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Low intakes of dietary fiber and magnesium are associated with insulin resistance and hyperandrogenism in polycystic ovary syndrome: A cohort study

Cutler DA, Pride SM, Cheung AP

Food science & nutrition · 41 citas

Cómo se estudió

Diseño
Estudio de cohortes (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente

Según la declaración de financiación del texto completo.

Publicación

Publicado
2019-02-27 · Food Sci Nutr · vol. 7 · número 4 · págs. 1426–1437
Editorial
Wiley
Citado
69 citas · más que el 98% de estudios similares · 9.7× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
63 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY
Áreas de investigación
Ovarian function and disorders · Magnesium in Health and Disease · Reproductive Biology and Fertility
Palabras clave
Polycystic ovary, Medicine, Endocrinology, Internal medicine, Insulin resistance, Hyperandrogenism, Dehydroepiandrosterone sulfate, Body mass index, Obesity, Testosterone (patch), Insulin, Glycemic index, Hormone, Glycemic, Androgen

3 autores

  • Dylan A. Cutler🇨🇦University of British Columbia
  • Sheila M. Pride🇨🇦University of British Columbia
  • Anthony P. Cheung🇨🇦 · autor de correspondenciaUniversity of British Columbia

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Women with polycystic ovary syndrome (PCOS) often have insulin resistance (IR) which may be worsened by obesity. The roles of dietary intake and activity are unclear. Our objectives were to determine whether (a) high caloric intake or inactivity explains obesity in PCOS, and (b) dietary composition is associated with PCOS phenotypes.

Methods

Eighty-seven women with PCOS and 50 women without PCOS participated in this cohort study at a reproductive medicine center. Data collected included 3-day food and physical activity records, anthropometrics, and metabolic and hormonal assays.

Results

Women with PCOS had increased body mass index (BMI) but similar caloric intake and activity to women without PCOS. There were no differences in protein, carbohydrates, fat, or glycemic load consumption, but women with PCOS consumed less fiber (medians: 19.6 vs. 24.7 g) and less magnesium (medians: 238.9 vs. 273.9 mg). In women with PCOS, those with IR consumed less fiber, less magnesium, and greater glycemic load than those without IR (medians: 18.2 vs. 22.1 g, 208.4 vs. 264.5 mg, 89.6 vs. 83.5). Fiber intake of women with PCOS was negatively correlated with IR, fasting insulin, glucose tolerance, testosterone, and dehydroepiandrosterone sulfate. Magnesium intake was negatively correlated with IR, C-reactive protein, and testosterone, but positively correlated with HDL cholesterol. Fiber intake and BMI accounted for 54.0% of the variance observed in IR.

Conclusions

Obesity in women with PCOS could not be explained by overeating or inactivity. Increasing dietary fiber and magnesium intakes may assist in reducing IR and hyperandrogenemia in women with PCOS.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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