Diabetes Center, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.
Diabetes Metab J. 2011 Jun;35(3):273-81. doi: 10.4093/dmj.2011.35.3.273. Epub 2011 Jun 30.
Koreans eat rice, which is usually served in a rice bowl. We investigated the effect of a meal plan using small rice bowls on the total energy intake (TEI) and the marcronutrient intake in Korean men with type 2 diabetes.
A total of 62 men with type 2 diabetes were divided by body mass index (BMI) (normal weight [NW], BMI<23 kg/m(2); overweight [OW], 23≤BMI<25 kg/m(2); obese [OB], BMI≥25 kg/m(2)) and proportions of carbohydrate intake to TEI (PCI) (low carbohydrate intake [LC], <55%; recommended carbohydrate intake [RC], ≥55% and ≤60%; high carbohydrate intake [HC], >60%). The 3-day dietary records were analyzed for TEI and proportions of macronutrients, before and 2 weeks after a small-sized (300 mL) rice bowl based education was given.
There were no significant differences in the age and BMI within the sub-groups by BMI and PCI groups. In baseline, the ratio of TEI to recommended total energy intake (RTR) of OW and OB were higher than that of NW. The PCI of HC was higher than that of LC and alcohol intake of HC was lower than that of LC. After education, the reduction of RTREI in OB was higher than that in OW and NW. The reduction of PCI in HC was higher than that of LC.
A small rice bowl based meal plan was effective for the reduction of energy intake and control of marcronutrient intake in Korean obese men with type 2 diabetes consuming a high carbohydrate diet.
韩国人以米饭为主食，通常盛在饭碗里。我们研究了使用小碗装米饭的餐饮计划对 2 型糖尿病韩国男性的总能量摄入（TEI）和宏量营养素摄入的影响。
共纳入 62 名 2 型糖尿病男性患者，按体重指数（BMI）（正常体重[NW]，BMI<23 kg/m²；超重[OW]，23≤BMI<25 kg/m²；肥胖[OB]，BMI≥25 kg/m²）和 TEI 中碳水化合物摄入量的比例（PCI）（低碳水化合物摄入[LC]，<55%；推荐碳水化合物摄入[RC]，≥55%且≤60%；高碳水化合物摄入[HC]，>60%）进行分组。在给予小碗（300 毫升）米饭相关教育前和 2 周后，分析了 3 天的饮食记录以获取 TEI 和宏量营养素的比例。
在 BMI 和 PCI 分组中，按 BMI 和 PCI 分组的亚组内年龄和 BMI 无显著差异。在基线时，OW 和 OB 的 TEI 与推荐总能量摄入（RTR）的比值高于 NW。HC 的 PCI 高于 LC，HC 的酒精摄入量低于 LC。教育后，OB 的 RTREI 降低幅度高于 OW 和 NW。HC 的 PCI 降低幅度高于 LC。
对于摄入高碳水化合物饮食的 2 型糖尿病肥胖韩国男性，基于小碗的餐饮计划可有效减少能量摄入并控制宏量营养素摄入。
