ORIGINAL ARTICLES

Aderenţa la dieta mediteraneeană şi impactul său asupra greutăţii corporale şi a ciclului menstrual la femeile cu sindromul ovarelor polichistice

 Adherence to the Mediterranean diet and its impact on body weight and menstrual cycle in women with polycystic ovary syndrome

First published: 20 decembrie 2023

Editorial Group: MEDICHUB MEDIA

DOI: 10.26416/Diet.4.4.2023.9091

Abstract

Objectives. Our study evaluated the adherence to the Mediterranean diet (MD) of patients with polycystic ovary syndrome (PCOS) from Suceava, Romania, and the effects of this diet on their body weight and regulation of the menstrual cycle, respectively. Methodology. Data collection for the cross-sectional study was performed using the PREDIMED questionnaire, which provided information about the adherence to the Mediterranean diet of 30 women (mean age=37 years old; SD±7.7) diagnosed with PCOS, from Suceava County, Romania, monitored between December 2020 and April 2021. Results. PREDIMED scores in 30 PCOS patients showed 43.3% of patients with low (≤5) and 56.7% with moderate (6-9) adherence to the Mediterranean diet. Higher MD adherence correlated with a lower BMI 
(r=-0.4; p=0.0255; 95% CI; -0.6 to 0.05) and lower mean body weight (62 kg versus 69 kg). No significant differences were found regarding age, residence, alcohol/smoking habits, or menstrual regulation based on MD adherence. Risky behaviors didn’t impact menstrual cycle, except for olive oil consumption. The preference for using oil in the diet and, especially, the daily intake of at least four tablespoons correlated negatively with cycle regulation (r=-0.38; p=0.0325; 95% CI; -0.73 to -0.03; and r=-0.56; p=0.0013; 95% CI; -0.76 to -0.25, respectively). Conclusions. Our results showed that the Mediterranean diet is beneficial in terms of body weight management in women with PCOS, but not in regulating menstruation.
 

Keywords
Mediterranean diet, PREDIMED questionnaire, polycystic ovary syndrome, body weight, menstrual cycle

Rezumat

Obiective. Studiul nostru a evaluat aderenţa la dieta mediteraneeană (DM) a pacientelor cu sindromul ovarelor polichistice (SOP) din judeţul Suceava, România, şi efectele acestei diete asupra greutăţii corporale şi, respectiv, asupra reglării ciclului menstrual. Metodologie. Colectarea datelor pentru studiul transversal s-a realizat folosind chestionarul PREDIMED, care a furnizat informaţii despre aderenţa la DM a 30 de femei (vârsta medie 37 de ani; SD ±7,7) diagnosticate cu SOP, din judeţul Suceava, România, monitorizate între decembrie 2020 şi aprilie 2021. Rezultate. Scorurile PREDIMED aplicate unui grup de 30 de paciente au indicat o aderenţă scăzută la DM (scor ≤5) la 43,3% dintre femeile cu SOP şi o aderenţă moderată (scor 6-9) la 56,7% dintre acestea. Aderenţa la DM a influenţat pozitiv indicele de masă corporală (r=-0;4, p=0,0255; 95% CI; de la -0,6 la -0,05) şi greutatea medie a corpului, care a fost mai mică la pacientele care au prezentat o aderenţă mai mare la DM (62 kg comparativ cu 69 kg). Nu am constatat diferenţe privind vârsta medie, rezidenţa, consumul de alcool, fumat sau tendinţa de a regla menstruaţia în funcţie de categoriile de aderenţă la DM. Comportamentele riscurilor şi componentele aderenţei la DM nu au influenţat reglarea ciclului menstrual la pacientele cu SOP, cu excepţia consumului de ulei de măsline. Preferinţa pentru utilizarea uleiului în dietă şi, în special, consumul zilnic de cel puţin patru linguri de ulei au fost corelate negativ cu tendinţa pacientelor de a-şi regla ciclul menstrual (r=-0,38; p=0,0325; 95%CI; de la -0,73 la -0,03; respectiv r=-0,56; p=0,0013; 95% CI; de la -0,76 la -0,25). Concluzii. Rezultatele noastre au arătat că DM este benefică în gestionarea greutăţii corporale la femeile cu SOP, dar nu şi la reglarea menstruaţiei.
 

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