Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome

Stephanie Pirotta; Siew Lim; Angela Grassi; Lynn Monahan Couch; Yvonne Jeanes; Anju Joham; Helena Teede; Lisa Moran

doi:10.1016/j.pec.2021.04.036

Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome

Stephanie Pirotta, Siew Lim, Angela Grassi, Lynn Monahan Couch, Yvonne Jeanes, Anju Joham, Helena Teede, Lisa Moran

School of Life and Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS. Methods: An 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. Results: Implementation 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]. Conclusions: PA 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 implications Other 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.

Original language	English
Journal	Patient Education and Counseling
Early online date	2021
DOIs	https://doi.org/10.1016/j.pec.2021.04.036
Publication status	Published - 4 May 2021

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10.1016/j.pec.2021.04.036

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@article{d27c3ae374c64ed3ad02828e212ae8a0,

title = "Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome",

abstract = "Objective: To determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS. Methods: An 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. Results: Implementation 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]. Conclusions: PA 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 implications Other 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.",

author = "Stephanie Pirotta and Siew Lim and Angela Grassi and Couch, {Lynn Monahan} and Yvonne Jeanes and Anju Joham and Helena Teede and Lisa Moran",

year = "2021",

month = may,

day = "4",

doi = "10.1016/j.pec.2021.04.036",

language = "English",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier",

}

TY - JOUR

T1 - Relationships between self-management strategies and physical activity and diet quality in women with polycystic ovary syndrome

AU - Pirotta, Stephanie

AU - Lim, Siew

AU - Grassi, Angela

AU - Couch, Lynn Monahan

AU - Jeanes, Yvonne

AU - Joham, Anju

AU - Teede, Helena

AU - Moran, Lisa

PY - 2021/5/4

Y1 - 2021/5/4

N2 - Objective: To determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS. Methods: An 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. Results: Implementation 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]. Conclusions: PA 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 implications Other 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.

AB - Objective: To determine the relationships of self-management strategies and physical activity (PA) and diet quality in women with PCOS. Methods: An 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. Results: Implementation 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]. Conclusions: PA 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 implications Other 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.

U2 - 10.1016/j.pec.2021.04.036

DO - 10.1016/j.pec.2021.04.036

M3 - Article

SN - 0738-3991

JO - Patient Education and Counseling

JF - Patient Education and Counseling

ER -