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目的探讨代谢综合征(MS)膳食能量分配新方法。方法随机将189例MS患者分为新法组96例(根据各小组具体情况给予相应的能量分配)和常规组93例(按传统能量分配);然后对2组患者按MS代谢异常成分常见组合分为MS1、MS2、和MS33组。结果3个新法组体质指数(BM I)为(23±3),(24±3),(24±6)kg/m2,分别低于常规组的(26±5),(27±6),(26±3)kg/m2(P<0.05);腰围为(89.4±4.4),(87.6±5.3),(89.1±5.9)cm,分别低于常规组(91.6±3.3),(91.3±5.9),(91.3±6.7)cm(P<0.05);新法组MS2和MS3小组空腹血糖为(7.4±1.5),(8.4±1.2)mmol/L,分别低于常规组的(9.3±1.1),(10.6±1.8)mmol/L(P<0.05);新法组MS2和MS3小组餐后血糖(9.2±5.4),(10.7±5.3)mmol/L,分别低于常规组的(14.6±3.5),(14.5±5.7)mmol/L(P<0.05);新法组MS2和MS3小组糖化血红蛋白(HbA1C)为,(8.6±3.2)%,(8.5±2.6)%分别低于常规组(10.0±3.1)%,(9.8±2.6)%(P<0.05)。结论MS能量分配新方法能更好地控制患得肥胖和血糖水平。
Objective To explore a new dietary energy allocation method for metabolic syndrome (MS). Methods A total of 189 patients with MS were randomly divided into a new group of 96 patients (according to the specific circumstances of each group to give the corresponding energy allocation) and the conventional group of 93 patients (according to the traditional energy allocation); then two groups of patients according to MS metabolic abnormalities common component MS1, MS2, and MS33 groups. Results The body mass index (BM I) of the three new groups were (23 ± 3), (24 ± 3) and (24 ± 6) kg / m2, , And (26 ± 3) kg / m2 respectively (P <0.05). The waist circumference was (89.4 ± 4.4), (87.6 ± 5.3) and (89.1 ± 5.9) cm, (7.4 ± 1.5) and (8.4 ± 1.2) mmol / L respectively, which were significantly lower than those in the conventional group (9.3 ± 1.1, 5.9 and 91.3 ± 6.7, (10.6 ± 1.8) mmol / L and (10.6 ± 1.8) mmol / L respectively (P <0.05). The mean postprandial plasma glucose was 9.2 ± 5.4 and 10.7 ± 5.3 mmol / L in MS2 and MS3 groups, , (14.5 ± 5.7) mmol / L, respectively (P <0.05). The HbA1C levels in the MS2 and MS3 groups in the new treatment group were (8.6 ± 3.2)% and )%, (9.8 ± 2.6)% (P <0.05). Conclusion A new method of MS energy allocation can better control obesity and blood sugar levels.