多囊卵巢综合征患者的饮食改变:一个公共卫生问题

T. Faridi
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摘要

偶尔月经或根本没有月经是多囊卵巢综合征(PCOS)的典型症状。正是由于激素雄激素的过度合成,PCOS患者经常出现大量卵巢囊肿[1]。根据文献,33%到83%的多囊卵巢综合征女性超重或肥胖,有痤疮、多毛症和男性型秃顶的迹象,如果没有控制高血压、心血管疾病和子宫内膜癌。多囊卵巢综合征患者的胰岛素水平经常被报道高于正常水平。胰腺是产生激素胰岛素的地方[2]。它与身体细胞一起将糖(葡萄糖)转化为能量。如果你的身体不能产生足够的胰岛素,血液中的血糖水平可能会升高[3]。当你产生胰岛素抵抗时也会发生这种情况,这会阻止你充分利用你自己制造的胰岛素[4]。如果你为了维持正常的血糖水平而产生胰岛素抵抗,身体可能会试图产生过量的胰岛素。如果你的胰岛素水平过高,你的卵巢可能会开始产生更多的雄激素,如睾酮[5]。BMI的肥胖和超重可引起胰岛素抵抗[6]。由于多囊卵巢综合征患者的胰岛素抵抗,他们通常会遇到这个问题,这可能会使减肥更具挑战性[7]。如果你的饮食中含有大量的精制碳水化合物,包括淀粉类和含糖的食物,那么调节胰岛素抵抗和减肥可能会更具挑战性[8]。
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Dietary Modifications in Patients with Polycystic Ovary Syndrome: A Public Health Concern
Occasional periods or no menstrual periods at all are typical symptoms of polycystic ovarian syndrome (PCOS). It is due to an excessive synthesis of the hormone androgens, people with PCOS frequently have numerous ovarian cysts [1]. According to literature between 33 and 83 percent of women with PCOS who are overweight or obese shows signs of acne, hirsutism, and male pattern baldness and if not managed high blood pressure, cardiovascular diseases and endometrial cancer. Insulin levels in PCOS patients are frequently reported to be higher than usual. The pancreas is where hormone insulin is made [2]. It works with the body's cells in converting sugar (glucose) into energy. The sugar levels in blood may increase if your body doesn't create enough insulin [3]. This can also occur when you develop insulin resistance, which prevents you from adequately using the insulin that you do make [4]. The body may try to produce excessive amounts of insulin if you develop insulin resistance in an effort to maintain normal blood sugar levels. Your ovaries may start to create more androgens like testosterone if your insulin levels are too high [5]. The obese and overweight according to BMI can cause the insulin resistance [6]. Due to their insulin resistance, people with PCOS typically deal with this   issue, which can keep reduced weight more challenging [7]. It could be more challenging to regulate insulin resistance and, as a result, weight reduction if you eat a diet high in refined carbs, which including starchy and sugary meals [8].  
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