Polycystic ovarian syndrome (PCOS) : an audit of how many PCOS patients struggle to lose weight with recommended diet management in a Tygerberg Hospital population

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dc.contributor.advisorMatsaseng, T.en_ZA
dc.contributor.authorAlwakwak, Asma Ahmed E.en_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology.en_ZA
dc.date.accessioned2023-03-07T07:29:22Z
dc.date.accessioned2023-05-18T07:12:34Z
dc.date.available2023-03-07T07:29:22Z
dc.date.available2023-05-18T07:12:34Z
dc.date.issued2022-12
dc.descriptionThesis (MMed)--Stellenbosch University, 2022.en_ZA
dc.description.abstractENGLISH SUMMARY: Introduction: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder of women in the reproductive eage (Matsaseng, 2017). It has a variable clinical appearance, with manifestations that include menstrual irregularities, hirsutism, acne, obesity, infertility, impaired glucose tolerance, diabetes, and a significant cardiovascular risk profile (Teedeetal., 2010). Globally, the prevalence of PCOS is 5% to 10% of women in the reproductive age. Insub-Saharan Africa, studies on the prevalence of PCOS are scarce and values range from 16% to 32% (Pembe & Abeid, 2009). Materials and Methods: Aim of the study: To evaluate how many PCOS patients struggle to lose weight with recommended diet management in a Tygerberg Hospital population. Study design: This is a retrospective observational study. Setting: The setting of the study is the Reproductive Medicine Unit of the Department of Obstetrics and Gynaecology at the Tygerberg Academic Hospital. Results: A total of 73 women were recruited for the study between June and December 2021. The average age of the study participants was 29.3years. All of the study participants (100 %) struggled to lose there commended weight. Average BMI was 38.1kg/m2 and 37.7kg/m2 at first and last visit, respectively. We created two BMI category variables, each with four levels, namely pre-obese, obese class 1, obese class 2, and obese class 3. Most of the participants were obese class 2 at both the first and last visits. The classification was pre-obese (25 to 29.9), class 1 (30 to 34.9), which is associated with a mildly increased risk of co-morbidities, class 2 (35 to 39.9), which is associated with a moderately increased risk of co-morbidities, and class 3 (≥40), which is associated with a severe risk of co-morbidities. Conclusion: Inconclusion, our study shows that 38 % of patients with PCOS at Tygerberg Academic Hospital are obese, and none of the patients succeeded in losing the recommended weight following the initial standard therapy offered.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.af_ZA
dc.description.versionMasters
dc.format.extent43 pages
dc.identifier.urihttp://hdl.handle.net/10019.1/127260
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshPolycystic ovary syndromeen_ZA
dc.subject.lcshInsulin resistanceen_ZA
dc.subject.lcshPolycystic ovary syndrome -- Diet therapyen_ZA
dc.subject.nameUCTD
dc.titlePolycystic ovarian syndrome (PCOS) : an audit of how many PCOS patients struggle to lose weight with recommended diet management in a Tygerberg Hospital populationen_ZA
dc.typeThesisen_ZA
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