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适当的均衡减少饮食和/或补充可以解决 PCOS 患者这些水溶性维生素缺乏的问题。

A Properly Balanced Reduction Diet and/or Supplementation Solve the Problem with the Deficiency of These Vitamins Soluble in Water in Patients with PCOS.

机构信息

Department of Human Nutrition and Metabolomics, Pomeranian Medical University in Szczecin, Broniewskiego 24, Szczecin 71-460, Poland.

Department of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, Szczecin 71-256, Poland.

出版信息

Nutrients. 2021 Feb 26;13(3):746. doi: 10.3390/nu13030746.

Abstract

Polycystic ovary syndrome (PCOS) is an increasingly common problem for women in the reproductive age throughout the entire world. A reduction diet with a low glycaemic index (GI) has proved to support the treatment of PCOS. The aim of the study was to analyse the influence of the diet on the level of vitamins soluble in water. The study included 55 women, 40 of which suffered from PCOS (identified by means of the Rotterdam Criteria) and 15 healthy women of the Caucasian race. The level of vitamins before and after the dietary intervention was measured. The diet was a reduction diet with a reduced glycaemic index (GI). Biochemical analyses were made on the basis of liquid chromatography-Infinity 1260 Binary liquid chromatography (LC) Agilent Technology. The level of vitamins in the serum was analysed together with the consumption before and after the dietary intervention. A higher level of vitamin C in the plasma was observed before and after the dietary intervention in the PCOS group in comparison to the control group despite the lower intake of this vitamin in the PCOS group. The remaining vitamins were at a comparable or lower level (B1, B3, B5, B6 and B12). After the dietary intervention, only B1 and B9 were at a clearly lower level (a trend of = 0.093 and = 0.085). A properly balanced reduction diet with reduced GI improves the supply of vitamins in women with PCOS. An additional recommendation should be the additional supplementation of B1, niacinamide and the combination of folates with inositol. The level of vitamin C in the plasma may not be a good marker of its supply in the PCOS group.

摘要

多囊卵巢综合征(PCOS)是全世界育龄妇女日益常见的问题。低升糖指数(GI)的饮食已被证明可以支持 PCOS 的治疗。本研究旨在分析饮食对水溶性维生素水平的影响。研究纳入了 55 名女性,其中 40 名患有 PCOS(通过鹿特丹标准确定),15 名健康的白种女性。在饮食干预前后测量了维生素的水平。饮食是一种低升糖指数(GI)的饮食。基于液体色谱-无限 1260 二元液相色谱(LC)安捷伦技术进行生化分析。分析了血清中维生素的水平以及饮食干预前后的摄入量。与对照组相比,尽管 PCOS 组的维生素 C 摄入量较低,但 PCOS 组在饮食干预前后的血浆维生素 C 水平均升高。其余维生素的水平相当或较低(B1、B3、B5、B6 和 B12)。饮食干预后,只有 B1 和 B9 的水平明显降低(趋势 = 0.093 和 = 0.085)。适当平衡的低 GI 饮食可改善 PCOS 妇女的维生素供应。此外,还应建议补充 B1、烟酰胺和叶酸与肌醇的组合。血浆中维生素 C 的水平可能不是 PCOS 组维生素供应的良好标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c4/7996738/4e873fa510cf/nutrients-13-00746-g001.jpg

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