全生活方式干预下高蛋白膳食对超重/肥胖患者的减重效果  

Effect of high protein diet on weight loss in overweight/obese patients under whole lifestyle intervention

作　　者：杨文荣 刘君[2] 张琳[2] 刘萌[2] 崔刚 陈立勇[1,3] YANG Wenrong;LIU Jun;ZHANG Lin;LIU Meng;CUI Gang;CHEN Liyong(Department of Toxicology and Nutrition,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;Taian City Central Hospital Affiliated to Qingdao University,Taian 271000,China;Department of Nutrition,Cheeloo College of Medicine,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院公共卫生学院卫生毒理与营养学系,山东济南250012 [2]泰安市中心医院,山东泰安271000 [3]山东大学齐鲁医院营养科,山东济南250012

出　　处：《山东第一医科大学（山东省医学科学院）学报》2022年第4期287-291,共5页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

摘　　要：目的研究全生活方式干预下高蛋白膳食对超重/肥胖患者的减重效果。方法选取2019年1月至2021年6月在泰安市中心医院营养科门诊就诊的超重/肥胖患者30例,在全生活方式干预指导下,营养师为患者制定个体化高蛋白膳食方案进行减重,共干预3个月,观测减重前后身体形态指标[体质量、体质量指数(body mass index,BMI)、体脂率等]和代谢指标(甘油三酯、总胆固醇、低密度脂蛋白胆固醇、尿酸、血糖)的变化以及胆囊功能与形态的改变。结果减重后患者体质量、BMI、体脂率、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、尿酸较前下降,差异有统计学意义(P<0.05),减重前后腹部彩超未发现明显胆囊结石病例。结论全生活方式干预下高蛋白膳食模式可有效降低超重/肥胖患者BMI指数,改善患者代谢水平,减肥效果显著。Objective:To study the effect of high protein diet on weight loss in overweight/obese patients under whole lifestyle intervention.Methods:A total of 30 overweight/obese patients were selected from the Nutrition Clinic of Tai’an Central Hospital.Under the guidance of whole lifestyle intervention,dietitians made individualized high-protein diet plan for patients to lose weight for 3 months.The changes of body morphological indexes(body weight,body mass index,body fat percentage,etc.)and metabolic indexes(triglyceride,total cholesterol,low density lipoprotein cholesterol,uric acid,blood glucose)and gallbladder function and morphology were observed before and after weight loss.Results:Body weight,BODY Mass Index(BMI),body fat rate,triglyceride,total cholesterol,low density lipoprotein cholesterol and uric acid decreased after weight loss(P<0.05).No obvious cases of cholecystolithiasis were found by abdominal ultrasound examination after weight loss.Conclusion:The whole life style intervention with high protein diet can effectively reduce the BMI index of overweight or obese patients,improve the metabolic level of patients and the weight loss effect is significant.

关 键 词：超重 肥胖 高蛋白膳食 全生活方式干预 减重 

分 类 号：R589.2[医药卫生—内分泌]