在更年期过渡期间的饮食行为障碍:系统性审查
Coralie Vincent1,2,3, Alexandra M Bodnaruc2,3,4, Denis Prud'homme3,4,5
1Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
概括
更年期的过渡可能会增加饮食失调的风险,在更年期前期的暴饮暴食可能更高,而在更年期后的限制性饮食可能更高. 需要更多的研究来证实这些发现.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 营养精神病学 营养精神病学
- 行为医学是一种行为医学.
背景情况:
- 饮食失调包括对食物和体重的各种行为和态度,影响健康.
- 更年期的过渡呈现独特的脆弱性,由于荷尔蒙的变化,症状,身体组成的变化,和心理压力.
研究的目的:
- 系统地审查有关更年期过渡和饮食失调之间的关系的现有证据.
- 综合有关更年期状态,症状,荷尔蒙水平和饮食失调之间的关联的发现.
主要方法:
- 在主要数据库 (MEDLINE,PsycINFO,Scopus,Embase,CINAHL) 进行了系统的文献搜索,寻找2023年10月之前发表的研究.
- 在选了1301份记录后,包括了10项研究,调查了更年期过渡指标和饮食障碍之间的联系.
- 大多数纳入的研究 (n=9) 使用横截面设计.
主要成果:
- 初步发现表明,在绝经前期暴饮暴食增加,而在绝经后期与绝经前期相比,更普遍的限制性饮食.
- 检查更年期症状的研究表明,与有障碍的饮食行为有显著的积极关联.
- 然而,这些证据的特点在于,包括在内的研究中有模糊的结果和有限的方法质量.
结论:
- 更年期的过渡可能是一个患有饮食失调的风险较高的时期.
- 目前的证据有限且不一致,需要进一步进行高质量的研究.
- 研究结果强调,需要改善更年期妇女经历饮食挑战的支持策略.
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