Cardiometabolic risk in polycystic ovary syndrome

A. Brończyk-Puzoń, A. Koszowska, Joanna Bieniek
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Abstract

Polycystic ovarian syndrome (PCOS) is one of the most frequently diagnosed endocrinopathies in women, and also one of the most heterogeneous endocrine disorders. In addition to being the most frequent cause of female infertility, PCOS is also said to increase the risk of cardiovascular disease, glucose intolerance and type 2 diabetes. Other risk factors such as obesity, a positive family history of type 2 diabetes and hyperandrogenism may also contribute to an increased risk of cardiovascular disease among women affected by PCOS. The risk assessment of metabolic disorders should be commonly recommended for PCOS patients in everyday medical practice. It makes possible to precisely determine the goals of nutritional interventions among PCOS women. The following work constitutes a review of articles from 1996–2019 available in the PubMed (National Center for Biotechnology Information) database and the Polish Medical Bibliography (Polska Bibliografia Lekarska). For this purpose, the following controlled vocabulary has been used: “PCOS”, “overweight”, “obesity”, “insulin resistance”, “hyperandrogenism”, “hypertension”, “lipid disorders”, “diabetes”, “cardiometabolic risk”, “cardiovascular disease”, and “lifestyle modifications”.
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多囊卵巢综合征的心脏代谢风险
多囊卵巢综合征(PCOS)是女性最常见的内分泌疾病之一,也是最常见的异质性内分泌疾病之一。多囊卵巢综合征除了是女性不孕的最常见原因外,据说还会增加患心血管疾病、葡萄糖不耐受和2型糖尿病的风险。肥胖、2型糖尿病阳性家族史和高雄激素血症等其他风险因素也可能导致多囊卵巢综合征患者患心血管疾病的风险增加。代谢紊乱的风险评估应该在日常医疗实践中普遍推荐给多囊卵巢综合征患者。这使得精确确定多囊卵巢综合征妇女营养干预的目标成为可能。以下工作对PubMed(国家生物技术信息中心)数据库和波兰医学参考书目(Polska Bibliografia Lekarska)中1996-2019年的文章进行了综述。为此,使用了以下对照词汇:“多囊卵巢综合征”、“超重”、“肥胖”、“胰岛素抵抗”、“高雄激素血症”、“高血压”、“脂质紊乱”、“糖尿病”、“心脏代谢风险”、“心血管疾病”和“生活方式改变”。
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