University of Oulu, A recent study from the University of Oulu and ODL Sports Clinic has revealed that emotional and uncontrolled eating behaviors are notably more prevalent among middle-aged women diagnosed with polycystic ovary syndrome (PCOS). The research underscores that psychological distress significantly heightens the long-term risk of disordered eating in this population.
Previous studies have indicated that young women of reproductive age with PCOS experience heightened body dissatisfaction and have a binge-eating disorder risk up to three times greater than their peers. The new findings extend these concerns to middle-aged women, demonstrating that depression, anxiety, previous unsuccessful weight-loss attempts, and self-perception as overweight are key factors contributing to disordered eating behaviors.
“Weight management is often a focal point in the treatment of PCOS. However, without adequate support, weight-loss strategies can become extreme and may ultimately lead to eating disorders,” explains Doctoral Researcher Emilia Pesonen. She highlights that weight-related stigma—prejudice and discrimination faced by overweight individuals—can further complicate treatment efforts. Such stigma can occur in various settings, including workplaces and healthcare environments, leading to inadequate care.
Professor Terhi Piltonen, the lead researcher, emphasizes the need for healthcare providers to engage in sensitive discussions about weight and to offer comprehensive care that addresses both physical and psychological aspects of PCOS. “It is crucial to actively inquire about disordered eating behaviors among women diagnosed with PCOS and to refer them for further treatment when necessary,” she states.
Additionally, Piltonen advocates for the inclusion of obesity medications in the treatment regimen for PCOS. “Preliminary research suggests that satiety hormones may function differently in women with PCOS, potentially contributing to their challenges with uncontrolled eating and weight gain. Medication could offer significant support in managing these issues.”
The study analyzed data from nearly 1,200 women participating in the Northern Finland Birth Cohort 1966. Specifically, 251 women with PCOS responded to a questionnaire regarding their eating behaviors at the age of 46. Researchers examined risk factors for disordered eating at both 31 and 46 years of age.
PCOS is the most common hormonal disorder affecting women of reproductive age, characterized by irregular menstrual cycles, elevated levels of male hormones, and the presence of polycystic ovaries. Previous research has linked the syndrome to increased risks of both metabolic and psychological disorders.
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