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生活方式管理可改善超重和肥胖多囊卵巢综合征女性的生活质量和抑郁状况。

Lifestyle management improves quality of life and depression in overweight and obese women with polycystic ovary syndrome.

机构信息

Australian Technology Network Centre for Metabolic Fitness & Nutritional Physiology Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia.

出版信息

Fertil Steril. 2010 Oct;94(5):1812-6. doi: 10.1016/j.fertnstert.2009.11.001. Epub 2009 Dec 11.

DOI:10.1016/j.fertnstert.2009.11.001
PMID:20004371
Abstract

OBJECTIVE

To assess the impact of adding exercise to dietary restriction on depressive symptoms and health-related quality of life (HRQOL) in women with polycystic ovary syndrome (PCOS).

DESIGN

Analysis of depression and quality of life outcomes from a randomized, controlled prospective clinical intervention that evaluated the effects on a range of health outcomes in women with PCOS.

SETTING

Clinical research unit.

PATIENT(S): One hundred four overweight/obese PCOS women (aged 29.3 ± 0.7 years; body mass index [BMI] 36.1 ± 0.5 kg/m(2)).

INTERVENTION(S): Randomized to one of three 20-week lifestyle programs: diet only, diet and aerobic exercise, or diet and combined aerobic-resistance exercise.

MAIN OUTCOME MEASURE(S): Depression and PCOS-specific HRQOL.

RESULT(S): Forty-nine women completed the intervention (diet only = 14, diet and aerobic exercise = 15, diet and combined aerobic-resistance exercise = 20). By week 20 all groups achieved weight loss and had improvements in depression and PCOS-specific HRQOL scores, except for body hair domain score. There was no difference between treatments for all outcomes.

CONCLUSION(S): This study demonstrated that dietary restriction alone and combined with exercise had similar benefits for improving depression and HRQOL scores in overweight and obese women with PCOS.

摘要

目的

评估在多囊卵巢综合征(PCOS)女性中,将运动与饮食限制相结合对抑郁症状和健康相关生活质量(HRQOL)的影响。

设计

对一项随机、对照前瞻性临床干预的抑郁和生活质量结果进行分析,该研究评估了对 PCOS 女性一系列健康结果的影响。

环境

临床研究单位。

患者

104 名超重/肥胖的 PCOS 女性(年龄 29.3±0.7 岁;体重指数[BMI]36.1±0.5kg/m²)。

干预

随机分为三种 20 周生活方式方案之一:仅饮食、饮食和有氧运动或饮食和联合有氧-抗阻运动。

主要观察指标

抑郁和 PCOS 特异性 HRQOL。

结果

49 名女性完成了干预(仅饮食组=14,饮食和有氧运动组=15,饮食和联合有氧-抗阻运动组=20)。到第 20 周,所有组都实现了体重减轻,并改善了抑郁和 PCOS 特异性 HRQOL 评分,除了体毛域评分。所有结局在治疗之间均无差异。

结论

本研究表明,饮食限制单独和与运动相结合对改善超重和肥胖的 PCOS 女性的抑郁和 HRQOL 评分具有相似的益处。

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