The Implementation of Lifestyle Modifications in Patients Diagnosed with Polycystic Ovary Syndrome (PCOS)

Abstract

DNP ProjectIntroduction: PCOS is a syndrome that impacts a female’s hormones, causing weight gain, acne, increased hair growth, and irregular periods. Implementing interventions focused on diet and exercise can reduce the risk of increased PCOS symptoms such as hirsutism and weight gain. Methods: The practice intervention project provided participants with a 10-minute educational presentation from The American College of Obstetricians and Gynecology (ACOG) and World Health Organization (WHO). Following consent, four participants began a six-week intervention including a low-carbohydrate, high protein diet and 30 minutes of moderate to high intensity walking for 5 days per week. The Ferrimen-Gallwey Scoring system was utilized to assess for severity of hirsutism. Height and weight were obtained, and body mass index (BMI) was calculated pre and post intervention. A diet recall and exercise log were utilized during project intervention. Results: The results of the dependent t-test showed a statistical difference in the participants BMI between pre-intervention (M = 40.43, SD = 9.085) and post- intervention (M = 38.575, SD = 9.7967). Ferrimen-Gallwey scores also showed a statistical difference between pre=intervention (M + 21.25, SD = 7.500) and post-intervention (M = 15.50, SD = 6.455). Overall, all four participants showed a decrease in BMI and decrease in Ferrimen-Gallwey score between pre and post intervention Discussion: Achieving symptom control of PCOS can be challenging. Compliance is a large factor in controlling and managing symptoms of PCOS. Interventions aimed at lifestyle interventions using evidence-based guidelines must be initiated at time of diagnosis to reduce the symptoms and prevent complications of PCOS