非肥胖型多囊卵巢综合征患者饮食运动行为研究与分析

Study and analysis on diet and exercise behavior of non-obese patients with polycystic ovary syndrome

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 explore the dietary structure and exercise behavior of non-obese patients with polycystic ovary syndrome（ PCOS）. Methods Eighty PCOS patients were selected from the hospital as case group from January 2009 to December 2015,then they were divided into obese group and non-obese group according to body mass index（ BMI）. Forty age-matched healthy women receiving healthy physical examination during the same period in the hospital were selected as control group. The levels of testosterone（ T）,fasting blood glucose（ FBG）,and fasting insulin（ FINS） were detected; insulin resistance index（ HOMA-IR） was calculated. The dietary structure and exercise behavior of study objects were surveyed and analyzed using diabetes / obesity comprehensive evaluation and rehabilitation prescription system developed by the department. Results Hyperandrogenism was found among the non-obese patients with PCOS. The breakfast ratio and carbohydrate intake in non-obese group were significantly lower than those in control group,while the intake of lipid was higher than that in control group. Compared with obese group,exercise energy consumption in non-obese group was higher. There was no statistically significant difference in daily activities and professional activities among the three groups. Conclusion Both non-obese PCOS patients and obese PCOS patients have obvious irregular diet and unreasonable nutritional status,but they have no significant difference in exercise.