Vetter K
Z Gesamte Inn Med. 1978 Sep 1;33(17):632-5.
Issuing from the present state of the influence of the basic nutritive substances (protein, fat, carbohydrates) and various nutritive factors discussed again and again (cholesterol, erucaic acid, sodium, calcium/magnesium quotient, pressor amines) on the development of the arteriosclerosis, the indididual factors of influence are critically evaluated. The investigations are getting under way, so that ascertained results are standing beside insufficiently claified or open problems, From the abundance of the observations conclusions are drawn which are of significance for practice. Unfavourable influences of nutrition on the factors of risk (hyperlipoproteinaemia, disturbance of the carbohydrate tolerance, hyperuricaemia, hyperalimentation) and on the manifest diseases (hypertension, diabetes mellitus, uric arthritis, obesity) of the metabolic syndrome which finally contribute to the development of arteriosclerosis are emphasized. In front of this background a clinically and ambulatorily tested basic metabolic diet is described. About 20% of the energy content (kcal or kJ) of this diet are protein, 35% fat and 45% are carbohydrates. The saturated fatty acids lie below 30%, the manifold saturated fatty acids, however, above 20% of the total fat proportion. The cholesterol content is below 400 mg, the purin-nitrogen below 200 mg, and the sodium content is about 2g per day. This diet can be produced for the treatment of persons with normal weight and overweight in different energetic degradations.
基于基础营养物质（蛋白质、脂肪、碳水化合物）以及反复讨论的各种营养因素（胆固醇、芥酸、钠、钙/镁比值、升压胺）对动脉硬化发展的影响现状，对个体影响因素进行了批判性评估。研究正在进行中，因此已确定的结果与分类不充分或尚未解决的问题并存。从大量观察结果中得出了对实践具有重要意义的结论。强调了营养对风险因素（高脂蛋白血症、糖耐量紊乱、高尿酸血症、营养过剩）以及对最终导致动脉硬化发展的代谢综合征的明显疾病（高血压、糖尿病、痛风性关节炎、肥胖症）的不利影响。在此背景下，描述了一种经过临床和门诊测试的基础代谢饮食。这种饮食的能量含量（千卡或千焦）约20%为蛋白质，35%为脂肪，45%为碳水化合物。饱和脂肪酸含量低于总脂肪比例的30%，但多元不饱和脂肪酸含量高于20%。胆固醇含量低于400毫克，嘌呤氮低于200毫克，钠含量约为每天2克。这种饮食可以根据不同的能量消耗水平为体重正常和超重的人制作。
