Szczuko Małgorzata, Sankowska Patrycja, Zapałowska-Chwyć Marta, Wysokiński Paweł
Department of Biochemistry and Human Nutrition, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Poland
Clinic of Gynecology and Urogynecology, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Polan
Rocz Panstw Zakl Hig. 2017;68(1):61-67.
Polycystic ovary syndrome (PCOS) manifests itself with various symptoms, therefore it interests representatives of many medical specializations: general practitioners, gynecologists, endocrinologists, dermatologists, cardiologists and those who deal with metabolic disorders, such as dieticians.
The aim of this study was perform the qualitative assessment of components of diets of women with PCOS as one of the major factor contributing to the disease.
The study was performed on 54 women of childbearing age with PCOS diagnosed according to on the Rotterdam criteria. Qualitative assessment of the diets on the basis of 216 menus was performed based on the analysis of 3-day food diaries and food records taken from the last 24-hour dietary interview. Diets quality assessment was made using three types of point tests: Szewczyński’s Diets’ classification (SDC), Bielińska’s Test with Kulesza’s modification (BTK), Healthy Diet Indicator (HDI).
Average waist-hip ratio (WHR) and body mass index (BMI) was above the standard 0.91± 0.08 and 29.16 ± 5.8 kg/m2. Qualitative analysis performed with point tests SDC, BT-K and HDI revealed that the majority of the diets were composed inappropriately, containing many mistakes. Statistically significant correlations (Pearson’s) were determined between HDI test and the body weight and BMI. When analyzing the type of the meals also the correlations (Spearman’s) between BMI and BMI category in BT-K test.
Mistakes in diets of women with PCOS are the cause of metabolic disorders related to improper function of ovaries. Native test BT-K seems to be a better method then test SDC and probably HDI of assessing diet in women with PCOS from Poland.
多囊卵巢综合征（PCOS）有多种症状表现，因此受到许多医学专业领域人员的关注：全科医生、妇科医生、内分泌科医生、皮肤科医生、心脏病专家以及处理代谢紊乱问题的人员，如营养师。
本研究的目的是对多囊卵巢综合征女性的饮食成分进行定性评估，饮食是导致该疾病的主要因素之一。
对54名根据鹿特丹标准诊断为多囊卵巢综合征的育龄女性进行了研究。基于对3天食物日记和最近24小时饮食访谈中的食物记录的分析，对216份菜单的饮食进行了定性评估。饮食质量评估采用三种评分测试：谢夫琴斯基饮食分类法（SDC）、比林斯卡测试经库莱扎修改版（BTK）、健康饮食指标（HDI）。
平均腰臀比（WHR）和体重指数（BMI）高于标准，分别为0.91±0.08和29.16±5.8kg/m²。使用SDC、BT - K和HDI评分测试进行的定性分析表明，大多数饮食结构不合理，存在许多问题。确定了HDI测试与体重和BMI之间具有统计学意义的相关性（皮尔逊相关性）。在分析餐食类型时，还确定了BT - K测试中BMI与BMI类别之间的相关性（斯皮尔曼相关性）。
多囊卵巢综合征女性饮食中的问题是与卵巢功能异常相关的代谢紊乱的原因。本土测试BT - K似乎是一种比SDC测试以及可能比HDI更好的评估波兰多囊卵巢综合征女性饮食的方法。
