Comparison of Clinical Findings and Nutritional Status in Women with Poly Cystic Ovarian Syndrome in 18-29 and 30-45 Year Age Groups

Jyothi S. Krishnan, A. Devi
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Abstract

Poly cystic ovarian syndrome (PCOS) is a heterogeneous disorder common among reproductive age women. The study was focused to compare the clinical findings and nutritional status of women with PCOS in 18-29 and 30-45 year age groups. Overall, 120 PCOS subjects in the age group of 18-45 years were selected for the study. Rotterdam criteria was used for identification of the subjects for the study. Socio economic status of the subject revealed that majority of the subjects (49 %) belonged to upper lower class IV. There was a significant mean difference in BMI (p=0.007), Oligo an ovulation (p=0.02) between the two groups. The mean Scores of hirsutism and physical activity was significantly higher in the 18-29 age group (p<0.05). Nutrient intake was assessed by three day food record and food frequency questionnaire (FFQ) and calculated using Diet Cal software. The mean intake of calorie, carbohydrate and fat was remarkably higher in both age groups whereas the intake of micronutrients such as calcium, zinc, iron and retinol was lower compared to EAR. Vitamin D intake was lower than the EAR in all the selected subjects. The comparison of nutritional status of the two age groups disclosed that there was a significantly higher mean intake of calorie (p=0.045), fibre (p=0.006), iron (p=0.022), magnesium (p=0.017), chromium (p=0.016) and potassium (p=0.041) in the 30-45 year age group. Food consumption pattern affirmed that there was a remarkable difference in the intake of processed foods, soft drinks, sweets, fish, leafy vegetables, pickle between the two age groups.
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18-29岁和30-45岁女性多囊卵巢综合征的临床表现和营养状况比较
多囊卵巢综合征(PCOS)是一种常见于育龄妇女的异质性疾病。本研究的重点是比较18-29岁和30-45岁年龄组多囊卵巢综合征女性的临床表现和营养状况。总的来说,选择年龄在18-45岁的120名PCOS受试者进行研究。采用鹿特丹标准确定研究对象。受试者的社会经济地位显示,大多数受试者(49%)属于上下层IV类。两组在BMI (p=0.007)、Oligo和排卵(p=0.02)方面的平均差异有统计学意义。18 ~ 29岁多毛和体力活动得分均显著高于对照组(p<0.05)。采用3天进食记录和进食频率问卷(FFQ)评估营养摄入量,并使用Diet Cal软件计算营养摄入量。在这两个年龄组中,卡路里、碳水化合物和脂肪的平均摄入量都显著高于对照组,而钙、锌、铁和视黄醇等微量营养素的摄入量则低于对照组。在所有选定的受试者中,维生素D的摄入量都低于EAR。两个年龄组的营养状况比较发现,30-45岁年龄组的热量(p=0.045)、纤维(p=0.006)、铁(p=0.022)、镁(p=0.017)、铬(p=0.016)和钾(p=0.041)的平均摄入量显著高于30-45岁年龄组。食物消费模式证实了两个年龄组在加工食品、软饮料、糖果、鱼、叶菜、泡菜的摄入量上存在显著差异。
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