Szczuko Małgorzata, Malarczyk Inez, Zapałowska-Chwyć Marta
Pomeranian Medical University in Szczecin, Faculty of Health Sciences, Department of Biochemistry and Human Nutrition, Broniewskiego 24, 71-460 Szczecin, Poland
Pomeranian Medical University in Szczecin, Clinic of Gynecology and Urogynecology, Broniewskiego 24, 71-460 Szczecin, Poland
Rocz Panstw Zakl Hig. 2017;68(4):409-417.
Polycystic ovary syndrome (PCOS) is a disorder often occurring in women at reproductive age. An important factor in PCOS pathogenesis is insulin resistance, which pronounces hyperandrogenism and leads to the development of various metabolic disorders
The aim of this study is to determine the effect of reduction diet with low glycemic index (GI) on anthropometric parameters of women with PCOS and the assessment of the effectiveness of the diet on body mass and adipose tissue reduction
The study was performed on 24 women with PCOS diagnosed with Rotterdam’s criteria. Anthropometric measurements and bioelectrical impedance were performed. All participants received 7-day diet and recommendations relating to the change in lifestyle. After three months of using the dietary recommendations the measurements were repeated
Statistical significance was observed for body mass (↓on average by 5.93 kg±2.95), BMI (↓2.14 kg/m2±1.2), circumference of: waist (↓7.7 cm±5.9), hip (↓4.8 cm±5.4), arm (↓1.9 cm±3.7) and measurements of skin fold under the shoulder blade (↓4.8 mm±4,6), above iliac crest (↓6.76 mm±5.7) and above triceps brachii muscle (↓5.25 mm±7.4). Considering body composition measurements, statistically significant were differences in the measurements of BCMI (↑18.042±8.8), TBW expressed in percentage (↑2.729±2.75) and in litres (↑0.071±5.15), FM in percentage (↓3.291±5.6) and in kg (3.354 kg±4.9)
Body mass reduction using a rational diet with low GI is an effective method to support of PCOS treatment. Using reduction diet for three months together with increased physical activity enables to reduce body weight by on average 5.93 kg, which increases the chances to treat infertility in women. This should be the suggested type of diet in PCOS treatment
多囊卵巢综合征(PCOS)是一种常见于育龄女性的疾病。PCOS发病机制中的一个重要因素是胰岛素抵抗,它会加剧高雄激素血症并导致各种代谢紊乱的发生。
本研究旨在确定低升糖指数(GI)的减脂饮食对PCOS女性人体测量参数的影响,并评估该饮食对体重和脂肪组织减少的有效性。
本研究对24名根据鹿特丹标准诊断为PCOS的女性进行。进行了人体测量和生物电阻抗测量。所有参与者都接受了为期7天的饮食以及与生活方式改变相关的建议。在使用饮食建议三个月后重复进行测量。
观察到体重(平均下降5.93千克±2.95)、体重指数(下降2.14千克/平方米±1.2)、腰围(下降7.7厘米±5.9)、臀围(下降4.8厘米±5.4)、臂围(下降1.9厘米±3.7)以及肩胛下皮褶厚度(下降4.8毫米±4.6)、髂嵴上皮褶厚度(下降6.76毫米±5.7)和肱三头肌上方皮褶厚度(下降5.25毫米±7.4)有统计学意义。考虑身体成分测量,BCMI测量值(增加18.042±8.8)、以百分比表示的总体水(增加2.729±2.75)和以升表示的总体水(增加0.071±5.15)、脂肪量百分比(下降3.291±5.6)和脂肪量千克数(下降3.354千克±4.9)存在统计学显著差异。
使用低GI的合理饮食减轻体重是支持PCOS治疗的有效方法。三个月的减脂饮食与增加身体活动相结合能够使体重平均下降5.93千克,这增加了治疗女性不孕症的机会。这应该是PCOS治疗中建议的饮食类型。