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Obesity is the result, not the cause, of PCOS.
Obesity can in turn make it worse.
A fat person loses fat and a lean person gains muscle, both of which help improve the condition.
In the last few live broadcasts, almost every time someone asked about polycystic ovary syndrome, how to eat with polycystic ovary, what to pay attention to in life with polycystic disease, and what to hear about polycystic ovary syndrome. I have more sacs because I am too fat, so is it good to just lose weight…
These questions are difficult to explain in a few sentences in the live broadcast, so today I will talk to you about the topic of polycystic ovary syndrome in a WeChat article.
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Polycystic Ovarian Syndrome: Not Fat
Obesity is more a consequence of PCOS than a cause, but obesity can in turn make it worse.
Metabolic disease common in a woman who is ill and fat
Polycystic ovary syndrome (PCOS) is a group of clinical syndromes commonly seen in women of reproductive age, characterized by reproductive disorders, endocrine abnormalities, and metabolic disorders. The incidence rate in the age-appropriate population is about 5%-10%. Jay Chou’s wife, Kunling, has polycystic ovary syndrome.
The more common clinical manifestations of polycystic are menstrual irregularity, hyperandrogen-related manifestations (hirsutism, acne, androgenetic alopecia, etc.), ovulatory infertility, etc., which can be accompanied by obesity, insulin Metabolic abnormalities such as resistance, hyperinsulinemia, and glucose and lipid metabolism disorders. [1,2]
High androgen in addition to causing more well-known hirsutism, acne and other conditions, but also with insulin resistance, glucose and lipid metabolism disorders< /p>
Causes obesity, especially abdominal obesity. [2]
And, this kind of fat is a real “drinking cold water to grow meat” type of fat. Many women, especially adolescent girls, initially go to obesity clinics for uncontrollable weight gain, only to find out that they have polycystic ovary syndrome.
A vicious cycle of syndrome
30%-70% of polycystic patients have obesity, and 70% have a vicious circle of dyslipidemia, obesity and dyslipidemia that promote each other. [2]
The prevalence of obesity in polycystic patients varies from 30% to 70% in different countries. In 2006, Peking Union Medical College Hospital surveyed 196 polycystic patients who visited the obesity clinic. Among them, the incidence of obesity in polycystic patients of reproductive age was higher than 50%, and the incidence of obesity in adolescent PCOS was even higher. [3]
Abdominal obesity (central obesity) is another important feature of some polycystic patients, occurring in up to 80% of polycystic patients, even with normal BMI There is a 50% chance of abdominal obesity.
And obesity and abdominal obesity in turn increase the occurrence of hyperandrogenemia, glucose and lipid metabolism, cardiovascular disease and reproductive dysfunction Risk. [3,4]
Additionally, about 50%-70% of polycystic patients haveinsulin resistance, which is associated with hyperandrogenism associated with ovulation disorders. [2]
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Losing fat really helps
Polycystic ovary syndrome, a disease that seriously affects women’s fertility, quality of life, and long-term health, remains unknown to this day and has no effective cure. It can only be treated symptomatically and requires long-term health management.
Lifestyle interventions are effective in improving health and related quality of life in overweight or obese patients with polycystic disease, with minimal side effects and safety compared to other treatments , so the guidelines at home and abroad take it as the preferred basic treatment. Simply put, it is diet, exercise, and behavioral interventions. [1]
Fat lose fat, lean muscle gain
Fat loss is the first-line treatment option for overweight and obese patients with polycystic disease. Studies have shown that 50% of polycystic patients can recover menstruation and ovulation after 6 months of losing 5%-10% of their initial body weight. [5]Body fat loss can also increase insulin sensitivity, and after insulin resistance improves, 40%-50% of polycystic patients can return to regular menstruation without drug intervention. [4]
Healthy lifestyles can also help prevent long-term complications and improve quality of life in people with polycystic disease who are not overweight or obese.
Diet Control
Controlling total calories and choosing healthy foods are the two most important measures.
Be aware that 85% of polycystic patients in China have hyperandrogenism, and control of obesity can significantly improve hyperandrogenism and related symptoms. [4]
Long-term low-calorie diet, need to be vigilant that may lead to high ketone body, and avoid very low-calorie diet, because it may worsen the condition.
In addition, quit smoking, reduce alcohol and coffee, and reduce mental stress.
Strengthening exercise
Exercise is effective in losing weight and preventing weight gain. Moderate and regular fat loss exercise, 30 minutes a day, at least 5 times a week, and reduce sedentary behaviors are the most effective ways to lose weight.
For those who are not obese or have abdominal obesity and are overweight, the goal of your exercise may be to focus on building muscle. Not having enough muscle can also exacerbate insulin resistance.
It is recommended that everyone, regardless of fat loss or muscle gain, take at least 15 minutes of resistance exercise at least 3 times a week, according to the patient’s physical condition. Appropriate resistance exercise combined with reasonable nutrition plays an important role in improving bone mass and maintaining lean body mass (which can be simply understood as body weight other than fat). [4]
Appropriate consideration of supplements
For supplements, consider vitamin D, as well as inositol and D-chiro-inositol, which have also shown promising results in some clinical trials.
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What if the diet and exercise don’t work well?
General dietary intervention and exercise strengthening methods have a long cycle and occupy more daily time. For most patients, it is difficult to adhere to it, and it is difficult to achieve the ideal Weight loss effect.
At this time, a short-term ketogenic diet can be used under the guidance of a doctor to achieve weight control goals.
The ketogenic diet is not recommended on its own, nor is it recommended for healthy individuals to use the ketogenic diet to lose weight.
Why a ketogenic diet?
The concept of ketogenic diet is familiar to everyone. It is a special diet structure with high fat, low carbohydrate and moderate amount of protein. In a state of ketosis, we humansExperience switching to an energy supply mode dominated by fat decomposition.
A study of ketogenic diets in patients with polycystic disease found that a ketogenic, low-carbohydrate diet not only significantly improves the weight, insulin resistance of polycystic patients , and it also significantly improved hyperandrogenemia complicated by polycystic patients.
And the ketogenic diet combined with resistance exercise can achieve the effect of reducing body fat without losing muscle, or even increasing muscle. . [4]
Reminder: Not all patients with polycystic disease are suitable
The use of ketogenic diet to intervene in patients with polycystic ovary syndrome has strict indications and contraindications, and there may be many adverse reactions during use… Therefore, it is specific to you Whether it can be used and how to use it must be evaluated by a doctor and used under the guidance and monitoring of a doctor.
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Seek medical attention as soon as possible and standardize treatment
You may find that the lifestyle intervention mentioned above, I only give some principled suggestions, that is because the specific physical conditions and physiological stages of different patients are different, For individualized lifestyle advice, it is recommended that you seek medical attention.
More importantly, the treatment of polycystic ovary syndrome is not only about lifestyle intervention, but also standardized clinical treatment is very important. Due to the complexity of the condition, multi-disciplinary combined treatment may be required.
According to the patient’s different physiological stages and treatment demands, gynecologist doctors may provide different treatment plans for menstrual cycle adjustment and fertility promotion.
For those patients whose lifestyle intervention is not effective, it may be necessary to work with a endocrinologist to correct low insulin resistance, lowering blood sugar, and regulating blood lipids.
For patients with acne due to hyperandrogenemia, it is best to seek standardized treatment from a dermatologist.
You also need your gynecologist and nutritionist to monitor your various indicators periodically during the entire treatment process, find problems in time, and target Sexual adjustment of the treatment plan.
I hope everyone can have a high quality of life~
References
[1] Endocrinology Group and Guidelines Expert Group of Chinese Medical Association Obstetrics and Gynecology Branch. Chinese Guidelines for Diagnosis and Treatment of Polycystic Ovary Syndrome [J]. Chinese Journal of Obstetrics and Gynecology, 2018, 53( 1):2-6.
[2] Song Ying, Li Rong. Interpretation of Chinese guidelines for diagnosis and treatment of polycystic ovary syndrome [J]. Journal of Practical Obstetrics and Gynecology, 2018,34(10):737-741.< /p>
[3] Yuan Yingying, Zhao Junli. Epidemiological characteristics of polycystic ovary syndrome [J]. Chinese Journal of Practical Gynecology and Obstetrics, 2019,35(03):261-264.DOI: 10.19538/j.fk2019030102.
[4] Jiang Bo, Bai Wenpei, et al. Chinese expert consensus on ketogenic diet intervention for polycystic ovary syndrome (2018 edition) [J]. Journal of Practical Clinical Medicine, 2019, 23( 01):1-4.