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欧洲肥胖的膳食管理:现行实践中的差距。

Dietetic management of obesity in Europe: gaps in current practice.

机构信息

Department of Food Science & Human Nutrition, Agricultural University of Athens, Athens, Greece.

Department of Nutritional Sciences and Dietetics, International Hellenic University, Thessaloniki, Greece.

出版信息

Eur J Clin Nutr. 2021 Jul;75(7):1155-1158. doi: 10.1038/s41430-020-00820-2. Epub 2021 Jan 4.

DOI:10.1038/s41430-020-00820-2
PMID:33398102
Abstract

Despite substantial attention to dietary interventions on the management of obesity, there are no consensus guidelines for dietetic management of obesity in Europe. Two surveys among European dietitians have demonstrated inconsistencies in the approaches recommended within national obesity treatment guidelines. Only a small number of the guidelines include concrete actionable targets for recommended energy deficit, weight loss and weight-loss maintenance. On the other hand, dietitians frequently use 5-15% weight loss as their intervention outcome. However, they fail to monitor changes in body composition beyond weight status and to successfully monitor and prevent weight regain. Europewide guidelines on the dietary treatment of obesity are an overdue requirement for consistent dietetic practice.

摘要

尽管人们对饮食干预在肥胖管理中的作用给予了极大关注,但欧洲仍没有肥胖饮食管理的共识性指南。两项针对欧洲营养师的调查显示,各国肥胖治疗指南中推荐的方法并不一致。只有少数指南为推荐的能量亏空、减重和减重维持设定了具体可操作的目标。另一方面,营养师经常将体重减轻 5-15%作为干预结果。然而,他们未能监测体重状态以外的身体成分变化,也未能成功监测和防止体重反弹。制定肥胖饮食治疗的全欧指南是对一致的饮食实践的迫切需求。

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