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饮食治疗对超重和肥胖围绝经期女性性激素水平降低的影响

[Effect of treatment with diet on reducing levels of sex hormones in perimenopausal women with overweight and obesity].

作者信息

Łokieć Katarzyna, Błońska Aleksandra, Walecka-Kapica Ewa, Stec-Michalska Krystyna

机构信息

Medical University of Lodz, Poland: Department of Clinical Nutrition and Gastroenterology Diagnostics.

Medical University of Lodz, Poland: Department of Gastroenterology.

出版信息

Pol Merkur Lekarski. 2016 Jun;40(240):362-8.

PMID:27403902
Abstract

UNLABELLED

Nowadays, fight against obesity is a big challenge for the developed countries. Perimenopausal women are especially prone to becoming overweight and obese. This is due to changes in hormone levels and alterations in the sex hormones synthesis pathway.

AIM

The aim of this study was to evaluate the levels of sex hormones in overweight and obese women during menopause following the three month period of reducing diet.

MATERIALS AND METHODS

The study involved women aged 55±4,75 years. Group I - 33 overweight women (BMI 28,06±1,00 kg/m(2)). Group II - 32 obese women (BMI 34,22±3,79 kg/m(2)). Anthropometric measurements, body composition tested with Bodystat QuadScan 4000 analyzer and levels of sex hormones in the blood was determined before and after the three-months of reducing diet in both groups. Statistical data analysis was performed.

RESULTS

After three-months of reducing diet it was noticed that levels of BMI, body fat, FSH, DHEA-S and androstenedione were decreased in a statistically significant manner. A significant increase in estradiol levels after reduction of visceral adipose tissue in both groups, overweight and obese women, was observed. However, only in the group of obese women, a decrease in BMI correlated with a significant increase in estradiol levels.

CONCLUSIONS

Application of appropriate reducing diet in perimenopausal overweight and obese women has positive impact on visceral adipose tissue distribution and causes an increase in sex hormones levels. Perimenopausal overweight and obese women should pursue weight reduction to improve their chances of contracting cardiovascular diseases.

摘要

未标注

如今,对抗肥胖对发达国家来说是一项巨大挑战。围绝经期女性尤其容易超重和肥胖。这是由于激素水平变化以及性激素合成途径的改变。

目的

本研究的目的是评估在进行三个月节食后,绝经后超重和肥胖女性的性激素水平。

材料与方法

该研究纳入了年龄为55±4.75岁的女性。第一组 - 33名超重女性(BMI 28.06±1.00 kg/m²)。第二组 - 32名肥胖女性(BMI 34.22±3.79 kg/m²)。在两组进行三个月节食前后,测定人体测量学指标、使用Bodystat QuadScan 4000分析仪检测身体成分以及血液中的性激素水平。进行了统计数据分析。

结果

在三个月节食后,发现BMI、体脂、促卵泡生成素(FSH)、硫酸脱氢表雄酮(DHEA-S)和雄烯二酮水平有统计学意义的下降。在超重和肥胖女性两组中,内脏脂肪组织减少后雌二醇水平均显著升高。然而,只有在肥胖女性组中,BMI的降低与雌二醇水平的显著升高相关。

结论

对围绝经期超重和肥胖女性应用适当的节食方法对内脏脂肪组织分布有积极影响,并导致性激素水平升高。围绝经期超重和肥胖女性应减重以降低患心血管疾病的几率。

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