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Knowledge, Attitudes, and Barriers towards Dietary Pulse Consumption in Women with Polycystic Ovary Syndrome Participating in a Multi-Disciplinary Lifestyle Intervention to Improve Women’s Health

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Division of Nutrition and Dietetics, College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada
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Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA
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College of Kinesiology, Physical Activity Complex, University of Saskatchewan, 87 Campus Drive, Saskatoon, SK S7N 5B2, Canada
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Obstetrics and Gynecology, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK S7N 0W8, Canada
*
Author to whom correspondence should be addressed.
Received: 30 December 2020 / Revised: 20 January 2021 / Accepted: 28 January 2021 / Published: 1 February 2021
Pulse (beans, lentils, chickpeas, peas) consumption is low in developed countries. Pulses have the potential to benefit the management of polycystic ovary syndrome (PCOS) because they improve aspects of metabolic derangements (dyslipidaemia, insulin resistance), which contribute to reproductive disturbances (oligo-amenorrhea, hyperandrogenism). We compared changes in knowledge, attitudes, and barriers towards pulse consumption in PCOS cohorts who participated in a pulse-based or a Therapeutic Lifestyle Changes (TLC) dietary intervention. Thirty women (18–35 years old) randomised to a pulse-based diet (supplied with pulse-based meals) and 31 women in a TLC group completed pulse consumption questionnaires before and after a 16-week intervention. The pulse-diet group demonstrated increased knowledge of pulses per Canada’s Food Guide recommendations versus the TLC group post-intervention (p < 0.05). In both groups, increased scores were evident in the domain of attitude about pulses (p < 0.01). The top-ranked barrier to pulse consumption in no-/low-consumers was lack of knowledge about cooking pulses pre- and post-intervention. We attributed increased knowledge about pulse consumption in the pulse group to greater awareness through education and consuming pulse foods during the intervention. Our observations highlight the importance of multi-dimensional behavioural counselling and education to integrate healthy dietary practices for improving reproductive and sexual health in this under-studied high-risk population (ClinicalTrials.gov identifier: NCT01288638). View Full-Text
Keywords: women’s health; education; behaviour; diet; lifestyle; legumes; PCOS; reproductive health; sexual health; randomised clinical trial women’s health; education; behaviour; diet; lifestyle; legumes; PCOS; reproductive health; sexual health; randomised clinical trial
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MDPI and ACS Style

Kazemi, M.; McBreairty, L.E.; Chilibeck, P.D.; Pierson, R.A.; Chizen, D.R.; Zello, G.A. Knowledge, Attitudes, and Barriers towards Dietary Pulse Consumption in Women with Polycystic Ovary Syndrome Participating in a Multi-Disciplinary Lifestyle Intervention to Improve Women’s Health. Sexes 2021, 2, 88-103. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes2010008

AMA Style

Kazemi M, McBreairty LE, Chilibeck PD, Pierson RA, Chizen DR, Zello GA. Knowledge, Attitudes, and Barriers towards Dietary Pulse Consumption in Women with Polycystic Ovary Syndrome Participating in a Multi-Disciplinary Lifestyle Intervention to Improve Women’s Health. Sexes. 2021; 2(1):88-103. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes2010008

Chicago/Turabian Style

Kazemi, Maryam, Laura E. McBreairty, Philip D. Chilibeck, Roger A. Pierson, Donna R. Chizen, and Gordon A. Zello 2021. "Knowledge, Attitudes, and Barriers towards Dietary Pulse Consumption in Women with Polycystic Ovary Syndrome Participating in a Multi-Disciplinary Lifestyle Intervention to Improve Women’s Health" Sexes 2, no. 1: 88-103. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes2010008

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