Propuesta de abordaje nutricional y dietoterapéutico basado en evidencia para el manejo integral de un paciente con Síndrome Ovárico Metabólico Poliendócrino y Tiroiditis de Hashimoto: análisis retrospectivo de un caso clínico.

Abstract

Polycystic Ovary Syndrome (PCOS), also referred to as Polyendocrine Metabolic Ovarian Syndrome (PMOS), and Hashimoto's thyroiditis are common endocrine disorders whose coexistence may adversely affect nutritional status, body composition, and quality of life. This study retrospectively analyzed a documented clinical case of a 26-year-old woman diagnosed with PCOS and Hashimoto's thyroiditis through a comprehensive nutritional assessment supported by current scientific evidence. The evaluation included anthropometric, clinical, biochemical, and dietary assessment (ABCD), complemented by the Subjective Global Assessment (SGA) and a nutritional diagnosis based on the PES methodology. The findings revealed overweight, excess body fat, energy intake exceeding estimated requirements, high consumption of refined carbohydrates, fats, and added sugars, together with limited variety of dietary fiber sources and low intake of fruits, vegetables, and whole grains and unhealthy eating habits. Biochemical findings were consistent with Hashimoto's thyroiditis. Based on the retrospective analysis, the main nutritional problems were identified, and an individualized nutritional care proposal was developed according to current international guidelines, aiming to optimize nutritional status, improve body composition, support metabolic control, and complement the multidisciplinary management of both conditions.