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Low and very low carbohydrate diets for diabetes remission
The BMJ ( IF 93.6 ) Pub Date : 2021-05-24 , DOI: 10.1136/bmj.n262
Joshua Z Goldenberg , Bradley C Johnston

Dietary interventions that restrict carbohydrate intake for the management of diabetes are of particular interest to researchers, healthcare providers, and patients. Based on evidence of moderate to low certainty from 23 randomized trials (n=1357), evidence synthesis suggests that patients who adhere to low or very low carbohydrate diets for six months might achieve diabetes remission without adverse consequences. But the definition of low and very low carbohydrate diets, the long term health effects of carbohydrate restricted diets, and the working definitions of diabetes remission are debated, requiring further investigation, particularly for longer term health outcomes based on evidence from randomized trials. Carbohydrate restriction has a long history of use in the management of diabetes, and authoritative organizations have recently highlighted the potential benefits and harms of low carbohydrate diets.1 The definition of such diets can, however, vary widely and can be confusing to both patients and providers.2 Over the past few decades, the average carbohydrate intake for adults in the United States has been estimated to range between 39% and 51% of daily kilocalories (subsequently referred to as calories).2 Historically, authoritative organizations have recommended carbohydrate intake varying from 45% to 65% of daily calories. Diets with a carbohydrate intake of less than 45% of daily calories therefore have been commonly considered as carbohydrate restricted.3 What is …

中文翻译:

低碳水化合物饮食和低碳水化合物饮食可缓解糖尿病

限制碳水化合物摄入以控制糖尿病的饮食干预措施对研究人员,医疗保健提供者和患者尤为重要。根据来自23个随机试验(n = 1357)的中度至低确定性的证据,证据综合表明,坚持低碳水化合物饮食或低碳水化合物饮食六个月的患者可能会实现糖尿病缓解而无不良后果。但是,关于低碳水化合物饮食和低碳水化合物饮食的定义,碳水化合物限制饮食对健康的长期影响以及糖尿病缓解的有效定义存在争议,需要进一步研究,尤其是根据随机试验的证据得出的长期健康结果。限制碳水化合物在糖尿病的治疗中有着悠久的历史,和权威组织最近都强调了低碳水化合物饮食的潜在好处和危害。1然而,这种饮食的定义可能有很大差异,可能使患者和提供者感到困惑。2在过去的几十年中,低碳水化合物饮食的平均摄入量据估计,美国成年人的日卡路里量介于日卡路里的39%至51%之间。2历史上,权威机构建议碳水化合物的摄取量为日卡路里的45%至65%。因此,通常将碳水化合物摄入量少于每日卡路里摄入量的45%的饮食视为碳水化合物受限。3什么是… 2在过去几十年中,据估计,美国成年人的平均碳水化合物摄入量为每日卡路里的39%至51%(以下称为卡路里)之间。 .2历史上,权威机构建议碳水化合物的摄入量为每日卡路里的45%至65%。因此,通常将碳水化合物摄入量少于每日卡路里摄入量的45%的饮食视为碳水化合物受限。3什么是… 差异很大,可能使患者和提供者感到困惑。2在过去的几十年中,据估计,美国成年人的平均碳水化合物摄入量为每日卡路里的39%至51%(以下称为卡路里)之间.2历史上,权威机构建议碳水化合物的摄入量为每日卡路里的45%至65%。因此,通常将碳水化合物摄入量少于每日卡路里摄入量的45%的饮食视为碳水化合物受限。3什么是… 权威机构建议碳水化合物的摄入量为每日卡路里的45%至65%。因此,通常将碳水化合物摄入量少于每日卡路里摄入量的45%的饮食视为碳水化合物受限。3什么是… 权威机构建议碳水化合物的摄入量为每日卡路里的45%至65%。因此,通常将碳水化合物摄入量少于每日卡路里摄入量的45%的饮食视为碳水化合物受限。3什么是…
更新日期:2021-05-25
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