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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。
Objective To investigate the diet structure and exercise behavior of non-obese patients with polycystic ovary syndrome (PCOS). Methods 80 patients with PCOS admitted to our hospital from January 2009 to December 2015 were selected as case group and divided into obesity group and non-obese group according to body mass index (BMI). In the same period, 40 healthy women as the control group. Testosterone (T), fasting blood glucose (FBG) and fasting insulin (FINS) were measured in all subjects and insulin resistance index (HOMA-IR) was calculated. The diabetes / obesity comprehensive assessment and rehabilitation prescription system developed in this department was used to investigate the diet composition and exercise behaviors of the subjects. Results Non-obese patients with PCOS showed significant hyperandrogenism. Diet composition, the proportion of non-obese PCOS breakfast and carbohydrate intake was significantly lower than the control group, while the fat intake was higher than the control group. In terms of exercise behavior, PCOS in non-obese group had higher exercise energy expenditure than obese group, while there was no significant difference in daily activity and occupational activity among the three groups. Conclusion Non-obese patients with PCOS and obese patients with PCOS also had significant irregular diet and nutrition unreasonable, but no significant abnormalities in sports.