低血糖负荷食物交换份法干预2型糖尿病患者的效果评价——兼谈对低血糖负荷食品研发的启示  

Evaluation of the Effect of Low Glycemic Load Food Exchange Method in the Intervention of Type 2 Diabetes Patients——Also Discuss the Implications for the Research and Development of Low Glycemic Load Foods

作　　者：徐文博 穆兰 王学通 陈凤敏 XU Wenbo;MU Lan;WANG Xuetong;CHEN Fengmin(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000;Affiliated Hospital of Qinghai University,Xining 810000)

机构地区：[1]锦州医科大学附属第一医院,锦州121000 [2]青海大学附属医院,西宁810000

出　　处：《食品工业》2024年第7期65-68,共4页The Food Industry

基　　金：国家社科基金一般项目“农村人居环境与居民健康协同治理研究”(项目编号:20BKS009);锦州医科大学教育教学研究与改革项目(项目编号:YB2023001);2023年度锦州市科学技术局研究项目(JZ2023B059)。

摘　　要：探讨低血糖负荷(glycemic load, GL)食物交换份法对2型糖尿病患者血糖的影响。采用随机对照试验设计,共招募53名2型糖尿病患者,分为试验组和对照组。试验组患者接受研究者提供的低血糖负荷主食进行饮食调整,而对照组则自选食物但需遵循低血糖负荷食物交换份法原则。通过42 d的干预,并应用移动饮食管理平台进行数据记录与分析,研究发现低血糖负荷食物交换份法显著降低2组患者的血糖水平、改善体重和身体形态,其中试验组干预前FBG、HbA1c平均值7.67μmmol/L和7.03%,干预后为6.74μmmol/L和6.35%(t=4.301, P<0.001;t=5.398,P<0.001)。对照组干预前FBG、HbA1c平均值7.82μmmol/L和7.28%,干预后为7.32μmmol/L和6.83%(t=2.902, P<0.001;t=5.128, P<0.001)。试验结果支持低血糖负荷食物交换份法作为2型糖尿病患者有效的饮食管理方法,同时也为低血糖负荷食品的研发提供有益启示。Investigate the effect of low glycemic load(GL)food exchange on blood glucose in type 2 diabetes patients.A randomized controlled trial design was used to enroll 53 patients with type 2 diabetes,who were divided into experimental group and control group.The experimental group received the staple food of low glycemic load provided by the researcher for diet adjustment,while the control group selected their own food but followed the principle of low glycemic load food exchange.After 42 d of intervention and data recording and analysis by mobile diet management platform,it was found that food exchange method with low glycemic load significantly reduced blood glucose level and improved body weight and body shape of patients in the two groups.The average FBG and HbAlc of the experimental group before intervention were 7.67μmmol/L and 7.03%.After intervention,it was 6.74μmmol/L and 6.35%(t=4.301,P<0.001;t=5.398,P<0.001).In the control group,the mean values of FBG and HbA1c were 7.82μmmol/L and 7.28%before intervention,and 7.32μmmol/L and 6.83%after intervention(t-2.902,P<0.001;t-5.128,P<0.001).The results support the low glycemic load food exchange method as an effective dietary management method for patients with type 2 diabetes,and also provide beneficial implications for the research and development of low glycemic load foods.

关 键 词：食物交换份法 2型糖尿病 低血糖负荷 

分 类 号：TS201.4[轻工技术与工程—食品科学] R587.1[轻工技术与工程—食品科学与工程]