Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder, affecting 13% of reproductive-aged women. While lifestyle management is the first-line treatment for improving complications, women experience challenges with implementation. This cross-sectional study aims to identify the types and s...

Full description

Bibliographic Details
Main Authors: Stephanie Cowan, Angela Grassi, Lynn Monahan Couch, Yvonne Jeanes, Siew Lim, Stephanie Pirotta, Jeff Harris, Caroline McGirr, Lisa Moran
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/3/589
_version_ 1797623549627727872
author Stephanie Cowan
Angela Grassi
Lynn Monahan Couch
Yvonne Jeanes
Siew Lim
Stephanie Pirotta
Jeff Harris
Caroline McGirr
Lisa Moran
author_facet Stephanie Cowan
Angela Grassi
Lynn Monahan Couch
Yvonne Jeanes
Siew Lim
Stephanie Pirotta
Jeff Harris
Caroline McGirr
Lisa Moran
author_sort Stephanie Cowan
collection DOAJ
description Polycystic ovary syndrome (PCOS) is a complex endocrine disorder, affecting 13% of reproductive-aged women. While lifestyle management is the first-line treatment for improving complications, women experience challenges with implementation. This cross-sectional study aims to identify the types and sources of dietary and physical activity (PA) interventions implemented by women with PCOS and understand how they use self-management strategies to support lifestyle change. An online questionnaire was disseminated via a consumer-based PCOS website (May 2015–2016). Women (n = 1167) were aged 18–45 years and primarily born within the United States (70%). A quarter or less of women (diet 25%, PA 14%) sought lifestyle advice from health professionals (medical clinicians or dietitians) compared to over half (diet 59%, PA 67%) using alternative sources, namely from online platforms. While only 33% and 16% of women reported following formal dietary or PA guidelines, respectively, 57% had implemented a ‘special diet’ to manage their condition, many of which were inconsistent with evidence-based practice in PCOS. Participants also displayed a low level of engagement with important self-management behaviors, including goal setting and positive self-talk. These findings suggest that online information may promote inaccurate and ineffective lifestyle advice and emphasize the need to increase engagement with qualified health professionals.
first_indexed 2024-03-11T09:30:32Z
format Article
id doaj.art-79da1339e6b74a6383205d53eb2108c4
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-11T09:30:32Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-79da1339e6b74a6383205d53eb2108c42023-11-16T17:39:04ZengMDPI AGNutrients2072-66432023-01-0115358910.3390/nu15030589Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary SyndromeStephanie Cowan0Angela Grassi1Lynn Monahan Couch2Yvonne Jeanes3Siew Lim4Stephanie Pirotta5Jeff Harris6Caroline McGirr7Lisa Moran8Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC 3168, AustraliaNutrition Department, West Chester University of Pennsylvania, West Chester, PA 19383, USANutrition Department, West Chester University of Pennsylvania, West Chester, PA 19383, USASchool of Life and Health Sciences, Department of Life Sciences, University of Roehampton, London SW15 5PH, UKEastern Health Clinical School, Monash University, Box Hill, VIC 3128, AustraliaHealth and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaNutrition Department, West Chester University of Pennsylvania, West Chester, PA 19383, USAMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC 3168, AustraliaMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC 3168, AustraliaPolycystic ovary syndrome (PCOS) is a complex endocrine disorder, affecting 13% of reproductive-aged women. While lifestyle management is the first-line treatment for improving complications, women experience challenges with implementation. This cross-sectional study aims to identify the types and sources of dietary and physical activity (PA) interventions implemented by women with PCOS and understand how they use self-management strategies to support lifestyle change. An online questionnaire was disseminated via a consumer-based PCOS website (May 2015–2016). Women (n = 1167) were aged 18–45 years and primarily born within the United States (70%). A quarter or less of women (diet 25%, PA 14%) sought lifestyle advice from health professionals (medical clinicians or dietitians) compared to over half (diet 59%, PA 67%) using alternative sources, namely from online platforms. While only 33% and 16% of women reported following formal dietary or PA guidelines, respectively, 57% had implemented a ‘special diet’ to manage their condition, many of which were inconsistent with evidence-based practice in PCOS. Participants also displayed a low level of engagement with important self-management behaviors, including goal setting and positive self-talk. These findings suggest that online information may promote inaccurate and ineffective lifestyle advice and emphasize the need to increase engagement with qualified health professionals.https://www.mdpi.com/2072-6643/15/3/589polycystic ovary syndromephysical activitydietself-managementbehavior change
spellingShingle Stephanie Cowan
Angela Grassi
Lynn Monahan Couch
Yvonne Jeanes
Siew Lim
Stephanie Pirotta
Jeff Harris
Caroline McGirr
Lisa Moran
Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
Nutrients
polycystic ovary syndrome
physical activity
diet
self-management
behavior change
title Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
title_full Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
title_fullStr Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
title_full_unstemmed Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
title_short Evidence-Based Lifestyle Guidelines and Self-Management Strategies Utilized by Women with Polycystic Ovary Syndrome
title_sort evidence based lifestyle guidelines and self management strategies utilized by women with polycystic ovary syndrome
topic polycystic ovary syndrome
physical activity
diet
self-management
behavior change
url https://www.mdpi.com/2072-6643/15/3/589
work_keys_str_mv AT stephaniecowan evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT angelagrassi evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT lynnmonahancouch evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT yvonnejeanes evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT siewlim evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT stephaniepirotta evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT jeffharris evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT carolinemcgirr evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome
AT lisamoran evidencebasedlifestyleguidelinesandselfmanagementstrategiesutilizedbywomenwithpolycysticovarysyndrome