Diet and lifestyle modifications for effective management of polycystic ovarian syndrome (PCOS).

androgens cysts dietary therapy lifestyle management polycystic ovarian syndrome

Journal

Journal of food biochemistry
ISSN: 1745-4514
Titre abrégé: J Food Biochem
Pays: United States
ID NLM: 7706045

Informations de publication

Date de publication:
07 2022
Historique:
revised: 25 01 2022
received: 21 10 2021
accepted: 30 01 2022
pubmed: 25 2 2022
medline: 9 7 2022
entrez: 24 2 2022
Statut: ppublish

Résumé

Polycystic ovarian syndrome (PCOS) is caused by abnormal production of androgens resulting in the formation of small fluid-filled sacs in the ovaries. This condition worsens the life quality of women by disturbing their physiology and psychology in reproductive age. PCOS may also be associated with other morbidities like diabetes and hypertension. Numerous factors like imbalanced dietary patterns, poor lifestyle activities, improper care and medication, late diagnosis, and ignorance are involved in the prevalence of this disease in women. Hence, an early diagnosis and improved dietary and lifestyle management may improve the life quality and timely recovery of the patient from this disease. Various herbal extracts show a positive correlation in reducing the indicators associated with PCOS. This review discusses the effect of dietary and lifestyle practices on PCOS as prominent features. It has been recommended that a balanced diet with 40% energy from carbohydrates, 30% from fats, and 30% from protein with optimum physical activity could reduce severe PCOS symptoms and improve metabolic balance. Furthermore, recommendations for modification of diet and lifestyle activities are made which may positively influence the recovery from PCOS. PRACTICAL APPLICATIONS: Polycystic ovarian syndrome (PCOS) severely affects the life quality of suffering women. The dietary patterns, lifestyle activities, and co-medical conditions collectively affect the severity and related consequences of PCOS. This article provides sufficient information on dietary and lifestyle modifications to effectively manage this disease. Furthermore, dietitians, nutritionists, gynecologists, and obstetrics physicians can benefit from the information provided in it to understand and develop the management strategies to alleviate the disease symptoms and severity.

Identifiants

pubmed: 35199348
doi: 10.1111/jfbc.14117
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14117

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

Abinaya, S., Siva, D., Sabitha, R., & Achiraman, S. (2019). An overview of hyperandrogenism in pcos and the prospective underlying factors. Research Journal of Life Sciences, Bioinformatics, Pharmaceutical and Chemical Sciences, 1(5), 179-186.
Alves, A. C., Valcarcel, B., Mäkinen, V.-P., Morin-Papunen, L., Sebert, S., Kangas, A. J., Soininen, P., Das, S., De Iorio, M., & Coin, L. (2017). Metabolic profiling of polycystic ovary syndrome reveals interactions with abdominal obesity. International Journal of Obesity, 41(9), 1331-1340.
Andhalkar, S., Chaware, V., & Redasani, V. (2021). A review on medicinal plants of natural origin for treatment of polycystic ovarian syndrome (PCOS). Asian Journal of Pharmaceutical Research and Development, 9(3), 76-81.
Azadi-Yazdi, M., Nadjarzadeh, A., Khosravi-Boroujeni, H., & Salehi-Abargouei, A. (2017). The effect of vitamin D supplementation on the androgenic profile in patients with polycystic ovary syndrome: A systematic review and meta-analysis of clinical trials. Hormone and Metabolic Research, 49(03), 174-179.
Banu, J., Deeba, F., Sultana, P., Chowdhury, A. A., & Khan, M. A. H. (2013). Effects of multiple micronutrients (MMN) on ovulation inductionin subfertile women with PCOS. Journal of Paediatric Surgeons of Bangladesh, 4(2), 50-53.
Barber, T. M., Dimitriadis, G. K., & Franks, S. (2016). Polycystic ovary syndrome and obesity. In Obesity (pp. 199-210). Springer.
Barbosa, G., De Sá, L. B. P. C., Rocha, D. R. T. W., & Arbex, A. K. (2016). Polycystic ovary syndrome (PCOS) and fertility. Open Journal of Endocrine and Metabolic Diseases, 6(1), 58-65.
Barrea, L., Arnone, A., Annunziata, G., Muscogiuri, G., Laudisio, D., Salzano, C., Pugliese, G., Colao, A., & Savastano, S. (2019). Adherence to the mediterranean diet, dietary patterns and body composition in women with polycystic ovary syndrome (PCOS). Nutrients, 11(10), 2278.
Barrea, L., Marzullo, P., Muscogiuri, G., Di Somma, C., Scacchi, M., Orio, F., Aimaretti, G., Colao, A., & Savastano, S. (2018). Source and amount of carbohydrate in the diet and inflammation in women with polycystic ovary syndrome. Nutrition Research Reviews, 31(2), 291-301.
Begum, G. S., Shariff, A., Ayman, G., Mohammad, B., Housam, R., & Khaled, N. (2017). Assessment of risk factors for development of polycystic ovarian syndrome. Diabetes, 1, 2.
Chitra, V., & Dhivya, D. P. (2017). Role of herbal in management of polycystic ovarian syndrome and its associated symptoms. International Journal of Herbal Medicine, 5(5), 125-131.
Conway, G., Dewailly, D., Diamanti-Kandarakis, E., Escobar-Morreale, H. F., Franks, S., Gambineri, A., Kelestimur, F., Macut, D., Micic, D., & Pasquali, R. (2014). European survey of diagnosis and management of the polycystic ovary syndrome: Results of the ESE PCOS special interest Group’s questionnaire. European Journal of Endocrinology, 171(4), 489-498.
De Leo, V., Musacchio, M., Cappelli, V., Massaro, M., Morgante, G., & Petraglia, F. (2016). Genetic, hormonal and metabolic aspects of PCOS: An update. Reproductive Biology and Endocrinology, 14(1), 38.
Dewailly, D., Catteau-Jonard, S., Reyss, A.-C., Leroy, M., & Pigny, P. (2006). Oligoanovulation with polycystic ovaries but not overt hyperandrogenism. The Journal of Clinical Endocrinology & Metabolism, 91(10), 3922-3927.
Diamanti-Kandarakis, E., & Christakou, C. D. (2009). Insulin resistance in PCOS. In Diagnosis and management of polycystic ovary syndrome (pp. 35-61). Springer.
Eslamian, G., Baghestani, A. R., Eghtesad, S., & Hekmatdoost, A. (2017). Dietary carbohydrate composition is associated with polycystic ovary syndrome: A case-control study. Journal of Human Nutrition and Dietetics, 30(1), 90-97.
Faghfoori, Z., Fazelian, S., Shadnoush, M., & Goodarzi, R. (2017). Nutritional management in women with polycystic ovary syndrome: A review study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, S429-S432.
Farhadian, M., Barati, S., Mahmoodi, M., Mosleh, A. B., & Yavangui, M. (2020). Comparison of green tea and metformin effects on anthropometric indicators in women with polycystic ovarian syndrome: A clinical trial study. Journal of Reports in Pharmaceutical Sciences, 9(1), 97-103.
Ghafurniyan, H., Azarnia, M., Nabiuni, M., & Karimzadeh, L. (2015). The effect of green tea extract on reproductive improvement in estradiol valerate-induced polycystic ovarian syndrome in rat. Iranian Journal of Pharmaceutical Research: IJPR, 14(4), 1215.
Goswami, P. K., Khale, A., & Ogale, S. (2012). Natural remedies for polycystic ovarian syndrome (PCOS): a review. International Journal of Pharmaceutical and Phytopharmacological Research, 1(6), 396-402.
Graupp, M., Wehr, E., Schweighofer, N., Pieber, T., & Obermayer-Pietsch, B. (2011). Association of genetic variants in the two isoforms of 5α-reductase, SRD5A1 and SRD5A2, in lean patients with polycystic ovary syndrome. European Journal of Obstetrics & Gynecology and Reproductive Biology, 157(2), 175-179.
Hager, M., Nouri, K., Imhof, M., Egarter, C., & Ott, J. (2019). The impact of a standardized micronutrient supplementation on PCOS-typical parameters: a randomized controlled trial. Archives of Gynecology and Obstetrics, 300(2), 455-460.
Haidari, F., Banaei-Jahromi, N., Zakerkish, M., & Ahmadi, K. (2020). The effects of flaxseed supplementation on metabolic status in women with polycystic ovary syndrome: A randomized open-labeled controlled clinical trial. Nutrition Journal, 19(1), 8.
Heshmati, J., Golab, F., Morvaridzadeh, M., Potter, E., Akbari-Fakhrabadi, M., Farsi, F., Tanbakooei, S., & Shidfar, F. (2020). The effects of curcumin supplementation on oxidative stress, Sirtuin-1 and peroxisome proliferator activated receptor γ coactivator 1α gene expression in polycystic ovarian syndrome (PCOS) patients: A randomized placebo-controlled clinical trial. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(2), 77-82.
Hukire, S. W., & Devi, T. P. (2020). Effectiveness of lifestyle modification in late adolescent females with normal BMI polycystic ovarian syndrome. Indian Journal of Forensic Medicine & Toxicology, 14(2), 185-189.
Iuhas, C. I., Costin, N., & Dan, M. (2012). Lipid parameters in patients with polycystic ovary syndrome. Applied Medical Informatics, 31(4), 27-32.
Jahan, S., Islam, F., Ashraf, M. A., Hossain, M. Z., Khan, M. H., Ara, I., Alam, M. S., & Hoque, S. (2018). Serum lipid status in patients with polycystic ovary syndrome. Journal of Dhaka Medical College, 27(2), 209-214.
Kalgaonkar, S., Almario, R., Gurusinghe, D., Garamendi, E., Buchan, W., Kim, K., & Karakas, S. E. (2011). Differential effects of walnuts vs almonds on improving metabolic and endocrine parameters in PCOS. European Journal of Clinical Nutrition, 65(3), 386-393.
Kamble, A., Dhamane, S., Kulkarni, A., & Potnis, V. (2020). Review on effects of herbal extract for the treatment of polycystic ovarian syndrome (PCOS). Plant Archives, 20(1), 1189-1195.
Kamran, H., Ahmad, Z., Aslam, M., & Jabeen, S. (2017). Dietary options in polycystic ovary syndrome (PCOS). Annals of King Edward Medical University, 23(2), 236-245.
Kaur, I., Singh, A., Suri, V., Rana, S., Sachdeva, N., & Sahni, N. (2018). Comparison of anthropometric profile and eating behavior of polycystic ovarian syndrome (PCOS) patients with healthy controls. International Journal of Preventive, Curative & Community Medicine, 4(3), 3.
Khanna, A., John, F., Das, S., Thomas, J., Rao, J., Maliakel, B., & Im, K. (2020). Efficacy of a novel extract of fenugreek seeds in alleviating vasomotor symptoms and depression in perimenopausal women: A randomized, double-blinded, placebo-controlled study. Journal of Food Biochemistry, 44(12), e13507.
Koseoglu, S. B., & Elibol, F. D. (2018). Does the pituitary gland volume change in polycystic ovary syndrome? Gynecologic and Obstetric Investigation, 83(5), 515-519.
Macut, D., Bjekić-Macut, J., Rahelić, D., & Doknić, M. (2017). Insulin and the polycystic ovary syndrome. Diabetes Research and Clinical Practice, 130, 163-170.
Maya, J., Siegel, J., Cheng, T. Q., & Rousseau-Pierre, T. (2020). Prevalence and risk factors of polycystic ovarian syndrome among an ethnically diverse overweight/obese adolescent population. International Journal of Adolescent Medicine and Health, 1, 1-6.
McGrice, M., & Porter, J. (2017). The effect of low carbohydrate diets on fertility hormones and outcomes in overweight and obese women: a systematic review. Nutrients, 9(3), 204.
Miao, C. Y., Fang, X. J., Chen, Y., & Zhang, Q. (2020). Effect of vitamin D supplementation on polycystic ovary syndrome: A meta-analysis. Experimental and Therapeutic Medicine, 19(4), 2641-2649.
Morgante, G., Massaro, M., Di Sabatino, A., Cappelli, V., & De Leo, V. (2018). Therapeutic approach for metabolic disorders and infertility in women with PCOS. Gynecological Endocrinology, 34(1), 4-9.
Naz, M. S. G., Tehrani, F. R., Majd, H. A., Ahmadi, F., Ozgoli, G., Fakari, F. R., & Ghasemi, V. (2019). The prevalence of polycystic ovary syndrome in adolescents: A systematic review and meta-analysis. International Journal of Reproductive BioMedicine, 17(8), 533.
Owen, M. (2016). An investigation of the nutritional status and eating habits of women with polycystic ovarian syndrome in Trinidad and Tobago. The University of the West Indies Institutional Repository for Research and Scholarship.
Porcaro, G., Filati, P., & Unfer, V. (2016). Looking at the link between diet and PCOS onset and management. Journal of Nutritional Health & Food Science, 4, 1-5.
Radha, M., & Laxmipriya, N. (2016). The role of aloe Barbadensis mill. As a possible pre-conceptive herb for the management of polycystic ovarian syndrome: A rodent model study. Austin Journal of Reproductive medicine and Infertility, 3(2), 1-9.
Reddy, P. S., Begum, N., Mutha, S., & Bakshi, V. (2016). Beneficial effect of curcumin in letrozole induced polycystic ovary syndrome. Asian Pacific Journal of Reproduction, 5(2), 116-122.
Rosenfield, R. L., & Ehrmann, D. A. (2016). The pathogenesis of polycystic ovary syndrome (PCOS): The hypothesis of PCOS as functional ovarian hyperandrogenism revisited. Endocrine Reviews, 37(5), 467-520.
Sebastian, L., Rao, M., & Zumbro, E. L. (2019). Effect of whey protein supplementation on glucose response and GLUT-4 in women with polycystic ovary syndrome (PCOS). 2019 NCUR, 2019, 896-902.
Sinha, U., Sinharay, K., Saha, S., Longkumer, T. A., Baul, S. N., & Pal, S. K. (2013). Thyroid disorders in polycystic ovarian syndrome subjects: A tertiary hospital based cross-sectional study from eastern India. Indian Journal of Endocrinology and Metabolism, 17(2), 304.
Swaroop, A., Jaipuriar, A. S., Gupta, S. K., Bagchi, M., Kumar, P., Preuss, H. G., & Bagchi, D. (2015). Efficacy of a novel fenugreek seed extract (Trigonella foenum-graecum, FurocystTM) in polycystic ovary syndrome (PCOS). International Journal of Medical Sciences, 12(10), 825.
Volk, K. M., Pogrebna, V. V., Roberts, J. A., Zachry, J. E., Blythe, S. N., & Toporikova, N. (2017). High-fat, high-sugar diet disrupts the preovulatory hormone surge and induces cystic ovaries in cycling female rats. Journal of the Endocrine Society, 1(12), 1488-1505.
Walters, K., Bertoldo, M., & Handelsman, D. (2018). Evidence from animal models on the pathogenesis of PCOS. Best Practice & Research Clinical Endocrinology & Metabolism, 32(3), 271-281.
Wijeyaratne, C. N., Seneviratne, R. D. A., Dahanayake, S., Kumarapeli, V., Palipane, E., Kuruppu, N., Yapa, C., Seneviratne, R. D. A., & Balen, A. H. (2011). Phenotype and metabolic profile of south Asian women with polycystic ovary syndrome (PCOS): Results of a large database from a specialist endocrine clinic. Human Reproduction, 26(1), 202-213.
Yang, H., Kim, H. J., Pyun, B.-J., & Lee, H. W. (2018). Licorice ethanol extract improves symptoms of polycytic ovary syndrome in letrozole-induced female rats. Integrative Medicine Research, 7(3), 264-270.
Yildiz, B. O., Bozdag, G., Yapici, Z., Esinler, I., & Yarali, H. (2012). Prevalence, phenotype and cardiometabolic risk of polycystic ovary syndrome under different diagnostic criteria. Human Reproduction, 27(10), 3067-3073.
Zhang, X., Zheng, Y., Guo, Y., & Lai, Z. (2019). The effect of low carbohydrate diet on polycystic ovary syndrome: a meta-analysis of randomized controlled trials. International Journal of Endocrinology, 2019, 4386401.
Zhou, Y., Lan, H., Dong, Z., Cao, W., Zeng, Z., & Song, J. L. (2021). Dietary proanthocyanidins alleviated ovarian fibrosis in letrozole-induced polycystic ovary syndrome in rats. Journal of Food Biochemistry, 45(5), e13723.

Auteurs

Rimsha Shahid (R)

University Institute of Diet and Nutritional Sciences, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.
Kauser Abdulla Malik School of Life Sciences, Forman Christian College (A Charted University), Lahore, Pakistan.
University Institute of Diet and Nutritional Sciences, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.

Kanza Aziz Awan (KA)

Department of Food Science and Technology, Faculty of Life Sciences, University of Central Punjab, Lahore, Pakistan.

Muhammad Jawad Iqbal (MJ)

Department of Food Science and Technology, Faculty of Allied Health Sciences, Minhaj University, Lahore, Pakistan.

Hussan Munir (H)

University Institute of Diet and Nutritional Sciences, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.

Iqra Saeed (I)

Department of Food Science and Technology, Faculty of Allied Health Sciences, Minhaj University, Lahore, Pakistan.

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