Adherence
Women with severe obesity and PCOS exhibit significantly higher baseline cognitive restraint eating compared to women with severe obesity without PCOS, yet fail to show favorable alterations in eating behaviors (reduced emotional/uncontrolled eating, increased cognitive restraint) after a 12-month structured weight loss intervention, unlike their non-PCOS counterparts.
If you have PCOS and severe obesity, you can lose significant weight (12-14 kg) with a structured intervention, just like women without PCOS. However, standard dietary restriction alone may not change your eating habits (emotional or uncontrolled eating) as effectively. You likely need targeted behavioral support to address emotional eating, not just calorie counting, to maintain the weight loss.
Women with PCOS showed elevated baseline scores in cognitive restraint eating... compared to women without PCOS... Although significant weight loss was seen in both groups, alterations in eating behavior more favorable for weight loss were only seen in women without PCOS.
Why this rating
Prospective clinical trial with a reasonable sample size (n=246 baseline, n=72 follow-up), using validated questionnaires (TFEQ, FFQ), though self-reported data has inherent bias.
Source
A prospective 12‐month structured weight loss intervention in women with severe obesity and polycystic ovary syndrome: Impact of weight loss on eating behaviors
Josefin Kataoka et al. · Acta Obstetricia Et Gynecologica Scandinavica · 2024
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