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多囊卵巢综合征中的膳食补充剂——现有证据。

Dietary supplements in polycystic ovary syndrome-current evidence.

机构信息

School of Graduate Studies, Heilongjiang University of Chinese Medicine, Harbin, China.

Department of Integrative Chinese and Western Medicine, Xin Cheng Health Care Hospital, Daqing, China.

出版信息

Front Endocrinol (Lausanne). 2024 Sep 27;15:1456571. doi: 10.3389/fendo.2024.1456571. eCollection 2024.

Abstract

Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder in women of reproductive age, and presents a significant challenge to the global population. This review provides comprehensive evidence of interventions, including food and dietary supplements, aimed at reversing PCOS and improving fertility outcomes. Various dietary supplements are known to cause metabolic changes and hormonal regulation and have a potential impact on increasing pregnancy rates. Although some biochemical alterations have been observed, these metabolic changes do not directly reverse the disorder. Moreover, the lack of sufficient evidence does not convince clinicians to standardize dietary supplements as alternatives to medical or pharmacological interventions. This calls for a study of women with PCOS taking dietary supplements. In addition, unbiased studies of combinations of treatment options for supplements, including large cohort clinical trials, will lead to evidence-based medicine.

摘要

多囊卵巢综合征(PCOS)是生育年龄妇女中最常见的内分泌疾病,对全球人口构成重大挑战。本综述提供了综合干预措施的证据,包括食物和膳食补充剂,旨在逆转 PCOS 并改善生育结局。已知各种膳食补充剂会引起代谢变化和激素调节,并有潜力提高妊娠率。尽管观察到一些生化改变,但这些代谢变化并不能直接逆转疾病。此外,缺乏足够的证据并不能说服临床医生将膳食补充剂标准化为医学或药物干预的替代品。这需要对服用膳食补充剂的 PCOS 妇女进行研究。此外,对补充剂治疗选择的组合进行无偏见的研究,包括大型队列临床试验,将导致循证医学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a84/11466749/97679e77d007/fendo-15-1456571-g001.jpg

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