生活方式干预对多囊卵巢综合征或桥本甲状腺炎正常体重女性的地中海饮食、身体活动依从性和人体测量参数的影响 - 初步研究。

Lifestyle intervention towards Mediterranean Diet, physical activity adherence and anthropometric parameters in normal weight women with Polycystic Ovary Syndrome or Hashimoto's Thyroiditis - preliminary study.

机构信息

Student Scientific Group of Hygiene and Prevention, Department of Social Medicine and Public Health, Medical University, Warsaw, Poland.

Department of Social Medicine and Public Health, Medical University, Warsaw, Poland.

出版信息

Ann Agric Environ Med. 2023 Mar 31;30(1):111-117. doi: 10.26444/aaem/159156. Epub 2023 Feb 15.

DOI:10.26444/aaem/159156

PMID:36999863

Abstract

INTRODUCTION

Overweight and obesity are frequently present in both women with polycystic ovary syndrome (PCOS) and with Hashimoto's thyroiditis (HT). This is a limited study regarding the benefits of lifestyle changes, including dietary habits, dedicated to patients with HT and PCOS.

OBJECTIVE

The aim of the study was to assess the effectiveness of an intervention programme based on the Mediterranean Diet (MD) without caloric restriction and increased physical activity to change selected anthropometric parameters in women with both health conditions.

MATERIAL AND METHODS

The intervention programme consisted of changing the participants diet towards MD rules and increasing physical activity for 10 weeks according WHO recommendation. The study involved 14 women diagnosed with HT, 15 with PCOS and 24 women from a control group. The intervention programme consisted of educating patients in the form of a lecture, dietary advice, leaflets and a 7-day menu based on MD. During the programme, patients were required to implement recommended lifestyle changes. The mean intervention time was 72 ± 20 days. Nutritional status was analyzed by body composition, degree of implementation of the principles of the MD by using the MedDiet Score Tool, and the level of physical activity by the IPAQ-PL questionnaire. The above-mentioned parameters were evaluated twice, before and after the intervention.

RESULTS

The intervention programme consisting in implementing the principles of the MD and increasing physical activity to effect a change in the anthropometric parameters of all groups of women studied; all women had a reduction in body fat and body mass index. A decrease in waist circumference was observed in the group of patients with Hashimoto's disease.

CONCLUSIONS

An intervention programme based on the Mediterranean Diet and physical activity can be a good way to improve the health of HT and PCOS patients.

摘要

简介

多囊卵巢综合征（PCOS）和桥本甲状腺炎（HT）患者常同时存在超重和肥胖。本研究旨在探讨不限制热量摄入和增加体力活动的地中海饮食（MD）生活方式改变对 HT 和 PCOS 患者的有效性。

目的

该研究旨在评估基于 MD 的干预计划对同时患有 HT 和 PCOS 的女性改变选定人体测量参数的有效性，而无需限制热量摄入和增加体力活动。

材料和方法

干预计划包括根据世界卫生组织（WHO）的建议，将参与者的饮食改为 MD 规则，并增加 10 周的体力活动。该研究涉及 14 名被诊断为 HT 的女性、15 名 PCOS 患者和 24 名对照组女性。干预计划包括以讲座、饮食建议、传单和基于 MD 的 7 天菜单的形式对患者进行教育。在计划实施过程中，患者需要实施建议的生活方式改变。平均干预时间为 72±20 天。营养状况通过身体成分分析、使用 MedDiet Score Tool 评估 MD 原则的实施程度以及 IPAQ-PL 问卷评估体力活动水平。在干预前后评估了上述参数两次。