Revisión sobre la intervención dietética en síndrome de ovario poliquístico


Resumen

El objetivo del presente estudio es investigar cuál es la intervención dietética óptima en mujeres con Síndrome de Ovario Poliquístico (SOP). Para ello, se realizó una revisión bibliográfica. Se estudiaron documentos, páginas web oficiales y distintos artículos científicos. Para el análisis de estudios, fueron seleccionados distintos artículos que investigaban el efecto de una de las dietas de estudio en mujeres con SOP. Se tuvieron en cuenta un total de 19 artículos publicados entre 2015 y 2022, obtenidos de la base de datos PubMed. Como resultado se obtuvo que cualquiera de las dietas de estudio puede resultar de interés clínico para la pérdida de peso. La dieta mediterránea (DM) es interesante por su capacidad antioxidante. La dieta DASH y la dieta cetogénica (DC) han mostrado ser eficaces para controlar la glucemia en la población de estudio. La dieta de bajo índice glucémico (IG) puede mejorar el perfil de hormonas sexuales y otros parámetros analíticos, como el colesterol total o los triglicéridos. Son necesarios más estudios y con una mayor muestra para poder confirmar los resultados hallados. No obstante, la información expuesta en este artículo muestra que una pérdida de peso, en caso de que sea necesario, una dieta antiinflamatoria y un control en la ingesta de hidratos de carbono son características a tener en cuenta para mejorar la sintomatología y la salud de mujeres con SOP.

Palabras clave: Síndrome de ovario poliquístico, dieta mediterránea, dieta DASH, dieta cetogénica, dieta de bajo índice glucémico

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Cómo citar

Calvo Pajares, S. (2023). Revisión sobre la intervención dietética en síndrome de ovario poliquístico. MLS Health and Nutrition Research, 2(2). https://doi.org/10.60134/mlshnr.v2i2.2235


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1. Zhang X, Zheng Y, Guo Y, Lai Z. The Effect of Low Carbohydrate Diet on Polycystic Ovary Syndrome: A Meta-Analysis of Randomized Controlled Trials. Int J Endocrinol. 2019; 2019. Disponible en: Disponble en: https://doi.org/10.1155/2019/4386401
2. Ruiz Rodríguez R, Serrano Mera VK, Solis Guzmán PG, Montes Mendoza GA. Síntomas y tratamiento de pacientes diagnosticadas con síndrome de ovario poliquístico. RECIAMUC. 2020 Dec 24; 4(4):125–33. Disponible en: https://doi.org/10.26820/reciamuc/4.(4).diciembre.2020.125-133
3. Ajmal N, Khan SZ, Shaikh R. Polycystic ovary syndrome (PCOS) and genetic predisposition: A review article. European Journal of Obstetrics and Gynecology and Reproductive Biology: X. Elsevier Ireland Ltd. 2019; 3. DOI: https://10.1016/j.eurox.2019.100060
4. Patel S. Polycystic ovary syndrome (PCOS), an inflammatory, systemic, lifestyle endocrino pathy. Journal of Steroid Biochemistry and Molecular Biology. Elsevier Ltd. 2018; 182: 27–36. Disponible en: https://doi.org/10.1016/j.jsbmb.2018.04.008
5. Merve Esra Çıtar Dazıroğlu, Nilüfer Acar Tek. The Effect on Inflammation of Adherence to the Mediterranean Diet in Polycystic Ovary Syndrome. 2023 Marzo; 12(1): 191-202. doi: 10.1007/s13668-023-00451-6. Disponible en: 10.1007/s13668-023-00451-6
6. Cutillas-Tolín A, Arense-Gonzalo JJ, Mendiola J, Adoamnei E, Navarro-Lafuente F, Sánchez-Ferrer ML, et al. Are dietary indices associated with polycystic ovary syndrome and its phenotypes? A preliminary study. Nutrients. 2021 Feb 1;13(2):1–18. Disponible en: 10.3390/nu13020313
7. Sidra S, Tariq MH, Farrukh MJ, Mohsin M. Evaluation of clinical manifestations, health risks, and quality of life among women with polycystic ovary syndrome. PLoS One. 2019 Oct 1;14(10). DOI: 10.1371/journal.pone.0223329
8. Teede HJ, Misso ML, Costello MF, Dokras A, Laven J, Moran L, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril. 2018 Aug 1;110(3): 364–79. DOI: 10.1016/j.fertnstert.2018.05.004
9. Yosri MM, Hamada HA, Yousef AM. Effect of visceral manipulation on menstrual complaints in women with polycystic ovarian syndrome. Journal of Osteopathic Medicine. 2022 Aug 1;122(8): 411–22. DOI: 10.1515/jom-2021-0255
10. Wang Q, Sun Y, Xu Q, Liu W, Wang P, Yao J, et al. Higher dietary inflammation potential and certain dietary patterns are associated with polycystic ovary syndrome risk in China: A case-control study. Nutrition Research. 2022 Apr 1; 100:1–18. DOI: 10.1016/j.nutres.2021.12.006
11. Escobar-Morreale HF. Polycystic ovary syndrome: Definition, etiology, diagnosis and treatment. Nature Reviews Endocrinology. Nature Publishing Group. 2018; 14: 270–84. DOI: 10.1038/nrendo.2018.24
12. Rosenfield R.L, Ehrmann D.A. The Pathogenesis of Polycystic Ovary Syndrom (PCOS): The Hyphothesis of PCOS as Functional Ovarian Hyperandrogenism Revisited. 2016; 37(5): 467-520. doi: 10.1210/er.2015-1104
13. Smet ME, McLennan A. Rotterdam criteria, the end. Australas J Ultrasound Med. 2018 May; 21(2): 59–60. doi: 10.1002/ajum.12096
14.
15. Sánchez Gaitán E. Actualización del manejo de síndrome de ovario poliquístico. Revista Médica Sinergia. 2019; 4(12). Disponible en: https://doi.org/10.31434/rms.v4i12.322
16. MedlinePlus [sede Web]. [citado en 13 de marzo 2023]. Disponible en: https://medlineplus.gov/spanish
17. Pérez Monteverde A. Diagnóstico bioquímico del de ovario poliquístico. Rev Venez Endocrinol Metab. 2007;5(3).
18. Hoeger KM, Dokras A, Piltonen T. Update on PCOS: Consequences, Challenges, and Guiding Treatment. Journal of Clinical Endocrinology and Metabolism. Endocrine Society. 2021: 106; 1071–83. Disponible en: 10.1210/clinem/dgaa839
19. Hu L, Ma L, Xia X, Ying T, Zhou M, Zou S, et al. Efficacy of Bariatric Surgery in the Treatment of Women with Obesity and Polycystic Ovary Syndrome. Journal of Clinical Endocrinology and Metabolism. 2022 Aug 1;107(8):3217–29. DOI: 10.1210/clinem/dgac294
20. Mayo Clinic [Internet]. 2022. [citado en 20 marzo 2023]. Disponible en: https://www.mayoclinic.org/es-es/tests-procedures/bariatric-surgery/about/pac-20394258
21. Merviel P, James P, Bouée S, Le Guillou M, Rince C, Nachtergaele C, et al. Impact of myo-inositol treatment in women with polycystic ovary syndrome in assisted reproductive technologies. Reproductive Health. BioMed Central Ltd. 2021: 18. Disponible en: https://doi.org/10.1186/s12978-021-01073-3
22. Paoli A, Mancin L, Giacona MC, Bianco A, Caprio M. Effects of a ketogenic diet in overweight women with polycystic ovary syndrome. J Transl Med. 2020 Feb 27; 18(1). DOI: 10.1186/s12967-020-02277-0
23. Rodriguez Paris V, Solon-Biet SM, Senior AM, Edwards MC, Desai R, Tedla N, et al. Defining the impact of dietary macronutrient balance on PCOS traits. Nat Commun. 2020 Dec 1;11(1). DOI: 10.1038/s41467-020-19003-5
24. Lin AW, Kazemi M, Jarrett BY, Brink H vanden, Hoeger KM, Spandorfer SD, et al. Dietary and physical activity behaviors in women with polycystic ovary syndrome per the new international evidence-based guideline. Nutrients. 2019 Nov 1;11(11). doi: 10.3390/nu11112711
25. H. Al Wattar B, M. sssain N, S. Khan K. Lifestyle interventions in women with polycystic ovary syndrome: A scoping systematic review of randomised evidence. Medicina de Familia SEMERGEN. 2022 Apr 1;48(3):186–94. Doi: 10.1016/j.semerg.2021.10.010
26. Che X, Chen Z, Liu M, Mo Z. Dietary Interventions: A Promising Treatment for Polycystic Ovary Syndrome. Annals of Nutrition and Metabolism. S. Karger AG; 2021; 77: 313–23. DOI: 10.1159/000519302
27. Shang Y, Zhou H, Hu M, Feng H. Effect of diet on insulin resistance in polycystic ovary syndrome. Journal of Clinical Endocrinology and Metabolism. 2020 Oct 1;105(10):1–15. Disponible en: 10.1210/clinem/dgaa425
28. Barrea L, Arnone A, Annunziata G, Muscogiuri G, Laudisio D, Salzano C, et al. Adherence to the mediterranean diet, dietary patterns and body composition in women with polycystic ovary syndrome (PCOS). Nutrients. 2019;11(10). Disponible en: 10.3390/nu11102278
29. Magagnini MC, Condorelli RA, Cimino L, Cannarella R, Aversa A, Calogero AE, et al. Does the Ketogenic Diet Improve the Quality of Ovarian Function in Obese Women? Nutrients. 2022 Oct 1;14(19). Disponible en: https://doi.org/10.3390/nu14194147
30. Cincione RI, Losavio F, Ciolli F, Valenzano A, Cibelli G, Messina G, et al. Effects of mixed of a ketogenic diet in overweight and obese women with polycystic ovary syndrome. Int J Environ Res Public Health. 2021 Dec 1;18(23). Disponible en: https://doi.org/10.3390/ijerph182312490
31. Davis C, Bryan J, Hodgson J, Murphy K. Definition of the mediterranean diet: A literature review. Nutrients. MDPI AG. 2015; 7: 9139–53. Disponible en: 10.3390/nu7115459
32. Mei S, Ding J, Wang K, Ni Z, Yu J. Mediterranean Diet Combined With a Low-Carbohydrate Dietary Pattern in the Treatment of Overweight Polycystic Ovary Syndrome Patients. Front Nutr. 2022 Apr 4; 9. Disponible en: 10.3389/fnut.2022.876620
33. Morris L, Bhatnagar D. The Mediterranean diet. Current Opinion in Lipidology. Lippincott Williams and Wilkins; 2016; 27: 89–91. Disponible en: 10.1097/MOL.0000000000000266
34. Barrea L, Muscogiuri G, Pugliese G, de Alteriis G, Colao A, Savastano S. Metabolically healthy obesity (Mho) vs. metabolically unhealthy obesity (muo) phenotypes in pcos: Association with endocrine-metabolic profile, adherence to the mediterranean diet, and body composition. Nutrients. 2021 Nov 1;13(11). Disponible en: 10.3390/nu13113925
35. Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A Short screener is valid for assessing mediterranean diet adherence among older spanish men and women. Journal of Nutrition. 2011 Jun 1;141(6):1140–5. Disponible en: https://doi.org/10.3945/jn.110.135566
36. Ros E. The PREDIMED study. Endocrinol Diabetes Nutr. 2017;64(2):63–6. Disponible en: https://doi.org/10.1016/j.endinu.2016.11.003
37. Salas-Salvadó J, Mena-Sánchez G, Jordi Salas-Salvadó C. El gran ensayo de campo nutricional PREDIMED. Nutr Clin Med. 2017; 11(1):1–8. Disponible en: www.nutricionclinicaenmedicina.com
38. Filippou CD, Tsioufis CP, Thomopoulos CG, Mihas CC, Dimitriadis KS, Sotiropoulou LI, et al. Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Advances in Nutrition. 2020 Sep 1;11(5):1150–60. Disponible en: https://doi.org/10.1093/advances/nmaa041
39. Ballesteros Pomar M. SEEN Sociedad Española de Endocrinlogía y Nutrición. Todo lo que deberías saber sobre la dieta DASH. 2020.
40. Awrence L, Ppel JA, Homas T, Oore JM, Va E, Barzanek O, et al. A clinical trial of the effectos of dietary patterns on blood pressure abstract. The New England Journal of Medicine.1997; 336. Disponoble en: 10.1056/NEJM199704173361601
41. Vollmer WM, Sacks FM, Ard J, Apple LJ, Bray GA, Simons-Morton DG. Effects of diet and sodium intake on blood pressure: subgroup analysis of the DASH-sodium trial. Ann Intern Med. 2001 Dec 18;135(12):1019–28. Disponible en: https://doi.org/10.7326/0003-4819-135-12-200112180-00005
42. National Institutes of Health [sede Web]. DASH Eating plan. 2021.
43. Avila ER. La Dieta Cetogénica. Revista Chilena de Epilepsia. 2006; 7(1): 25-33.
44. Wheless JW. History of the ketogenic diet. In: Epilepsia. 2008; 49(8):3-5. Disponible en: https://doi.org/10.1111/j.1528-1167.2008.01821.x
45. Moreno-Sepúlveda J, CapponI M. Dieta baja en carbohidratos y dieta cetogénica: impacto en enfermedades metabólicas y reproductivas. Rev Med Chile. 2020; 148:1630-1639. Disponible en: http://dx.doi.org/10.4067/S0034-98872020001101630
46. Magagnini MC, Condorelli RA, Cimino L, Cannarella R, Aversa A, Calogero AE, et al. Does the Ketogenic Diet Improve the Quality of Ovarian Function in Obese Women? Nutrients. 2022 Oct 1;14(19). Disponible en: https://doi.org/10.3390/nu14194147
47. Westman EC, Tondt J, Maguire E, Yancy WS. Implementing a low-carbohydrate, ketogenic diet to manage type 2 diabetes mellitus. Expert Review of Endocrinology and Metabolism. 2018; 13(5): 263–72. Doi: 10.1080/17446651.2018.1523713
48. Mayo Clinic [sede Web]. Dieta con índice glucémico bajo: ¿qué hay detrás de las afirmaciones? 2022. Disponible en: https://www.mayoclinic.org/
49. Medline Plus [sede Web]. 2023. Disponible en: https://medlineplus.gov/spanish/
50. Manuzza Marcela A, Brito G, Echegaray NS, López LB. Índice glucémico y carga glucémica: su valor en el tratamiento y la prevención de las enfermedades crónicas no transmisibles. Diaeta. [Internet]. Asociación Argentina de Dietistas y Nutricionistas Dietistas. 2018; 36(162): 29–38.
51. Salmeron J, Ascherio A, Rimm EB, Colditz GA, Spiegelman D, Jenkins DJ, et al. Dietary Fiber, Glycemic Load, and Risk of NIDDM in Men [Internet]. Diabetes Care. 1997; 20(4): 545-550.Disponible en: https://doi.org/10.1093/advances/nmaa092
52. Kazemi M, Hadi A, Pierson RA, Lujan ME, Zello GA, Chilibeck PD. Effects of Dietary Glycemic Index and Glycemic Load on Cardiometabolic and Reproductive Profiles in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Advances in Nutrition. Oxford University Press. 2021; 12:161–78. Disponible en: https://doi.org/10.1093/advances/nmaa092
53. Zafar MI, Mills KE, Zheng J, Regmi A, Hu SQ, Gou L, et al. Low-glycemic index diets as an intervention for diabetes: a systematic review and meta-analysis. Am J Clin Nutr. 2019 Oct 1;110(4):891–902. Disponible en: https://doi.org/10.1093/ajcn/nqz149
54. Moran LJ, Grieger JA, Mishra GD, Teede HJ. The association of a mediterranean-style diet pattern with polycystic ovary syndrome status in a community cohort study. Nutrients. 2015 Oct 16;7(10):8553–64. Disponible en: https://doi.org/10.3390/nu7105419
55. Barbaouti A, Goulas V. Dietary Antioxidants in the Mediterranean Diet. Antioxidants. 2021;10(8):1213. Disponible en: https://doi.org/10.3390/antiox10081213
56. Azadi-Yazdi M, Karimi-Zarchi M, Salehi-Abargouei A, Fallahzadeh H, Nadjarzadeh A. Effects of Dietary Approach to Stop Hypertension diet on androgens, antioxidant status and body composition in overweight and obese women with polycystic ovary syndrome: a randomised controlled trial. Journal of Human Nutrition and Dietetics. 2017 Jun 1;30(3):275–83. Disponible en: 10.1111/jhn.12433
57. Asemi Z, Esmaillzadeh A. DASH diet, insulin resistance, and serum hs-CRP in polycystic ovary syndrome: A randomized controlled clinical trial. Hormone and Metabolic Research. 2015;47(3):232–8. Disponible en: 10.1055/s-0034-1376990
58. Foroozanfard F, Rafiei H, Samimi M, Gilasi HR, Gorjizadeh R, Heidar Z, et al. The effects of dietary approaches to stop hypertension diet on weight loss, anti-Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial. Clin Endocrinol (Oxf). 2017 Jul 1;87(1):51–8. Disponible en: 10.1111/cen.13333
59. Paoli A, Mancin L, Giacona MC, Bianco A, Caprio M. Effects of a ketogenic diet in overweight women with polycystic ovary syndrome. J Transl Med. 2020 Feb 27; 18(1). Disponible en: 10.1186/s12967-020-02277-0
60. Yang M, Bai W, Jiang B, Wang Z, Wang X, Sun Y, et al. Effects of a ketogenic diet in women with PCOS with different uric acid concentrations: a prospective cohort study. Reprod Biomed Online. 2022 Aug 1;45(2):391–400. Disponible en: 10.1016/j.rbmo.2022.03.023
61. Lagowska A, Drzymala-Czyz S. A low glycemic index, energy-restricted diet but not Lactobacillus rhamnosus supplementation changes fecal short-chain fatty acid and serum lipid concentrations in women with overweight or obesity and polycystic ovary syndrome. Eur Rev Med Pharmacol Sci. 2022 Feb; 26(3):917-926. doi: 10.26355/eurrev_202202_28001
62. Szczuko M, Malarczyk I, Zapałowska-Chwyć M. Improvement in anthropometric parameters after rational dietary intervention in women with polycystic ovary syndrome as the best method to support treatment. Rocz Panstw Zakl Hig. 2017; 68(4): 409-417. Disponible en: http://wydawnictwa.pzh.gov.pl/roczniki_pzh/
63. Shishehgar F, Mirmiran P, Rahmati M, Tohidi M, Ramezani Tehrani F. Does a restricted energy low glycemic index diet have a different effect on overweight women with or without polycystic ovary syndrome? BMC Endocr Disord. 2019 Sep 2;19(1). Disponible en: 10.1186/s12902-019-0420-1
64. Szczuko M, Zapałowska-Chwyć M, Drozd A, Maciejewska D, Starczewski A, Wysokiński P, et al. Changes in the IGF-1 and TNF-α synthesis pathways before and after three-month reduction diet with low glicemic index in women with PCOS. Ginekol Pol. 2018;89(6):295–303. Disponible en: 10.5603/GP.a2018.0051
65. Panjeshahin A, Salehi-Abargouei A, Anari AG, Mohammadi M, Hosseinzadeh M. Association between empirically derived dietary patterns and polycystic ovary syndrome: A case–control study. Nutrition. 2020 Nov 1;79–80. Disponible en: 10.1016/j.nut.2020.110987
66. Hoover SE, Gower BA, Cedillo YE, Chandler-Laney PC, Deemer SE, Goss AM. Changes in Ghrelin and Glucagon following a Low Glycemic Load Diet in Women with PCOS. Journal of Clinical Endocrinology and Metabolism. 2021 May 1;106(5):2151–61. Disponible en: 10.1210/clinem/dgab028