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拉扎维饮食模式对代谢综合征各组分影响的随机试验

A Randomized Trial on the Effect of Razavi's Dietary Pattern on the Components of Metabolic Syndrome.

作者信息

Esmaeili Seied Saeid, Fallahi Faramarz, Gholami Fesharaki Mohammad, Noormohammadi Gholamreza

机构信息

Department of Iranian Traditional Medicine, Faculty of Medicine, Shahed University, Tehran, IR Iran.

Department of Cardiology, Mostafa Khomeyni Hospital, Faculty of Medicine, Shahed University, Tehran, IR Iran.

出版信息

Iran Red Crescent Med J. 2014 Mar;16(3):e14601. doi: 10.5812/ircmj.14601. Epub 2014 Mar 5.

Abstract

BACKGROUND

Metabolic syndrome can cause cardiovascular disease and diabetes in the affected subjects. With 20 to 30% prevalence rate among the adult population of most countries, it is considered a pandemic problem. The guidelines currently available on the management of the specific components of metabolic syndrome highlight some lifestyle changes such as enhanced physical activity and weight reduction. Adherence to Mediterranean-style diet has been shown to be associated with lower risk of metabolic syndrome in some clinical studies.

OBJECTIVES

The aim of this study was the evaluation of the effect Razavi dietary pattern, on metabolic syndrome. This is the first study performed to address this issue.

PATIENTS AND METHODS

Seventy five eligible subjects with metabolic syndrome were recruited into a single-blind randomized controlled clinical trial to determine the effect of Razavi diet on metabolic syndrome. Intervention was carried out by educating the Razavi diet in the experimental group while giving no dietary recommendations to the control group. The level of physical activity was similar between the two groups. Features of the metabolic syndrome as defined by the criteria of the Iranian National Committee of Obesity were assessed after two months.

RESULTS

The net reduction in the waist circumference (-2.85), weight (-1.44) and BMI (-0.58) in test group was significantly (P < 0.001) higher than the control. Decreases in systolic and diastolic blood pressure, fasting blood sugar and triglycerides were observed but were not statistically significant.

CONCLUSIONS

The results suggest that Razavi diet can improve some components of metabolic syndrome leading to reduced risk of cardiovascular disease and diabetes.

摘要

背景

代谢综合征可导致受影响个体患心血管疾病和糖尿病。在大多数国家的成年人群中,其患病率为20%至30%,被视为一个全球性问题。目前有关代谢综合征特定组分管理的指南强调了一些生活方式的改变,如增加体育活动和减轻体重。一些临床研究表明,坚持地中海式饮食与较低的代谢综合征风险相关。

目的

本研究旨在评估拉扎维饮食模式对代谢综合征的影响。这是针对该问题开展的第一项研究。

患者与方法

75名符合条件的代谢综合征患者被纳入一项单盲随机对照临床试验,以确定拉扎维饮食对代谢综合征的影响。在试验组通过传授拉扎维饮食进行干预,而对照组不给予饮食建议。两组的身体活动水平相似。两个月后,根据伊朗国家肥胖委员会的标准评估代谢综合征的特征。

结果

试验组腰围(-2.85)、体重(-1.44)和体重指数(-0.58)的净减少量显著高于对照组(P<0.001)。收缩压和舒张压、空腹血糖和甘油三酯均有所下降,但无统计学意义。

结论

结果表明,拉扎维饮食可改善代谢综合征的某些组分,从而降低心血管疾病和糖尿病的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f7/4005435/7bc95865129c/ircmj-16-14601-i001.jpg

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