An retrospective audit of patients with polycystic ovary syndrome: the effects of a reduced glycaemic load diet

An retrospective audit of patients with polycystic ovary syndrome: the effects of a reduced... Background Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism and chronic anovulation. The aim of this retrospective audit was to determine the patient profile, including anthropometrics, biochemistry and symptoms, and to evaluate the influence of a dietary intervention in women with PCOS. Methods Data were collected retrospectively from dietetic and medical records from all PCOS patients (n = 88) who attended a dietetic consultation from July 2004 to July 2006. As standard clinic practice, a reduced glycaemic load diet had been prescribed, with energy reduction in overweight patients. Follow‐up data were available for 59 patients. Results Fifty‐eight patients had a body mass index (BMI) ≤ 24.9 kg m−2 and 30 had a BMI ≥ 25 kg m−2. Thirty‐six patients, with a BMI ≤ 24.9 kg m−2, self‐reported central weight gain at their initial appointment. Over two‐thirds of patients self‐reported one or more of the following symptoms: carbohydrate cravings, hypoglycaemia, tiredness and hunger. At the follow‐up appointment, BMI and waist circumference significantly decreased in overweight patients (P < 0.05). Seventy‐one percent of women self‐reported hypoglycaemia initially; this was reduced to 13% at follow‐up (P < 0.01). Conclusions The audit indicated a low glycaemic load diet in combination with medication may contribute to an improvement in symptom relief in patients with PCOS. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Human Nutrition & Dietetics Wiley

An retrospective audit of patients with polycystic ovary syndrome: the effects of a reduced glycaemic load diet

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Publisher
Wiley
Copyright
© 2008 The Authors. Journal compilation. © 2008 The British Dietetic Association Ltd 2008
ISSN
0952-3871
eISSN
1365-277X
DOI
10.1111/j.1365-277X.2008.00890.x
pmid
18721400
Publisher site
See Article on Publisher Site

Abstract

Background Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism and chronic anovulation. The aim of this retrospective audit was to determine the patient profile, including anthropometrics, biochemistry and symptoms, and to evaluate the influence of a dietary intervention in women with PCOS. Methods Data were collected retrospectively from dietetic and medical records from all PCOS patients (n = 88) who attended a dietetic consultation from July 2004 to July 2006. As standard clinic practice, a reduced glycaemic load diet had been prescribed, with energy reduction in overweight patients. Follow‐up data were available for 59 patients. Results Fifty‐eight patients had a body mass index (BMI) ≤ 24.9 kg m−2 and 30 had a BMI ≥ 25 kg m−2. Thirty‐six patients, with a BMI ≤ 24.9 kg m−2, self‐reported central weight gain at their initial appointment. Over two‐thirds of patients self‐reported one or more of the following symptoms: carbohydrate cravings, hypoglycaemia, tiredness and hunger. At the follow‐up appointment, BMI and waist circumference significantly decreased in overweight patients (P < 0.05). Seventy‐one percent of women self‐reported hypoglycaemia initially; this was reduced to 13% at follow‐up (P < 0.01). Conclusions The audit indicated a low glycaemic load diet in combination with medication may contribute to an improvement in symptom relief in patients with PCOS.

Journal

Journal of Human Nutrition & DieteticsWiley

Published: Aug 1, 2008

References

  • Glycaemic index and obesity
    Brand‐Miller, Brand‐Miller; Holt, Holt; Pawlak, Pawlak; McMillan, McMillan
  • Craving for sweet carbohydrate and fat‐rich foods – possible triggers and impact on nutritional intake
    Christensen, Christensen
  • Definition, prevalence and symptoms of polycystic ovaries and polycystic syndrome
    Hart, Hart; Hickey, Hickey; Franks, Franks
  • Review of the prevalence and incidence of eating disorders
    Hoek, Hoek; Van Hocken, Van Hocken
  • Contributions of total body fat, abdominal subcutaneous adipose tissue to the metabolic complications of obesity
    Smith, Smith; Lovejoy, Lovejoy; Greenway, Greenway; Ryan, Ryan; DeJonge, DeJonge; De La Bretonne, De La Bretonne; Volafova, Volafova; Bray, Bray

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