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Ernährung, Sport und Komplementärmedizin

Was gibt es sonst noch? – Eine Analyse der aktuellen Studienlage im Überblick

Diet, physical activity, and complementary medicine

What else is beneficial? A review of current medical trials

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Zusammenfassung

Bei Endometriose werden neben den etablierten Therapieverfahren komplementäre oder alternative Behandlungskonzepte von den Betroffenen angewendet. Diese umfassen insbesondere Modifikation der Ernährung, Sport und komplementärmedizinische Maßnahmen. Die Ernährung kann Entzündungsparameter und Östrogenlevels beeinflussen. Obst, Gemüse, Fischöl und ungesättigte ω‑3-Fettsäuren haben entzündungshemmende Eigenschaften, während Transfette, rotes Fleisch und Alkohol Entzündungsprozesse fördern können. Sport mit adäquaten Pausen führt zu einer Ausschüttung antiinflammatorischer Marker, verbessert die Durchblutung, aktiviert endogene Opioidspiegel zur Schmerzlinderung, reduziert die Größe von Endometrioseläsionen und senkt oxidativen Stress. Akupunktur, Yoga, Meditation und chinesische Heilkräuter können die Lebensqualität verbessern und Symptome lindern. Mönchspfeffer, Curcumin und das Extrakt der französischen maritimen Seekieferrinde haben entzündungshemmende und hormonregulierende Eigenschaften und könnten ebenfalls vielversprechend Einfluss haben. Weitere Forschung ist jedoch notwendig, um Wirksamkeit und Sicherheit zu bestätigen.

Abstract

In the case of endometriosis, integrative treatment options are available in addition to the established therapies. These include especially nutrition, exercise, and methods from complementary medicine. Diet can influence inflammatory parameters and estrogen levels. Fruits, vegetables, fish oil, and unsaturated omega‑3 fatty acids have anti-inflammatory features, whereas trans fats, red meat, and alcohol can promote inflammation. Exercise with adequate breaks leads to release of anti-inflammatory markers, improves blood flow, activates endogenous opioids for pain relief, reduces endometrial lesion size, and lowers oxidative stress. Acupuncture, yoga, meditation, and Chinese medicinal herbs can improve quality of life and relieve symptoms. Monk’s pepper, curcumin, and French maritime pine bark extract have anti-inflammatory and hormone-regulating features and may also be promising. However, further research is needed to confirm their efficacy and safety.

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Authors and Affiliations

  1. Frauenklinik, Städtisches Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Deutschland

    Alexandra Adamietz,  Andreas Müller &  Alexander Boosz

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  1. Alexandra Adamietz
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  2. Andreas Müller
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  3. Alexander Boosz
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Correspondence to Andreas Müller.

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Interessenkonflikt

A. Adamietz, A. Müller und A. Boosz geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Der Verlag bleibt in Hinblick auf geografische Zuordnungen und Gebietsbezeichnungen in veröffentlichten Karten und Institutsadressen neutral.

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Adamietz, A., Müller, A. & Boosz, A. Ernährung, Sport und Komplementärmedizin. Dtsch Z Akupunkt 67, 67–71 (2024). https://doi.org/10.1007/s42212-024-00656-y

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