【摘要】 目的 基于生物电阻抗分析法测量与识别多囊卵巢综合征（PCOS）患者多种亚型肥胖及体型特征，为其体重管理评估提供依据。方法 应用人体成分分析仪测量1 856例PCOS患者的体成分指标。结果 从消瘦到肥胖，体质量指数与人体成分各指标呈正相关关系（P<0.05）。不同年龄组间正常体重、超重、肥胖以及体脂肪含量、体脂率、内脏脂肪等级等指标组间差异无统计学意义（P>0.05）;18～24岁组与31～35岁组消瘦率以及肌肉量、去脂体重、骨骼肌量等指标差异均具有统计学意义（P <0.05）。体脂率联合体质量指数显示，正常体重肥胖型占55.7%，肌肉减少型肥胖占3.1%。四肢肌肉指数检出肌肉减少症者11.8%。结论 PCOS患者中普遍存在体脂肪和（或）肌肉量失衡，识别正常体重肥胖型、肌肉减少型肥胖、肌肉减少症等体型，给予体重管理方案将极具临床价值。更多还原

【Abstract】 Objective To measure and identify the characteristics of obesity and body shape in different subtypes of polycystic ovary syndrome(PCOS) patients based on bioelectrical impedance analysis, and to provide a basis for weight management evaluation. Methods A total of 1 856 patients with PCOS were selected and their body composition characteristics measured by a body composition analyzer. Results From emaciation to obesity, body mass index(BMI) was positively correlated with the body composition(P < 0.05). There were no significant difference in the distribution of normal weight, overweight, obesity, body fat mass, body fat percentage and visceral fat grade among different age groups(P > 0.05), while significant differences in the emaciation rate, muscle mass, fat-free body weight and skeletal muscle mass appeared between 18～24 years old group and 31～35 years old group(P < 0.05). Body fat percentage combined with BMI showed that the proportion of normal weight obesity was 55.7%, and the proportion of sarcopenic obesity was 3.1%. Sarcopenia was detected in 11.8% of appendicular skeletal muscle mass index. Conclusions Body fat and/or muscle mass imbalance are common in PCOS patients. Early identification of normal weight obesity, sarcopenia obesity, sarcopenia and other subtypes, and different weight management programs will be of great clinical value.更多还原