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2054 例住院患者改良禁食疗法减肥的疗效和安全性。

Efficacy and safety of modified fasting therapy for weight loss in 2054 hospitalized patients.

机构信息

Traditional Chinese Medicine Department, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.

Scientific Research Center Department, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.

出版信息

Obesity (Silver Spring). 2023 Jun;31(6):1514-1529. doi: 10.1002/oby.23756.

Abstract

OBJECTIVE

The aim of this study was to evaluate the efficacy and safety of modified fasting therapy, and a retrospective study was conducted to analyze changes in clinical indicators of hospitalized fasting patients.

METHODS

A total of 2054 hospitalized fasting patients were enrolled in this observational study. All participants underwent 7 days of modified fasting therapy. The clinical efficacy biomarkers, safety indicators, and body composition were measured before and after fasting.

RESULTS

The modified fasting therapy reduced body weight, BMI, abdominal circumference, systolic blood pressure, and diastolic blood pressure significantly. Blood glucose and indicators of body composition were improved to various extents (all p < 0.05). There was a small increase in liver function, kidney function, uric acid, electrolytes, blood count, coagulation, and uric biomarkers. Subgroup analysis results showed that cardiovascular diseases benefited from modified fasting therapy.

CONCLUSIONS

At present this study is the largest retrospective population-based study about modified fasting therapy. The results from 2054 patients showed that the modified fasting therapy lasting 7 days was efficient and safe. It led to improvements in physical health and body weight-associated indicators, as well as body composition and relevant cardiovascular risk factors.

摘要

目的

本研究旨在评估改良禁食疗法的疗效和安全性,对住院禁食患者的临床指标变化进行回顾性分析。

方法

本观察性研究共纳入 2054 例住院禁食患者。所有参与者均接受 7 天的改良禁食疗法。禁食前后测量临床疗效生物标志物、安全性指标和身体成分。

结果

改良禁食疗法可显著降低体重、BMI、腰围、收缩压和舒张压。血糖和身体成分指标均有不同程度的改善(均 P<0.05)。肝功能、肾功能、尿酸、电解质、血常规、凝血和尿酸生物标志物略有升高。亚组分析结果显示,心血管疾病从改良禁食疗法中获益。

结论

目前本研究是关于改良禁食疗法的最大规模回顾性人群研究。2054 例患者的结果表明,持续 7 天的改良禁食疗法是有效且安全的。它可改善身体健康和与体重相关的指标,以及身体成分和相关心血管危险因素。

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