个体化膳食方案联合运动指导对肥胖患者减重及脂代谢的影响

Effect of Individualized Diet Program Combined with Exercise Instruction on Controlling Overweight and Lipid Metabolism in Obese Patients

目的:探究个体化膳食方案联合运动指导对肥胖患者体重控制及脂代谢的影响。方法:选取2018年1—10月于我院门诊就诊的肥胖者120例作为研究对象,经数字随机表法分为对照组和观察组各60例。两组均进行运动指导,在此基础上,对照组制定限能量均衡膳食方案(蛋白质20%、脂肪20%、碳水化合物60%)、观察组制定高蛋白膳食方案(蛋白质30%、脂肪30%、碳水化合物40%)。比较两组干预前后体重、体重指数(BMI)、腰围、臀围各体质量情况,内脏脂肪面积、体脂肪、肌肉量、身体总水分各人体成分数据,以及总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)等各项代谢指标。结果:干预前,两组各体质量情况和人体成分数据差异不显著(P<0.05);干预后,两组体重、BMI、腰围、臀围和内脏脂肪面积、体脂肪含量、身体总水分均较干预前下降,且观察组低于对照组(P<0.05)。干预前,两组TC、TG、HDL-C、LDL-C差异不明显(P>0.05);干预后,观察组TC、TG、LDL-C均低于干预前和对照组,HDL-C高于干预前和对照组(P<0.05)。结论:个性化的高蛋白膳食方案联合运动指导,可以助力肥胖患者控制超重,促进脂代谢的改善。

Objective To explore the influence of individualized diet program combined with exercise guidance on the control of overweight and lipid metabolism in obese patients,so as to provide scientific guidance for clinical practice.Method A total of 120 obese patients who visited the outpatient department of our hospital from January to October 2018 were selected as study subjects,and were divided into control group and observation group by numerical random table method,with 60 patients in each group.Both groups were given exercise guidance,on the basis of which the control group formulated a balanced diet with limited energy(protein 20%,fat 20%,carbohydrate 60%),and the observation group formulated a high-protein diet(protein 30%,fat 30%,carbohydrate 40%).The body weight,body mass index(BMI),waist circumference,hip circumference,body quality,visceral fat area,body fat,muscle mass,total body water body composition data for each,and total cholesterol(TC),three acyl glycerin(TG),high-density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C)and lipid metabolic indices of the two groups were compared before and after the intervention.Result Before intervention,there was no significant difference in body mass and body composition between the two groups(P<0.05).After intervention,the weight,BMI,waist circumference,hip circumference,visceral fat area,body fat muscle mass and total body water of the two groups all decreased compared with that before intervention,and the observation group was lower than the control group(P<0.05).Before intervention,TC,TG,HDL-C and LDL-C were not significantly different between the two groups(P>0.05).After intervention,TC,TG and LDL-C in the observation group were all lower than those before intervention and control group,and HDL-C was higher than that before intervention and control group(P<0.05).Conclusion Personalized high-protein diet combined with exercise guidance can help obese patients control overweight and promote the improvement of lipid metabolism.