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The Effects of Carbohydrate-Restricted Dietary Patterns and Physical Activity on Body Weight and Glycemic Control.
Current Atherosclerosis Reports ( IF 5.8 ) Pub Date : 2020-05-28 , DOI: 10.1007/s11883-020-00838-8
Carol F Kirkpatrick 1 , Cara Liday 2 , Kevin C Maki 3, 4
Affiliation  

Purpose of Review

Carbohydrate (CHO)-restricted dietary patterns (very-low-CHO < 25–50 g CHO/day; low CHO 50–130 g CHO/day) and physical activity are used for weight loss and type 2 diabetes (T2D) prevention and management. This review discusses evidence for effects of these lifestyle therapies on body weight and glycemic control.

Recent Findings

Evidence supports the view that CHO-restricted interventions may be more effective than high-CHO, low-fat (HCLF) interventions in the short term for weight loss and glycemic control, but both produced similar levels of weight loss and glycemic control by 12 months. CHO-restricted dietary patterns resulted in a decreased use of diabetes medications. Benefits of CHO restriction were achieved at intakes that did not induce ketosis. Physical activity increases insulin sensitivity and reduces pancreatic beta-cell load, enhancing the effect of weight loss to delay or prevent T2D.

Summary

A CHO-restricted dietary pattern may be a reasonable option for weight loss and T2D management for some individuals. Physical activity enhances weight management and cardiometabolic health.


中文翻译:

限制碳水化合物饮食结构和身体活动对体重和血糖控制的影响。

审查目的

限制碳水化合物的饮食模式(超低CHO <25–50 g CHO /天;低CHO 50–130 g CHO /天)和体育锻炼可用于减肥和2型糖尿病(T2D)的预防和管理。这篇综述讨论了这些生活方式疗法对体重和血糖控制的影响的证据。

最近的发现

证据支持这样的观点:在短期内,限制体重的干预措施在减肥和血糖控制方面可能比高剂量低脂(HCLF)干预更为有效,但在12个月内,两者的减肥和血糖控制水平相似。限制CHO的饮食方式导致减少了糖尿病药物的使用。在不诱发酮症的摄入量中达到CHO限制的益处。进行体育锻炼可增加胰岛素敏感性并减少胰腺β细胞负荷,从而增强减肥效果以延迟或预防T2D。

概要

对于某些人来说,限制CHO的饮食方式可能是减肥和T2D管理的合理选择。进行体育锻炼可增强体重管理和心脏代谢健康。
更新日期:2020-05-28
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