This project aims to compare "diet" and "diet and exercise combination" interventions in obese women with polycystic ovary syndrome. This project will be carried out in the Dokuz Eylül University Research and Application Hospital gynecology outpatient clinic between June 1, 2022 and June 1, 2024. The purpose of the project will be explained to women who meet the sampling criteria, and their informed consent will be obtained. A prospective and randomized comparison of "diet" and "diet and exercise combination" interventions, which are among the first-line treatment lifestyle changes recommended for PCOS, will be done. In the project, 33 women in the first group will receive "diet" intervention for 12 weeks, and 33 women in the second group will receive "diet and exercise combination" intervention. "Descriptive Characteristics Form" will be filled in for both groups, then at the beginning and at the end of the project, routine ultrasonography and laboratory test parameters for PCOS diagnosis criteria and menstrual cycle characteristics will be recorded, hirsutism score, alopecia score and acne level will be evaluated, the Utian Quality of Life Scale, Body Appreciation Scale, and the Short Form of the Oxford Happiness Questionnaire will be filled out. Body composition analysis will be performed in both groups at the beginning of the project, in the fourth and eighth weeks, and personal dietary recommendations will be given. Kitchen scales will be given to both groups to adapt to dietary recommendations and a mobile nutrition application will be used to record their diets. Person-specific exercise recommendations will be given to the second group at the beginning of the project, in the fourth and eighth weeks. In addition, women will be informed with a guide to behavioral changes specific to PCOS, which will be prepared specific to their group. Exercise parameters will be recorded by giving the same mobile application. Mobile nutrition application data will be collected via e-mail in the fourth, eighth and twelfth weeks of the project.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
27
In the project, 33 women in the first group will receive "diet" intervention for 12 weeks, and 33 women in the second group will receive "diet and exercise combination" intervention.
Dokuz Eylül University
Izmir, İzmir, Turkey (Türkiye)
The smartwatch was evaluated as the primary outcome measure to assess the difference between the two groups.
Monthly average number of steps between groups
Time frame: 12 weeks
The mobile nutrition app was evaluated as the primary outcome measure to assess the difference between the two groups.
Average monthly calorie intake between groups
Time frame: 12 weeks
Changes in body mass index (BMI) of women with polycystic ovary syndrome
Changes in BMI will be evaluated using kg/m\^2.
Time frame: 12 weeks
Quality of life of women with polycystic ovary syndrome
Quality of life assessed by Utian Quality of Life Scale. This scale consists of five-point Likert type, 23 items and four sub-dimensions (health, emotional, sexual and occupational quality of life). The lowest score that can be obtained from the scale is 23, and the highest score is 115. An increase in the scale and sub-dimension scores indicates that the quality of life increases. The Cronbach Alpha coefficient of the scale is 0.88.
Time frame: 12 weeks
Satisfaction of women with polycystic ovary syndrome
Satisfaction assessed by Body Satisfaction Scale. This scale is five-point Likert type. It consists of two factors, general body satisfaction and investment in body image, and nine items. High scores from the scale reflect high body satisfaction. The Cronbach Alpha coefficient of the scale is 0.87.
Time frame: 12 weeks
The number of ovarian cysts
Ultrasound measurements 12 weeks later
Time frame: 12 weeks
The value of hirsutism among PCOS symptoms between the groups
Ferriman-Gallwey score (mFG) system was used for hirsutism.
Time frame: 12 weeks
The grade of alopecia among PCOS symptoms between the groups
the Ludwig classification system was used.
Time frame: 12 weeks
The value of acne among PCOS symptoms between the groups
The Global Acne Grading System was used.
Time frame: 12 weeks
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