Krouni Atefeh, Forouhari Sedighe, Namavarjahromi Bahia, Dabbaghmanesh Mohammad Hossein, Shayan Arezoo, Sepasi Sara, Zare Atefeh
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Infertility Research Center, Hadith and Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Family Med Prim Care. 2017 Oct-Dec;6(4):755-759. doi: 10.4103/jfmpc.jfmpc_179_17.
Hirsutism is a common disorder that has remarkable physical and mental effects on individuals. No appropriate diet has yet specified for individuals with hirsutism. The present study was carried out to examine the effect of high-fibre, low-caloric balanced diet on some related hormone levels in obese or overweight women with hirsutism who had referred to clinics affiliated with Shiraz University of Medical Sciences.
The present study was a clinical trial that was carried out on 47 obese or overweight women with hirsutism in 2014. The women were randomly assigned to an intervention group and a control group that, respectively, consumed a high-fiber, low-caloric balanced diet and a normal diet for 3 months. A demographic characteristics questionnaire and a researcher-designed diet questionnaire were filled out by the two groups before the intervention. Before and 12 weeks after the intervention, body mass index (BMI) was measured and blood samples (on the 3-5 days of menstruation) were collected. Factors of luteinizing hormone, follice stimulating hormone, sex hormone binding globulin, dehydroepiandrosterone sulfate, low-density lipoproteins, high-density lipoproteins (HDL), fasting blood sugar (FBS), CHOL, prolactin, triglycerides, insulin, 17-hydroxyprogesterone, and free androstenedione testosterone were measured. The collected data were analyzed through -test, Chi-square, and intergroup analysis using SPSS 22.0.
The mean age of the participating women was 27.23 ± 5.42 years. After the study, the level of FBS and insulin in the intervention group dropped while they increased in the control group. Moreover, the postintervention level of BMI in the intervention group on average decreased 1.89 units while it rose by 0.3 units in the control group, and there was a significant difference between the two groups ( < 0.001).
The results of the present study showed that consuming high-fiber diet by obese or overweight women with hirsutism and polycystic ovary can reduce some factors including the level of FBS, insulin, and cholesterol and enhance blood HDL. Therefore, consuming this type of diet is recommended to treat this disorder.
多毛症是一种常见疾病,对患者的身心有显著影响。目前尚未为多毛症患者指定合适的饮食方案。本研究旨在探讨高纤维、低热量均衡饮食对转诊至设拉子医科大学附属医院的肥胖或超重多毛症女性某些相关激素水平的影响。
本研究为一项临床试验,于2014年对47名肥胖或超重的多毛症女性进行。这些女性被随机分为干预组和对照组,干预组食用高纤维、低热量均衡饮食,对照组食用正常饮食,为期3个月。两组在干预前填写了人口统计学特征问卷和研究者设计的饮食问卷。在干预前和干预12周后,测量体重指数(BMI)并采集血样(在月经周期的第3 - 5天)。检测促黄体生成素、促卵泡生成素、性激素结合球蛋白、硫酸脱氢表雄酮、低密度脂蛋白、高密度脂蛋白(HDL)、空腹血糖(FBS)、胆固醇(CHOL)、催乳素、甘油三酯、胰岛素、17 - 羟孕酮以及游离雄烯二酮睾酮等指标。使用SPSS 22.0对收集的数据进行t检验、卡方检验和组间分析。
参与研究的女性平均年龄为27.23±5.42岁。研究结束后,干预组的FBS和胰岛素水平下降,而对照组则上升。此外,干预组干预后的BMI平均下降了1.89个单位,对照组上升了0.3个单位,两组之间存在显著差异(P<0.001)。
本研究结果表明,患有多毛症和多囊卵巢的肥胖或超重女性食用高纤维饮食可降低包括FBS、胰岛素和胆固醇水平等一些因素,并提高血液HDL水平。因此,建议食用此类饮食来治疗该疾病。