Department of Obstetrics and Gynecology, Private Erciyes-Kartal Hospital, 38020 Kayseri, Turkey.
Department of Obstetrics and Gynecology, Izmir Private Can Hospital, 35630 Izmir, Turkey.
Nutrients. 2023 May 10;15(10):2260. doi: 10.3390/nu15102260.
We aimed to investigate the effects of a 6-week program of 8 h time-restricted feeding (TRF) diet in polycystic ovary syndrome (PCOS), as determined by anthropometric, hormonal, metabolic profiles, and fecal calprotectin level. Thirty women diagnosed with PCOS underwent a 6-week 8 h TRF diet intervention. Age, anthropometric features (body mass index (BMI), waist-to-hip ratio (WHR)) and biochemical results were recorded. Free androgen index (FAI, defining hyperandrogenism) and the homeostatic model assessment-insulin resistance (HOMA-IR) were calculated. Baseline (pre-diet) and 6-week post-diet findings were compared. Mean age was 25.57 ± 2.67 years. BMI ( < 0.001) and WHR ( = 0.001) were found to have significantly decreased after the diet, as well as the percentage of patients defined to have hyperandrogenism ( = 0.016). Reproductive hormone levels, FAI ( < 0.001) and HOMA-IR ( < 0.001) were improved significantly. Metabolic parameters associated with glucose and lipid profiles were also significantly improved after the diet. Additionally, fecal calprotectin levels demonstrated a significant decrease from pre-diet to post-diet ( < 0.001). In conclusion, a 6-week diet intervention with 8 h TRF may be a suitable and effective intermittent fasting protocol that can be used as a first-line option in PCOS.
我们旨在研究 6 周限时进食(TRF)饮食方案对多囊卵巢综合征(PCOS)的影响,具体表现在人体测量、激素、代谢特征和粪便钙卫蛋白水平上。30 名被诊断为 PCOS 的女性接受了为期 6 周的 8 小时 TRF 饮食干预。记录了年龄、人体测量特征(体重指数(BMI)、腰臀比(WHR))和生化结果。计算游离雄激素指数(FAI,定义为高雄激素血症)和稳态模型评估-胰岛素抵抗(HOMA-IR)。比较了基线(饮食前)和 6 周后的结果。平均年龄为 25.57 ± 2.67 岁。饮食后 BMI(<0.001)和 WHR(=0.001)显著降低,被定义为患有高雄激素血症的患者比例也显著降低(=0.016)。生殖激素水平、FAI(<0.001)和 HOMA-IR(<0.001)显著改善。与血糖和脂质谱相关的代谢参数在饮食后也显著改善。此外,粪便钙卫蛋白水平从饮食前到饮食后显著降低(<0.001)。总之,为期 6 周的 8 小时 TRF 饮食干预可能是一种合适且有效的间歇性禁食方案,可作为 PCOS 的一线选择。