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多囊卵巢综合征及相关心血管代谢风险因素的新方法:膳食多酚。

A New Approach to Polycystic Ovary Syndrome and Related Cardio-metabolic Risk Factors: Dietary Polyphenols.

机构信息

Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, 06100, Ankara, Turkey.

出版信息

Curr Nutr Rep. 2023 Sep;12(3):508-526. doi: 10.1007/s13668-023-00488-7. Epub 2023 Aug 2.

Abstract

PURPOSE OF REVIEW

Polycystic ovarian syndrome (PCOS) is a common endocrine disease characterized by ovulatory dysfunction, hyperandrogenism, and polycystic ovarian morphology and causing various reproductive, metabolic, cardiovascular, oncological, and psychological complications. Recent meta-analyses and systemic reviews showed that PCOS increases the risk factor for various cardio-metabolic complications like insulin resistance, type II diabetes mellitus, dyslipidemia, metabolic syndrome, hypertension, and endothelial dysfunction. In addition to these, it was suggested that chronic low-grade inflammation and oxidative stress are the underlying mechanisms of PCOS-mediated metabolic consequences and might trigger cardio-metabolic risk in women with PCOS. At this point, there is substantial evidence to suggest that various non-nutrient food components modulate cardio-metabolic health together with inflammation and oxidative stress.

RECENT FINDINGS

Increasing the intake of dietary polyphenols might reduce oxidative stress and inflammation and thus alleviate the risk of metabolic, endothelial, and cardiovascular disorders. Nowadays, there are an increasing number of studies related to the effects of dietary polyphenols on PCOS and its accompanying cardio-metabolic disturbances. Currently, there is a cumulative number of studies connected to the effects of dietary polyphenols on PCOS and accompanying cardio-metabolic disturbances. However, there is a lack of knowledge in combining the probable mechanisms of dietary polyphenols on PCOS and related cardio-metabolic consequences. Thus, the effects of dietary polyphenols on PCOS and accompanying cardio-metabolic disturbances need to be discussed and evaluated with underlying mechanisms. Consequently, this review was written to reveal the potential effects of dietary polyphenols on PCOS and related metabolic and cardiovascular risk factors in all their aspects.

摘要

综述目的

多囊卵巢综合征(PCOS)是一种常见的内分泌疾病,其特征为排卵功能障碍、高雄激素血症和多囊卵巢形态,并导致各种生殖、代谢、心血管、肿瘤和心理并发症。最近的荟萃分析和系统评价表明,PCOS 增加了各种代谢并发症的风险因素,如胰岛素抵抗、2 型糖尿病、血脂异常、代谢综合征、高血压和血管内皮功能障碍。除此之外,还提出慢性低度炎症和氧化应激是 PCOS 介导的代谢后果的潜在机制,并可能引发 PCOS 妇女的心血管代谢风险。在这一点上,有大量证据表明,各种非营养性食物成分共同调节代谢健康、炎症和氧化应激。

最新发现

增加膳食多酚的摄入可能会减轻氧化应激和炎症,从而降低代谢、内皮和心血管疾病的风险。如今,越来越多的研究涉及膳食多酚对 PCOS 及其伴随的代谢紊乱的影响。目前,已有大量研究涉及膳食多酚对 PCOS 及其伴随的代谢紊乱的影响。然而,对于膳食多酚对 PCOS 及其相关代谢后果的可能机制的了解还很缺乏。因此,需要讨论和评估膳食多酚对 PCOS 及其伴随的代谢和心血管危险因素的影响及其潜在机制。因此,本综述旨在全面揭示膳食多酚对 PCOS 及其相关代谢和心血管风险因素的潜在影响。

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