The role of diet and physical activity in PCOS - A Quick Review
DOI:
https://doi.org/10.12775/QS.2025.38.57814Keywords
polycystic ovary syndrome, diet, physical activityAbstract
Introduction: Polycystic Ovary Syndrome (PCOS) is a condition commonly found in young women. It is associated with many possible health consequences, ranging from acne, hirsutism, and obesity to fertility problems and even the development of endometrial cancer. Treatment is tailored to the individual, depending on various complications and needs. However, it is important to note that in most cases, the first recommended step is lifestyle modification. Key components of this include a healthy diet and physical activity. These recommendations are often overlooked or undervalued, with patients frequently expecting immediate pharmacological treatment and not believing in the potential effects of lifestyle changes.
Aim of Study: The purpose of this review is to explore and emphasize the crucial role of diet and physical activity in the management of women with PCOS.
Material and methods: PubMed and Google Scholar databases were used for the research.
Results and Conclusions: A well-balanced diet and regular physical activity play a crucial role in both the prevention and management of women with PCOS. While there are no specific diets or forms of physical activity recommended, research shows that any modifications towards eliminating unhealthy diet habits and sedentary lifestyles can significantly impact the quality of life for these women.
References
[1] Singh, Samradhi, et al. "Polycystic ovary syndrome: etiology, current management, and future therapeutics." Journal of Clinical Medicine 12.4 (2023): 1454.
[2] Sadeghi, Hosna Mohammad, et al. "Polycystic ovary syndrome: a comprehensive review of pathogenesis, management, and drug repurposing." International journal of molecular sciences 23.2 (2022): 583.
[3] Siddiqui, Sana, et al. "A brief insight into the etiology, genetics, and immunology of polycystic ovarian syndrome (PCOS)." Journal of assisted reproduction and genetics 39.11 (2022): 2439-2473.
[4] Stańczak, Natalia Anna, Ewelina Grywalska, and Ewa Dudzińska. "The latest reports and treatment methods on polycystic ovary syndrome." Annals of medicine 56.1 (2024): 2357737.
[5] Ajmal, Nida, Sanam Zeib Khan, and Rozeena Shaikh. "Polycystic ovary syndrome (PCOS) and genetic predisposition: A review article." European journal of obstetrics & gynecology and reproductive biology: X 3 (2019): 100060.
[6] Witchel, Selma Feldman, Sharon E. Oberfield, and Alexia S. Peña. "Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls." Journal of the Endocrine Society 3.8 (2019): 1545-1573.
[7] Herbert, Shannon, and Kathleen Woolf. "Moving beyond Weight: A Narrative Review of the Dietary and Lifestyle Management for Reducing Cardiometabolic Risk in Polycystic Ovary Syndrome (PCOS)." Nutrients 15.24 (2023): 5069.
[8] Wang, Jingxuan, Tailang Yin, and Su Liu. "Dysregulation of immune response in PCOS organ system." Frontiers in immunology 14 (2023): 1169232.
[9] Joshi, Anagha. "PCOS stratification for precision diagnostics and treatment." Frontiers in Cell and Developmental Biology 12 (2024): 1358755.
[10] Armanini, Decio, et al. "Controversies in the pathogenesis, diagnosis and treatment of PCOS: focus on insulin resistance, inflammation, and hyperandrogenism." International journal of molecular sciences 23.8 (2022): 4110.
[11] Di Lorenzo, M., et al. "Pathophysiology and nutritional approaches in polycystic ovary syndrome (PCOS): a comprehensive review." Current Nutrition Reports 12.3 (2023): 527-544.
[12] Calcaterra, Valeria, et al. "High Fat Diet and Polycystic Ovary Syndrome (PCOS) in Adolescence: An Overview of Nutritional Strategies." Nutrients 16.7 (2024): 938.
[13] Deshmukh, Harshal, et al. "The Effect of a Very-Low-Calorie Diet (VLCD) vs. a Moderate Energy Deficit Diet in Obese Women with Polycystic Ovary Syndrome (PCOS)—A Randomised Controlled Trial." Nutrients 15.18 (2023): 3872.
[14] Paoli, Antonio, et al. "Effects of a ketogenic diet in overweight women with polycystic ovary syndrome." Journal of translational medicine 18 (2020): 1-11.
[15] Saadati, Najmieh, et al. "The effect of low glycemic index diet on the reproductive and clinical profile in women with polycystic ovarian syndrome: a systematic review and meta-analysis." Heliyon 7.11 (2021).
[16] Shang, Yujie, et al. "Dietary modification for reproductive health in women with polycystic ovary syndrome: a systematic review and meta-analysis." Frontiers in endocrinology 12 (2021): 735954.
[17] Kim, Chan-Hee, and Seon-Heui Lee. "Effectiveness of lifestyle modification in polycystic ovary syndrome patients with obesity: a systematic review and meta-analysis." Life 12.2 (2022): 308.
[18] Ciebiera, Michał, et al. "Nutrition in gynecological diseases: current perspectives." Nutrients 13.4 (2021): 1178.
[19] Magagnini, Maria Cristina, et al. "Does the ketogenic diet improve the quality of ovarian function in obese women?." Nutrients 14.19 (2022): 4147.
[20] Colombo, Giorgia E., Stephanie Pirotta, and Angelo Sabag. "Diet and exercise in the Management of Polycystic Ovary Syndrome: practical considerations for person-centered care." Seminars in Reproductive Medicine. Thieme Medical Publishers, Inc., 2023.
[21] Kazemi, Maryam, et al. "Comparison of dietary and physical activity behaviors in women with and without polycystic ovary syndrome: a systematic review and meta-analysis of 39 471 women." Human Reproduction Update 28.6 (2022): 910-955.
[22] Han, Yingxue, et al. "Effect of high fat diet on disease development of polycystic ovary syndrome and lifestyle intervention strategies." Nutrients 15.9 (2023): 2230
[23] Al Wattar, Bassel H., et al. "Clinical practice guidelines on the diagnosis and management of polycystic ovary syndrome: a systematic review and quality assessment study." The Journal of Clinical Endocrinology & Metabolism 106.8 (2021): 2436-2446.
[24] Quarta, Alessia, et al. "Diet and Glycemic Index in Children with Type 1 Diabetes." Nutrients 15.16 (2023): 3507.
[25] Shishehgar, Farnaz, et al. "Does a restricted energy low glycemic index diet have a different effect on overweight women with or without polycystic ovary syndrome?." BMC endocrine disorders 19 (2019): 1-11.
[26] Szczuko, Małgorzata, et al. "Nutrition strategy and life style in polycystic ovary syndrome—Narrative review." Nutrients 13.7 (2021): 2452.
[27] Alesi, Simon, et al. "Nutritional supplements and complementary therapies in polycystic ovary syndrome." Advances in Nutrition 13.4 (2022): 1243-1266.
[28] Gu, Yuanyuan, et al. "Life modifications and PCOS: old story but new tales." Frontiers in endocrinology 13 (2022): 808898.
[29] Lőrincz, Csanád Endre, et al. "Mechanisms and Target Parameters in Relation to Polycystic Ovary Syndrome and Physical Exercise: Focus on the Master Triad of Hormonal Changes, Oxidative Stress, and Inflammation." Biomedicines 12.3 (2024): 560.
[30] Patten, Rhiannon K., et al. "Exercise interventions in polycystic ovary syndrome: a systematic review and meta-analysis." Frontiers in physiology 11 (2020): 606.
[31] Cowan, Stephanie, et al. "Lifestyle management in polycystic ovary syndrome–beyond diet and physical activity." BMC endocrine disorders 23.1 (2023): 14.
[32] Breyley-Smith, Annabelle, et al. "The effect of exercise on cardiometabolic risk factors in women with polycystic ovary syndrome: a systematic review and meta-analysis." International Journal of Environmental Research and Public Health 19.3 (2022): 1386.
[33] Dos Santos, Isis Kelly, et al. "The effect of exercise as an intervention for women with polycystic ovary syndrome: A systematic review and meta-analysis." Medicine 99.16 (2020): e19644.
[34] Woodward, Amie, Markos Klonizakis, and David Broom. "Exercise and polycystic ovary syndrome." Physical Exercise for Human Health (2020): 123-136.
[35] Patten, Rhiannon K., et al. "Efficacy of high-intensity interval training for improving mental health and health-related quality of life in women with polycystic ovary syndrome." Scientific Reports 13.1 (2023): 3025.
[36] Shele, Grei, Jessica Genkil, and Diana Speelman. "A systematic review of the effects of exercise on hormones in women with polycystic ovary syndrome." Journal of Functional Morphology and Kinesiology 5.2 (2020): 35.
[37] Patten, Rhiannon K., et al. "Effectiveness of exercise interventions on mental health and health-related quality of life in women with polycystic ovary syndrome: a systematic review." BMC Public Health 21 (2021): 1-12.
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Copyright (c) 2025 Natalia Pawelec, Weronika Mazur, Artur Hawajski, Natalia Jankowska, Adrianna Świerzyńska, Alicja Kapciak, Julia Górny, Katarzyna Naja
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