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超重人群通过食用 1975 年日本饮食法减少腹部脂肪:一项随机对照试验。

Abdominal Fat in Individuals with Overweight Reduced by Consumption of a 1975 Japanese Diet: A Randomized Controlled Trial.

机构信息

Laboratory of Food and Biomolecular Science, Graduate School of Agriculture, Tohoku University, Sendai, Japan.

Division of Epidemiology, Department of Health Informatics & Public Health, Graduate School of Medicine, Tohoku University School of Public Health, Sendai, Japan.

出版信息

Obesity (Silver Spring). 2019 Jun;27(6):899-907. doi: 10.1002/oby.22448. Epub 2019 Apr 15.

Abstract

OBJECTIVE

This study aimed to investigate whether the intake of the 1975 Japanese diet (JD) could reduce the amount of abdominal fat in people with overweight.

METHODS

Using a single-blind randomized controlled trial, the modern diet (MD) was compared with the 1975-type JD, which is based on the MD but includes five characteristics of the 1975 JD in an enhanced form. Overweight people were randomly assigned to an MD group (n = 30) and a JD group (n = 30). The participants consumed test diets that were provided three times a day for 28 days. Body composition measurements and blood biochemical examinations were performed before and after the test diet intake, and the proportions of change were compared.

RESULTS

Those in the JD group had significantly decreased BMI, fat mass, and levels of low-density lipoprotein cholesterol, glycated hemoglobin, and C-reactive protein (P = 0.002, 0.015, 0.014, 0.012, and 0.039, respectively) and significantly increased high-density lipoprotein cholesterol levels compared with those in the MD group (P = 0.020).

CONCLUSIONS

The intake of a diet with the characteristics of the 1975 JD may have beneficial effects on lipid metabolism in people with overweight and reduce the onset risk of metabolism-related disorders, such as obesity and diabetes.

摘要

目的

本研究旨在探讨摄入 1975 年日本饮食(JD)是否可以减少超重人群的腹部脂肪量。

方法

采用单盲随机对照试验,将现代饮食(MD)与 1975 年型 JD 进行比较,后者基于 MD,但以增强形式包含 JD 的 5 个特征。将超重者随机分配到 MD 组(n=30)和 JD 组(n=30)。参与者每天食用 3 次测试饮食,持续 28 天。在摄入测试饮食前后进行身体成分测量和血液生化检查,并比较变化比例。

结果

JD 组的 BMI、体脂肪量、低密度脂蛋白胆固醇、糖化血红蛋白和 C-反应蛋白水平显著降低(P=0.002、0.015、0.014、0.012 和 0.039),高密度脂蛋白胆固醇水平显著升高(P=0.020),而 MD 组则无显著变化。

结论

摄入具有 1975 年 JD 特征的饮食可能对超重人群的脂质代谢有益,并降低肥胖和糖尿病等代谢相关疾病的发病风险。

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