A Low Glycemic Index Decreases Inflammation by Increasing the Concentration of Uric Acid and the Activity of Glutathione Peroxidase (GPx3) in Patients with Polycystic Ovary Syndrome (PCOS)
Open accessAbstract
Introduction: According to a review of the literature, there is a lack of data on the mechanisms that participate in the suppression of inflammation that accompanies polycystic ovary syndrome (PCOS). Additionally, the changes in oxidative status resulting from a low-calorie diet have not been studied in a group of women with PCOS, and the oxidation and reduction processes associated with PCOS have not been explained. Material and methods: The study involved 49 women who were diagnosed with PCOS according to Rotterdam’s criteria, and 24 women voluntarily agreed to a three-month dietary intervention. The dietary intervention was carried out for 3 months. Glutathione peroxidase (GPx3) activity, the Ferric reducing ability of plasma, and uric acid concentration were measured spectrophotometrically both before and after the intervention. Statistical analysis was performed with the Statistica 10.0 software package, and a Pearson’s correlation matrix was generated. Results: A lower concentration of GPx3 was observed in women with PCOS (before the dietetic intervention began) compared with the GPx3 levels in healthy women. A relationship was shown between GPx3 levels and the concentration of prolactin, insulin on fasting, and triglycerides. After the dietary intervention, increases in uric acid and GPx3 activity were noted, as well as numerous relationships between anthropometric and biochemical parameters. The ferric reducing/antioxidant power did not change significantly. Conclusions: Inhibiting the effect of prolactin (by the level of reactive oxygen species) on the activity of GPx3 could be a starting point for the increase in antioxidative stress and the development of the inflammatory state associated with PCOS pathophysiology. Following a low-calorie diet with a lower glycemic index is proposed to silence inflammation by increasing the concentration of uric acid. During GPx3 mobilization, women with PCOS have a higher demand for selenium, and its deficiencies may contribute to disordered thyroid hormone synthesis. The three-month dietary intervention did not silence redox processes in the examined group of women.
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Low-GI diets are more successful at reducing inflammation and increasing insulin sensitivity in women with PCOS compared to conventional diets.
“Research indicates that compared to conventional diets, low-GI diets are more successful at reducing inflammation [50] and increasing insulin sensitivity [51] in women with PCOS.”
From Role of Omega-3 Fatty Acids in Improving Metabolic Dysfunctions in Polycystic Ovary Syndrome (2024) · cites this paper as [50]
The Abstract proposes that a lower-GI, low-calorie diet may suppress inflammation in women with PCOS, and the Discussion reports increases in antioxidant measures after the intervention. But Methods §4.1 describes no conventional-diet comparison, so the paper does not establish that a low-GI diet is more successful. The insulin-sensitivity claim is attached to a different citation [51] and is not assessed here. (LLM, conf=0.85)
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- Authors
- Szczuko, M., Zapalowska-Chwyć, M., & Drozd, R.
- Affiliations
- Pomeranian Medical University (PL)
- Clinic of Gynecology and Urogynecology, Pomeranian Medical University, 70-204 Szczecin, Poland
- West Pomeranian University of Technology in Szczecin (PL)
- Corresponding author
- Szczuko, Małgorzata
- Venue
- Molecules
- Publisher
- MDPI AG
- Published
- 2019-04-17
- Volume
- 24
- Issue
- 8
- Pages
- 1508
- ISSN
- 1420-3049 (ISSN-L)
- PMC
- PMC6514917
- OpenAlex
- W2939691564
- Cited by
- 45
- References
- 46
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 9 · 2022: 4 · 2021: 12 · 2020: 2 · 2019: 2
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecules (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Pomorski Uniwersytet Medyczny W Szczecinie
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- polycystic ovary syndrome, low glycemic index diet, hypocaloric diet, uric acid, glutathione peroxidase 3, oxidative stress, inflammation, ferric reducing antioxidant power, prolactin, insulin, triglycerides, selenium deficiency, thyroid hormone synthesis
- MeSH terms
- Adult, Female, Glutathione Peroxidase, Humans, Inflammation, Polycystic Ovary Syndrome, Uric Acid, Glycemic Index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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