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胰岛素抵抗的饮食支持:当前科学报告概述。

Dietary support in insulin resistance: An overview of current scientific reports.

机构信息

Department of Dietetics, Faculty of Health Sciences, Wroclaw Medical University, Poland.

出版信息

Adv Clin Exp Med. 2019 Nov;28(11):1577-1585. doi: 10.17219/acem/109976.

Abstract

Over the past 30 years, a significant increase in the prevalence of insulin resistance (IR) has been observed. It is associated with more frequent occurrence of impaired glucose tolerance, diabetes, excessive weight, cardiovascular diseases, and endocrine disorders. The results of current studies do not indicate a necessity to exclude dairy products from the diet of insulin-resistant individuals. In addition, it has been found that moderate amounts of alcohol as part of a balanced, low-energy diet do not have a negative effect on insulin sensitivity. The authors of recent studies emphasize the importance of reducing the intake of simple sugars, especially from sweet drinks, sweets and excessive fruit juice consuption. Many studies have demonstrated the beneficial effects of consuming complex, low-glycemic-index carbohydrates that are rich in dietary fiber. An insulin-resistant patient's diet should be rich in whole grains and high amounts of non-starchy vegetables and raw fruit. The beneficial effect of the Dietary Approaches to Stop Hypertension (DASH diet) and the Mediterranean diet has been confirmed. The positive correlation between low-carbohydrate and very-low-carbohydrate diets requires confirmation in long-term studies with the participation of insulin-resistant patients. Research shows the benefits of increased calorific intake during the first half of the day, especially from a high-energy and low-glycemic-index breakfast. Furthermore, many researchers indicate that slow and mindful eating is a significant component of an appropriate diet for insulin-resistant individuals.

摘要

在过去的 30 年中,观察到胰岛素抵抗(IR)的患病率显著增加。它与糖耐量受损、糖尿病、超重、心血管疾病和内分泌紊乱的更频繁发生有关。目前研究的结果表明,没有必要将乳制品从胰岛素抵抗个体的饮食中排除。此外,已经发现适量的酒精作为均衡、低能量饮食的一部分,不会对胰岛素敏感性产生负面影响。最近研究的作者强调了减少简单糖摄入的重要性,特别是来自甜饮料、糖果和过量果汁的摄入。许多研究表明,摄入富含膳食纤维的复杂、低血糖指数碳水化合物具有有益作用。胰岛素抵抗患者的饮食应富含全谷物和大量非淀粉类蔬菜和生水果。已经证实了限制高血压饮食法(DASH 饮食)和地中海饮食的有益效果。低碳水化合物和极低碳水化合物饮食之间的正相关关系需要在胰岛素抵抗患者参与的长期研究中得到证实。研究表明,在一天的前半段增加热量摄入是有益的,尤其是来自高能量、低血糖指数的早餐。此外,许多研究人员指出,缓慢和有意识的进食是胰岛素抵抗个体适当饮食的重要组成部分。

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