Nutritional status and food consumption of patients with of Polycystic Ovary Syndrome
DOI:
https://doi.org/10.5935/2316-9389.2012.v16.50311Keywords:
Polycystic Ovary Syndrome, Insulin Resistance, Nutritional Status, Food ConsumptionAbstract
The present study aims at characterizing the nutritional status and food intake of patients with Polycystic Ovary Syndrome (PCOS). It is a cross-sectional study performed in patients with PCOStreated in secondary health care service by nutrition specialists.socio-demographic information, health profile, anthropometric measurements, biochemical and food intake data were obtained. The study included 54 women with an average age of 31.31 ±5.76 years: 63% were classified as obese at different levels; 74.1% presented cardiovascular risk according to waist-hip ratio, and 90.8% an increased waist circumference. Correlations between insulin resistance, measured by HOMA-IR index, and body mass index (r = 0.729, p = 0.028) were observed. Evaluation of nutritional intake revealed an insufficient amount of calories (73.6%), carbohydrates (54.7%), and micronutrients (calcium, 96.2%; iron, 98.1%). However 71.7% presented an excessive intake of lipids.There was no association between nutritional status, biochemical parameters and food intake (p> 0.05). PCOS patients present a high prevalence of obesity and nutritional inadequacies. Therefore, nutritional intervention strategies constitute important tools as a non-pharmacological treatment.Downloads
References
1. Goodarzi MO, Azziz R. Diagnosis, epidemiology, and genetics of the polycystic ovary syndrome. Best Pract Res Clin Endocrinol Metab. 2006; 20(2):193-205.
2. Ehrmann A. Polycystic ovary syndrome. N Engl J Med. 2005; 352(12):1223-36.
3. Kuba VM, Cavalieri PM, Christoforo AC, et al. Resistencia insulinica e perfil metabolico em pacientes com sindrome dos ovarios policisticos de peso normal e sobrepeso/obesidade. Arq Bras Endocrinol Metab. 2006; 50(6):1026-33.
4. Azevedo GD, Costa EC, Micussi MTABC, Sa JCF. Modificacoes do estilo de vida na sindrome dos ovarios policisticos: papel do exercicio fisico e importancia da abordagem multidisciplinar. Rev Bras Ginecol Obstet. 2008; 30(5):261-7.
5. Saad MJA, Carvalheira JBC. Doencas associadas a resistencia a insulina/hiperinsulinemia, nao incluidas na sindrome metabolica. Arq Bras Endocrinol Metab. 2006; 50(2):360-7.
6. Barber TM, McCarthy MI, Wass JA, Franks S. Obesity and polycystic ovary syndrome. Clin Endocrinol (Oxf ). 2006; 65(2):137-45.
7. Jeanes YM, Barr S, Smith K, Hart KH. Dietary management of women with polycystic ovary syndrome in the United Kingdom: the role of dietitians. J Hum Nutr Diet. 2009; 22(6):551-8.
8. Martins C. Avaliacao metabolica nutricional. Avaliacao do estado nutricional e diagnostico. Curitiba: Nutroclinica; 2008. 50p.
9. World Health Organization. Physical status: the use and interpretation of antropometry. Geneva: WHO; 1995. 36p.
10. Pereira RA, Sichieri R, Marins VM. Waist:hips girth ratio as a predictor of arterial hypertension. Cad Saude Publica. 1999; 15(2):333-44.
11. Ganda OP, Day JL, Soeldner JS. Reproducibility and comparative analysis of repeated intravenous and oral glucose tolerance tests. Diabetes. 1978; 27(2):715-25.
12. Institute of Medicine, Food and Nutrition Board, Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: The National Academies Press; 2005.1331p.
13. Institute of Medicine. Dietary Reference Intakes (DRIs) for calcium and vitamin D. [S.l:S.n]; 2010. 4p.
14. Goodarzi MO, Erickson S, Port SC, Jennrich RI, Korenman SG. Beta-cell function: a key pathological determinant in polycystic ovary syndrome. J Clin Endocrinol Metab. 2005; 90(1):310-5.
15. Poy M, Wiltgen D, Spritzer PM. Perfil hormonal e metabolico em pacientes hirsutas com a sindrome dos ovarios policisticos. Arq Bras
Endocrinol Metab. 2001; 45(4):352-60.
16. Toscani MK, Radavelli-Bagatini S, Spritzer PM, Mario FM. Insulin resistance is not strictly associated with energy intake or dietary macronutrient composition in women with polycystic ovary syndrome. Nutr Res. 2011; 2(31):97-103.
17. Gambineri A, Pelusi C, Vicennati V, Pagotto U, Pasquali R. Obesity and the polycystic ovary syndrome. Int J Obes Relat Metab Disord. 2002; 26(7):883-96.
18. Carmina E, Napoli N, Longo RA, Rini GB, Lobo RA. Metabolic syndrome in polycystic ovary syndrome (PCOS): lower prevalence in southern Italy than in the USA and the influence of criteria for the diagnosis of PCOS. Eur J Endocrinol. 2006; 154(1):141-5.
19. Chul SK, Lim S, Rosenson RS. Hyperinsulinemia and Homeostasis Model Assessment of Insulin Resistance as Predictors of Hypertension: a 5-Year Follow-Up Study of Korean Sample. Am J Hypertens. 2011; 24(9):1041-5.
20. Bonora E, Kiechl S, Willeit J, et al. Insulin resistance a estimated by homeostasis model assessment predicts incident symptomatic cardiovascular disease in Caucasian subjects from general population. Diabetes Care. 2007; 30(2):3118-24.
21. Poretsky L, Cataldo N, Rosenwaks Z, Guidice L. The insulin. related ovarian regulatory system in health and disease. Endocr Rev. 1999;
20:532-82.
22. Jacqmain M, Doucet E, Despres JP, Bouchard C, Tremblay A. Calcium intake, body composition, and lipoproteinlipid concentrations in adults. Am J Clin Nutr. 2003; 77(6):1448–52.
23. MacDiarmid J, Blundell JE. Dietary under-reporting: what people say about recording their food intake. Eur J Clin Nutr. 1997; 21(3):199-200.
24. Scagliusi FB, Lancha Junior AH. Subnotificacao da ingestao energetica na avaliacao do consumo alimentar. Rev Nutr. 2003; 16(4):471-81.
25. Krebs-Smith SM, Graubard BI, Kahle LL, Subar AF, Cleveland LE, Ballard-Barbash R. Low energy reporters vs. other reporters: a comparison
of reported food intake. Eur J Clin Nutr. 2000; 54(4):281-7.
26. Jenkins DJ, Jenkins AL. Nutrition principles and diabetes. A role for “lente carbohydrate”? Diabetes Care. 1995; 18(11):1491-8.
27. Ministerio da Saude (BR). Secretaria de Atencao a Saude. Coordenacao-Geral da Politica de Alimentacao e Nutricao. Guia alimentar para a populacao brasileira: promovendo a alimentacao saudavel. Brasilia: Ministerio da Saude; 2006.
28. Casanueva E, Regil LM, Flores-Campuzano MF. Anemia por deficiencia de hierro en mujeres mexicanas en edad reproductiva. Historia de un problema no resuelto. Salud Publica de Mexico. 2006; 48(2):166-75.
29. Sun G, Vasdev S, Martin GR, Gadag V, Zhang H. Altered calcium homeostasis is correlated with abnormalities of fasting serum glucose, insulin resistance, and β-cell function in the Newfoundland population. Diabetes. 2005; 54:3336–9.
30. Howard G, Nguyen T, Morrison N, et al. Genetic influences on bone density: physiological correlates of vitamin D receptor gene alleles in premenopausal women. J Clin Endocrinol Metab. 1995; 80(9):2800-5.
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