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[肥胖与高脂蛋白血症。II. 低能量饮食对肥胖者血液脂质水平的影响]

[Obesity and hyperlipoproteinemia. II. The effect of a low energy diet on lipid levels in the blood of obese persons].

作者信息

Beno I, Ovecka M, Chorváthová V

机构信息

Výskumný ústav výzivy l'udu, Bratislava.

出版信息

Cas Lek Cesk. 1990 May 18;129(20):614-8.

PMID:2354489
Abstract

In 287 obese men and women with BMI values of 29-50 kg/m2, divided by sex and age, the effect of a low-energy diet on triacylglycerol (TG), total cholesterol (TC) and HDL-cholesterol (HDL-C) serum levels was investigated. On a diet of 2500 kJ/day (4 weeks) and 4000-7000 kJ/day (6 weeks) the body weight declined by 10-11% from the initial value. There was a significant drop of TG in obese men above 25 years and in obese women above 35 years of age. The mean TC values did not change significantly after weight reduction. The mean HDL-C levels increased significantly after weight reduction, as compared with initial values in both sexes in the groups aged 26-35 years. In this group there was also an increase of the relative ratio of HDL-C in TC and the value of the atherogenic index declined. The authors draw attention to the fact that with regard to preserving normal blood lipid levels, in particular in obese men, it is necessary to reduce or normalize body weight in the course of the third decade.

摘要

在287名体重指数(BMI)为29至50kg/m²的肥胖男性和女性中,按性别和年龄分组,研究了低能量饮食对血清三酰甘油(TG)、总胆固醇(TC)和高密度脂蛋白胆固醇(HDL-C)水平的影响。在每天2500千焦(4周)和4000 - 7000千焦(6周)的饮食下,体重从初始值下降了10 - 11%。25岁以上的肥胖男性和35岁以上的肥胖女性的TG显著下降。体重减轻后,平均TC值没有显著变化。与26 - 35岁组男女的初始值相比,体重减轻后平均HDL-C水平显著升高。在该组中,HDL-C在TC中的相对比例也增加,动脉粥样硬化指数值下降。作者提请注意,就维持正常血脂水平而言,特别是在肥胖男性中,在第三个十年期间有必要减轻体重或使其正常化。

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