本文選題：代謝綜合征　切入點：膳食纖維　出處：《山西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究通過觀察營養(yǎng)綜合干預(yù)及膳食纖維(Dietary Fiber,DF)強化干預(yù)后患者癥狀、體征的變化,探索代謝綜合征臨床營養(yǎng)治療的合理方案及自我管理模式。方法:選擇未服用代謝綜合征相關(guān)藥物的70名18-60歲女性患者進行為期4個月的營養(yǎng)綜合干預(yù)。隨機分為2組組,各35人,失訪3人。實驗結(jié)束后常規(guī)干預(yù)組(對照組)33人,膳食纖維強化干預(yù)組34人。常規(guī)干預(yù)組進行飲食及運動干預(yù),膳食纖維強化干預(yù)組除飲食、運動干預(yù)外給予含總膳食纖維30%的活化燕麥膳食纖維30g/d。根據(jù)個人情況為每位志愿者配制個性化食譜并配備計步器一臺,每10天隨訪一次。分別于干預(yù)前,干預(yù)后2月,干預(yù)后4月進行體格檢查、人體成分分析、血生化檢測。結(jié)果:1.干預(yù)前,所有受試者能量攝入為(1935.9±179.8)kcal,實驗期間平均能量攝入減少23.7%,均無不良反應(yīng)及饑餓感。兩組年齡構(gòu)成、體格檢查、人體成分分析、生化指標(biāo)差異均無統(tǒng)計學(xué)意義(P0.05)。2.強化干預(yù)2個月后,干預(yù)組體重、體質(zhì)指數(shù)、腰圍、臀圍、腰臀比與干預(yù)前比較降低幅度更大,差異均有統(tǒng)計學(xué)意義。干預(yù)組血脂指標(biāo)除HDL-C(HighDensity Lipoprotein Cholesterol)差異沒有統(tǒng)計學(xué)意義外,其他差異均有統(tǒng)計學(xué)意義(P0.05)。強化干預(yù)2個月后血糖及胰島素水平與干預(yù)前相比差異均有統(tǒng)計學(xué)意義(P0.05)。3.干預(yù)4月后,兩組比較,BMI(Body Mass Index)、腰圍、腰臀比、體脂百分比、內(nèi)臟脂肪指數(shù)、皮褶厚度差異均有統(tǒng)計學(xué)意義。兩組比較,TC(Total Cholesterol)、LDL-C(Low Density Lipoprotein Cholesterol)差異有統(tǒng)計學(xué)意義。兩組比較,干預(yù)后餐后2h血糖差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:膳食纖維強化干預(yù)可有效促進減肥,改善脂肪分布及血糖、血脂指標(biāo)。本實驗尚不能證明膳食纖維強化可有效改善血尿酸及胰島素水平。飲食、運動及膳食纖維強化干預(yù)的模式適合于代謝綜合征的臨床治療及患者的自我管理,值得推廣應(yīng)用。
[Abstract]:Objective: to observe the changes of symptoms and signs of patients after comprehensive nutrition intervention and dietary fiber reinforced intervention. Methods: 70 female patients aged 18-60 years without taking metabolic syndrome-related drugs were selected for 4 months of comprehensive nutrition intervention, and were randomly divided into two groups. After the experiment, the routine intervention group (33 cases in the control group and 34 cases in the dietary fiber intensive intervention group) were treated with diet and exercise intervention, and the dietary fiber reinforced intervention group with the exception of diet. In addition to exercise intervention, activated oat dietary fiber containing total dietary fiber 30% was given 30 g / d. Individualized diet was prepared for each volunteer and a pedometer was provided to each volunteer according to personal situation, followed up every 10 days. Before intervention, February after intervention, each patient was followed up. Results: before intervention, the energy intake of all subjects was 1935.9 鹵179.8 kcal, and the average energy intake decreased by 23.7g / kg during the experiment period. There was no adverse reaction and hunger in the two groups. There was no significant difference in physical examination, body composition analysis and biochemical index. After 2 months of intensive intervention, the body weight, body mass index, waist circumference, hip circumference, waist-to-hip ratio in the intervention group were significantly lower than those before the intervention. There was no significant difference in blood lipid index except HDL-C(HighDensity Lipoprotein Cholesterolol in the intervention group. There were significant differences in blood glucose and insulin levels between two months after intensive intervention and before intervention. After the intervention on April, the two groups were compared with each other in BMI body Mass index, waist circumference, waist-hip ratio, body fat percentage, visceral fat index. There were significant differences in the thickness of skinfold between the two groups. The difference between the two groups was statistically significant. Conclusion: the dietary fiber intensive intervention can effectively promote weight loss, and the difference of 2 h postprandial blood glucose between the two groups is statistically significant (P 0.05). Improve the fat distribution, blood glucose, blood lipid index. This experiment can not prove that dietary fiber strengthening can effectively improve the levels of serum uric acid and insulin. The pattern of exercise and dietary fiber intensive intervention is suitable for the clinical treatment of metabolic syndrome and self-management of patients, so it is worth popularizing and applying.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R589

【參考文獻】

相關(guān)期刊論文 前8條

1 徐曉峰;徐英美;蔡纓;張一樣;黃榮;張城;;低血糖指數(shù)膳食對代謝綜合征患者體重指數(shù)、腰臀比值及內(nèi)臟脂肪的影響[J];東南國防醫(yī)藥;2008年04期

2 石蓮桂;吳艷平;張麗芳;;2型糖尿病患者自我管理行為與積極度的相關(guān)性研究[J];護理學(xué)雜志;2010年05期

3 徐曉峰;林虹伶;張一樣;吳向明;;標(biāo)準(zhǔn)化營養(yǎng)干預(yù)對MS患者的BMI、血脂及空腹血糖的影響[J];亞太傳統(tǒng)醫(yī)藥;2008年05期

4 張玲;石凱;伍亞舟;易東;謝莎麗;;重慶市社區(qū)居民代謝綜合征相關(guān)危險因素分析[J];中國公共衛(wèi)生;2009年06期

5 張毅;林玉娣;徐明;錢云;楊俊瑩;龔玲芬;錢燕華;柏建嶺;曾平;陳峰;張鐵梅;;無錫市社區(qū)人群代謝綜合征現(xiàn)況調(diào)查及特點分析[J];中國預(yù)防醫(yī)學(xué)雜志;2010年01期

6 涂萍;柳江;丁潯;段鵬;吳和平;;1494例社區(qū)居民代謝綜合征現(xiàn)狀調(diào)查及與糖化血紅蛋白相關(guān)性研究[J];中國慢性病預(yù)防與控制;2011年05期

7 吳金貴;劉小祥;唐傳喜;金蓓;顧萍;戴恒瑋;;上海城區(qū)居民運動鍛煉與靜坐行為對代謝綜合征的影響[J];中國慢性病預(yù)防與控制;2013年01期

8 麥合權(quán);曹燕娟;;代謝綜合征的飲食、運動干預(yù)的效果分析[J];中國傷殘醫(yī)學(xué);2014年07期

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