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多囊卵巢综合征(PCOS)的营养与草药干预:对饮食方法、常量营养素影响及管理中使用的草药的全面综述

Nutritional and herbal interventions for polycystic ovary syndrome (PCOS): a comprehensive review of dietary approaches, macronutrient impact, and herbal medicine in management.

作者信息

Muhammed Saeed Aya A, Noreen Sobia, Awlqadr Farhang H, Farooq Muhammad Irshad, Qadeer Maria, Rai Nadia, Farag Halgurd Ali, Saeed Mohammed N

机构信息

Department of Food Science and Quality Control, Halabja Technical College, Sulaimani Polytechnic University, Kurdistan region, Sulaymaniyah, Iraq.

Department of Pharmaceutical Technology, Institute of Pharmacy, University of Innsbruck, Innrain, Innsbruck, Austria.

出版信息

J Health Popul Nutr. 2025 May 2;44(1):143. doi: 10.1186/s41043-025-00899-y.

Abstract

Polycystic Ovary Syndrome (PCOS) is a common health condition related to a woman's hormonal problems. Hormonal imbalance, metabolic disorders, and an increased insulin level mainly characterize the ailment. This detailed review focuses on dietary strategies, macromolecules, macromolecules, and herbal interventions that exception-ally work in PCOS treatment. Research has shown that Mediterranean, low-glycemic index, and ketogenic diets that are modified with individuals in mind are the best ways to resolve insulin resistance, obesity, and lack of ovulation. The other nutrients shown to affect glucose metabolism and play a role in hormone regulation are the macromolecules, such as increased protein and reduced refined carbs. Among the different micronutrients, vitamin D, omega-3 fatty acids, and inositol were shown to be the most vital supplements in the treatment of PCOS-induced oxidative damage, hyperandrogenism, and infertility. Not to mention, cinnamon, curcumin, sage, fennel, and traditional Chinese herbal medicine are among some of the herbal remedies that so far show good potential to be the perfect complementary therapy tools as they create better glycemic control, inflammation reduction, and menstrual cycle regularization. Even though the findings are promising, the current supply of clinical trials for standardizing these nutritional and herbal protocols is lacking. Overall, this report stresses the fact that a customized, holistic diet regime is the best treatment for women with PCOS to make them feel well and live a long and healthy life.

摘要

多囊卵巢综合征(PCOS)是一种与女性激素问题相关的常见健康状况。激素失衡、代谢紊乱和胰岛素水平升高是该疾病的主要特征。本详细综述聚焦于在PCOS治疗中特别有效的饮食策略、大分子物质及草药干预措施。研究表明,根据个体情况调整的地中海饮食、低血糖指数饮食和生酮饮食是解决胰岛素抵抗、肥胖和排卵障碍的最佳方法。其他被证明会影响葡萄糖代谢并在激素调节中起作用的营养素是大分子物质,如增加蛋白质摄入和减少精制碳水化合物。在不同的微量营养素中,维生素D、ω-3脂肪酸和肌醇被证明是治疗PCOS引起的氧化损伤、高雄激素血症和不孕症最重要的补充剂。更不用说,肉桂、姜黄素、鼠尾草、茴香和传统中药是目前显示出良好潜力的一些草药疗法,可成为完美的辅助治疗工具,因为它们能更好地控制血糖、减轻炎症并使月经周期规律化。尽管这些发现很有前景,但目前缺乏标准化这些营养和草药方案的临床试验。总体而言,本报告强调了这样一个事实,即定制的整体饮食方案是治疗PCOS女性的最佳方法,能让她们感觉良好并过上健康长寿的生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66db/12049039/9c5c1416bc9f/41043_2025_899_Fig1_HTML.jpg

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