超重、肥胖多囊卵巢综合征患者医学营养治疗研究进展

被引:8
作者
王静
沈山梅
机构
[1] 南京大学医学院附属鼓楼医院临床营养科
关键词
D O I
暂无
中图分类号
R711.75 [卵巢疾病];
学科分类号
100211 [妇产科学];
摘要
<正>多囊卵巢综合征(PCOS)是一种表现为月经稀发或闭经、高雄激素和高胰岛素血症等妇科内分泌与代谢异常的疾病。PCOS发病率为2%~28%[1],其近期影响育龄妇女生育问题,远期可并发糖尿病、高血压、高血脂、心血管疾病及子宫内膜病变等,严重影响妇女生存质量。PCOS患者肥胖发生率约为30%~70%[2],伴有肥胖的PCOS患者高胰岛素血症和胰岛素抵抗(IR)的发生率更高,且程度更严重,其高雄激素血症和其他生殖内分泌的紊乱也更明显。对易感妇女早期饮食干预可以延缓PCOS的发生[3],适度减重可有效改善PCOS临床表现[4]。Le Donne M[5]等发现超重或肥胖PCOS患者减重后月经明显改善。
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页码:18 / 19
页数:2
相关论文
共 5 条
[1]
Beneficial Effects of a High-Protein; Low-Glycemic-Load Hypocaloric Diet in Overweight and Obese Women with Polycystic Ovary Syndrome: A Randomized Controlled Intervention Study[J] Homeira Hamayeli Mehrabani;Saghar Salehpour;Zohreh Amiri;Sara Jalali Farahani;Barbara J Meyer;Farideh Tahbaz Journal of the American College of Nutrition 2012,
[2]
Phenotypes and Enviromental Factors: Their Influence in PCOS[J] Evanthia Diamanti-Kandarakis;Charikleia Christakou;Evangelos Marinakis Current Pharmaceutical Design 2012,
[3]
Effect of high-protein or normal-protein diet on weight loss; body composition; hormone; and metabolic profile in southern Brazilian women with polycystic ovary syndrome: a randomized study[J] Mariana K. Toscani;Fernanda M. Mario;Simone Radavelli-Bagatini;Denusa Wiltgen;Maria Cristina Matos;Poli Maria Spritzer Gynecological Endocrinology 2011,
[4]
The Effect of a Hypocaloric Diet with and without Exercise Training on Body Composition; Cardiometabolic Risk Profile; and Reproductive Function in Overweight and Obese Women with Polycystic Ovary Syndrome[J] Rebecca L. Thomson;Jonathan D. Buckley;Manny Noakes;Peter M. Clifton;Robert J. Norman;Grant D. Brinkworth The Journal of Clinical Endocrinology & Metabolism 2008,
[5]
An observational study of reduction of insulin resistance and prevention of development of type 2 diabetes mellitus in women with polycystic ovary syndrome treated with metformin and diet[J] Charles J. Glueck;Naila Goldenberg;Luann Sieve;Ping Wang Metabolism 2008,