access
closed
Locations
  • Human Fertility (publishedVersion)
  • PubMed (publishedVersion)
Funders
Academy of Nutrition and Dietetics Foundation
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
polycystic ovary syndrome, infertility, dietary habits, dietary intake, quality of life, weight loss, disinhibition, dietary restraint, energy intake, energy expenditure, obesity
MeSH terms
Diet, Vegan, Adult, Energy Intake, Combined Modality Therapy, Diet, Reducing, Energy Metabolism, Feeding Behavior, Female, Humans, Infertility, Female, Life Style, Motor Activity, Obesity, Patient Compliance, Polycystic Ovary Syndrome, Quality of Life, South Carolina, Weight Loss, Body Mass Index, Nutrition Policy, Overweight, Young Adult

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