Turner-McGrievy Gabrielle, Mandes Trisha, Crimarco Anthony
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, USA.
J Geriatr Cardiol. 2017 May;14(5):369-374. doi: 10.11909/j.issn.1671-5411.2017.05.002.
The goal of this paper is to review the evidence related to the effect of plant-based dietary patterns on obesity and weight loss, including both observational and intervention trials. Literature from plant-based diets (PBDs) epidemiological and clinical trial research was used to inform this review. In addition, data on dietary quality, adherence, and acceptability were evaluated and are presented. Both clinical trials and observational research indicate an advantage to adoption of PBDs for preventing overweight and obesity and promoting weight loss. PBDs may also confer higher levels of diet quality than are observed with other therapeutic diet approaches, with similar levels of adherence and acceptability. Future studies should utilize health behavior theory to inform intervention development and delivery of PBDs studies and new technologies to bring interventions to scale for greater public health impact. Research examining PBDs and weight loss is also needed with more diverse populations, including older adults. Based on the available evidence, PBDs should be considered a viable option for the treatment and prevention of overweight and obesity.
本文的目的是回顾与植物性饮食模式对肥胖和体重减轻影响相关的证据，包括观察性试验和干预性试验。来自植物性饮食（PBDs）流行病学和临床试验研究的文献被用于为本次综述提供信息。此外，还对饮食质量、依从性和可接受性的数据进行了评估并呈现出来。临床试验和观察性研究均表明，采用植物性饮食模式在预防超重和肥胖以及促进体重减轻方面具有优势。与其他治疗性饮食方法相比，植物性饮食模式可能还具有更高的饮食质量水平，且依从性和可接受性相当。未来的研究应利用健康行为理论为植物性饮食模式研究的干预措施开发和实施提供指导，并采用新技术将干预措施扩大规模以产生更大的公共卫生影响。还需要针对包括老年人在内的更多样化人群开展研究，以考察植物性饮食模式与体重减轻的关系。基于现有证据，植物性饮食模式应被视为治疗和预防超重及肥胖的可行选择。
