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膳食蛋白质是成功体重管理的关键吗?评估增加膳食蛋白质干预后体重结果的研究的系统评价和荟萃分析。

Are Dietary Proteins the Key to Successful Body Weight Management? A Systematic Review and Meta-Analysis of Studies Assessing Body Weight Outcomes after Interventions with Increased Dietary Protein.

机构信息

Department of Nutrition, Exercise and Sports, Section for Obesity Research, Faculty of Science, University of Copenhagen, 1958 Frederiksberg C, Denmark.

出版信息

Nutrients. 2021 Sep 14;13(9):3193. doi: 10.3390/nu13093193.

Abstract

The primary aim was to systematically review the current evidence investigating if dietary interventions rich in protein lead to improved body weight management in adults with excessive body weight. The secondary aim was to investigate potential modifying effects of phenotyping. A systematic literature search in PubMed, Web of Science, and Cochrane Library identified 375 randomized controlled trials with 43 unique trials meeting the inclusion criteria. The Cochrane collaboration tool was used for a thorough risk of bias assessment. Based on 37 studies evaluating effects of dietary protein on body weight, the participants with increased protein intake (ranging from 18-59 energy percentage [E%]) were found to reduce body weight by 1.6 (1.2; 2.0) kg (mean [95% confidence interval]) compared to controls (isocaloric interventions with energy reduction introduced in certain studies). Individuals with prediabetes were found to benefit more from a diet high in protein compared to individuals with normoglycemia, as did individuals without the obesity risk allele (AA genotype) compared to individuals with the obesity risk alleles (AG and GG genotypes). Thus, diets rich in protein would seem to have a moderate beneficial effect on body weight management.

摘要

主要目的是系统地回顾当前的证据,调查富含蛋白质的饮食干预是否能改善超重成年人的体重管理。次要目的是调查表型的潜在调节作用。在 PubMed、Web of Science 和 Cochrane Library 中进行了系统的文献检索,共确定了 375 项随机对照试验,其中有 43 项独特的试验符合纳入标准。使用 Cochrane 协作工具进行了彻底的偏倚风险评估。基于 37 项评估饮食蛋白质对体重影响的研究,与对照组(某些研究中引入能量减少的等热量干预)相比,高蛋白质摄入(范围为 18-59 能量百分比 [E%])的参与者体重减轻了 1.6(1.2;2.0)kg(平均值[95%置信区间])。与血糖正常的个体相比,患有前驱糖尿病的个体从高蛋白饮食中获益更多,与肥胖风险等位基因(AA 基因型)的个体相比,不具有肥胖风险等位基因(AG 和 GG 基因型)的个体获益更多。因此,富含蛋白质的饮食似乎对体重管理有适度的有益影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f7c/8468854/9665382ac813/nutrients-13-03193-g001.jpg

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