{"id":552,"date":"2025-10-21T18:42:29","date_gmt":"2025-10-21T18:42:29","guid":{"rendered":"https:\/\/endothemeetings.com.br\/artigos\/?p=552"},"modified":"2025-10-21T19:10:20","modified_gmt":"2025-10-21T19:10:20","slug":"nutricao-personalizada-na-endometriose-e-obesidade","status":"publish","type":"post","link":"https:\/\/endothemeetings.com.br\/artigos\/nutricao-personalizada-na-endometriose-e-obesidade\/","title":{"rendered":"Nutri\u00e7\u00e3o personalizada na endometriose e obesidade"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\" id=\"block-c0c68032-3df1-4e53-8808-28be3b6df5ef\">Artigo original:<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"block-fd6b3f13-644a-4bbc-9ed7-eeeec57f44cc\"><strong><em>Effectiveness of Medical Nutrition Therapy in the Management of Patients with Obesity and Endometriosis: from the Mediterranean Diet to the Ketogenic Diet, Through Supplementation. The Role of the Nutritionist in Clinical Management<\/em><\/strong><\/h3>\n\n\n\n<p id=\"block-d3b0cfe7-e01f-434c-9564-8f5904852ffc\"><strong>Autores e refer\u00eancia:<\/strong> &nbsp;Luigi Barrea, Ludovica Verde, Giuseppe Annunziata, et al.<br><strong>Ano:<\/strong> 2025<br><strong>DOI:<\/strong> <a href=\"https:\/\/doi.org\/10.3390\/jcm14113987\"><\/a><a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0317820\"><\/a><a href=\"https:\/\/doi.org\/10.1007\/s13679-025-00662-8\">10.1007\/s13679-025-00662-8<\/a><\/p>\n\n\n\n<p id=\"block-fee5783a-71af-48d7-a4e3-06cc64a3d51b\"><strong>Tema cl\u00ednico principal:<\/strong>\u00a0Terapia nutricional personalizada para pacientes com endometriose e obesidade<br><\/p>\n\n\n\n<div class=\"wp-block-file botao-artigo has-link-color wp-elements-75fd1e8bc15d1066baaf9536378542fb\" style=\"margin-top:-20px\"><a id=\"wp-block-file--media-3666a7f0-21c8-43f0-a4f0-6c5202c00ee9\" href=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/Eficacia-da-terapia-nutricional-no-tratamento-de-pacientes-com-obesidade-e-endometriose.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Efica\u0301cia da terapia nutricional no tratamento de pacientes com obesidade e endometriose<\/a><a href=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/Eficacia-da-terapia-nutricional-no-tratamento-de-pacientes-com-obesidade-e-endometriose.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-3666a7f0-21c8-43f0-a4f0-6c5202c00ee9\">Baixar<\/a><\/div>\n\n\n\n<p id=\"block-fee5783a-71af-48d7-a4e3-06cc64a3d51b\"><strong>Comentado por:<\/strong> Dra. Graciela Morgado<br>CRM\/SP 122.379 | RQE 540631 | RQE 540632<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"block-a94cce24-0891-40f5-9c83-10d5af5731bd\">1. Resumo Cient\u00edfico Objetivo<\/h2>\n\n\n\n<p>A revis\u00e3o explora a efic\u00e1cia da Terapia Nutricional M\u00e9dica (MNT) no manejo de pacientes com endometriose e obesidade. Avalia os efeitos de dietas como a Mediterr\u00e2nea e Cetog\u00eanica, al\u00e9m de suplementa\u00e7\u00f5es nutricionais espec\u00edficas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. Fisiopatologia detalhada<\/h2>\n\n\n\n<p>&nbsp;A endometriose \u00e9 uma condi\u00e7\u00e3o cr\u00f4nica, estrog\u00eanio-dependente, associada \u00e0 inflama\u00e7\u00e3o persistente e estresse oxidativo. Em mulheres com obesidade, h\u00e1 disfun\u00e7\u00e3o adipocit\u00e1ria e inflama\u00e7\u00e3o sist\u00eamica que agravam os sintomas da doen\u00e7a.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. Mecanismos moleculares envolvidos<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ativa\u00e7\u00e3o de receptores de estrog\u00eanio (\u2191 ER\u03b2, \u2193 ER\u03b1)<\/li>\n\n\n\n<li>Produ\u00e7\u00e3o local de estradiol e resist\u00eancia \u00e0 progesterona<\/li>\n\n\n\n<li>Est\u00edmulo de vias inflamat\u00f3rias como COX-2 e interleucinas<\/li>\n\n\n\n<li>Estresse oxidativo com aumento de ROS e redu\u00e7\u00e3o da atividade antioxidante<\/li>\n\n\n\n<li>Microbiota intestinal como moduladora da inflama\u00e7\u00e3o<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">4. An\u00e1lise Coment\u00e1rio Cl\u00ednico da Dra. Graciela<\/h2>\n\n\n\n<p>Este artigo refor\u00e7a o papel estrat\u00e9gico da nutri\u00e7\u00e3o na modula\u00e7\u00e3o da inflama\u00e7\u00e3o e do metabolismo hormonal em pacientes com endometriose. Destaca-se a import\u00e2ncia da atua\u00e7\u00e3o do nutricionista cl\u00ednico na constru\u00e7\u00e3o de um plano alimentar individualizado, sobretudo em fen\u00f3tipo com obesidade ou resist\u00eancia insul\u00ednica. Estrat\u00e9gias como a dieta cetog\u00eanica c\u00edclica e suplementa\u00e7\u00e3o com antioxidantes mostram potencial terap\u00eautico.<\/p>\n\n\n\n<p><strong>Reflex\u00e3o para o leitor:<\/strong><br>Estamos diante de uma nova era na abordagem da endometriose: al\u00e9m dos horm\u00f4nios e cirurgia, a nutri\u00e7\u00e3o entra como ferramenta terap\u00eautica poderosa, principalmente naquelas pacientes com perfil inflamat\u00f3rio e metab\u00f3lico agravado.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. Aplica\u00e7\u00f5es Pr\u00e1ticas<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dieta Mediterr\u00e2nea para pacientes com endometriose normopeso<\/li>\n\n\n\n<li>Dieta Cetog\u00eanica de curto prazo para casos com obesidade ou resist\u00eancia \u00e0 insulina<\/li>\n\n\n\n<li>Suplementa\u00e7\u00e3o com vitaminas C, E, \u00f4mega-3, NAC, resveratrol e probi\u00f3ticos<\/li>\n\n\n\n<li>Avalia\u00e7\u00e3o e acompanhamento nutricional cont\u00ednuo<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"625\" src=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1024x625.png\" alt=\"\" class=\"wp-image-553\" srcset=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1024x625.png 1024w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-300x183.png 300w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-768x469.png 768w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image.png 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">6. F\u00f3rmula Magistral Manipulada<\/h2>\n\n\n\n<p class=\"has-text-align-center\">N-acetilciste\u00edna (NAC), Resveratrol, \u00d4mega-3, Vitaminas C e E (dosagens utilizadas variaram entre os estudos; necessitam individualiza\u00e7\u00e3o cl\u00ednica)<br><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" width=\"396\" height=\"1024\" src=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1-396x1024.png\" alt=\"\" class=\"wp-image-555\" srcset=\"https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1-396x1024.png 396w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1-116x300.png 116w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1-594x1536.png 594w, https:\/\/endothemeetings.com.br\/artigos\/wp-content\/uploads\/2025\/10\/image-1.png 619w\" sizes=\"(max-width: 396px) 100vw, 396px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">7. Interven\u00e7\u00f5es Integrativa Complementares<\/h2>\n\n\n\n<p>Uso de dieta Low-FODMAP em casos com sintomas gastrointestinais concomitantes, especialmente quando h\u00e1 suspeita de sobreposi\u00e7\u00e3o com s\u00edndrome do intestino irrit\u00e1vel.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Refer\u00eancia Completa:<\/h2>\n\n\n\n<p class=\"has-small-font-size\">Barrea L, Verde L, Annunziata G, et al. <em>Effectiveness of Medical Nutrition Therapy in the Management of Patients with Obesity and Endometriosis<\/em>. Current Obesity Reports. 2025;14:68. DOI: <a href=\"https:\/\/doi.org\/10.1007\/s13679-025-00662-8\">10.1007\/s13679-025-00662-8<\/a><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A revis\u00e3o explora a efic\u00e1cia da Terapia Nutricional M\u00e9dica (MNT) no manejo de pacientes com endometriose e obesidade. Avalia os efeitos de dietas como a Mediterr\u00e2nea e Cetog\u00eanica, al\u00e9m de suplementa\u00e7\u00f5es nutricionais espec\u00edficas.<\/p>\n","protected":false},"author":1,"featured_media":556,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-552","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigos"],"_links":{"self":[{"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/posts\/552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/comments?post=552"}],"version-history":[{"count":3,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/posts\/552\/revisions"}],"predecessor-version":[{"id":560,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/posts\/552\/revisions\/560"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/media\/556"}],"wp:attachment":[{"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/media?parent=552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/categories?post=552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endothemeetings.com.br\/artigos\/wp-json\/wp\/v2\/tags?post=552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}