Carbohydrate for weight and metabolic control: Where do we stand?

被引:29
作者
Acheson, Kevin J. [1 ]
机构
[1] Nestle Res Ctr, Dept Nutr & Hlth, CH-1000 Lausanne, Switzerland
关键词
Obesity; Diet; Macronutrient composition; Weight reduction; DE-NOVO LIPOGENESIS; LIFE-STYLE INTERVENTION; CARDIOVASCULAR RISK-FACTORS; LOW-FAT DIET; BODY-WEIGHT; RANDOMIZED-TRIAL; DISEASE RISK; HIGH-PROTEIN; HUMANS; RESTRICTION;
D O I
10.1016/j.nut.2009.07.002
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Changes in lifestyle are considered to play an important role in the etiology of obesity and type 2 diabetes. and Improvements in diet and physical activity are the first-choice treatment for these metabolic diseases Since the dietary recommendations of almost 40 y ago that fat should be decreased and that carbohydrate should be increased, recommendations for a healthy diet. except or minor amendments, have not changed that much It is generally considered that caloric restriction is more Important than changes in the timer-multi-rem composition of the diet for weight loss and body weight control Although this is true, there is increasing evidence that changes in the macronutrient composition of the diet (decreasing carbohydrate and increasing unsaturated fats and/or protein) play a role that Hates weight loss, increases insulin sensitivity and glucose tolerance. and improves cardiovascular risk factors, such as blood pressure, blood lipid profile. and inflammatory markers, often independent of weight loss Low-carbohydrate diets, whether they be high in unsaturated fats and/or protein. are not recommended by the American Diabetes Association, however, despite this the Joslin Diabetes Center currently advocates a diet composition of similar to 40% carbohydrate. 30% fat. and 30% protein enemy for overweight and obese adults with type 2 diabetes or prediabetes or those at high risk of developing type 2 diabetes Hopefully, future studies will Indicate whether diets with a more equilibrated macronutrient composition than presently recommended are more appropriate for body weight and metabolic control (C) 2010 Elsevier Inc All rights reserved
引用
收藏
页码:141 / 145
页数:5
相关论文
共 50 条
[1]   GLYCOGEN-SYNTHESIS VERSUS LIPOGENESIS AFTER A 500 GRAM CARBOHYDRATE MEAL IN MAN [J].
ACHESON, KJ ;
FLATT, JP ;
JEQUIER, E .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1982, 31 (12) :1234-1240
[2]   GLYCOGEN-STORAGE CAPACITY AND DENOVO LIPOGENESIS DURING MASSIVE CARBOHYDRATE OVERFEEDING IN MAN [J].
ACHESON, KJ ;
SCHUTZ, Y ;
BESSARD, T ;
ANANTHARAMAN, K ;
FLATT, JP ;
JEQUIER, E .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1988, 48 (02) :240-247
[3]   CARBOHYDRATE-METABOLISM AND DENOVO LIPOGENESIS IN HUMAN OBESITY [J].
ACHESON, KJ ;
SCHUTZ, Y ;
BESSARD, T ;
FLATT, JP ;
JEQUIER, E .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1987, 45 (01) :78-85
[4]   Carbohydrate and weight control: where do we stand? [J].
Acheson, KJ .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2004, 7 (04) :485-492
[5]   NUTRITIONAL INFLUENCES ON LIPOGENESIS AND THERMOGENESIS AFTER A CARBOHYDRATE MEAL [J].
ACHESON, KJ ;
SCHUTZ, Y ;
BESSARD, T ;
RAVUSSIN, E ;
JEQUIER, E ;
FLATT, JP .
AMERICAN JOURNAL OF PHYSIOLOGY, 1984, 246 (01) :E62-E70
[6]  
[Anonymous], 1972, ATKINS DIET REVOLUTI
[7]  
[Anonymous], 2005, Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids, P769
[8]   Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids - Results of the OmniHeart randomized trial [J].
Appel, LJ ;
Sacks, FM ;
Carey, VJ ;
Obarzanek, E ;
Swain, JF ;
Miller, ER ;
Conlin, PR ;
Erlinger, TP ;
Rosner, BA ;
Laranjo, NM ;
Charleston, J ;
McCarron, P ;
Bishop, LM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (19) :2455-2464
[9]  
BANTLE JP, 2008, CARE, V31, pS61, DOI DOI 10.2337/dc08-S061
[10]   A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women [J].
Brehm, BJ ;
Seeley, RJ ;
Daniels, SR ;
D'Alessio, DA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (04) :1617-1623