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热量限制和时间限制进食:对有治愈意图的癌症放疗超重或肥胖患者的有效干预。

Calorie Restriction and Time-Restricted Feeding: Effective Interventions in Overweight or Obese Patients Undergoing Radiotherapy Treatment with Curative Intent for Cancer.

机构信息

Cancer Center UC, Red de Salud Christus-UC, Santiago 8330032, Chile.

Faculty of Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile.

出版信息

Nutrients. 2024 Feb 7;16(4):477. doi: 10.3390/nu16040477.

Abstract

This study assesses the feasibility of calorie restriction (CR) and time-restricted feeding (TRF) in overweight and obese cancer patients who realized little to no physical activity undergoing curative radiotherapy, structured as a prospective, interventional, non-randomized open-label clinical trial. Of the 27 participants initially enrolled, 21 patients with breast cancer were selected for analysis. The participants self-selected into two dietary interventions: TRF, comprising a sugar and saturated fat-free diet calibrated to individual energy needs consumed within an 8 h eating window followed by a 16 h fast, or CR, involving a 25% reduction in total caloric intake from energy expenditure distributed across 4 meals and 1 snack with 55% carbohydrates, 15% protein, and 30% fats, excluding sugars and saturated fats. The primary goal was to evaluate the feasibility of these diets in the specific patient group. The results indicate that both interventions are effective and statistically significant for weight loss and reducing one's waist circumference, with TRF showing a potentially stronger impact and better adherence. Changes in the LDL, HDL, total cholesterol, triglycerides, glucose and insulin were not statistically significant.

摘要

本研究评估了热量限制 (CR) 和时间限制进食 (TRF) 在接受根治性放疗的超重和肥胖癌症患者中的可行性,这些患者几乎没有进行任何体力活动,研究采用前瞻性、干预性、非随机开放标签临床试验设计。在最初入组的 27 名参与者中,选择了 21 名乳腺癌患者进行分析。参与者自行选择两种饮食干预方式:TRF,包括无糖和饱和脂肪的饮食,根据个人能量需求进行校准,在 8 小时的进食窗口内摄入,然后禁食 16 小时;CR,涉及总热量摄入减少 25%,从能量消耗中分配到 4 餐和 1 份零食中,碳水化合物占 55%,蛋白质占 15%,脂肪占 30%,不包括糖和饱和脂肪。主要目标是评估这些饮食在特定患者群体中的可行性。结果表明,这两种干预措施在减肥和减少腰围方面都是有效且具有统计学意义的,TRF 显示出潜在更强的影响和更好的依从性。LDL、HDL、总胆固醇、甘油三酯、血糖和胰岛素的变化没有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/774c/10892811/b08c5ef9653b/nutrients-16-00477-g001.jpg

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