A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction

Materials and Methods. A systematic analysis of publications retrieved from PubMed/MEDLINE database as well as in the list of primary sources of the identified scientific papers was carried out by using current methods for large data analysis within the framework of topological and metric approaches...

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Main Authors: O. A. Gromova, I. Yu. Torshin, O. A. Limanova, N. I. Tapilskaya
Format: Article
Language:Russian
Published: IRBIS LLC 2020-09-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/782
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author O. A. Gromova
I. Yu. Torshin
O. A. Limanova
N. I. Tapilskaya
author_facet O. A. Gromova
I. Yu. Torshin
O. A. Limanova
N. I. Tapilskaya
author_sort O. A. Gromova
collection DOAJ
description Materials and Methods. A systematic analysis of publications retrieved from PubMed/MEDLINE database as well as in the list of primary sources of the identified scientific papers was carried out by using current methods for large data analysis within the framework of topological and metric approaches applied for data recognition/classification. A map of molecular-pathophysiological processes was compiled followed by performing analysis of metric condensations.Results. Three clusters of terms describing an impact of various biological processes into the pathophysiology of hot flushes were identified: inflammation combined with insulin resistance (cluster 1), the presence of chronic comorbid pathologies in patients (cluster 2), and disorders of serotonin metabolism (cluster 3). The use of menopausal hormone therapy (MHT) is not accepted for all patients. A promising direction in treatment of mild and moderate hot flushes is based on using nutraceuticals: vitamins, trace elements and substances obtained from plant extracts (isoflavones, phytoestrogens, etc.). Here, this set of interactions between pathophysiology of hot flushes and deficiency of certain micronutrients, inflammation, insulin resistance, chronic comorbid pathologies and disorders of serotonin metabolism is described. Replenished deficiency of vitamins C, E, A, B2, PP, B6, B12, and folates aids to reduce chronic inflammation, insulin resistance and normalize functioning of the autonomic nervous system. Natural and synthetic agonists of GABA receptors and tryptophan derivatives are necessary for serotonin biosynthesis and elimination of other neurotransmitter imbalances in order to normalize activity of the hypothalamic thermoregulatory region.Conclusion. Plant isoflavones (including phytoestrogens) together with vitamins and other micronutrients help to overcome estrogen-dependent withdrawal symptoms and eliminate dysfunction of autonomic nervous system
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spelling doaj-art-53b90bb79c6e4380a2c3f0ce876cf6072025-08-20T02:53:57ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942020-09-0114336137310.17749/2313-7347/ob.gyn.rep.2020.167570A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correctionO. A. Gromova0I. Yu. Torshin1O. A. Limanova2N. I. Tapilskaya3Institute of Pharmacoinformatics, Federal Research Center «Informatics and Management», Russian Academy of Sciences; Big Data Storage and Analysis Center, Lomonosov Moscow State UniversityInstitute of Pharmacoinformatics, Federal Research Center «Informatics and Management», Russian Academy of Sciences; Big Data Storage and Analysis Center, Lomonosov Moscow State UniversityIvanovo State Medical Academy, Health Ministry of Russian FederationResearch Institute of Obstetrics, Gynecology and Reproductology named after D. O. Ott; Saint Petersburg State Pediatric Medical University, Health Ministry of Russian FederationMaterials and Methods. A systematic analysis of publications retrieved from PubMed/MEDLINE database as well as in the list of primary sources of the identified scientific papers was carried out by using current methods for large data analysis within the framework of topological and metric approaches applied for data recognition/classification. A map of molecular-pathophysiological processes was compiled followed by performing analysis of metric condensations.Results. Three clusters of terms describing an impact of various biological processes into the pathophysiology of hot flushes were identified: inflammation combined with insulin resistance (cluster 1), the presence of chronic comorbid pathologies in patients (cluster 2), and disorders of serotonin metabolism (cluster 3). The use of menopausal hormone therapy (MHT) is not accepted for all patients. A promising direction in treatment of mild and moderate hot flushes is based on using nutraceuticals: vitamins, trace elements and substances obtained from plant extracts (isoflavones, phytoestrogens, etc.). Here, this set of interactions between pathophysiology of hot flushes and deficiency of certain micronutrients, inflammation, insulin resistance, chronic comorbid pathologies and disorders of serotonin metabolism is described. Replenished deficiency of vitamins C, E, A, B2, PP, B6, B12, and folates aids to reduce chronic inflammation, insulin resistance and normalize functioning of the autonomic nervous system. Natural and synthetic agonists of GABA receptors and tryptophan derivatives are necessary for serotonin biosynthesis and elimination of other neurotransmitter imbalances in order to normalize activity of the hypothalamic thermoregulatory region.Conclusion. Plant isoflavones (including phytoestrogens) together with vitamins and other micronutrients help to overcome estrogen-dependent withdrawal symptoms and eliminate dysfunction of autonomic nervous systemhttps://www.gynecology.su/jour/article/view/782vascular paroxysmsperimenopausenutraceuticalsestrovel
spellingShingle O. A. Gromova
I. Yu. Torshin
O. A. Limanova
N. I. Tapilskaya
A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
Акушерство, гинекология и репродукция
vascular paroxysms
perimenopause
nutraceuticals
estrovel
title A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
title_full A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
title_fullStr A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
title_full_unstemmed A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
title_short A systematic analysis of vascular paroxysm pathophysiology in perimenopause: methods for nutritional correction
title_sort systematic analysis of vascular paroxysm pathophysiology in perimenopause methods for nutritional correction
topic vascular paroxysms
perimenopause
nutraceuticals
estrovel
url https://www.gynecology.su/jour/article/view/782
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