高蛋白低碳水化合物饮食对超重/肥胖的影响

Effect of High Protein and Low Carbohydrate Diet on Overweight/Obesity

目的研究高蛋白低碳水化合物饮食结合微信跟踪管理在超重/肥胖患者中的作用与效果。方法摘选2017年3月—2019年12月本院营养科门诊接收的超重/肥胖病例150例,对全部患者都施予高蛋白低碳水化合物饮食结合微信跟踪管理,观察比较患者的人体参数指标、代谢功能指标、体质量及体脂率。结果干预3个月后,患者各项人体参数指标[腰围(waist circ-umference,WC)、体脂肪(body fat mass,BFM)、内脏脂肪面积(visceral fat arer,VFA)、体质量指数(body mass index,BMI)]、各项代谢功能指标[三酰甘油(triacylglycerol,TG)、总胆固醇(total cholesterol,TC)、低密度脂蛋白胆固醇(lowdensity lipoprotein cholesterol,LDL-C)]、体质量、体脂率(body fat ratio,BFR)均低于干预前,比较差异均有统计学意义(P <0.05)。结论高蛋白低碳水化合物饮食结合微信跟踪管理应用到超重/肥胖患者中,可以促进其腰围、体质量指数、体脂肪、内脏脂肪面积、三酰甘油、总胆固醇、低密度脂蛋白胆固醇、体质量、体脂率均最大限度地获得改善。

Objective To investigate the effect of high-protein,lowcarbohydrate diet combined with WeChat follow-up management in overweight/obese patients.Methods From March 2017 to December 2019,150 overweight/obese patients with outpatient income from the department of nutrition of our hospital were selected,and all patients were treated with high-protein and low-carbohydrate diet combined with WeChat followup management,and the body parameters,metabolic function indexes,body mass and body fat ratio were observed and compared.Results After 3 months of intervention,all the parameters[waist circ-umference(WC),body fat mass(BFM),visceral fat area(VFA),body mass index(BMI)],the indexes of metabolic function[triacylglycerol(TG),total cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)],body mass,body fat ratio(BFR)were all lower than those before the intervention,with statistically significant differences(P<0.05).Conclusion High-protein low-carbohydrate diet combined with WeChat follow-up management in overweight/obese patients can promote the maximum improvement of waist circumference,body mass index,body fat,visceral fat area,triacylglycerol,total cholesterol,low-density lipoprotein cholesterol,body mass,and body fat ratio.