{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T23:00:30Z","timestamp":1780786830763,"version":"3.54.1"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022170","name":"University of Veterinary and Animal Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022170","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nutrition"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.nut.2026.113232","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T23:16:13Z","timestamp":1775690173000},"page":"113232","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Targeted nutritional counseling improves dietary diversity and body composition in females with polycystic ovarian syndrome (PCOS): A quasi-experimental study"],"prefix":"10.1016","volume":"149","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1153-0143","authenticated-orcid":false,"given":"Khadijah","family":"Fayyaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanaullah","family":"Iqbal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Altaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2960-8506","authenticated-orcid":false,"given":"Zahra","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5092-6800","authenticated-orcid":false,"given":"Hafiz Muhammad","family":"Shahbaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nut.2026.113232_bib0001","doi-asserted-by":"crossref","DOI":"10.1016\/j.metop.2021.100123","article-title":"PCOS and nutritional approaches: differences between lean and obese phenotype","volume":"12","author":"Barrea","year":"2021","journal-title":"Metabol Open"},{"key":"10.1016\/j.nut.2026.113232_bib0002","first-page":"22","article-title":"Endocrine correlates of polycystic ovary syndrome in Pakistani women","volume":"25","author":"Akram","year":"2015","journal-title":"J Coll Physicians Surg Pak"},{"key":"10.1016\/j.nut.2026.113232_bib0003","doi-asserted-by":"crossref","first-page":"545","DOI":"10.29271\/jcpsp.2020.05.545","article-title":"Polycystic ovary syndrome, subfertility and vitamin D deficiency","volume":"30","author":"Azhar","year":"2020","journal-title":"J Coll Physicians Surg Pak"},{"key":"10.1016\/j.nut.2026.113232_bib0004","first-page":"102","article-title":"Polycystic ovarian disease or polycystic ovarian syndrome: how to identify and manage-a review","volume":"11","author":"Minocha","year":"2020","journal-title":"Arch Pharm Pract"},{"key":"10.1016\/j.nut.2026.113232_bib0005","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0223329","article-title":"Evaluation of clinical manifestations, health risks, and quality of life among women with polycystic ovary syndrome","volume":"14","author":"Sidra","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.nut.2026.113232_bib0006","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.3390\/diagnostics13061113","article-title":"Current guidelines for diagnosing PCOS","volume":"13","author":"Christ","year":"2023","journal-title":"Diagnostics"},{"key":"10.1016\/j.nut.2026.113232_bib0007","doi-asserted-by":"crossref","DOI":"10.3390\/nu13072452","article-title":"Nutrition strategy and life style in polycystic ovary syndrome\u2014narrative review","volume":"13","author":"Szczuko","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.nut.2026.113232_bib0008","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1210\/clinem\/dgaa125","article-title":"Body mass index and polycystic ovary syndrome: a 2-sample bidirectional Mendelian randomization study","volume":"105","author":"Zhao","year":"2020","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.nut.2026.113232_bib0009","doi-asserted-by":"crossref","DOI":"10.1016\/j.hnm.2020.200116","article-title":"Association of diet diversity score with visceral adiposity in women with polycystic ovarian syndrome","volume":"23","author":"Alissa","year":"2021","journal-title":"Hum Nutr Metab"},{"key":"10.1016\/j.nut.2026.113232_bib0010","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2021.741764","article-title":"Resistance to the insulin and elevated level of androgen: a major cause of polycystic ovary syndrome","volume":"12","author":"Ding","year":"2021","journal-title":"Front Endocrinol (Lausanne)"},{"key":"10.1016\/j.nut.2026.113232_bib0011","doi-asserted-by":"crossref","DOI":"10.1177\/1179558119874042","article-title":"Obesity and polycystic ovary syndrome: implications for pathogenesis and novel management strategies","volume":"13","author":"Barber","year":"2019","journal-title":"Clin Med Insights Reprod Health"},{"key":"10.1016\/j.nut.2026.113232_bib0012","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/GRF.0000000000000594","article-title":"Lifestyle modifications in PCOS","volume":"64","author":"Aly","year":"2021","journal-title":"Clin Obstet Gynecol"},{"key":"10.1016\/j.nut.2026.113232_bib0013","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1139\/apnm-2021-0359","article-title":"Dietary diversity score is inversely related to the risk of polycystic ovary syndrome in Tehranian women: a case-control study","volume":"47","author":"Soodi","year":"2022","journal-title":"Applied Physiol Nutr Metab"},{"key":"10.1016\/j.nut.2026.113232_bib0014","doi-asserted-by":"crossref","first-page":"3389","DOI":"10.1017\/S1368980020001755","article-title":"Diet quality scores in relation to fatness and nutritional knowledge in women with polycystic ovary syndrome: case\u2013control study","volume":"24","author":"Bykowska-Derda","year":"2021","journal-title":"Public Health Nutr"},{"key":"10.1016\/j.nut.2026.113232_bib0015","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4103\/ijem.ijem_411_21","article-title":"A practitioner\u2019s toolkit for polycystic ovary syndrome counselling","volume":"26","author":"Lathia","year":"2022","journal-title":"Indian J Endocrinol Metab"},{"key":"10.1016\/j.nut.2026.113232_bib0016","first-page":"385","article-title":"Prevalence and knowledge of polycystic ovary syndrome (PCOS) among female science students of different public universities of Quetta, Pakistan","volume":"35","author":"Haq","year":"2017","journal-title":"Imper J Interdiscip Res"},{"key":"10.1016\/j.nut.2026.113232_bib0017","doi-asserted-by":"crossref","first-page":"1","DOI":"10.9734\/jammr\/2019\/v30i430190","article-title":"Prevalence of PCOS with associated symptoms and complications at tertiary care hospital of Karachi","volume":"30","author":"Zafar","year":"2019","journal-title":"J Adv Med Med Res"},{"key":"10.1016\/j.nut.2026.113232_bib0018","series-title":"Proceedings of the Pakistan Academy of Sciences: B. Life and Environmental Sciences","first-page":"77","article-title":"Investigation of prevalence and awareness of polycystic ovary syndrome among Pakistani females: polycystic ovary syndrome in Pakistani women","volume":"59","author":"Zulfiqar","year":"2022"},{"key":"10.1016\/j.nut.2026.113232_bib0019","unstructured":"Pakistan Bureau of Statistics, AREA, population by sex, sex ratio, population density, urban population, household size and annual growth rate, CENSUS-2023, 2023. https:\/\/census23.pbos.gov.pk\/ Accessed December 25, 2024."},{"key":"10.1016\/j.nut.2026.113232_bib0020","doi-asserted-by":"crossref","DOI":"10.1525\/collabra.33267","article-title":"Sample size justification","volume":"8","author":"Lakens","year":"2022","journal-title":"Collabra Psychol"},{"key":"10.1016\/j.nut.2026.113232_bib0021","first-page":"1","article-title":"Dietary intake, eating behavior, physical activity, and quality of life in infertile women with pcos and obesity compared with non-pcos obese controls","volume":"13","author":"Wang","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.nut.2026.113232_bib0022","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1186\/s12905-022-01861-4","article-title":"A randomised controlled trial on the effects of a structural education module among women with polycystic ovarian syndrome on nutrition and physical activity changes","volume":"22","author":"Dashti","year":"2022","journal-title":"BMC Womens Health"},{"key":"10.1016\/j.nut.2026.113232_bib0023","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1080\/10408398.2021.1966737","article-title":"Validity of the food frequency questionnaire for adults in nutritional epidemiological studies: a systematic review and meta-analysis","volume":"63","author":"Cui","year":"2023","journal-title":"Crit Rev Food Sci Nutr"},{"key":"10.1016\/j.nut.2026.113232_bib0024","unstructured":"FAO, Guidelines for measuring household and individual dietary diversity, 2011. 613.2KEN. https:\/\/www.fao.org\/agrifood-economics\/publications\/detail\/en\/c\/122321\/#:\u223c:text=Dietary%20diversity%20is%20a%20qualitative,specific%20food%20groups%20of%20interest. Accessed December 25, 2024."},{"key":"10.1016\/j.nut.2026.113232_bib0025","unstructured":"Academy of Nutrition and Dietetics, Polycystic ovarian syndrome, 2023. https:\/\/www.eatright.org\/health\/pregnancy\/fertility-and-reproduction\/polycystic-ovarian-syndrome. Accessed December 25, 2024."},{"key":"10.1016\/j.nut.2026.113232_bib0026","doi-asserted-by":"crossref","first-page":"4971","DOI":"10.18203\/2320-1770.ijrcog20175010","article-title":"Prevalence and symptomatology of polycystic ovarian syndrome in Indian women: is there a rising incidence","volume":"6","author":"Choudhary","year":"2017","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"10.1016\/j.nut.2026.113232_bib0027","doi-asserted-by":"crossref","first-page":"4375","DOI":"10.18203\/2320-1770.ijrcog20184230","article-title":"Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study","volume":"7","author":"Singh","year":"2018","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"10.1016\/j.nut.2026.113232_bib0028","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1002\/ijgo.14820","article-title":"Age at menarche and polycystic ovary syndrome: a Mendelian randomization study","volume":"162","author":"Ma","year":"2023","journal-title":"Int J Gynecol Obstet"},{"key":"10.1016\/j.nut.2026.113232_bib0029","series-title":"Healthcare","first-page":"56","article-title":"Menstrual cycle patterns and the prevalence of premenstrual syndrome and polycystic ovary syndrome in Korean young adult women","author":"Park","year":"2021"},{"key":"10.1016\/j.nut.2026.113232_bib0030","article-title":"Cutaneous manifestations and hormonal changes among polycystic ovary syndrome patients at a tertiary care center","volume":"13","author":"Aljefri","year":"2021","journal-title":"Cureus"},{"key":"10.1016\/j.nut.2026.113232_bib0031","article-title":"Visceral adiposity index: simple tool for assessing cardiometabolic risk in women with polycystic ovary syndrome","volume":"23","author":"Agrawal","year":"2019","journal-title":"Indian J Endocrinol Metab"},{"key":"10.1016\/j.nut.2026.113232_bib0032","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1017\/jns.2024.81","article-title":"Diet diversity score might be associated with reproductive health in women and infant outcomes: a systematic review","volume":"13","author":"Ahmadi","year":"2025","journal-title":"J Nutr Sci"},{"key":"10.1016\/j.nut.2026.113232_bib0033","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1111\/1747-0080.12460","article-title":"Dietary underreporting in women affected by polycystic ovary syndrome: a pilot study","volume":"76","author":"De Giuseppe","year":"2019","journal-title":"Nutr Diet"},{"key":"10.1016\/j.nut.2026.113232_bib0034","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s12986-024-00873-1","article-title":"The association between dietary diversity and patterns in Chinese university students with abnormal uterine bleeding: a cross-sectional study","volume":"21","author":"Yu","year":"2024","journal-title":"Nutr Metab (Lond)"},{"key":"10.1016\/j.nut.2026.113232_bib0035","doi-asserted-by":"crossref","first-page":"310","DOI":"10.3390\/nu17020310","article-title":"The role of lifestyle interventions in PCOS management: a systematic review","volume":"17","author":"Gautam","year":"2025","journal-title":"Nutrients"},{"key":"10.1016\/j.nut.2026.113232_bib0036","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1093\/humupd\/dmac023","article-title":"Comparison of dietary and physical activity behaviors in women with and without polycystic ovary syndrome: a systematic review and meta-analysis of 39 471 women","volume":"28","author":"Kazemi","year":"2022","journal-title":"Hum Reprod Update"}],"container-title":["Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726001401?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726001401?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T22:31:16Z","timestamp":1780785076000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0899900726001401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":36,"alternative-id":["S0899900726001401"],"URL":"https:\/\/doi.org\/10.1016\/j.nut.2026.113232","relation":{},"ISSN":["0899-9007"],"issn-type":[{"value":"0899-9007","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Targeted nutritional counseling improves dietary diversity and body composition in females with polycystic ovarian syndrome (PCOS): A quasi-experimental study","name":"articletitle","label":"Article Title"},{"value":"Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nut.2026.113232","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"113232"}}