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饮食预防高血压方法以及含和不含姜黄素的标准饮食对接受体外受精治疗的多囊卵巢综合征女性白细胞介素-1α、5-α还原酶基因表达及雄激素和血糖水平的影响:一项研究方案

Effect of dietary approaches to stop hypertension, and standard diets with and without curcumin on interleukin-1 alpha, 5-alpha reductase gene expressions, and androgenic and glycemic profile in polycystic ovary syndrome women undergoing in vitro fertilization treatment: A study protocol.

作者信息

Zohrabi Tayebeh, Hasan Sheikhha Mohammad, Jambarsang Sara, Nadjarzadeh Azadeh, Aflatoonian Abbas, Mozaffari-Khosravi Hassan

机构信息

Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences,Yazd, Iran.

出版信息

Int J Reprod Biomed. 2023 May 12;21(5):433-442. doi: 10.18502/ijrm.v21i5.13496. eCollection 2023 May.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is one of the most common endocrine diseases with major reproductive and metabolic complications with an impact on public health. Hyperandrogenism and chronic inflammation have been suggested as the leading cause of pathophysiology and clinical manifestations associated with PCOS. It seems that the altered expression of genes involved in the synthesis of pro-inflammatory cytokine and androgens contribute to the promotion of PCOS.

OBJECTIVE

This trial aims to determine the effects of dietary approaches to stop hypertension (DASH) and standard diets with and without curcumin supplementation on the gene expression of interleukin -1 alpha(IL1α), 5α reductase and androgenic and glycemic profile among PCOS patients, who are candidates for in vitro fertilization.

MATERIALS AND METHODS

96 infertile women with PCOS, aged 18-40 yr, will participate in this randomized, placebo-controlled clinical trial. Based on treatment conditions and body mass index, the participants will be randomly divided into 4 equal groups using a randomized block design. They will receive a DASH or standard diet containing 52% carbohydrate, 18% protein, and 30% total fat, with the same prescribed sodium, plus 500 mg twice daily curcumin or placebo for 12 wk. The mRNA expression of , reductase, and androgenic and glycemic profiles will be measured at baseline and at the end of the study.

CONCLUSION

Concomitant administration of DASH diet and curcumin supplementation may reduce , reductase gene expressions, and improve glycemic and androgenic profiles.

摘要

背景

多囊卵巢综合征(PCOS)是最常见的内分泌疾病之一,伴有严重的生殖和代谢并发症,对公众健康产生影响。高雄激素血症和慢性炎症被认为是与PCOS相关的病理生理学和临床表现的主要原因。似乎参与促炎细胞因子和雄激素合成的基因表达改变有助于PCOS的发展。

目的

本试验旨在确定采用终止高血压饮食法(DASH)以及添加或不添加姜黄素的标准饮食对体外受精候选PCOS患者白细胞介素-1α(IL1α)、5α还原酶的基因表达以及雄激素和血糖水平的影响。

材料与方法

96名年龄在18至40岁之间的PCOS不孕女性将参与这项随机、安慰剂对照临床试验。根据治疗条件和体重指数,采用随机区组设计将参与者随机分为4个相等的组。他们将接受DASH饮食或标准饮食,其中碳水化合物含量为52%、蛋白质含量为18%、总脂肪含量为30%,钠含量相同,外加每日两次500毫克姜黄素或安慰剂,持续12周。在基线和研究结束时测量IL1α、5α还原酶的mRNA表达以及雄激素和血糖水平。

结论

同时给予DASH饮食和补充姜黄素可能会降低IL1α、5α还原酶基因表达,并改善血糖和雄激素水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2c/10285193/2fc9a6df4d63/ijrb-21-433-g001.jpg

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