Salvia Roberto, D'Amore Simona, Graziano Giusi, Capobianco Caterina, Sangineto Moris, Paparella Domenico, de Bonfils Paola, Palasciano Giuseppe, Vacca Michele
a Clinica Medica "Augusto Murri", University of Bari "Aldo Moro" , Bari , Italy.
b Dipartimento Interdisciplinare di Medicina , University of Bari "Aldo Moro" , Bari , Italy.
Int J Food Sci Nutr. 2017 Mar;68(2):234-248. doi: 10.1080/09637486.2016.1228100. Epub 2016 Sep 12.
The Mediterranean diet (MeD) is believed to promote health; nevertheless, changes in the nutritional patterns in the Mediterranean area (increased intake of refined carbohydrates/saturated fats; reduced fibers intake; main calorie load shifted to dinner) led to reduced MeD benefits in recent decades. We retrospectively investigated the effects of a MeD with a low intake of refined carbohydrates in the evening ("MeDLowC") on body weight (BW) and metabolic profile of overweight/obese subjects. According to their adherence to MeDLowC, subjects were classified into 44 (41%) individuals with "excellent" adherence and 63 (59%) with "poor" adherence. Nutritional counseling induced an improvement in BW, glucose metabolism and liver transaminases in both groups, with an increased magnitude of these effects in the "Excellent" adherence group. "Excellent" adherence to MeDLowC improved insulin sensitivity and lipid metabolism. In conclusion, MeD with a restriction of carbohydrates in the evening significantly ameliorates obesity and associated metabolic complications.
地中海饮食（MeD）被认为有益健康；然而，地中海地区营养模式的变化（精制碳水化合物/饱和脂肪摄入量增加；膳食纤维摄入量减少；主要热量摄入转移到晚餐）导致近几十年来MeD的益处减少。我们回顾性研究了晚餐时精制碳水化合物摄入量低的地中海饮食（“MeDLowC”）对超重/肥胖受试者体重（BW）和代谢状况的影响。根据他们对MeDLowC的依从性，受试者被分为44名（41%）“极佳”依从性个体和63名（59%）“较差”依从性个体。营养咨询使两组的体重、糖代谢和肝转氨酶均有所改善，“极佳”依从性组的改善幅度更大。对MeDLowC的“极佳”依从性改善了胰岛素敏感性和脂质代谢。总之，晚餐限制碳水化合物的地中海饮食能显著改善肥胖及相关代谢并发症。
