经周期的膳食能量摄入:综述。

Dietary energy intake across the menstrual cycle: a narrative review.

机构信息

are with the Department of Human Nutrition, University of Otago, Dunedin, New Zealand.

出版信息

Nutr Rev. 2023 Jun 9;81(7):869-886. doi: 10.1093/nutrit/nuac094.

Abstract

Females are often underrepresented in the scientific literature, but awareness of the need for female-specific research is increasing. Review articles have been published on the effects of the menstrual cycle on aspects of exercise performance and physiology, yet to date no research has reviewed the effect of menstrual cycle phase on dietary energy intake. Fluctuations in endogenous sex hormones across the menstrual cycle influence a range of physiological processes, including those involved in nutritional status. Observational research typically quantifies female athletes' nutritional intakes at a single time point; however, this may provide inaccurate information if dietary intake fluctuates across the menstrual cycle. Similarly, this may have implications for interventional research, where dietary intake is often poorly controlled or monitored. This review aimed to synthesize the published literature on dietary energy intakes of naturally menstruating females in various phases of the menstrual cycle. The review critiques the relevant literature in light of recent publications on good practice for female research, explores the impact of the menstrual cycle on energy intake, identifies gaps within the evidence base, and informs future research. Overall, energy intake appears to be lower in the follicular phase compared with the luteal phase, with a particular decrease in the days leading up to and including ovulation. The magnitude of these fluctuations is not yet clearly quantifiable and most likely varies, both between individuals, and from cycle to cycle. This review notes the lack of high-quality research investigating the energy intakes of females across the menstrual cycle, and the very limited data available for female athletes and others who undertake large amounts of physical activity. It also highlights the need for researchers to take into consideration anovulatory cycles and the potential effects of premenstrual disorders on dietary intake.

摘要

女性在科学文献中的代表性往往不足,但人们越来越意识到需要进行专门针对女性的研究。已经有综述文章探讨了月经周期对运动表现和生理学方面的影响,但迄今为止,还没有研究综述过月经周期阶段对饮食能量摄入的影响。月经周期中外源性激素的波动会影响一系列生理过程,包括与营养状况相关的过程。观察性研究通常在单个时间点量化女性运动员的营养摄入量;然而,如果饮食摄入量在月经周期中波动,这可能提供不准确的信息。同样,这可能对干预性研究产生影响,因为饮食摄入量通常控制或监测不佳。本综述旨在综合已发表的关于自然月经女性在月经周期各阶段的饮食能量摄入量的文献。该综述根据最近关于女性研究实践的出版物对相关文献进行了批判,探讨了月经周期对能量摄入的影响,确定了证据基础中的空白,并为未来的研究提供了信息。总的来说,与黄体期相比,卵泡期的能量摄入似乎较低,特别是在排卵前和排卵当天及其后几天。这些波动的幅度尚未明确量化,而且很可能因人而异,并且因周期而异。本综述指出,缺乏高质量的研究来调查女性在月经周期内的能量摄入量,并且针对进行大量体力活动的女性运动员和其他人群,可用的数据非常有限。它还强调了研究人员需要考虑无排卵周期和经前综合征对饮食摄入的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cee1/10251302/234d060b5712/nuac094f1.jpg

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