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从生酮饮食到地中海饮食:新冠病毒感染后肥胖患者(新冠后综合征)的潜在饮食疗法。

From the Ketogenic Diet to the Mediterranean Diet: The Potential Dietary Therapy in Patients with Obesity after CoVID-19 Infection (Post CoVID Syndrome).

机构信息

Dipartimento Di Scienze Umanistiche, Centro Direzionale, Università Telematica Pegaso, Via Porzio, isola F2, 80143, Napoli, Italy.

Department of Clinical Medicine and Surgery, Endocrinology Unit, Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy.

出版信息

Curr Obes Rep. 2022 Sep;11(3):144-165. doi: 10.1007/s13679-022-00475-z. Epub 2022 May 6.

Abstract

PURPOSE OF REVIEW

This review primarily examines the evidence for areas of consensus and on-going uncertainty or controversy about diet and physical exercise approaches for in the post-CoVID. We propose an ideal dietary and physical activity approach that the patient with obesity should follow after CoVID-19 infection in order to reduce the clinical conditions associated with post-CoVID syndrome.

RECENT FINDINGS

The CoVID-19 disease pandemic, caused by the severe acute respiratory syndrome coronavirus-2, has spread all over the globe, infecting hundreds of millions of individuals and causing millions of death. It is also known to be is associated with several medical and psychological complications, especially in patients with obesity and weight-related disorders who in general pose a significant global public health problem, and in specific affected individuals are on a greater risk of developing poorer CoVID-19 clinical outcomes and experience a higher rate of mortality. Little is still known about the best nutritional approach to be adopted in this disease especially in the patients post-CoVID syndrome. To the best of our knowledge, no specific nutritional recommendations exist to manage in the patients post-CoVID syndrome. We report a presentation of nutritional therapeutic approach based on a ketogenic diet protocol followed by a transition to the Mediterranean diet in patients post-infection by CoVID, combined to a physical activity program to address conditions associated with post-CoVID syndrome.

摘要

目的综述

本篇综述主要探讨了与新冠疫情后饮食和体育锻炼方法相关的共识、不确定性和争议领域的证据。我们提出了一个理想的饮食和体育活动方法,肥胖患者在感染新冠病毒后应该遵循,以减轻与新冠后综合征相关的临床状况。

最近的发现

由严重急性呼吸综合征冠状病毒 2 引起的新冠疾病大流行已在全球蔓延,感染了数亿人,并导致数百万人死亡。它还与许多医疗和心理并发症有关,特别是在肥胖和与体重相关的疾病患者中,这些患者总体上构成了重大的全球公共卫生问题,而在特定情况下,受影响的个体更有可能出现较差的新冠临床结果和更高的死亡率。关于这种疾病,特别是在新冠后综合征患者中,应采用何种最佳营养方法,目前仍知之甚少。据我们所知,没有针对新冠后综合征患者的具体营养建议。我们报告了一种营养治疗方法,基于生酮饮食方案,然后在感染新冠病毒后过渡到地中海饮食,并结合体育活动方案,以解决与新冠后综合征相关的状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3417/9075143/56b34450116f/13679_2022_475_Fig1_HTML.jpg

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