Dietary intake and its association with body composition and hormonal profile among women with polycystic ovary syndrome from Chandigarh capital region, India
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20262117Keywords:
Body composition, Dietary intake, Hormonal level, PCOS womenAbstract
Background: Polycystic ovary syndrome (PCOS) is globally prevalent endocrine and metabolic disorder among women in the reproductive age. The present study is an attempt to assess dietary intake and their relationship with hormonal profile and body composition variables in overweight/obese and non-obese women having PCOS.
Methods: The sample consisted of 250 PCOS women, aged from 18 to 45 years living in Chandigarh Capital region (CCR) was collected from tertiary hospital. The dietary intake of PCOS women was evaluated by employing 24-hours dietary recall method for three consecutive days. The hormonal history of follicle stimulating hormone, luteinising hormone, free testosterone and fasting insulin were obtained from medical record of the patients. Visceral fat and total body fat percentage of each subject has been assessed by using bioelectrical impedance method.
Results: Analysis of the data exhibited that the intake of total energy, protein, calcium, iron, and vitamin A were higher in non-obese women than their overweight/obese counterparts, while both the groups of PCOS women depicted inadequate dietary intake as compared to RDA values. Interestingly, intake of carbohydrate and fat content of overweight/obese as well as non-obese PCOS groups was higher than the recommended dietary allowance (RDA), which may be responsible to disturb the hormonal level and biochemical characteristics in PCOS women. The luteinising hormone recorded a positive and significant correlation with fat intake (r=0.2) and calcium intake with free testosterone in overweight/obese PCOS women (r=0.2).
Conclusions: Therefore, inadequate diet intake than recommended dietary allowance in PCOS women may leads to disturb hormonal profile. Hence, diet modifications with low carbohydrate and fat intake as well as weight management is first-line strategy to control furtherance of PCOS among women.
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References
Asunción M, Calvo RM, San Millán JL, Sancho J, Avila S, Escobar-Morreale HF. A prospective study of the prevalence of the polycystic ovary syndrome in unselected Caucasian women from Spain. J Clin Endocrinol Metab. 2000;85(7):2434-8. DOI: https://doi.org/10.1210/jcem.85.7.6682
March WA, Moore VM, Willson KJ, Phillips DI, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod. 2010;25(2):544-51. DOI: https://doi.org/10.1093/humrep/dep399
Wang J, Wang B, Li C, Meng T, Liu C, Chen J, et al. Evolving global trends in PCOS burden: a three-decade analysis (1990–2021) with projections to 2036 among adolescents and young adults. Front Endocrinol. 2025;16:1569694. DOI: https://doi.org/10.3389/fendo.2025.1569694
Ganie MA, Vasudevan V, Wani IA, Baba MS, Arif T, Rashid A. Epidemiology, pathogenesis, genetics and management of polycystic ovary syndrome in India. Indian J Med Res. 2019;150(4):333-44. DOI: https://doi.org/10.4103/ijmr.IJMR_1937_17
Aydin K, Cinar N, Aksoy DY, Bozdag G, Yildiz BO. Body composition in lean women with polycystic ovary syndrome: effect of ethinyl estradiol and drospirenone combination. Contraception. 2013;87(3):358-62. DOI: https://doi.org/10.1016/j.contraception.2012.07.005
Gill H, Tiwari P, Dabadghao P. Prevalence of polycystic ovary syndrome in young women from North India: a community-based study. Indian J Endocrinol Metab. 2012;16:S389-92.
Dunaif A. Insulin action in the polycystic ovary syndrome. Endocrinol Metab Clin North Am. 1999;28(2):341-59. DOI: https://doi.org/10.1016/S0889-8529(05)70073-6
Erdmann J, Kallabis B, Oppel U, Sypchenko O, Wagenpfeil S, Schusdziarra V. Development of hyperinsulinemia and insulin resistance during the early stage of weight gain. Am J Physiol Endocrinol Metab. 2008;294(3):E568-75. DOI: https://doi.org/10.1152/ajpendo.00560.2007
Teede HJ, Joham AE, Paul E, Moran LJ, Loxton D, Jolley D, et al. Longitudinal weight gain in women identified with polycystic ovary syndrome: results of an observational study in young women. Obesity. 2013;21(8):1526-32. DOI: https://doi.org/10.1002/oby.20213
Di Lorenzo M, Cacciapuoti N, Lonardo MS, Nasti G, Gautiero C, Belfiore A, et al. Pathophysiology and nutritional approaches in polycystic ovary syndrome (PCOS): a comprehensive review. Curr Nutr Rep. 2023;12(3):527-44. DOI: https://doi.org/10.1007/s13668-023-00479-8
Stepto NK, Cassar S, Joham AE, Hutchison SK, Harrison CL, Goldstein RF, et al. Women with polycystic ovary syndrome have intrinsic insulin resistance on euglycaemic–hyperinsulaemic clamp. Hum Reprod. 2013;28(3):777-84. DOI: https://doi.org/10.1093/humrep/des463
Facchinetti F, Unfer V, Dewailly D, Kamenov ZA, Diamanti-Kandarakis E, Laganà AS, et al. Inositols in polycystic ovary syndrome: an overview on the advances. Trends Endocrinol Metab. 2020;31(6):435-47. DOI: https://doi.org/10.1016/j.tem.2020.02.002
Pasquali R, Casimirri F. The impact of obesity on hyperandrogenism and polycystic ovary syndrome in premenopausal women. Clin Endocrinol (Oxf). 1993;39(1):1-6. DOI: https://doi.org/10.1111/j.1365-2265.1993.tb01744.x
Manlove HA. Polycystic ovary syndrome (PCOS) in urban India. University of Nevada, Las Vegas; 2010. Available at: https://oasis.library. unlv.edu/cgi/view content.cgi?referer=&httpsredir=1&article=1937&context=thesesdissertations. Accessed on 14 March 2026.
Gill H, Tiwari P, Dabadghao P. Prevalence of polycystic ovary syndrome in young women from North India: a community-based study. Indian J Endocrinol Metab. 2012;16:S389-92. DOI: https://doi.org/10.4103/2230-8210.104104
Weiner JS, Lourie JA. Practical human biology. Academic Press. 1981.
Gopalan C, Rama Sastri BV, Balasubramanyam SC. Nutritive values of Indian foods. Hyderabad: National Institute of Nutrition; 1991. Available at: https://www.scribd.com/document/383179301/Nutritive-values-Indian-food-pdf. Accessed on 14 March 2026.
Lovejoy JC, Champagne CM, Smith SR, de Jonge L, Xie H. Ethnic differences in dietary intakes, physical activity, and energy expenditure in middle-aged, premenopausal women: the Healthy Transitions Study. Am J Clin Nutr. 2001;74(1):90-5. DOI: https://doi.org/10.1093/ajcn/74.1.90
Shang Y, Zhou H, Hu M, Feng H. Effect of diet on insulin resistance in polycystic ovary syndrome. J Clin Endocrinol Metab. 2020;105(10):3346-60. DOI: https://doi.org/10.1210/clinem/dgaa425
Wright CE, Zborowski JV, Talbott EO, McHugh-Pemu K, Youk A. Dietary intake, physical activity, and obesity in women with polycystic ovary syndrome. Int J Obes. 2004;28(8):1026-32. DOI: https://doi.org/10.1038/sj.ijo.0802661
Xia HX, Zhang W. Study of association between polycystic ovary syndrome and dietary intake. J Reprod Contracept. 2012;23(1):29-40. DOI: https://doi.org/10.1016/S1001-7844(13)60004-8
Daniela R, Valentina I, Simona DC, Valeria T, Antonio L. Neuroendocrine regulation of food intake in polycystic ovary syndrome. Reprod Sci. 2018;25(5):644-53. DOI: https://doi.org/10.1177/1933719117728803
Dumesic DA, Phan JD, Leung KL, Grogan TR, Ding X, Li X, et al. Adipose insulin resistance in normal-weight women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2019;104(6):2171-83. DOI: https://doi.org/10.1210/jc.2018-02086
Ahmadi A, Akbarzadeh M, Mohammadi F, Akbari M, Jafari B, Tolide-Ie HR. Anthropometric characteristics and dietary pattern of women with polycystic ovary syndrome. Indian J Endocrinol Metab. 2013;17(4):672-6. DOI: https://doi.org/10.4103/2230-8210.113759
Barr S, Hart K, Reeves S, Sharp K, Jeanes YM. Habitual dietary intake, eating pattern and physical activity of women with polycystic ovary syndrome. Eur J Clin Nutr. 2011;65(10):1126-32. DOI: https://doi.org/10.1038/ejcn.2011.81
Douglas CC, Norris LE, Oster RA, Darnell BE, Azziz R, Gower BA. Difference in dietary intake between women with polycystic ovary syndrome and healthy controls. Fertil Steril. 2006;86(2):411-7. DOI: https://doi.org/10.1016/j.fertnstert.2005.12.054
Han Y, Wu H, Sun S, Zhao R, Deng Y, Zeng S, et al. Effect of high fat diet on disease development of polycystic ovary syndrome and lifestyle intervention strategies. Nutrients. 2023;15(9):2230. DOI: https://doi.org/10.3390/nu15092230
Zhang L, Jin Y, Yang A, Yu X, Li Y, Wang X, et al. Optimizing carbohydrate quality: a path to better health for women with PCOS. Front Nutr. 2025;12:1578459. DOI: https://doi.org/10.3389/fnut.2025.1578459
Holte J, Bergh T, Berne CH, Wide L, Lithell H. Restored insulin sensitivity but persistently increased early insulin secretion after weight loss in obese women with polycystic ovary syndrome. J Clin Endocrinol Metab. 1995;80(9):2586-93. DOI: https://doi.org/10.1210/jcem.80.9.7673399
Mavropoulos JC, Yancy WS, Hepburn J, Westman EC. The effects of a low-carbohydrate, ketogenic diet on the polycystic ovary syndrome: a pilot study. Nutr Metab (Lond). 2005;2(1):35. DOI: https://doi.org/10.1186/1743-7075-2-35
Crosignani PG, Colombo M, Vegetti W, Somigliana E, Gessati A, Ragni G. Overweight and obese anovulatory patients with polycystic ovaries: improvements induced by diet. Hum Reprod. 2003;18(9):1928-32. DOI: https://doi.org/10.1093/humrep/deg367
Shishehgar F, Tehrani FR, Mirmiran P, Hajian S, Baghestani AR, Moslehi N. Comparison of dietary intake between polycystic ovary syndrome women and controls. Glob J Health Sci. 2016;8(9):302. DOI: https://doi.org/10.5539/gjhs.v8n9p302
Moran LJ, Ranasinha S, Zoungas S, McNaughton SA, Brown WJ, Teede HJ. Contribution of diet and physical activity to BMI in women with and without PCOS. Hum Reprod. 2013;28(8):2276-83. DOI: https://doi.org/10.1093/humrep/det256
Leung WT, Tang Z, Feng Y, Guan H, Huang Z, Zhang W. Lower fiber consumption in women with polycystic ovary syndrome: a meta-analysis. Nutrients. 2022;14(24):5285. DOI: https://doi.org/10.3390/nu14245285
Li YJ, Chen X, Kwan TK, Loh YW, Singer J, Liu Y, et al. Dietary fiber protects against diabetic nephropathy through short-chain fatty acids. J Am Soc Nephrol. 2020;31(6):1267-81. DOI: https://doi.org/10.1681/ASN.2019101029
Zhao L, Zhang F, Ding X, Wu G, Lam YY, Wang X, et al. Gut bacteria promoted by dietary fibers alleviate type 2 diabetes. Science. 2018;359(6380):1151-6. DOI: https://doi.org/10.1126/science.aao5774
Tsai YH, Wang TW, Wei HJ, Hsu CY, Ho HJ, Chen WH, et al. Dietary intake, glucose metabolism and sex hormones in women with PCOS compared with infertility controls. Br J Nutr. 2013;109(12):2190-8. DOI: https://doi.org/10.1017/S0007114512004369
Pal L, Berry A, Coraluzzi L, Kustan E, Danton C, Shaw J, et al. Therapeutic implications of vitamin D and calcium in overweight women with PCOS. Gynecol Endocrinol. 2012;28(12):965-8. DOI: https://doi.org/10.3109/09513590.2012.696753
Krul-Poel YH, Snackey C, Louwers Y, Lips PT, Lambalk CB, Laven JS, et al. Role of vitamin D in metabolic disturbances in PCOS: a systematic review. Eur J Endocrinol. 2013;169(6):853-65. DOI: https://doi.org/10.1530/EJE-13-0617
Yildizhan R, Kurdoglu M, Adali E, Kolusari A, Yildizhan B, Sahin HG, et al. Serum 25-hydroxyvitamin D concentrations in obese and non-obese women with PCOS. Arch Gynecol Obstet. 2009;280(4):559-63. DOI: https://doi.org/10.1007/s00404-009-0958-7