Freshwell Health Centre, Finchingfield, UK.
Curr Opin Endocrinol Diabetes Obes. 2021 Oct 1;28(5):496-502. doi: 10.1097/MED.0000000000000665.
The purpose of the review is to assess the efficacy of a brief intervention of low carbohydrate dietary advice for weight loss in patients with a raised body mass index (BMI) (>25 kg/m2) during routine patient appointments in primary care.
Brief interventions in primary care have been shown to be a valuable tool in supporting patients to make lifestyle changes. Low carbohydrate diets have been successful in helping patients lose weight.The authors carried out a retrospective observational study based on the electronic records from a single general practitioner surgery with 7,500 patients in Essex, UK. Low carbohydrate dietary advice was given opportunistically to patients with a raised BMI, over an 18 month period, with advice and weights recorded. In total, 774 patients were given low carbohydrate dietary advice. Overall, 1103 kg of weight was lost by 339 patients, there was a median weight loss of 2.5 kg (interquartile range 0.0-6.0 kg) and a mean weight loss of 3.3 kg.
There is no published literature available assessing the efficacy of brief interventions of low carbohydrate dietary advice. Our clinic results indicate that this may be an effective weight loss tool in primary care.
综述目的：本次综述旨在评估在初级保健常规就诊中，对体质指数（BMI）升高（>25kg/m2）的患者进行简短的低碳水化合物饮食干预以减轻体重的疗效。
最新发现：初级保健中的简短干预已被证明是支持患者进行生活方式改变的有效工具。低碳水化合物饮食已成功帮助患者减轻体重。作者对英国埃塞克斯的一家普通外科手术的 7500 名患者的电子记录进行了回顾性观察研究。在 18 个月的时间里，向 BMI 升高的患者随机提供低碳水化合物饮食建议，并记录建议和体重。共有 774 名患者接受了低碳水化合物饮食建议。共有 339 名患者总共减轻了 1103 公斤体重，中位数减轻体重 2.5 公斤（四分位间距 0.0-6.0 公斤），平均减轻体重 3.3 公斤。
总结：目前尚无评估简短低碳水化合物饮食干预疗效的文献。我们的临床结果表明，这可能是初级保健中有效的体重减轻工具。
