Nutritional status, dietary intake, physical activity and sleep among women with and without polycystic ovary syndrome
DOI:
https://doi.org/10.12957/demetra.2025.79326Keywords:
Polycystic Ovary Syndrome. Dietary Intake. Exercise. Sleep.Abstract
Introduction: Polycystic ovary syndrome (PCOS) is characterized by endocrine disorders associated with genetic and environmental factors. Objective: This study aimed to assess the nutritional status, food intake, physical activity level, and sleep quality in women with and without PCOS. Methods: Data were collected through a self-administered online questionnaire, which included sociodemographic data, body mass index (BMI), dietary intake, physical activity, and sleep quality. Data analysis was conducted using SPSS software, with a significance level set at p < 0.05. A total of 232 women participated, including 107 in the PCOS group and 125 in the control group, with a median age of 25.48 years; 46.3% self-identified as white, 76.3% reported not having a partner, 60.3% had education up to incomplete higher education, and 84.9% resided in southeastern Brazil. Additionally, 40.1% were irregularly active or sedentary, and 57.3% reported poor sleep quality. Results: When comparing women with and without PCOS, no statistically significant differences were observed regarding the consumption of different food groups, physical activity level, or sleep quality. However, women with PCOS had higher weight and BMI. When evaluating dietary intake only in women with the syndrome, it was found that eutrophic women consumed more protein than those who were overweight.
Conclusion: Women with PCOS had higher weight and BMI compared to those without the syndrome. Moreover, a higher protein intake was observed in eutrophic women with PCOS.
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References
1. Sadeghi HM, Adeli I, Calina D, Docea AO, Mousavi T, Daniali M, et al. Polycystic Ovary Syndrome: A Comprehensive Review of Pathogenesis, Management, and Drug Repurposing. Int J Mol Sci. 2022;23(2):583. http://doi.org/10.3390/ijms23020583
2. Brasil. Ministério da Saúde. Protocolo Clínico e Diretrizes Terapêuticas da Síndrome de Ovários Policísticos [recurso eletrônico]. 4ª ed. 2020. [Acesso em 23 abr. 2024]. Disponível em: https://www.gov.br/conitec/pt-br/midias/protocolos/publicacoes_ms/pcdt_sndrome-ovrios-policsticos_isbn.pdf
3. Ganie MA, Vasudevan V, Wani IA, Baba MS, Arif T, Rashid A. Epidemiology, pathogenesis, genetics & management of polycystic ovary syndrome in India. Indian J Med Res. 2019;150(4):333-344. http://doi.org/10.4103/ijmr.IJMR_1937_17
4. Rosa-e-Silva AC. Conceito, epidemiologia e fisiopatologia aplicada à prática clínica, In: Síndrome dos ovários policísticos. Federação Brasileira das Associações de Ginecologia e Obstetrícia (FEBRASGO). 2019;47(9):518-45. [Acesso em 16 mai. 2024]. Disponível em: https://www.febrasgo.org.br/media/k2/attachments/Vol.Z47ZnZ9Z-Z2019.pdf
5. Bellver J, Rodríguez-Tabernero L, Robles A, Muñoz E, Martínez F, Landeras J, et al. Polycystic ovary syndrome throughout a woman's life. J Assist Reprod Genet. 2018;35(1):25-39. http://doi.org/10.1007/s10815-017-1047-7
6. Nunes RD, Walber FK, Traebert J. Fatores de risco para o desenvolvimento de doenças cardiovasculares em mulheres com síndrome dos ovários policísticos. Arq Catarin Med. 2018;47(3):38-49. [Acesso em 3 dez. 2023]. Disponível em: https://revista.acm.org.br/index.php/arquivos/article/view/309
7. Cowan S, Lim S, Alycia C, Pirotta S, Thomson R, Gibson-Helm M, et al. Lifestyle management in polycystic ovary syndrome – beyond diet and physical activity. BMC Endocr Disord. 2023;23(14), p.1-33. https://doi.org/10.1186/s12902-022-01208-y
8. Lin T, Li S, Xu H, Zhou H, Feng R, Liu W, et al. Gastrointestinal hormone secretion in women with polycystic ovary syndrome: an observational study. Hum Reprod. 2015;30(11):2639-44. https://doi.org/10.1093/humrep/dev231
9. Campos AE, Leão MEB, de Souza MA. O impacto da mudança do estilo de vida em mulheres com síndrome dos ovários policísticos. REAS [Internet]. 2021;13(2):e4354. [Acesso em 12 fev. 2024]. Disponível em: https://acervomais.com.br/index.php/saude/article/view/4354
10. Jurczewska J, Ostrowska J, Chełchowska M, Panczyk M, Rudnicka E, Kucharski M, et al. Abdominal Obesity in Women with Polycystic Ovary Syndrome and Its Relationship with Diet, Physical Activity and Insulin Resistance: A Pilot Study. Nutrients. 2023;15(16):3652. https://doi.org/10.3390/nu15163652
11. Sidra S, Tariq MH, Farrukh MJ, Mohsin M. Evaluation of clinical manifestations, health risks, and quality of life among women with polycystic ovary syndrome. PLoS One. 2019;14(10):e0223329. https://doi.org/10.1371/journal.pone.0223329
12. Tay CT, Moran LJ, Harrison CL, Brown WJ, Joham AE. Physical activity and sedentary behaviour in women with and without polycystic ovary syndrome: An Australian population-based cross-sectional study. Clin Endocrinol (Oxf). 2020;93(2):154-162. https://doi.org/10.1111/cen.14205
13. Fernandez RC, Moore VM, Van Ryswyk EM, Varcoe TJ, Rodgers RJ, March WA, et al. Sleep disturbances in women with polycystic ovary syndrome: prevalence, pathophysiology, impact and management strategies. Nat Sci Sleep. 2018;10:45-64. https://doi.org/10.2147/NSS.S127475
14. Goodman NF, Cobin RH, Futterweit W, Glueck JS, Legro RS, Carmina E, et al. American association of clinical endocrinologists, american college of endocrinology, and androgen excess and pcos society disease state clinical review: guide to the best practices in the evaluation and treatment of polycystic ovary syndrome-Part 1. Endocr Pract. 2015 Nov;21(11):1291-300. https://doi.org/10.4158/EP15748.DSC
15. Ferriman D, Gallwey JD. Clinical assessment of body hair growth in women. J Clin Endocrinol Metab. 1961 Nov;21:1440-7. https://doi.org/10.1210/jcem-21-11-1440
16. Associação Brasileira De Empresas E Pesquisas (ABEP). Critério de classificação econômica Brasil, São Paulo, Associação Brasileira de Empresas de Pesquisa, 2019. [Acesso em 04 ago. 2023]. Disponível em: https://www.abep.org/criterio-brasil
17. Organização Mundial De Saúde (OMS). Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253. [Acesso em 04 ago. 2023]. Disponível em: https://iris.who.int/handle/10665/42330
18. Brasil. Ministério da Saúde. Vigitel Brasil 2021: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal. Brasília. 2021. [Acesso em 04 ago. 2023]. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2021-estimativas-sobre-frequencia-e-distribuicao-sociodemografica-de-fatores-de-risco-e-protecao-para-doencas-cronicas
19. Fornés NS, Martins IS, Velásquez-Meléndez G, Latorre MRDO. Escores de consumo alimentar e níveis lipídicos na população de São Paulo, Brasil.Rev. Saúde Pública. 2002;36(1):12-18. https://doi.org/10.1590/S0034-89102002000100003
20. Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, Braggion G. Questionário internacional de atividade física (ipaq): estudo de validade e reprodutibilidade no Brasil. Rev. Bras. Ativ. Fís. Saúde. 2012;6(2):5-18. [Acesso em 26 set. 2023]. Disponível em: https://rbafs.org.br/RBAFS/article/view/931
21. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
22. Anagnostis P, Tarlatzis BC, Kauffman RP. Polycystic ovarian syndrome (PCOS): Long-term metabolic consequences. Metabolism. 2018;86:33-43. https://doi.org/10.1016/j.metabol.2017.09.016
23. Marques P, Ferreira F, Soares AP, Nunes J, Sousa S, Aguiar A, et al. Significado cardiometabólico do excesso de peso/obesidade numa população de 263 mulheres inférteis com síndrome do ovário policístico. Rev Port Endocrinol Diabetes Metab. 2015;10(1):2-7. https://doi.org/10.1016/j.rpedm.2014.12.003
24. Oliveira SN, Nascimento JMS, Melo NCO. Influência do excesso ponderal sobre a fisiopatologia da síndrome dos ovários policísticos. Recima21.2022;3(1):e311049. https://doi.org/10.47820/recima21.v3i1.1049
25. Souza EB de. Transição nutricional no Brasil: análise dos principais fatores. CadUniFOA. 2017;5(13):49-53. https://doi.org/10.47385/cadunifoa.v5.n13.1025
26. Leidy HJ, CliftonPM, Astrup A, WycherleyTP, Westerterp-Plantenga MS, et al.The role of protein in weight loss and maintenance. Am J ClinNutr. 2021; 113(2), 584S-591S. https://doi.org/10.3945/ajcn.114.084038
27. McCarthy D, Berg A. Weight Loss Strategies and the Risk of Skeletal Muscle Mass Loss. Nutrients. 2021;13(7):2473. https://doi.org/10.3390/nu13072473
28. Chudzicka-Strugała I, Gołębiewska I, Banaszewska B, Brudecki G, Zwoździak B. The Role of Individually Selected Diets in Obese Women with PCOS-A Review. Nutrients. 2022;14(21):4555. https://doi.org/10.3390/nu14214555
29. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2ª edição. Brasília: Ministério da Saúde, 2014. [Acesso em 04 ago. 2023]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf
30. Faghfoori Z, Fazelian S, Shadnoush M, Goodarzi R. Nutritional management in women with polycystic ovary syndrome: A review study. Diabetes Metab Syndr. 2017;11(1):S429-S432. https://doi.org/ 10.1016/j.dsx.2017.03.030
31. Lima CMA de M e, Pinto KCG, Correia VMF. Nutritional aspects and food management in the control of Polycystic Ovarian Syndrome. RSD. 2022;11(9):e11011931526. https://doi.org/10.33448/rsd-v11i9.31526
32. Azevedo GD, Costa EC, Micussi MTABC, de Sá JCF. Modificações do estilo de vida na síndrome dos ovários policísticos: papel do exercício físico e importância da abordagem multidisciplinar. Rev. Bras. Ginecol. Obstet. 2008;30(5): 261-67. https://doi.org/10.1590/S0100-72032008000500009
33. Kazemi M, Kim JY, Wan C, Xiong JD, Michalak J, Xavier IB, et al. Comparison of dietary and physical activity behaviors in women with and without polycystic ovary syndrome: a systematic review and meta-analysis of 39 471 women. Hum Reprod Update. 2022;28(6):910-955. https://doi.org/10.1093/humupd/dmac023
34. Medeiros TG, Leiros ETSPS, Soares GM., Lemos TMAM, Lopes MMGD. Quantidade e qualidade de carboidratos na dieta de mulheres com Sí-ndrome do Ovário Policí¬stico. RBONE - Revista Brasileira De Obesidade, Nutrição E Emagrecimento. 2021;14(88):877-887. [Acesso em 12 fev. 2024]. Disponível em: http://www.rbone.com.br/index.php/rbone/article/view/1432/1023
35. Almeida PP, Pereira GA, Silvia MA, Araújo RMA, Lima LM, Henriques BD. Fatores associados ao consumo de alimentos segundo o grau de processamento na Atenção Primária à Saúde. Demetra.2021;16(1):e59168. https://doi.org/10.12957/demetra.2021.59168
36. Qi X, Yun C, LiaoB, Wang Y, Lin J, JiangQ, et al (2019). Gut microbiota-bile acid-interleukin-22 axis orchestrates polycystic ovary syndrome. Nat Med. 2019; 25(8): 1225-1233. https://doi.org/10.1038/s41591-019-0509-0
37. Liu R, Zhang C, Shi Y, Zhang F, Li L, Wang X, et al. Dysbiosis of Gut Microbiota Associated with Clinical Parameters in Polycystic Ovary Syndrome. Front Microbiol. 2017;28(8):324. https://doi.org/10.3389/fmicb.2017.00324
38. Schroeder BO, Bäckhed F. Signals from the gut microbiota to distant organs in physiology and disease. Nat Med. 2017;2023(10):1073-1081. https://doi.org/10.1038/nm.4185
39. KnahSP, DesaiK, Shah S, Shah A. Sleep patterns and quality in women with polycystic ovary syndrome: A cross-sectional observational study. Journal of Human Reproductive Sciences. 2020; 13(2):115-122. https://doi.org/10.1177/2042018820906689
40. Hachul H, Polesel DN, Tock L, Carneiro G, Pereira AZ, Zanella MT, et al. Sleep disorders in polycystic ovary syndrome: influence of obesity and hyperandrogenism. Rev Assoc Med Bras. 2019;65(3):375-383. https://doi.org/10.1590/1806-9282.65.3.375
41. Dybciak P, Raczkiewicz D, Humeniuk E, Powrózek T, Gujski M, Małecka-Massalska T, et al. Depression in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis. J Clin Med. 2023;12(20):6446. https://doi.org/10.3390/jcm12206446
42. Orio F, Giallauria F, Palomba S, Manguso F, Orio M, Tafuri D, et al. Metabolic and cardiopulmonary effects of detraining after a structured exercise training programme in young PCOS women. Clin Endocrinol (Oxf). 2008;68(6):976-81. https://doi.org/10.1111/j.1365-2265.2007.03117.x
43. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. https://doi.org/10.1136/bjsports-2020-102955
44. Silva DRP, Werneck AO, Malta DC, de Souza Júnior PRB, Azevedo LO, Barros MBAB, et al. Mudanças na prevalência de inatividade física e comportamento sedentário durante a pandemia da COVID-19: um inquérito com 39,693 adultos brasileiros. Cad. Saúde Pública. 2021; 37(3):e00221920. https://doi.org/10.1590/0102-311X00221920
45. Ribeiro BFL, Silva JFA, Silva SFN, Linhares JNS, Lima MBS, Rebêlo VCN, et al. O impacto da pandemia da COVID-19 no comportamento sedentário e inatividade física em estudantes universitários.Rev Bras Fisiol Exe. 2022; 21(1):26-35. https://doi.org/10.33233/rbfex.v21i1.5073
46. Sousa RM, Chein MB, Silva DS, Dutra MB, Navarro PA, Neto JA, et al. Perfil metabólico em mulheres de diferentes índices de massa corporal com síndrome dos ovários policísticos. Rev. Bras. Ginecol. Obstet. 2013;35(9):413-20. https://doi.org/10.1590/S0100-72032013000900006
47. Lin AW, Lujan ME. Comparison of dietary intake and physical activity between women with and without polycystic ovary syndrome: a review. Adv Nutr. 2014;5(5):486-96. https://doi.org/10.3945/an.113.005561
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Copyright (c) 2025 Natália de Freitas Tavares, Mayla Cardoso Fernandes Toffolo, Sílvia Fernandes Maurício, Renata Adrielle Lima Vieira
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