肥胖和糖尿病治疗课件.ppt

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1、Lee-Han,1988Boyd,1990Sheppard,1991Kasim,1993Pritchard,1996Siggaard,1996Simon,1997Weststate,1998Stefanick(M),1998Stefanick(F),1998Saris SCHO,2000Saris CCHO,2000Astrup et al.Int J Obes Relat Metab Disord 2000;24:1545.Copyright 2002 McMillan Publishers Ltd.Reprinted with permission.Change in Energy Int

2、ake on Low-fat Diet(kJ/d)20000-2000-4000-6000Change in Body Weight(kg)Change in Dietary Fat(%of Energy Intake)Yu-Poth et al.Am J Clin Nutr 1999;69:632.American Society for Clinical Nutrition.Reproduced with permission.-30-25-20-15-10-50510r=0.46.Time(months)Body Weight(%change)Control:35%Fat45%CHOSa

3、ris WHM et al.,Int J Obes 24:1310,2000024625%Fat55%simple CHO28%Fat52%complex CHOGrams/unitAdapted from Alpers et al.Manual of Nutritional Therapeutics(4th ed);Lippincott:Philadelphia,2002.Whole milk(1 cup)Skim milk(1 cup)Butter(1 tbs)Margarine(1 tbs)American cheese(1 oz)Ice cream(1 cup)Boiled shrim

4、p Fried shrimp Flatfish fillet Salmon filletChicken:White,no skin Dark,no skin Dark,friedGround beef Ground beef,leanSirloin steak Sirloin steak,trimmed Sponge cake(1 slice)Chocolate cake(1 slice)Baked potato(3 oz)French fries(3 oz)Potato chip(1 oz)Energy Density(kcal/g)LettuceVegetable soupSkim mil

5、kAppleBlack beansWhite fishYogurtVegetable lasagnaRoast chickenWhite breadPretzelsCheddar cheeseSalad dressingPotato chipsBaconButterReprinted from Klein S,et al.Gastroenterology.2002:123:882-932 with permission from Elsevier.Energy Density(kcal/g)Fat Content(g/100 g)0 1 2 3 4 5 6 7 8 9Reprinted fro

6、m Rolls and Bell.Med Clin North Am 2000;84:401 with permission from Elsevier.Energy Density(kcal/g)Water Content(g/100 g)0 1 2 3 4 5 6 7 8 9Corn oilButterBaconCheesePretzelsBreadAppleLettuceSteakMilk chocolateButterCorn oilBaconCheesePretzelsBreadAppleLettuceSteakMilk chocolater2=0.67r2=0.82Energy D

7、ensity(kcal/g)Weight of Food Consumed(g/d)Energy Content of Food Consumed(k/cal/d)Bell et al.Am J Clin Nutr 1998;67:412.*P0.05 versus other 2 groups.Fat content held constant.1.021.171.341.021.171.34Energy Density(kcal/g)*Stubbs et al.Int J Obes Relat Metab Disord.1998;22:980-7.Copyright 1998 McMill

8、an Publishers Ltd.Reprinted with permission.*P0.038,treatment effect.Weight Change(kg)Days1791314212111085643High Medium LowEnergy DensityWeight Loss(kg)Time(wk)036912Golay et al.Int J Obes Relat Metab Disord 1996;20:1067.Copyright 1996 McMillan Publishers Ltd.Reprinted with permission.CHO=carbohydr

9、ate.25%CHO,1200 kcal/d diet45%CHO,1200 kcal/d dietWeight Loss(kg)DifferenceStudynLow-fatLow-carb(kg)Samaha(2003)132-1.9-5.83.9Brehm(2003)42-3.9-8.54.6Foster(2003)63-5.3-9.64.3Yancy(2004)120-6.5-12.05.5Skov et al.Int J Obes Relat Metab Disord 1999;23:528.*30%of total energy from fat.Body Weight(kg)Du

10、ration(wk)9590858075High-protein dietHigh-carbohydrate dietRegular diet0121624 2622220181481064Energy Intake(kcal)Rolls et al.Physiol Behav 1990;48:19.*P0.01 vs other groups.16 oz Drinkw/Sucrose16 ozWaterNo Drink*Food DrinkAdapted from:Anderson et al.Modern Nutritionin Health and Disease;2001:1269.*

11、containing 50 g glucoseBlood Glucose(mg/dL)Time(min)0306090120New potatoes*Kidney beans*500Amount Consumed(g)Amount of Macaroni and Cheese Served(g)Rolls et al.Am J Clin Nutr.2000 Dec;76(6):1207-13.6257501000Weight Change(kg)Jeffery et al.J Consult Clin Psychol 1993;61:1038.Copyright 1993 by the Ame

12、rican Psychological Association.Reprinted with permission.P=0.0001 treatment vs control.P=0.0002 behavior therapy+self-selected diet vs behavior therapy+food provision.Months061218MaintenanceWeeklyTreatmentControlBehavior Therapy+Self-selected DietBehavior Therapy+Food ProvisionWadden et al.J Consul

13、t Clin Psychol 1994;62:165.Copyright 1994 by the American Psychological Association.Reprinted with permission.Weight Loss(kg)Time(wk)0265278Biweekly behavior therapyWeekly behavior therapyVery-low-calorie diet(420 kcal/d)Low-calorie diet(1200 kcal/d)Alcohol contains 7 kcal/gBeer12 oz160 caloriesWine

14、5 oz100 caloriesMargarita 8 oz270 caloriesGin and Tonic 8 oz(contains1.7 oz gin)190 calories1 shot of liquor2 oz128 caloriesPercent Body FatMcCrory et al.Obes Res 1999;7:564.Log Restaurant Food Consumption per Month0.81.01.21.31.51.41.10.9Partial r=0.35;P=0.005Reprinted from Rolls et al.Appetite 198

15、4;5:337.Copyright 1984 with permission from Elsevier.*P0.001 vs same food at each course.1Energy Intake(kJ)Meal Course234TotalSame food at each courseDifferent food at each course*Clinical Guidelines on the Identification,Evaluation,and Treatment of Overweight and Obesity in Adults The Evidence Repo

16、rt.Obes Res.1998;6(suppl 2).Calories:500-1000 kcal/d reductionCholesterol:35020001500Reprinted from Klein S,et al.Gastroenterology.2002:123:882-932 with permission from Elsevier.演讲完毕,谢谢观看!Thank you for reading!In order to facilitate learning and use,the content of this document can be modified,adjusted and printed at will after downloading.Welcome to download!汇报人:XXX 汇报日期:20XX年10月10日

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