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增加膳食纤维摄入量以管理2型糖尿病:一项系统评价。

Increasing dietary fiber intake for type 2 diabetes mellitus management: A systematic review.

作者信息

Nitzke Douglas, Czermainski Juliana, Rosa Carolina, Coghetto Chaline, Fernandes Sabrina Alves, Carteri Randhall B

机构信息

Department of Nutrition, Centro Universitário CESUCA, Cachoeirinha 94935-630, Brazil.

Department of Hepatology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90430-080, Brazil.

出版信息

World J Diabetes. 2024 May 15;15(5):1001-1010. doi: 10.4239/wjd.v15.i5.1001.

Abstract

BACKGROUND

Type 2 diabetes is a chronic, non-communicable disease with a substantial global impact, affecting a significant number of individuals. Its etiology is closely tied to imbalanced dietary practices and sedentary lifestyles. Conversely, increasing die-tary fiber (DF) intake has consistently demonstrated health benefits in numerous studies, including improvements in glycemic control and weight management.

AIM

To investigate the efficacy of DF interventions in the management of type 2 diabetes mellitus (T2DM).

METHODS

A systematic literature review was conducted to explore the association between DF intake and the management of T2DM. Following the inclusion and exclusion criteria, a total of 26 studies were included in this review.

RESULTS

The main strategies implied to increased DF intake were: High DF diet plus acarbose (2 studies); DF supplements (14 studies); and high DF diets (10 studies). Overall, most studies indicated that increased DF intake resulted in im-provements in glycemic control and weight management in T2DM patients.

CONCLUSION

DF represents a valuable strategy in the treatment of type 2 diabetes, improving health outcomes. DF intake offers the potential to improve quality of life and reduce complications and mortality associated with diabetes. Likewise, through supplements or enriched foods, DF contributes significantly to the control of several markers such as HbA1c, blood glucose, triglycerides, low-density lipoprotein, and body weight.

摘要

背景

2型糖尿病是一种慢性非传染性疾病,在全球具有重大影响,影响着大量人群。其病因与不均衡的饮食习惯和久坐的生活方式密切相关。相反,在众多研究中,增加膳食纤维(DF)摄入量一直显示出对健康有益,包括改善血糖控制和体重管理。

目的

研究膳食纤维干预措施在2型糖尿病(T2DM)管理中的疗效。

方法

进行了一项系统的文献综述,以探讨膳食纤维摄入量与2型糖尿病管理之间的关联。按照纳入和排除标准,本综述共纳入26项研究。

结果

增加膳食纤维摄入量的主要策略包括:高膳食纤维饮食加阿卡波糖(2项研究);膳食纤维补充剂(14项研究);以及高膳食纤维饮食(10项研究)。总体而言,大多数研究表明,增加膳食纤维摄入量可改善2型糖尿病患者的血糖控制和体重管理。

结论

膳食纤维是治疗2型糖尿病的一项有价值的策略,可改善健康结局。摄入膳食纤维有可能改善生活质量,减少与糖尿病相关的并发症和死亡率。同样,通过补充剂或强化食品,膳食纤维对控制糖化血红蛋白、血糖、甘油三酯、低密度脂蛋白和体重等多项指标有显著作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3148/11099360/85f5419419d8/WJD-15-1001-g001.jpg

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