摘要
背景:肥胖是主要的健康问题,已成为全球流行病。超重和肥胖通常与多种病理的发展有关,例如胰岛素抵抗,心血管疾病,睡眠呼吸暂停和几种类型的癌症,这些疾病可导致进一步的发病率和死亡率。腹部肥胖增加会使超重和肥胖的人更容易发生代谢和心血管问题。 目的:本综述旨在描述针对肥胖症的医学,社会和经济后果的饮食策略,以应对肥胖症。 方法:185篇论文被纳入本综述。 结果:过量的脂肪会导致脂肪组织的生物学,形态和功能发生若干变化,例如脂肪细胞肥大和增生,脂肪组织炎症和纤维化以及脂肪因子的分泌受损,从而导致肥胖相关合并症的发作。肥胖管理和预防的第一种方法是饮食结合体育锻炼。本综述总结了令人信服的证据,这些证据显示了低热量,低碳水化合物和高碳水化合物,高蛋白或低脂饮食的人体成分变化,对心脏代谢的影响以及潜在的不良影响。还对餐前和餐后状态下大量营养素的使用进行了综述,以更好地理解由不同饮食干预引起的代谢变化。 结论:饮食变化应个性化,适合于食物偏好,并允许采取灵活的方法减少卡路里摄入,以增加超重和肥胖患者的动机和依从性。
关键词: 肥胖,超低卡路里饮食,高蛋白饮食,低碳水化合物和高碳水化合物饮食,低脂饮食,葡萄糖代谢。
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