Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome

Stephanie Pirotta; Siew S Lim; Angela Grassi; Lynn Monahan Couch; Yvonne M Jeanes; Anju J Joham; Helena Teede; Lisa J Moran

doi:10.1016/j.pec.2021.04.036

Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome

Patient Educ Couns. 2022 Jan;105(1):190-197. doi: 10.1016/j.pec.2021.04.036. Epub 2021 May 4.

Authors

Stephanie Pirotta¹, Siew S Lim², Angela Grassi³, Lynn Monahan Couch⁴, Yvonne M Jeanes⁵, Anju J Joham⁶, Helena Teede⁷, Lisa J Moran⁸

Affiliations

¹ Health and Social Care Unit, Monash University, Melbourne, Australia. Electronic address: stephanie.pirotta1@monash.edu.
² Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia. Electronic address: siew.lim1@monash.edu.
³ Nutrition Department, West Chester University of Pennsylvania, West Chester, PA, USA. Electronic address: agrassi@pcosnutrition.com.
⁴ Nutrition Department, West Chester University of Pennsylvania, West Chester, PA, USA. Electronic address: lmonahan@wcupa.edu.
⁵ Department of Life Sciences, University of Roehampton, London, UK. Electronic address: Y.Jeanes@roehampton.ac.uk.
⁶ Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia; Department of Diabetes, Monash Health, Clayton, Australia. Electronic address: anju.joham@monash.edu.
⁷ Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia. Electronic address: helena.teede@monash.edu.
⁸ Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia. Electronic address: lisa.moran@monash.edu.

PMID: 33966953
DOI: 10.1016/j.pec.2021.04.036

Abstract

Objective: To determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS.

Methods: An online cross-sectional study involving women (n = 501), 18-45 years in the general Australian community with a self-reported PCOS diagnosis. The self-management and lifestyle behaviour questionnaires were completed between August 2017 and March 2018.

Results: Implementation of PA related self-management strategies increased the odds of meeting PA recommendations [Odds ratio (OR): 2.929 (95%CI: 2.172, 3.951), p < 0.001] but had no association with body mass index (BMI) [OR: 0.-0.984 (95%CI: -1.010, 0.959), p = 0.217] nor perception of self weight [OR: 1.382 (95% CI: 0.700, 2.725), p = 0.352]. Nutrition related self-management strategies were inversely associated with BMI [OR: - 0.115 (95%CI: -7.159, -0.980), p = 0.010] but had no association with diet quality [OR: 0.183 (95%CI: -2.328, 2.800), p = 0.855], energy intake [OR: - 0.092 (95%CI: -1204.443, 527.496) p = 0.438] or weight [OR: - 0.034 (95%CI: -4.020, 1.930), p = 0.491].

Conclusions: PA self-management strategies were associated with meeting PA recommendations. Nutrition strategies were associated with lower BMI but not diet quality, energy intake or weight in women with PCOS.

Practice implications: Other behaviour change determinants (e.g. education, skills and self-efficacy) should be considered when designing a PCOS lifestyle programme in conjunction with self-management strategies.

Keywords: Behaviour change; Nutrition; Physical activity; Polycystic ovary syndrome; Self-management.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Australia
Body Mass Index
Cross-Sectional Studies
Diet
Exercise
Female
Humans
Polycystic Ovary Syndrome* / complications
Polycystic Ovary Syndrome* / diagnosis
Polycystic Ovary Syndrome* / therapy
Self-Management*