体质量管理对肥胖型多囊卵巢综合征的减重效果  

Efficacy of Body Ingredient Element Constituent by Body Weight Management in Obese Patients with Polycystic Ovary Syndrome

作　　者：张盛军 程倩 赵君利[2] 张娜[1] 陈启众[1] ZHANG Shengjun;CHENG Qian;ZHAO Junli;ZHANG Na;CHEN Qizhong(Department of Nutrition,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Reproductive Medicine Center,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院营养科,银川750004 [2]宁夏医科大学总医院生殖医学中心,银川750004

出　　处：《宁夏医科大学学报》2021年第3期294-298,共5页Journal of Ningxia Medical University

基　　金：国家自然科学基金(81060051);宁夏科技惠民计划项目(2015KJHM08)。

摘　　要：目的利用人体成分分析仪观察体质量管理对肥胖型多囊卵巢综合征(polycystic ovarian syndrome,PCOS)患者的减重效果。方法选取肥胖型PCOS患者70例,按照是否愿意接受体质量管理,分为干预组和对照组各35例,干预组给予体质量管理+二甲双胍,对照组给予单纯二甲双胍,干预45 d后比较两组人体成分分析结果和胰岛素抵抗指数(HOMA-IR)的变化情况。结果干预前后两组人群的体质量、体脂肪、体脂百分比、骨骼肌、腰臀脂肪比、内脏脂肪面积、上臂围度、上臂肌肉围度、基础代谢、体细胞量、HOMA-IR变化差异均有统计学意义(P均<0.05);蛋白质、无机盐、水分变化差异均无统计学意义(P均>0.05)。结论应用人体成分分析监测的情况下,合理的体质量管理在改善胰岛素抵抗的同时可以有效地降低肥胖型PCOS患者的体脂肪,增加肌肉量,提高新陈代谢。Objective By using the human body components analyzer,to explore the effect of weight management on weight loss in the obese patients with polycystic ovary syndrome(PCOS).Methods A total of 70 obese women with PCOS were divided into two groups with the control group administered by metformin and the intervention group managed with weight management in addition of the medicine treatment as in the control group.The results of body ingredient element constituent and insulin resistance index were measured before and after intervention for comparisons.Results Weight,body fat mass(BFM),percent body fat(PBF),skeletal muscle mass,waist-hip ratio(WHR),visceral fat area(VFA),arm circumference,arm muscle circumference,basal metabolic rate,body cell mass and insulin resistance index(HOMA-IR)had a significant difference between two groups after administration(P all<0.05).However,no significant difference was observed in protein,mineral and water(P all>0.05).Conclusion In the case of human body component analysis,the reasonable weight management can effectively reduce body fat,increase muscle mass and improve metabolism in the obese patients with PCOS when improving insulin resistance.

关 键 词：多囊卵巢综合征 肥胖型 体质量管理 人体成分分析 

分 类 号：R711.75[医药卫生—妇产科学]