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低碳水化合物饮食:当前研究的更新。

Low-carbohydrate diets: an update on current research.

机构信息

Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.

出版信息

Curr Diab Rep. 2009 Oct;9(5):396-404. doi: 10.1007/s11892-009-0061-2.

Abstract

The diabetes and obesity epidemics have stimulated research to assess the benefits and potential risks of low-carbohydrate diets. Carbohydrate comprises less than 45% of calories in carbohydrate-restricted diets, but very low carbohydrate ketogenic diets may restrict carbohydrate to 20 g initially with variability in the carbohydrate level subsequently. Some research suggests that low-carbohydrate diets may achieve better early weight loss than comparison diets higher in carbohydrate. Studies of up to 1 year suggest that weight loss on low-carbohydrate diet is comparable with fat-restricted diets with higher carbohydrate content. Limited research has been conducted to evaluate low-carbohydrate diets in managing type 2 diabetes. Although science continues to advance in this field, current research suggests that low-carbohydrate diets can be a viable option for achieving weight loss and may have beneficial effects on glycemic control, triglyceride levels, and high-density lipoprotein cholesterol levels in some patients.

摘要

糖尿病和肥胖症的流行促使人们研究评估低碳水化合物饮食的益处和潜在风险。低碳水化合物饮食中碳水化合物所提供的热量占比不到 45%,但极低碳水化合物生酮饮食最初可能将碳水化合物限制在 20 克,随后碳水化合物的含量会有所变化。一些研究表明,低碳水化合物饮食可能比高碳水化合物的对照饮食在早期能实现更好的体重减轻效果。持续时间长达 1 年的研究表明,低碳水化合物饮食的减肥效果与碳水化合物含量更高的脂肪限制饮食相当。目前对低碳水化合物饮食在管理 2 型糖尿病方面的研究有限。尽管该领域的科学研究在不断推进,但目前的研究表明,低碳水化合物饮食可能是实现减肥的可行选择,并且在一些患者中可能对血糖控制、甘油三酯水平和高密度脂蛋白胆固醇水平有有益影响。

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