| Popis: |
Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women of reproductive age, with a prevalence upwards of 10%. It typically presents during adolescence and affects both the reproductive and metabolic systems. The etiology of PCOS remains unclear, but is thought to be multifactorial. It is characterized by a wide spectrum of phenotypes associated with hyperandrogenism, menstrual dysfunction, insulin resistance, increased adiposity and related comorbidities. As such, early diagnosis may prevent sequelae later in life. Lifestyle interventions, including dietary changes and physical activity, continue to be amongst the first-line recommended treatment modalities for adolescents with PCOS and higher body weight, as decreased adiposity reduces the production of androgens and decreases insulin resistance. Despite this, no single dietary intervention has proven to be superior to others in the management of PCOS. Instead, an overall healthful, balanced diet is recommended. In this chapter, we provide an overview of the workup and diagnostic criteria for PCOS in adolescents, and review strategies for nutritional assessment, diagnosis and management. |
