在心脏康复的背景下探索高蛋白饮食
1Research Institute of Sports and Exercise Sciences, Student Life Building, Liverpool John Moores University, Copperas Hill, Liverpool L3 5LJ, UK.
The Proceedings of the Nutrition Society
|October 25, 2023
概括
高蛋白饮食 (HPD) 可以改善心脏康复 (CR) 患者的肌肉和心脏健康,特别是抵抗运动. 植物性HPD显示出希望,但需要更多的研究来确定CR群体的安全性和有效性.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 老年学是一门学科.
背景情况:
- 目前,心脏康复 (CR) 专注于有氧运动和低脂肪饮食,这些饮食不足以治疗肉症.
- 肌肉质量的损失 (sarcopenia) 是CR患者常见的并发症.
- 高蛋白饮食 (HPD) 正在被探索作为一种潜在的干预措施,以改善CR的结果.
研究的目的:
- 在CR.内审查HPD在患有肉类和心血管疾病 (CVD) 的患者的益处和风险.
- 评估HPD作为标准CR协议的辅助,特别是当与抵抗运动 (RE) 结合时.
- 在CR的背景下,评估HPD对肌肉质量,心血管风险因素和整体健康的影响.
主要方法:
- 随机对照试验 (RCT) 和前性队列研究的系统审查和元分析.
- 对心血管疾病对体重减轻,脂质样本,胰岛素耐药性和肌肉质量影响的现有文献分析.
- 对检查HPD与抵抗运动 (RE) 结合用于肌肉力量和质量增加的研究的评估.
主要成果:
- 在患有心血管疾病或患有心血管疾病高风险的人群中,HPD对减肥,脂质概况和瘦体质有变化但有益的影响.
- 分析表明,低蛋白和植物蛋白饮食可能有利于硬心血管疾病终点,尽管证据不一致.
- 在老年人中,HPD增强了RE的力量和肌肉增长,但对心血管疾病群体缺乏特定数据.
结论:
- 在很大程度上以植物为基础的HPD与RE相结合,似乎有利于CR,可能有利于肌肉和心血管健康.
- 关于HPD的担忧包括脏和骨健康,微生物群的影响和环境可持续性.
- 进一步的研究对于确定HPD在CR群体中的有效性和安全性至关重要.
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