Dietary pattern in women with polycystic ovary syndrome with and without associated non-alcoholic fatty liver disease: a cross-sectional study

Introduction: women with Polycystic Ovary Syndrome (PCOS) have a higher prevalence of Nonalcoholic Fatty Liver Disease (NAFLD) than the general population. PCOS and NAFLD have common metabolic risk factors, however, the role of diet in NAFLD development is still uncertain in PCOS women. Objective: t...

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Detalhes bibliográficos
Autores: Thais Cristine Moura Guimarães, Daniela Oliveira de Lima Taranto, Claudia Alves Couto, Mateus Jorge Nardelli, Ana Lucia Cândido, Cristina de Almeida Hott, Lucilene Rezende Anastácio, Fernando Reis, Ana Luiza Lunardi Rocha, Luciana Costa Faria
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2023
País:Brasil
Recursos:Universidade Federal de Minas Gerais (UFMG)
Repositório:Repositório Institucional da UFMG
Idioma:inglês
OAI Identifier:oai:repositorio.ufmg.br:1843/79827
Acesso em linha:https://doi.org/10.1016/j.clinsp.2023.100288
http://hdl.handle.net/1843/79827
https://orcid.org/0000-0003-1014-0296
https://orcid.org/0000-0002-6641-1350
https://orcid.org/0000-0002-9776-4757
https://orcid.org/0000-0001-7199-9980
https://orcid.org/0000-0002-9080-2319
https://orcid.org/0000-0003-0079-2557
https://orcid.org/0000-0002-2269-0722
https://orcid.org/0000-0002-9258-7472
https://orcid.org/0000-0002-4717-9541
https://orcid.org/0000-0002-0226-3491
Access Level:Acceso aberto
Palavra-chave:Polycystic ovary syndrome
Nonalcoholic fatty liver disease
Diet
Hepatopatia Gordurosa não Alcoólica
Síndrome do Ovário Policístico
Dieta
Descrição
Resumo:Introduction: women with Polycystic Ovary Syndrome (PCOS) have a higher prevalence of Nonalcoholic Fatty Liver Disease (NAFLD) than the general population. PCOS and NAFLD have common metabolic risk factors, however, the role of diet in NAFLD development is still uncertain in PCOS women. Objective: to evaluate and compare the dietary patterns and nutritional intake in patients with PCOS with and without NAFLD. Method: cross-sectional study that included patients with PCOS diagnosed according to Rotterdam criteria. All participants were submitted to abdominal ultrasound to investigate liver steatosis. Dietary profile was assessed by 24-hour food recall (24hR), and Food Frequency Questionnaire (FFQ). Diet quality was assessed by the Healthy Eating Index (HEI) adapted for the Brazilian population. Physical activity practice was also assessed. Results: 87 participants were included (average age 35.2 ± 5.7 years), among whom, 67 (77%) had NAFLD. The group with PCOS and NAFLD presented higher body mass index (BMI) (34.9 ± 4.5 vs. 30.4 ± 4.9 kg/m2; p = 0.001), Waist Circumference (WC) (103 [97‒113] vs. 95 [87.5‒100] cm; p < 0.001) and were considered physically active less frequently than those without NAFLD (34.3% vs. 60%; p = 0.04). Food intake and dietary patterns assessed by 24hR, FFQ and HEI presented no difference between the groups. Conclusions: PCOS women with coexistent NAFLD had higher BMI, WC and were less physically active than those without NAFLD. Dietary evaluation showed that PCOS women with NAFLD had no significant difference in macro and micronutrients or food group intake and diet quality in comparison to those without NAFLD.