东方膳食模式对2型糖尿病患者体重、血压、血糖、血脂影响的随机临床试验  

Effects of the eastern healthy diet pattern on body weight,blood pressure(BP),glycemia,and lipids in type 2 diabetes mellitus:A randomized clinical trial

作　　者：徐大凤[1] 戴民慧 李甘 王凯丁 XU Dafeng;DAI MinHui;LI Gan;WANG Kaiding(Department of Nutrition,Chenzhou First People′s Hospital,Chenzhou,Hunan 423000,China;Department of Clinical Nutrition,Xiangya Hospital,Central South University,Changsha,Hunan 410000,China;Department of Emergency,Chenzhou First People′s Hospital,Chenzhou,Hunan 423000,China)

机构地区：[1]湖南省郴州市第一人民医院营养科,湖南郴州423000 [2]中南大学湘雅医院营养科,湖南长沙4210000 [3]湖南省郴州市第一人民医院急诊科,湖南郴州423000

出　　处：《公共卫生与预防医学》2024年第4期28-31,共4页Journal of Public Health and Preventive Medicine

基　　金：个体化医学营养治疗对2型糖尿病患者的疗效研究(院级N2020-26)。

摘　　要：目的 该研究旨在探讨东方膳食模式对2型糖尿病患者体重、血压、血脂和血糖的影响。方法 选择2022年5月至2022年12月郴州市第一人民医院收治的140例2型糖尿病住院患者,按随机数字表法分为东方膳食组和传统膳食组。传统膳食组遵循糖尿病饮食基本原则,而东方膳食组在传统糖尿病饮食基础上提高水产品、全谷物、橄榄油(茶油)、奶制品、新鲜蔬果比例并增加食物多样。随访干预8周比较两组体重、血压、血脂、血糖差异。结果 干预8周后,两组体重、BMI、FBS、血脂、BP较干预前均有所下降,差异有统计学意义(P<0.05)。两两组间比较,东方膳食组体重、BMI、血脂、BP、FBS较糖尿病膳食组下降更明显,差异有统计学意义(P<0.05)。结论 东方膳食干预对降血糖、体重、血压、血脂效果优于传统糖尿病饮食组。Objective To evaluate the impact of the eastern healthy diet pattern(EHDP) on body weight,blood pressure,blood lipids,and glucose in type 2 diabetes mellitus(T2MD) patients and compare it with the effect of traditional diabetes diet(TDD).Methods A total of 140 inpatients with T2DM admitted to Chenzhou First People′s Hospital from May 2022 to December 2022 were selected and randomly assigned to EHDP(n=70) group or TDD group(n=70).Both groups were served with three meals a day by the dietitian department of the hospital for 8 weeks.The TDD group followed the guidelines of the Chinese diabetes society,while the EHDP group optimized diversified food intake and increased aquatic products,olive oil,and dairy products.Results There was no statistically significant difference between the two groups of patients in baseline data including age,gender,blood pressure,blood glucose,and hypoglycemic and lipid-lowering treatment between the two groups(P value 0.238~0.795).After 8 weeks of dietary intervention,compared with before the intervention,the body weight,fasting blood glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,blood lipids and blood pressure of both groups showed statistically significant decreases(P<0.05).The reductions in weight,BMI,blood lipids,blood pressure and fasting blood glucose in the EHDP group were greater than those in the TDD group(P<0.05).Conclusion EHDP is better than the traditional diabetic diet in reducing blood glucose,weight,blood pressure,and blood lipids compared to traditional diets.Both diet patterns effectively improve 2h PG and HbA1c with no significant difference.

关 键 词：东方膳食模式 2型糖尿病 医学营养治疗 

分 类 号：R181[医药卫生—流行病学]