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脂肪减肥手术后蛋白质摄入量高于推值对身体组成变化的影响:随机对照试验的元分析
Mahdieh Golzarand1, Karamollah Toolabi2, Parvin Mirmiran3
1Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical nutrition (Edinburgh, Scotland)
|February 6, 2024
概括
减肥手术后较高的蛋白质摄入量促进了显著的体重和脂肪质量损失. 然而,它似乎没有保存无脂肪质量,除了腹腔镜袖子胃切除患者.
科学领域:
- 腹部外科 腹部外科
- 营养科学 营养科学
- 代谢健康 代谢健康
背景情况:
- 减肥手术是对肥胖的关键干预,需要最佳的营养策略.
- 手术后的身体组成变化对于长期的结果至关重要.
- 缺乏对较高蛋白质摄入量影响的全面评估.
研究的目的:
- 进行随机对照试验 (RCT) 的元分析.
- 评估超出推值的蛋白质摄入量在减肥手术后对身体组成的影响.
- 综合关于体重,BMI,脂肪质量,无脂肪质量和减肥百分比的证据.
主要方法:
- 在Scopus,PubMed/Medline和Web of Science的系统文献搜索,直到2023年7月.
- 包括评估蛋白质摄入量超过推水平和手术后身体组成的RCT.
- 对基线结果变化的平均值和标准偏差的元分析.
主要成果:
- 较高的蛋白质摄入量导致显著更大的体重减轻 (4.95公斤) 和脂肪质量减轻 (7.64公斤).
- 没有观察到对BMI,无脂肪质量,脂肪质量百分比或总体重减轻百分比的显著影响.
- 蛋白质摄入量≥40g/d额外显示显著减肥;它也减少了无脂肪质量损失在LSG患者.
结论:
- 腹部外科手术后蛋白质摄入量增加可能会增加体重和减少脂肪质量.
- 额外的蛋白质摄入量并没有在所有患者中始终保持无脂肪质量.
- 在腹腔镜袖子胃切除术 (LSG) 患者中,注意到对无脂肪质量保存的特殊益处.
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