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Article

Disordered Eating Behaviours and Eating Disorders in Women in Australia with and Without Polycystic Ovary Syndrome: A Cross-Sectional Study

by
Stephanie Pirotta
1,*,
Mary Barillaro
2,
Leah Brennan
2,
Angela Grassi
3,
Yvonne M. Jeanes
4,
Anju E. Joham
1,5,
Jayashri Kulkarni
6,
Lynn Monahan Couch
3,
Siew S. Lim
1 and
Lisa J. Moran
1
1
Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC 3168, Australia
2
Faculty of Health Sciences, School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, VIC, Australia; Centre for Eating, Weight and Body Image, Melbourne, VIC 3065, Australia
3
Nutrition Department, West Chester University of Pennsylvania, West Chester, PA 19383, USA
4
Health Sciences Research Centre, Department of Life Sciences, University of Roehampton, London SW15 5PJ, UK
5
Department of Diabetes, Monash Health, Melbourne, VIC 3168, Australia
6
Monash Alfred Psychiatry Research Centre (MAPrc), Melbourne, VIC 3004, Australia
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(10), 1682; https://doi.org/10.3390/jcm8101682
Received: 23 August 2019 / Revised: 24 September 2019 / Accepted: 27 September 2019 / Published: 14 October 2019
(This article belongs to the Special Issue Polycystic Ovary Syndrome: Phenotype and Treatment)
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Abstract

Psychological co-morbidities common in polycystic ovary syndrome (PCOS) may contribute to disordered eating and subsequent weight gain. This cross-sectional study aimed to determine the prevalence of disordered eating and a range of eating disorders and demographic risk factors associated with these behaviours within an Australian group of women with and without PCOS. Data from 899 women with (n = 501) and without (n = 398) PCOS were analysed as possibly indicative of disordered eating or eating disorders using the Eating Disorder Examination Questionnaire (EDE-Q) and The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria. Disordered eating (p = 0.012) but not eating disorders (p = 0.076) were more prevalent in women with PCOS compared to controls. Increased body mass index (BMI) [Odds Ratio (OR): 1.03; 95%; Confidence Interval (CI): 1.01, 1.05, p = 0.012] and older age [OR: 1.05; 95%CI: 1.02, 1.08, p = 0.002] but not PCOS diagnosis [OR: 1.43; 95%CI: 0.96, 2.13 p = 0.078] increased the odds of disordered eating. Increased BMI [OR: 1.04; 95%CI: 1.02, 1.06, p < 0.001] and younger age [OR: -0.95; 95%CI: 0.93–0.95, p < 0.001] but not PCOS diagnosis [OR: 1.38; 95%CI: 0.97, 1.95, p = 0.076] increased the odds of an eating disorder. Clinicians are recommended to screen all women with PCOS for possible disordered eating behaviours, with particular attention to women with elevated BMI. View Full-Text
Keywords: polycystic ovary syndrome; disordered eating; eating disorder; binge-eating polycystic ovary syndrome; disordered eating; eating disorder; binge-eating
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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MDPI and ACS Style

Pirotta, S.; Barillaro, M.; Brennan, L.; Grassi, A.; Jeanes, Y.M.; Joham, A.E.; Kulkarni, J.; Couch, L.M.; Lim, S.S.; Moran, L.J. Disordered Eating Behaviours and Eating Disorders in Women in Australia with and Without Polycystic Ovary Syndrome: A Cross-Sectional Study. J. Clin. Med. 2019, 8, 1682. https://doi.org/10.3390/jcm8101682

AMA Style

Pirotta S, Barillaro M, Brennan L, Grassi A, Jeanes YM, Joham AE, Kulkarni J, Couch LM, Lim SS, Moran LJ. Disordered Eating Behaviours and Eating Disorders in Women in Australia with and Without Polycystic Ovary Syndrome: A Cross-Sectional Study. Journal of Clinical Medicine. 2019; 8(10):1682. https://doi.org/10.3390/jcm8101682

Chicago/Turabian Style

Pirotta, Stephanie, Mary Barillaro, Leah Brennan, Angela Grassi, Yvonne M. Jeanes, Anju E. Joham, Jayashri Kulkarni, Lynn M. Couch, Siew S. Lim, and Lisa J. Moran. 2019. "Disordered Eating Behaviours and Eating Disorders in Women in Australia with and Without Polycystic Ovary Syndrome: A Cross-Sectional Study" Journal of Clinical Medicine 8, no. 10: 1682. https://doi.org/10.3390/jcm8101682

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