管理与月经周期有关的症状的营养实践:系统性审查
Natalie Brown1,2, Daniel Martin3, Mark Waldron1,2,4
1Applied, Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, SwanseaSA1 8EN, UK.
虽然一些食物和补充剂有望减少月经症状,但证据不一致. 维生素D,,和黄素可能有助于不使用荷尔蒙避孕药的人,但需要更多的研究.
科学领域:
- 营养与饮食学 营养与饮食学
- 妇科 妇科医生 妇科
- 基于证据的医学基于证据的医学.
背景情况:
- 月经症状对许多人的生活质量产生重大影响.
- 目前关于减轻月经症状的营养干预措施的研究缺乏共识.
- 需要确定基于证据的饮食策略来管理月经症状.
研究的目的:
- 系统地审查关于食品和补充剂对月经相关症状影响的实验研究.
- 评估针对eumenorrheic妇女的特定营养干预措施的证据.
- 发现有关月经症状的营养管理研究中的差距.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 在两个在线数据库中搜索了关于食物/补充剂和月经症状的实验研究.
- 提取和表格化有关干预,剂量和症状测量的数据,与英国饮食参考值 (DRV) 和安全上限进行比较.
主要成果:
- 审查了28项研究和21项干预措施;没有报告任何负面影响.
- 23项研究报告了积极的影响,而5项研究发现对月经症状没有影响.
- 在不同研究中,症状测量,干预剂量和持续时间存在显著的异质性.
结论:
- 目前的证据是不一致的,限制了对减轻月经症状的食物/补充剂的自信建议.
- 维生素D,,和黄素显示出非荷尔蒙避孕药使用者减轻症状的潜力,因此需要个别考虑.
- 需要对标准化方案进行进一步的严格研究,以建立有效的营养干预措施来管理月经症状.
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