代谢综合征膳食能量分配方法干预效果评价

Effect of clinical dietary energy distribution for metabolic syndrome patients

目的探讨代谢综合征(MS)膳食能量分配新方法。方法随机将189例MS患者分为新法组96例(根据各小组具体情况给予相应的能量分配)和常规组93例(按传统能量分配);然后对2组患者按MS代谢异常成分常见组合分为MS1、MS2、和MS33组。结果3个新法组体质指数(BM I)为(23±3),(24±3),(24±6)kg/m2,分别低于常规组的(26±5),(27±6),(26±3)kg/m2(P<0.05);腰围为(89.4±4.4),(87.6±5.3),(89.1±5.9)cm,分别低于常规组(91.6±3.3),(91.3±5.9),(91.3±6.7)cm(P<0.05);新法组MS2和MS3小组空腹血糖为(7.4±1.5),(8.4±1.2)mmol/L,分别低于常规组的(9.3±1.1),(10.6±1.8)mmol/L(P<0.05);新法组MS2和MS3小组餐后血糖(9.2±5.4),(10.7±5.3)mmol/L,分别低于常规组的(14.6±3.5),(14.5±5.7)mmol/L(P<0.05);新法组MS2和MS3小组糖化血红蛋白(HbA1C)为,(8.6±3.2)%,(8.5±2.6)%分别低于常规组(10.0±3.1)%,(9.8±2.6)%(P<0.05)。结论MS能量分配新方法能更好地控制患得肥胖和血糖水平。

Objective To investigate a new method of enegy distribution for metabolic syndrome （MS）. Methods Overall 189 volunteers with MS were randomly divided into experimental group （96 volunteers） and control group （93 volunteers）. In each group, the MS inpatients were further divided into three subgroups according to MS composition. The new method was used in experimental group and the normal method was utilized in control group. Results After months of the experiment, the body mass index was significantly decreased for subgroups MS1, MS2, MS3 in experimental group （ 23 ± 3 vs 26 ± 5,24 ± 3 vs 27 ± 6, and 24 ± 6 vs 26 ± 3 kg/m^2 ; P 〈 0. 05 ）. The waistline of MS1 , MS2, and MS3 subgroups was significantly decreased （89.4 ± 4. 4 vs 91.6 ± 3.3,87. 6 ± 5. 3 vs 91.3 ± 5.9, and 89. 1 ± 5.9 vs 91.3 ± 6. 7 cm; P 〈 0. 05 ）. For subgroups MS2 and MS3 ,fasting blood glucose was significantly dicreased （7. 4 ± 1.5 vs 9. 3 ± 1.1,8.4 ± 1.2 vs 10. 6 ± 1.8 mmol/L;P 〈0. 05）. For subgroups MS2 and MS3 ,blood glucose after meal was significantly decreased （9.2 ± 5.4 vs 14.6 ±3.5,10.7±5.3 vs 14.5 ±5. 7）mmol/L;P 〈0. 05）. Conclusion The new method can control obesity and blood glucose for MS in a better way.