Effect of Carbohydrate-Restricted Diets and Intermittent Fasting on Obesity, Type 2 Diabetes Mellitus, and Hypertension Management: Consensus Statement of the Korean Society for the Study of Obesity, Korean Diabetes Association, and Korean Society of Hypertension

被引:7
作者
Choi, Jong Han [1 ]
Cho, Yoon Jeong [2 ]
Kim, Hyun-Jin [3 ]
Ko, Seung-Hyun [4 ]
Chon, Suk [5 ]
Kang, Jee-Hyun [6 ]
Kim, Kyoung-Kon [7 ]
Kim, Eun Mi [8 ]
Kim, Hyun Jung [9 ]
Song, Kee-Ho [1 ]
Nam, Ga Eun [10 ]
Kim, Kwang Il [11 ]
机构
[1] Konkuk Univ, Sch Med, Dept Internal Med, Div Endocrinol & Metab,Med Ctr, 120-1 Neungdong Ro, Seoul 05030, South Korea
[2] Daegu Catholic Univ, Dept Family Med, Sch Med, Daegu, South Korea
[3] Hanyang Univ, Dept Internal Med, Div Cardiol, Coll Med, Seoul, South Korea
[4] Catholic Univ Korea, Coll Med, Dept Internal Med, Div Endocrinol & Metab,St Vincents Hosp, Seoul, South Korea
[5] Kyung Hee Univ, Coll Med, Dept Endocrinol & Metab, Seoul, South Korea
[6] Konyang Univ, Dept Family Med, Coll Med, Daejeon, South Korea
[7] Gachon Univ, Dept Family Med, Coll Med, Incheon, South Korea
[8] Kangbuk Samsung Hosp, Dept Dietet, Seoul, South Korea
[9] Korea Univ, Inst Evidence Based Med, Dept Prevent Med, Coll Med, Seoul, South Korea
[10] Korea Univ, Dept Family Med, Coll Med, Seoul, South Korea
[11] Seoul Natl Univ, Dept Internal Med, Div Geriatr, Sch Med, Seoul, South Korea
关键词
Carbohydrates; Diabetes mellitus; Diet; Hypertension; Obesity; LOW-FAT DIET; VERY-LOW-CARBOHYDRATE; RANDOMIZED CONTROLLED-TRIAL; CARDIOVASCULAR RISK-FACTORS; WEIGHT-LOSS DIET; HIGH-PROTEIN/LOW-CARBOHYDRATE; FLOW-MEDIATED DILATATION; GLYCEMIC CONTROL; BODY-COMPOSITION; OVERWEIGHT;
D O I
10.4093/dmj.2022.0038
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Carbohydrate-restricted diets and intermittent fasting (IF) have been rapidly gaining interest among the general population and patients with cardiometabolic disease, such as overweight or obesity, diabetes, and hypertension. However, there are limited expert recommendations for these dietary regimens. This study aimed to evaluate the level of scientific evidence on the benefits and harms of carbohydrate-restricted diets and IF to make responsible recommendations. A meta-analysis and systematic literature review of 66 articles on 50 randomized controlled trials (RCTs) of carbohydrate-restricted diets and 10 articles on eight RCTs of IF was performed. Based on the analysis, the following recommendations are suggested. In adults with overweight or obesity, a moderately-low carbohydrate or low carbohydrate diet (mLCD) can be considered as a dietary regimen for weight reduction. In adults with type 2 diabetes mellitus, mLCD can be considered as a dietary regimen for improving glycemic control and reducing body weight. In contrast, a very-low carbohydrate diet (VLCD) and IF are recommended against in patients with diabetes. Furthermore, no recommendations are suggested for VLCD and IF in adults with overweight or obesity, and carbohydrate-restricted diets and IF in patients with hypertension. Here, we describe the results of our analysis and the evidence for these recommendations.
引用
收藏
页码:355 / 376
页数:22
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