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《在八个欧洲国家进行的饮食、肥胖与基因(Diogenes)膳食研究——一项长期干预的综合设计》

The Diet, Obesity and Genes (Diogenes) Dietary Study in eight European countries - a comprehensive design for long-term intervention.

机构信息

Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Obes Rev. 2010 Jan;11(1):76-91. doi: 10.1111/j.1467-789X.2009.00603.x. Epub 2009 May 28.

Abstract

Diogenes is a Pan-European, randomized, controlled dietary intervention study investigating the effects of dietary protein and glycaemic index on weight (re)gain, metabolic and cardiovascular risk factors in obese and overweight families in eight European centres. The article is methodological in character, and the presentation of 'results' will be limited to baseline characteristics of the study populations included. A total of 891 families with at least one overweight/obese parent underwent screening. The parents started an initial 8-week low-calorie diet and families with minimum one parent attaining a weight loss of > or = 8%, were randomized to one of five energy ad libitum, low-fat (25-30 E%) diets for 6 or 12 months: low protein/low glycaemic index, low protein/high glycaemic index, high protein/low glycaemic index, high protein/high glycaemic index or control (national dietary guidelines). At two centres the families were provided dietary instruction plus free foods for 6 months followed by 6-month dietary instruction only. At the remaining six centres the families received dietary instruction only for 6 months. The median weight loss during the low-calorie diet was 10.3 kg (inter-quartile range: 8.7-12.8 kg, n = 775). A total of 773 adults and 784 children were randomized to the 6-month weight (re)gain prevention phase. Despite major cultural and dietary regional differences in Europe, interventions addressing effects of dietary factors are feasible with a reasonable attrition.

摘要

迪欧根尼(Diogenes)是一项泛欧、随机、对照的饮食干预研究,旨在调查饮食蛋白质和血糖指数对肥胖和超重家庭体重(重新)增加、代谢和心血管危险因素的影响,该研究在欧洲的 8 个中心进行。本文具有方法学性质,“结果”的呈现将仅限于纳入研究人群的基线特征。共有 891 个至少有一位超重/肥胖父母的家庭接受了筛选。这些父母开始了最初的 8 周低热量饮食,至少有一位父母体重减轻≥8%的家庭被随机分配到 5 种能量随意摄入、低脂肪(25-30%E)饮食中的一种,持续 6 或 12 个月:低蛋白/低血糖指数、低蛋白/高血糖指数、高蛋白/低血糖指数、高蛋白/高血糖指数或对照(国家饮食指南)。在 2 个中心,为家庭提供了 6 个月的饮食指导和免费食物,然后仅提供 6 个月的饮食指导。在其余 6 个中心,家庭仅接受了 6 个月的饮食指导。低热量饮食期间的体重中位数下降了 10.3 公斤(四分位间距:8.7-12.8 公斤,n=775)。共有 773 名成年人和 784 名儿童被随机分配到 6 个月的体重(重新)增加预防阶段。尽管欧洲在文化和饮食方面存在重大差异,但针对饮食因素影响的干预措施是可行的,且流失率合理。

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