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增加膳食纤维摄入量辅助治疗代谢综合征

[Increasing consumption of dietary fiber complementary to the treatment of metabolic syndrome].

作者信息

García-Montalvo Iván Antonio, Méndez Díaz Sheila Yamile, Aguirre Guzmán Noyoltzin, Sánchez Medina Marco Antonio, Matías Pérez Diana, Pérez Campos Eduardo

机构信息

UNIDAD DE BIOQUIMICA ITO-UNAM.

出版信息

Nutr Hosp. 2018 Jun 10;35(3):582-587. doi: 10.20960/nh.1504.

DOI:10.20960/nh.1504
PMID:29974766
Abstract

INTRODUCTION

the amount of fiber ingested in Latin American countries is lower (10-20 g/d) than recommended (35 g/d). An increase isrecommended for patients with metabolic syndrome (MS) to reduce cardiovascular risk, as well as to prevent obesity and other complications.

OBJECTIVE

to evaluate whether increased dietary fiber consumption complements MS treatment and improves clinical and laboratory parameters in subjects at the San Martín Mexicapam "La Joya" Health Center, Oaxaca (Mexico).

METHODS

an analytical-longitudinal study was carried out from January to April 2017, to evaluate nutritional status before and after intervention with dietary fiber and to measure cholesterol levels, triglycerides and fasting blood glucose. An increase of 15 g of fiber (fruits-vegetables and/or oat bran and/or wheat bran) was indicated in the usual diet over eight weeks.

RESULTS

the sample consisted of 30 participants from the Mutual Aid Group diagnosed with MS, with an average age of 37.26 years, starting from a body mass index (BMI) of 30.75 kg/cm2 and levels of fasting glycemia at 153.87 mg/dl, triglycerides at 209.67 mg/dl, and cholesterol at 213.81 mg/dl. Following the intervention, a statistically significant difference (p < 0.05) was obtained with a BMI of 29.7 kg/cm2, fasting glycemia at 127.77 mg/dl, triglycerides at 179.71 mg/dl and cholesterol at 207.13 mg/dl.

CONCLUSION

a reduction in the results for the parameters tested in patients of MS is improved by a greater consumption of dietary fiber, such as oat bran. However, additional studies are required to generate clearer recommendations.

摘要

引言

拉丁美洲国家的膳食纤维摄入量(10 - 20克/天)低于推荐量(35克/天)。建议代谢综合征(MS)患者增加膳食纤维摄入,以降低心血管疾病风险,预防肥胖及其他并发症。

目的

评估增加膳食纤维摄入量是否能辅助MS治疗,并改善墨西哥瓦哈卡州圣马丁梅希卡潘“拉乔亚”健康中心受试者的临床和实验室指标。

方法

于2017年1月至4月开展一项分析性纵向研究,评估膳食纤维干预前后的营养状况,并测量胆固醇水平、甘油三酯和空腹血糖。在八周的常规饮食中,建议增加15克膳食纤维(水果、蔬菜和/或燕麦麸和/或麦麸)。

结果

样本包括30名互助组中被诊断为MS的参与者,平均年龄37.26岁,初始体重指数(BMI)为30.75千克/平方厘米,空腹血糖水平为153.87毫克/分升,甘油三酯为209.67毫克/分升,胆固醇为213.81毫克/分升。干预后,BMI为29.7千克/平方厘米,空腹血糖为127.77毫克/分升,甘油三酯为179.71毫克/分升,胆固醇为207.13毫克/分升,差异具有统计学意义(p < 0.05)。

结论

MS患者通过增加膳食纤维(如燕麦麸)的摄入量,可改善所测参数结果。然而,需要更多研究以得出更明确的建议。

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