CAJ | 학술논문

目的探讨餐前预负荷与餐时膳食替代对代谢综合征患者的影响.方法收集代谢综合征患者92例作为研究对象,分成餐前预负荷组、餐时膳食替代组和对照组,干预12周.餐前预负荷组每天3餐前30 rmin进食100 kcal热量的特殊膳食,餐时膳食替代组每天3餐第一口饭前服用同样的特殊膳食,并适当减少正餐量,对照组正常进食.评估干预后3组体重指数、腰围、胰岛素抵抗等代谢指标变化,采用量表调查饱腹感情况.结果 12周后,餐前预负荷组的空腹胰岛素下降3.29 mU/L,腰围减少4.04 cm,与对照组之间的差异有统计学意义(P＜0.05);餐前预负荷组饱腹感指数最强.结论餐前预负荷有利于改善代谢综合征患者的胰岛素抵抗、减小腰围和提高饱腹感.
목적 탐토찬전예부하여찬시선식체대대대사종합정환자적영향.방법 수집대사종합정환자92례작위연구대상,분성찬전예부하조、찬시선식체대조화대조조,간예12주.찬전예부하조매천3찬전30 rmin진식100 kcal열량적특수선식,찬시선식체대조매천3찬제일구반전복용동양적특수선식,병괄당감소정찬량,대조조정상진식.평고간예후3조체중지수、요위、이도소저항등대사지표변화,채용량표조사포복감정황.결과 12주후,찬전예부하조적공복이도소하강3.29 mU/L,요위감소4.04 cm,여대조조지간적차이유통계학의의(P＜0.05);찬전예부하조포복감지수최강.결론 찬전예부하유리우개선대사종합정환자적이도소저항、감소요위화제고포복감.
Objective To investigate the impact of preload fasting and meal replacement in patients with metabolic syndrome.Methods A total of 92 subjects with metabolic syndrome were enrolled in the study.They were assigned into the preload fasting group (PFG),the meal replacement group (MRG),and the control group (CG) for 12-weeks intervention.Special dietary with 100 kcal was provided 30 min before each meal in the PFG,and while in the MRG the same dietary was taken just before each meal and the amount of meal was reduced appropriately.The subjects in CG took meals as usual.Body mass index,waist circumference,and insulin resistance were assessed.Satiety situation was investigated by the scale.Results After 12 weeks,improvement were found in fasting insulin(-3.29 mU/L) and waist circumference (-4.04 cm) in the PFG and significant difference was shown compared to the CG (P＜0.05).Satiety index in the PFG was the most significant among the three group.Conclusion Preload fasting is helpful in improving insulin resistance,reducing waist circumference,and enhancing satiety.