Nutrition Couching Versus Nutrition Counseling in Management of PCO and Infertile Obese Couples

Adherence to healthy dietary pattern is associated with fertility and infertility treatment outcome mainly in polycystic ovarian syndrome and obese cases. Large body of literature not only emphasis on the critical role of dietary intervention and nutrient environment on semen quality, ovary function and endothelium responsiveness in infertility treatment outcome, but also the recognition of fetal origins of adult disease has highlighted the importance of comprehensive nutrition and dietary counseling during preconception and prenatal care.As intrauterine environment has a broad and long-lasting im-pact, influencing fetal and childhood growth and development as well as future risk of non-communicable disease including infertility, providing the most appropriate intervention strate-gies to improve dietary intervention compliance before concep-tion is undoubtedly appreciable. The greatest challenge in com-pliance to dietary counseling is to engage couple and to sustain their engagement.A new clinical approach is providing personalized nutrition coaching versus nutrition counseling by focusing on non-di-etary aspects of a person’s life which influence hormonal re-sponses and efficacy of nutrition interventions. Nutrition coach-ing focuses on empowering people with skills which mobilize internal strengths and external resources for enhanced preg-nancy chance. Therefore, such approach is beyond the scope of energy calculation and diet prescription. Nutrition coaching is based on initially monitoring and analyzing personal nutritional behavior under stress and pressure. This approach is followed by practical mindfulness eating trainings, equipping couples with the skills which improve their nutritional decision and re-duce their common struggles about whether or not their food choices are influencing their pregnancy outcome and feeling confident about cooking and eating healthy, whether at home or on-the-go.Recent trend of studies are even evaluating effectiveness of ap-plying web based, m-health and coaching applications in im-proving dietary intake in comparison to standard advices of-fered by national health services and associations worldwide.