Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome |
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| Institution: | 1. Health and Social Care Unit, Monash University, Melbourne, Australia;2. Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia;3. Nutrition Department, West Chester University of Pennsylvania, West Chester, PA, USA;4. Department of Life Sciences, University of Roehampton, London, UK;5. Department of Diabetes, Monash Health, Clayton, Australia;1. The International Federation of Kidney Foundation – World Kidney Alliance (IFKF-WKA), Division of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine, Orange, CA, USA;2. Department of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong;3. Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange, CA, USA;4. Tanker Foundation, Chennai, India;5. Division of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece;6. Hong Kong Kidney Foundation and the International Federation of Kidney Foundations – World Kidney Alliance, The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;7. Renal Unit, Department of Medicine, College of Medicine, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria;8. James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA;9. Italian Kidney Foundation, Rome, Italy;10. World Kidney Day Office, Brussels, Belgium;11. Polycystic Kidney Disease Charity, London, UK;12. American Association of Kidney Patients. Tampa, FL, USA;13. Hong Kong Kideny Foundation, Hong Kong, China;14. Nephrology Unit, Department of Internal Medicine, Faculty of Medicine, Cairo University, Giza, Egypt;15. Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia;1. Department of Family Medicine, American University of Beirut, Lebanon;2. Division of Orthopedic Surgery / Department of Surgery, American University of Beirut, Lebanon;3. Department of Arts and Science, American University of Beirut, Lebanon;1. Department of Communication, College of Communication and Information & Division of Biomedical Informatics, College of Medicine, University of Kentucky, USA;2. Division of Biomedical Informatics, College of Medicine & School of Information Science, College of Communication and Information, University of Kentucky, USA;3. Division of Immunology, Carver College of Medicine, University of Iowa, USA;1. Cleveland Clinic Center for Value-Based Care Research, 9500 Euclid Ave, G10, Cleveland, OH 44195, USA;2. Cleveland Clinic, Family Medicine, 26900 Cedar Rd, Beachwood, OH 44122, USA;1. Department of Family Medicine, School Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences (FHML), Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands;2. Centre for Medical Psychology and Evidence-based Decision-making, School of Psychology, University of Sydney, Australia;3. School of Medicine, University of Western Australia, Perth, Australia;4. Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia;5. Breast Cancer Trials, Newcastle, Australia;6. Auckland Hospital, New Zealand |
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| Abstract: | ObjectiveTo determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS.MethodsAn 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.ResultsImplementation 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].ConclusionsPA 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 implicationsOther 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. |
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| Keywords: | Polycystic ovary syndrome Physical activity Nutrition Self-management Behaviour change |
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