肥胖、更年期和抑郁症对女性健康的影响:解密复杂关系的尝试。

IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Current medicinal chemistry Pub Date : 2024-10-16 DOI:10.2174/0109298673317600240930052201
Pervej Alom Barbhuiya, Manash Pratim Pathak
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引用次数: 0

摘要

背景:更年期症状可能令人痛苦,尤其是当更年期症状出现在女性被期望在社会中承担重要责任的时候。许多生物系统都会受到更年期荷尔蒙变化的影响。本综述引用了最近的一些纵向和横断面研究,试图解读肥胖、更年期和抑郁之间的复杂关系。此外,本研究还总结了不同的植物雌激素、其来源、可能的作用机制以及可用的替代治疗方法:为了撰写这篇综述,作者从 PubMed、Google Scholar 和 Web of Science 等各种科学数据库中查阅了大量文章:结果:人们越来越清楚地认识到,这些更年期症状的生理基础是复杂的,与雌激素缺乏有关,但并非单独存在。其他激素如 FSH、LH、孕酮和抑制素 B 是直接或间接导致大多数更年期症状的主要激素。大量纵向和横向研究发现,更年期的发病率与抑郁和肥胖有直接关系。据各种研究报告,植物雌激素如芪、木酚素、异黄酮和库美司坦是合成雌激素的替代品,副作用较小:抑郁症、更年期和肥胖之间的复杂关系给妇女的健康和整体福祉带来了复杂的障碍。在更年期阶段,妇女健康的革命性进步前景广阔。我们需要针对肥胖、更年期和抑郁这三种疾病的药物开发以及更深入的研究,以改善女性患者的医疗保健系统。
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Impact of Obesity, Menopause, and Depression in Women's Health: An Attempt to Decipher the Complex Relationship.

Background: Menopause symptoms may be distressing, especially when they appear at a time when women are expected to play significant responsibilities in society. Numerous biological systems are influenced by the hormonal changes that start during the menopausal transition. This review attempts to decipher the complex relationship between obesity, menopause, and depression, citing some recent longitudinal and cross-sectional studies. Additionally, this study provides a summary of the different phytoestrogens, their sources, and probable mechanisms of action in addition to available therapeutic alternatives.

Methodology: For this review purpose, the authors have gone through a vast number of articles from various scientific databases like PubMed, Google Scholar, and Web of Science.

Results: It is becoming clear that the physiological basis for these menopausal symptoms is complicated and connected to estrogen deficiency, but not alone. Other hormones like FSH, LH, progesterone, and inhibin B are the major ones that are both directly and indirectly responsible for most of the menopausal symptoms. Numerous longitudinal and cross-sectional studies have found a direct relationship between the incidence of menopause and depression as well as obesity. Phytoestrogens like stilbene, lignans, isoflavone, and coumestan have been reported to be the alternatives to synthetic estrogen with lesser side effects, as reported in various studies.

Conclusion: The complex relationship between depression, menopause, and obesity presents a complex obstacle to women's health and overall well-being. There might be a lot of promising prospects for revolutionary advancements in women's health during the menopausal stage in the future. Promising drug development that targets not just one but also the three conditions -obesity, menopause, and depression - as well as more thorough research are needed to improve the healthcare system for women who suffer from these conditions.

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来源期刊
Current medicinal chemistry
Current medicinal chemistry 医学-生化与分子生物学
CiteScore
8.60
自引率
2.40%
发文量
468
审稿时长
3 months
期刊介绍: Aims & Scope Current Medicinal Chemistry covers all the latest and outstanding developments in medicinal chemistry and rational drug design. Each issue contains a series of timely in-depth reviews and guest edited thematic issues written by leaders in the field covering a range of the current topics in medicinal chemistry. The journal also publishes reviews on recent patents. Current Medicinal Chemistry is an essential journal for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important developments.
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