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波兰女性多囊卵巢综合征(PCOS)的饮食与遗传因素——第一部分:营养状况与饮食摄入

Dietary and Genetic Aspects of Polycystic Ovary Syndrome (PCOS) in Polish Women-Part I: Nutritional Status and Dietary Intake.

作者信息

Nowosad Karolina, Ostrowska Małgorzata, Glibowski Paweł, Iłowiecka Katarzyna, Koch Wojciech

机构信息

Department of Biotechnology, Microbiology and Human Nutrition, University of Life Sciences in Lublin, 8 Skromna Str., 20-704 Lublin, Poland.

Nutrition Clinic, Department of Clinical Dietetics, Medical University of Lublin, 7 Chodzki St., 20-093 Lublin, Poland.

出版信息

Nutrients. 2025 Jul 21;17(14):2377. doi: 10.3390/nu17142377.

DOI:10.3390/nu17142377
PMID:40733002
Abstract

Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder characterized by reproductive and metabolic abnormality disorders. Dietary factors influence the body composition and hydration status, which may exacerbate PCOS symptoms. The aim of this study was to assess the associations between the habitual nutrient intake and bioelectrical impedance analysis parameters in Polish women with PCOS and healthy controls, in order to identify potential nutritional targets for a non-pharmacological intervention. This study involved 50 women aged 18-45 years (25 with PCOS and 25 healthy). Participants kept 7-day food diaries and their body composition was assessed using the SECA mBCA 515 analyzer. The nutrient intake was compared with EFSA recommendations. Women with PCOS had a higher body weight, waist circumference and body mass index, visceral adipose tissue, and fat mass index, despite no difference in their total energy intake. They consumed more omega-3 fatty acids (EPA + DHA) than the control group. Vitamin D deficiency and irregular supplementation were common in both groups. Body composition parameters such as the phase angle and ECW/TBW ratio correlated with the diet quality-especially with protein; fiber; and vitamin B2, B12, and folate levels. The obtained results showed significant differences in body compositions and the presence of a relationship between the nutrient intake and bioimpedance parameters in women with PCOS. These results emphasize the importance of a comprehensive nutritional and body composition assessment in planning dietary interventions in this group of patients.

摘要

多囊卵巢综合征(PCOS)是一种常见的内分泌和代谢紊乱疾病,其特征为生殖和代谢异常紊乱。饮食因素会影响身体成分和水合状态,这可能会加重PCOS症状。本研究的目的是评估波兰PCOS女性和健康对照者的习惯性营养素摄入量与生物电阻抗分析参数之间的关联,以便确定非药物干预的潜在营养靶点。本研究纳入了50名年龄在18至45岁之间的女性(25名患有PCOS,25名健康)。参与者记录了7天的饮食日记,并使用SECA mBCA 515分析仪评估了她们的身体成分。将营养素摄入量与欧洲食品安全局(EFSA)的建议进行了比较。尽管PCOS女性的总能量摄入量没有差异,但她们的体重、腰围、体重指数、内脏脂肪组织和脂肪质量指数更高。她们摄入的ω-3脂肪酸(EPA + DHA)比对照组更多。两组中维生素D缺乏和补充不规律的情况都很常见。身体成分参数,如相位角和细胞外液/总体液比值,与饮食质量相关,尤其是与蛋白质;纤维;以及维生素B2、B12和叶酸水平相关。获得的结果显示,PCOS女性的身体成分存在显著差异,且营养素摄入量与生物阻抗参数之间存在关联。这些结果强调了在为这组患者制定饮食干预计划时,进行全面营养和身体成分评估的重要性。

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本文引用的文献

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The Role of Lifestyle Interventions in PCOS Management: A Systematic Review.生活方式干预在多囊卵巢综合征管理中的作用:一项系统评价
Nutrients. 2025 Jan 16;17(2):310. doi: 10.3390/nu17020310.
2
Visceral adipose tissue, epicardial fat, and hepatic steatosis in polycystic ovary syndrome: a study of ectopic fat stores and metabolic dysfunction.多囊卵巢综合征中的内脏脂肪组织、心外膜脂肪与肝脂肪变性:异位脂肪储存及代谢功能障碍的研究
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Homocysteine, vitamin B12, and folate circulating levels in women with and without polycystic ovary syndrome: A systematic review and meta-analysis.
同型半胱氨酸、维生素 B12 和叶酸在多囊卵巢综合征患者和非多囊卵巢综合征患者中的循环水平:系统评价和荟萃分析。
Womens Health (Lond). 2024 Jan-Dec;20:17455057241279039. doi: 10.1177/17455057241279039.
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Comparing GDF9 in mature follicles and clinical outcomes across different PCOS phenotype.比较不同多囊卵巢综合征(PCOS)表型中成熟卵泡内的生长分化因子9(GDF9)与临床结局。
Heliyon. 2024 Apr 23;10(9):e29879. doi: 10.1016/j.heliyon.2024.e29879. eCollection 2024 May 15.
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Consensus Statement on Vitamin D Status Assessment and Supplementation: Whys, Whens, and Hows.维生素 D 状态评估和补充的共识声明:为何、何时以及如何。
Endocr Rev. 2024 Sep 12;45(5):625-654. doi: 10.1210/endrev/bnae009.
6
Zinc, Magnesium and Vitamin K Supplementation in Vitamin D Deficiency: Pathophysiological Background and Implications for Clinical Practice.锌、镁和维生素 K 补充剂在维生素 D 缺乏症中的应用:病理生理学背景及其对临床实践的影响。
Nutrients. 2024 Mar 14;16(6):834. doi: 10.3390/nu16060834.
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Association of dietary inflammatory index with C-reactive protein and interleukin-6 in women with and without polycystic ovarian syndrome.膳食炎症指数与多囊卵巢综合征妇女和非多囊卵巢综合征妇女 C 反应蛋白及白细胞介素 6 的相关性。
Sci Rep. 2024 Feb 17;14(1):3972. doi: 10.1038/s41598-024-53958-5.
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