间歇性禁食:考虑患者饮食失调的风险
Jack Blumberg1, Samantha L Hahn2, Jesse Bakke3
1Central Michigan University College of Medicine, 1200 S. Franklin St, Mount Pleasant, MI, 48859, USA.
Clinical diabetes and endocrinology
|October 21, 2023
概括
间歇性禁食 (IF) 对糖尿病治疗有希望,但临床医生也必须考虑潜在的风险. 新出现的数据突出显示,在推IF之前,需要选失调的饮食行为.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
- 精神病学是一个精神病学.
背景情况:
- 间歇性禁食 (IF) 和限时食 (TRF) 越来越多地被用于代谢健康.
- 现有的审查充分涵盖了IF对糖尿病等疾病的生物化学和临床益处.
- 然而,与FI相关的潜在心理风险在临床指导中未得到充分强调.
研究的目的:
- 提供关于IF用于糖尿病管理的现有文献的评论.
- 要突出关键的,但往往被忽视的,与IF相关的饮食失调和饮食障碍的风险.
- 敦促初级保健医生在向患者推IF之前考虑这些风险.
主要方法:
- 文学评论和批判性评论.
- 对不同患者群体的IF/TRF新兴数据的分析.
- 对IF实施的临床考虑的综合.
主要成果:
- 虽然IF为糖尿病提供了潜在的代谢优势,但它存在重大风险.
- 新出现的证据表明,FI与乱饮食和饮食障碍的发展或恶化之间存在联系.
- 当前的临床指导方针可能无法充分解决这些心理禁忌.
结论:
- 临床医生在推IF时必须谨慎行事,特别是对于有饮食障碍病史或倾向于饮食障碍的人.
- 在开始IF之前,对患者进行彻底的评估,包括对饮食失调的查,至关重要.
- 需要进一步的研究,以充分阐明IF在各种患者群体中的心理安全概况.
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