體重問題 / Weight Problem

體重問題

肥胖和胰島素抵抗在多囊卵巢綜合征(PCOS)發病或維持不良健康中起重要作用。這意味著減輕體重和胰島素抵抗的治療可以減輕多囊卵巢綜合征的症狀。生活方式的改變被發現能有效地恢復80%的人的生殖功能,這些人的體重至少減輕了5%。然而,長期保持體重是一個挑戰。本文綜述了降低血糖負荷飲食,包括低血糖指數、極低碳水化合物、高蛋白和高單不飽和脂肪飲食對多囊卵巢綜合征和非多囊卵巢綜合征人群代謝和生殖健康的影響。對非多囊卵巢綜合征婦女的飲食試驗表明,高蛋白、降低血糖負荷的飲食可能比傳統的低脂、高碳水化合物飲食更有益,但對多囊卵巢綜合征婦女的這一點尚需進一步研究證實。同樣,PCOS婦女的最佳運動方案仍有待研究。 (1)


Weight Problem

Obesity and insulin resistance play an important role in initiating or maintaining ill health in polycystic ovary syndrome (PCOS). This implies that treatment that reduces body weight and insulin resistance would alleviate the symptoms of PCOS. Lifestyle modification has been found to be effective in restoring reproductive function in up to 80% of individuals who achieve at least 5% weight loss. However, long-term weight maintenance is a challenge. This article provides a review of reduced glycemic load diets, including low glycemic index, very low carbohydrate, high-protein and high monounsaturated fat diets, on metabolic and reproductive health in PCOS and non-PCOS populations. Dietary trials in non-PCOS women suggest that higher-protein, reduced glycemic load diets were probably more beneficial than the conventional low-fat, high-carbohydrate diet but further studies are required to confirm this in PCOS women. Similarly, the optimal exercise regime for PCOS women remains to be investigated.(1)

Refs:

  1. Siew S Lim†, Peter M Clifton, Manny Noakes, Obesity Management in Women with Polycystic Ovary Syndrome. First Published January 1, 2007 Review Article. https://doi.org/10.2217/17455057.3.1.73