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多囊卵巢综合征与体重管理

Polycystic ovary syndrome and weight management.

作者信息

Moran Lisa J, Lombard Catherine B, Lim Siew, Noakes Manny, Teede Helena J

机构信息

The Jean Hailes Foundation for Women's Health Research Unit, Monash Institute of Health Services Research, Monash University, Clayton, Victoria 3168, Australia.

出版信息

Womens Health (Lond). 2010 Mar;6(2):271-83. doi: 10.2217/whe.09.89.

Abstract

Polycystic ovary syndrome (PCOS) is a common condition in women of reproductive age, and has reproductive, metabolic and psychological implications. Weight gain and obesity worsen the features of PCOS, while weight loss improves the features of PCOS. While there are potential barriers to successful weight management in young women who do not suffer from PCOS, women with PCOS may experience additional barriers. Weight management strategies in younger women with or without PCOS should encompass both the prevention of excess weight gain and achieving and maintaining a reduced weight through multidisciplinary lifestyle management, comprising dietary, exercise and behavioral therapy, as well as attention to psychosocial stress and practical and physiological barriers to weight management. Further research is warranted in the examination of specific barriers to weight management in women with PCOS, as well as in the determination of optimal components of lifestyle weight management interventions in young women in order to facilitate long-term compliance.

摘要

多囊卵巢综合征(PCOS)是育龄女性的常见病症,对生殖、代谢和心理均有影响。体重增加和肥胖会使PCOS的症状恶化,而体重减轻则会改善PCOS的症状。虽然在未患PCOS的年轻女性中成功进行体重管理存在潜在障碍,但患有PCOS的女性可能会遇到更多障碍。无论是否患有PCOS,年轻女性的体重管理策略都应包括预防体重过度增加,以及通过多学科的生活方式管理来实现并维持体重减轻,多学科生活方式管理包括饮食、运动和行为疗法,同时还要关注心理社会压力以及体重管理的实际和生理障碍。有必要进一步研究PCOS女性体重管理的具体障碍,以及确定年轻女性生活方式体重管理干预措施的最佳组成部分,以促进长期依从性。

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