生酮饮食干预多囊卵巢综合征单中心临床研究的初期报告

Preliminary report of a single-center clinical study for ketogenic diet intervention of polycystic ovary syndrome

  • 摘要:
      目的  本研究探讨生酮饮食能否改善合并超重/肥胖的多囊卵巢综合征(PCOS)患者疾病相关症状。
      方法  计划于2018年12月29日—2019年6月招募符合条件的PCOS患者72例,随机分为实验组与对照组。对照组给予常规治疗和生活方式建议,实验组进行纯饮食干预,干预期为3个月。对患者进行每日随访,每月复查,比较试验期间2组患者的安全性、效果性指标。
      结果  截至2019年3月30日,已招募患者共50例,失访1例,实验组患者共25例,失访1例。实验组24例患者中,已有75%恢复自发月经,月经情况良好,干预满1个月的10例患者接受第1次复查,结果显示生酮饮食干预前后患者体质量减少,体脂率降低,静脉血检出雄激素含量水平降低均(P < 0.01), 提示生酮饮食干预PCOS短期内效果显著。
      结论  生酮饮食干预PCOS 1个月可有效使患者恢复自发月经,高雄激素状态显著改善,其他激素水平有改善趋势但是尚未显示显著性差异。KIDs-001中期报告和最终报告值得期待。

     

    Abstract:
      Objective  To assess effectiveness of ketogenic diet on improving polycystic ovary syndrome (PCOS) patients accompanying with overweight and obesity.
      Methods  A total of 72 PCOS patients planned to recruit in our study from December 29, 2018 to June 2019 were selected, and were randomly divided into experimental group and control group. The control group was given routine treatment and suggestions of life style, while the experimental group carried out ketogenic diet intervention alone for three months. All patients were followed up every day and rechecked monthly. The safety and effectiveness indexes of the two groups were observed.
      Results  A total of fifty patients had been recruited until March 30, 2019, but one patient was lost in the follow-up. As a result, there were totally twenty-five patients in the experimental group with one patient lost in follow-up. In the remaining twenty-four patients, 75% of these patients had recovered spontaneous menstruation in good condition. Ten patients who have been intervened over one month accepted the first re-examination. The results showed that the patient′s weight, the body fat rate and the level of androgen detected in venous blood were all reduced after ketogenic diet after the intervention(P < 0.01), which revealed that the effect of ketogenic diet′s intervention for PCOS was significant in the short term.
      Conclusion  Ketogenic diet intervene in PCOS effectively restore spontaneous menstruation in patients for one month, the state of hyperandrogenism is significantly improved. Other hormones show improvement trends, but no significant difference compared with baseline. The mid-term and final reports of KIDs-001 are worthy of the wait.

     

/

返回文章
返回