非肥胖型多囊卵巢综合征患者饮食运动行为研究与分析

发布时间：2018-01-10 11:32

本文关键词：非肥胖型多囊卵巢综合征患者饮食运动行为研究与分析　出处：《中国妇幼保健》2016年20期 　论文类型：期刊论文

【摘要】：目的探讨非肥胖型多囊卵巢综合征(PCOS)患者的饮食结构以及运动行为。方法选取2009年1月-2015年12月该院收治的PCOS患者80例为病例组,根据患者体质量指数(BMI)分为肥胖组和非肥胖组,另选取同期在该院健康体检年龄匹配的健康妇女40例为对照组。检测所有受试者睾酮(T)、空腹血糖(FBG)和空腹胰岛素(FINS)水平,并计算胰岛素抵抗指数(HOMA-IR)。使用该科室研发的糖尿病/肥胖综合评估与康复处方系统调查分析受试者饮食构成以及运动行为。结果非肥胖型PCOS患者表现出显著的高雄激素血症。饮食摄入构成方面,非肥胖型PCOS组早餐的比例以及碳水化合物的摄入显著低于对照组,而脂肪的摄入高于对照组。运动行为方面,非肥胖组PCOS较肥胖组有较高的运动能量消耗,而在日常活动以及职业活动方面,3组无显著差异。结论非肥胖型PCOS患者与肥胖型PCOS患者同样存在显著的饮食不规律以及营养不合理的情况,但在运动方面并无显著的异常。
[Abstract]:Objective to investigate the PCOS of non-obese polycystic ovary syndrome (PCOS). Methods from January 2009 to December 2015, 80 patients with PCOS were selected as the case group. Patients were divided into obese group and non-obese group according to body mass index (BMI). 40 healthy women who matched the age of physical examination in the same period were selected as control group. Fasting blood glucose (FBG) and fasting insulin (FINS). The insulin resistance index (HOMA-IRI) was calculated. The comprehensive assessment of diabetes mellitus / obesity and rehabilitation prescription were used to investigate and analyze the diet composition and exercise behavior of the subjects. Results Non-obese PCOS patients showed significant hyperandrogenemia. Composition of food intake. The breakfast rate and carbohydrate intake in the non-obese PCOS group were significantly lower than those in the control group, while the fat intake was higher than that in the control group. PCOS in non-obese group had higher exercise energy expenditure than obese group, but in daily and professional activities. Conclusion there is no significant difference between the three groups. Conclusion there are significant dietary irregularity and unreasonable nutrition in non-obese PCOS patients as well as obese PCOS patients, but there is no significant abnormality in exercise.
【作者单位】：南京医科大学第一附属医院康复医学中心;
【基金】：国家自然基金青年科学基金(81501947)
【分类号】：R711.75
【正文快照】： 多囊卵巢综合征(PCOS)是育龄期女性最常见的内分泌疾病之一。发病率占育龄期女性的8%~12%[1],其主要的内分泌特征表现为高雄激素血症和高胰岛素血症[2]。国外研究[3]显示PCOS患者中肥胖的发病率达60%以上。本课题组前期的人群和动物研究均证实肥胖型PCOS患者通过生活方式调整,

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