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多囊卵巢综合征患者的暴饮暴食:患病率、病因及管理策略。

Binge eating in patients with polycystic ovary syndrome: prevalence, causes, and management strategies.

作者信息

Krug Isabel, Giles Sarah, Paganini Chiara

机构信息

Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia.

Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia.

出版信息

Neuropsychiatr Dis Treat. 2019 May 16;15:1273-1285. doi: 10.2147/NDT.S168944. eCollection 2019.

Abstract

Emerging evidence suggests that disordered eating, particularly binge-eating symptomatology, is overrepresented within Polycystic Ovary Syndrome (PCOS) populations. This comorbidity presents a clinical dilemma as current treatment approaches for PCOS emphasize the importance of weight management, diet, exercise, and the potential for harm of such treatment approaches in PCOS patients with comorbid disordered eating. However, limited research has assessed the occurrence of binge eating and disordered eating in PCOS patients. Consequently, little is known about the prevalence of binge eating in PCOS, and the possible etiological processes to explain this comorbidity remain poorly understood. Given the paucity of research on this topic, the aims of this narrative review are fourfold: 1) to outline the main symptoms of PCOS and binge eating; 2) to provide an overview of the prevalence of binge eating in PCOS; 3) to outline possible etiological factors for the comorbidity between PCOS and binge eating; and 4) to provide an overview of management strategies of binge eating in PCOS.

摘要

新出现的证据表明,多囊卵巢综合征(PCOS)人群中存在饮食失调,尤其是暴饮暴食症状的比例过高。这种合并症带来了临床困境,因为目前PCOS的治疗方法强调体重管理、饮食、运动的重要性,以及这些治疗方法对患有合并饮食失调症的PCOS患者可能造成的危害。然而,有限的研究评估了PCOS患者中暴饮暴食和饮食失调的发生率。因此,对于PCOS中暴饮暴食的患病率知之甚少,且对解释这种合并症的可能病因过程仍了解不足。鉴于关于该主题的研究匮乏,本叙述性综述的目的有四个:1)概述PCOS和暴饮暴食的主要症状;2)概述PCOS中暴饮暴食的患病率;3)概述PCOS与暴饮暴食合并症的可能病因因素;4)概述PCOS中暴饮暴食的管理策略。

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