Dieta predominantemente vegetal y síndrome de ovario poliendocrino metabólico (PMOS)

Abstract

Polyendocrine metabolic ovarian syndrome (PMOS), formerly polycystic ovary syndrome (PCOS), is an endocrine-metabolic disorder affecting women of reproductive age, strongly associated with insulin resistance, hyperandrogenism, ovulatory dysfunction, and increased cardiovascular risk. While lifestyle interventions are first-line therapy, no single dietary composition is universally superior. Plant-based diets have gained scientific interest due to their high nutritional density, fiber content, and lower saturated fat. A narrative search was conducted in PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar between [start date] and [search closing date], combining MeSH/DeCS terms with Boolean operators; after title/abstract and full-text screening, [final number] studies met the eligibility criteria and were included. This review examines the resulting evidence regarding the clinical utility of plant-based patterns in PMOS management. Reviewed studies suggest favorable effects on body weight, insulin sensitivity, triglycerides, systemic inflammation, and hormonal markers, although methodological heterogeneity and limited PMOS-specific trials restrict the strength of conclusions. A predominantly plant-based diet can be integrated into an individualized PMOS approach, provided adequate energy, protein, and micronutrients are ensured.