Polycystic Ovarian Syndrome - PCOS. Presented by: Shannon Lynch, MSU Dietetic Intern

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1 Polycystic Ovarian Syndrome - PCOS Presented by: Shannon Lynch, MSU Dietetic Intern

2 Objectives Identify two nutrition recommendations for those with PCOS. Be able to refer patients to two different resources for PCOS nutrition information.

PCOS - What is it? The most common endocrine/reproductive disorder for women of reproductive age. 1,11 Ovaries produce more male hormones than normal.

3 PCOS - What is it? The most common endocrine/reproductive disorder for women of reproductive age. 1,11 Ovaries produce more male hormones than normal. 2,3,6,9,10 Insulin resistance 1,6,9,11 The ovaries may develop numerous small cysts. 2,3,6,9 Wide variety of symptoms/signs: 2,3,6,10 Fatigue, irregular menstrual periods, infertility, acne, weight gain, excessive hair growth on face, chest, stomach or thighs and or patches of thickened skin. No one body type!

4 Affects of Elevated Insulin Levels Insulin Resistance High Insulin High Androgens Irregular menstrual cycles Hormone disruption Body image High CHO cravings Growth hormone Potential for weight gain Hirsutism Balding Acne Less than 8 per year Heavy/painful cramps Satiety signaling impacted Increased appetite Fatigue Anxiety/depression CHO cravings Current standards of body image

5 Diagnosing PCOS LAB TEST RESULT Irregular periods Testosterone total Glucose fasting Glucose Tol 1 hr Glucose Tol 2 hr 57 ng/dl (2-45 ng/dl) 80 mg/dl (65-99 mg/dl) 66 mg/dl 60 mg/dl ( mg/dl) Cysts on Ovaries Lab tests Need a combination of these to clinically diagnose.

6 Nutrition Implications Eating for PCOS

7 Nutrition Therapy CCHO Main focus: improving insulin function 7,10,11,14 High fiber, CCHO, whole grains 3,6,7,14 Vitamin D 6, Zinc 4,5,11 Balance MNT Activity Physical activity 2,3,6,9,10,14 Mindful eating 7,10,11 when hormones are stable! 14 Remember the CHO cravings/satiety signaling being impacted. Increasing gut microbiome diversity 13 Mindful Eating

8 Nutrition Related Complications Type 2 Diabetes or Prediabetes. 2,3,9,10,14 Metabolic Syndrome. 2,3,9,10,14 Depression & Anxiety. 2,3,9,10,14 Higher Risk for Eating Disorders 2,3,7,14

9 Medication Options: Oral Contraceptives Anti-Androgens Metformin Thiazolidenediones (TZD)

Resources for Patients/RD s PCOS Nutrition Center http://www.pcosnutrition.com/category/pcosdiet/ Personal website for Angela Grassi PCOS Network www.pcosnetwork.

10 Resources for Patients/RD s PCOS Nutrition Center Personal website for Angela Grassi PCOS Network Helps locate professionals, books/resources Project PCOS Awareness, information and support Soulcysters Message board where you can ask questions Polycystic Ovary Asssociation Locate professionals who treat PCOS. News letter Gurze Books Online catalog specializing in disordered eating

team Balance MNT Activity Credible sources of

11 Summary CCHO Treatment plans focus on improving insulin function RD s play a major part of the care team Balance MNT Activity Credible sources of information is key! Everyone s experience is unique Mindful Eating

12 Citations 1. (2018). How many people are affected or at risk for PCOS?. [online] Available at: click here [Accessed 26 Mar. 2018]. 2. Medlineplus.gov. (2018). PCOS Polycystic Ovary Syndrome MedlinePlus. [online] Available at: [Accessed 26 Mar. 2018]. 3. Mayoclinic.org. (2018). Symptoms and causes - Mayo Clinic. [online] Available at: [Accessed 26 Mar. 2018]. 4. Grassi, A. (2018). What Does Zinc Have to Do with PCOS? A Lot! - PCOS Nutrition Center. [online] PCOS Nutrition Center. Available at: [Accessed 26 Mar. 2018]. 5. Siahbazi, S., Behboudi-Gandevani, S., Moghaddam-Banaem, L. and Montazeri, A. (2018). Effect of zinc sulfate supplementation on premenstrual syndrome and health-related quality of life: Clinical randomized controlled trial. 6. Reference, G. (2018). Polycystic ovary syndrome. [online] Genetics Home Reference. Available at: [Accessed 26 Mar. 2018]. 7. Grassi, A. (2018). New Data on Polycystic Ovary Syndrome - Today's Dietitian Magazine. [online] Todaysdietitian.com. Available at: [Accessed 26 Mar. 2018]. 8. Moreira, M., Pinto, I., Mourão, A., Fajemiroye, J., Colombari, E., Reis, Â., Freiria-Oliveira, A., Ferreira-Neto, M. and Pedrino, G. (2018). Does the sympathetic nervous system contribute to the pathophysiology of metabolic syndrome?. 9. Medical Institution (2018). Polycystic Ovarian Syndrome - Made EASY. [image] Available at: [Accessed 26 Mar. 2018]. 10. Grigorescu, V., Comeaux Plowden, T. and Pal, L. (2018). Polycystic ovary syndrome womenshealth.gov. [online] womenshealth.gov. Available at: [Accessed 26 Mar. 2018]. 11. Grassi, A. Mattei, S. (2015). PCOS Workbook. Your Guide to Complete Physical and Emotional Health. Luca Publishing, Bryn Mar PA This Photo by Unknown Author is licensed under CC BY-NC 13. Pedro J Torres, Martyna Siakowska, Beata Banaszewska, Leszek Pawelczyk, Antoni J Duleba, Scott T Kelley, Varykina G Thackray; Gut Microbial Diversity in Women With Polycystic Ovary Syndrome Correlates With Hyperandrogenism, The Journal of Clinical Endocrinology & Metabolism, Volume 103, Issue 4, 1 April 2018, Pages , Bruere, Terrill. All Fired Up Pod Cast: Weight Loss and Women s Health.

What is PCOS? PCOS THE CONQUER PCOS E-BOOK. You'll be amazed when you read this...

What is PCOS? PCOS THE CONQUER PCOS E-BOOK. You'll be amazed when you read this... PCOS What is PCOS? You'll be amazed when you read this... What is PCOS?. Who is at risk? How to get tested? What are the complications. Is there a cure? What are the right ways to eat? What lifestyle changes