McCuen-Wurst Courtney, Culnan Elizabeth, Stewart Nicole L, Allison Kelly C
Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, USA.
Drexel University, Philadelphia, PA, USA.
Curr Psychiatry Rep. 2017 Aug 18;19(10):68. doi: 10.1007/s11920-017-0828-0.
Women's weight status affects their reproductive functioning, and, likewise, women's lifetime weight trajectories are influenced by reproductive events. We examine the relationship between polycystic ovary syndrome (PCOS), pregnancy, the postpartum period, and gynecological cancers with weight, body image, and other psychiatric issues.
Women with overweight or obesity are at higher risk for PCOS, and the mood and anxiety symptoms often comorbid with PCOS are linked to weight as well as the core symptoms of the disorder. Excessive gestational weight gain can influence one's body image and mood, and it predicts lasting effects on postpartum weight retention. Finally, overweight and obesity are related to several gynecological cancers. These diseases also impact mood, anxiety, and poor body image. Weight management interventions may be of some benefit in improving the disease states and pregnancy outcomes discussed here, but feasibility, logistics, and costs are issues that remain in delivering such interventions.
女性的体重状况会影响其生殖功能，同样，女性一生的体重轨迹也会受到生殖事件的影响。我们研究多囊卵巢综合征（PCOS）、妊娠、产后时期以及妇科癌症与体重、身体形象和其他精神问题之间的关系。
超重或肥胖的女性患PCOS的风险更高，且常与PCOS共病的情绪和焦虑症状与体重以及该疾病的核心症状有关。孕期体重过度增加会影响人的身体形象和情绪，并预示着对产后体重滞留的持久影响。最后，超重和肥胖与几种妇科癌症有关。这些疾病也会影响情绪、焦虑和不良的身体形象。体重管理干预措施可能对改善本文讨论的疾病状态和妊娠结局有一定益处，但在实施此类干预措施时，可行性、后勤保障和成本仍是问题。
