高膳食纤维限能干预对肥胖合并糖耐量异常患者体重和代谢指标的影响  

Effects of high dietary fiber energy restriction intervention on body weight and metabolic indexes in obese patients with impaired glucose tolerance

作　　者：尹薇 孙玲莉 YIN Wei;SUN Lingli(Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710000,China)

机构地区：[1]陕西省中医医院,陕西西安710000

出　　处：《临床医学研究与实践》2024年第22期40-43,共4页Clinical Research and Practice

基　　金：陕西省卫生健康科研基金项目(No.2021E012)。

摘　　要：目的探究高膳食纤维限能干预对肥胖合并糖耐量异常患者体重和代谢指标的影响。方法前瞻性选取陕西省中医医院营养科门诊收治的60例肥胖合并糖耐量异常患者为研究对象,采用随机数字表法将其分为高膳食纤维限能组(30例,高膳食纤维限能干预)和常规饮食限能组(30例,常规饮食限能)。比较两组的干预效果。结果干预后,高膳食纤维限能组的甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平及稳态模型胰岛素抵抗指数(HOMA-IR)优于常规饮食限能组(P<0.05)。干预后,高膳食纤维限能组的腰围、体质量指数(BMI)、体脂率、内脏脂肪指数小于常规饮食限能组(P<0.05)。高膳食纤维限能组的治疗有效率高于常规饮食限能组,差异具有统计学意义(P<0.05)。结论高膳食纤维限能干预在肥胖合并糖耐量异常患者中的效果较好,可改善体重和代谢指标。Objective To investigate the effects of high dietary fiber energy restriction intervention on body weight and metabolic indexes in obese patients with impaired glucose tolerance.Methods A total of 60 obese patients with impaired glucose tolerance admitted in the nutrition department outpatient of Shaanxi Provincial Hospital of Chinese Medicine were prospectively selected as the research object,the patients were divided into high dietary fiber energy restriction group(30 cases,high dietary fiber energy restriction intervention)and conventional dietary energy restriction group(30 cases,conventional dietary energy restriction)by random number table method.The intervention effects of the two groups were compared.Results After intervention,the levels of triglyceride(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),fasting blood glucose(FBG),2 hours postprandial blood glucose(2 h PG)and homeostasis model insulin resistance index(HOMA-IR)in the high dietary fiber energy restriction group were better than those in the conventional dietary energy restriction group(P<0.05).After intervention,the waist circumference,body mass index(BMI),body fat rate and visceral fat index of the high dietary fiber energy restriction group were lower than those of the conventional dietary energy restriction group(P<0.05).The effective rate of treatment in the high dietary fiber energy restriction group was higher than that in the conventional dietary energy restriction group,and the difference was statistically significant(P<0.05).Conclusion The high dietary fiber energy restriction intervention in obese patients with impaired glucose tolerance has a better effect,which can improve body weight and metabolic indexes.

关 键 词：肥胖 糖耐量异常 限制能量平衡膳食 高膳食纤维限能干预 体重 代谢指标 

分 类 号：R587.1[医药卫生—内分泌]