目的：探讨个体化营养干预对内脏脂肪型肥胖患者的减重效果。方法选取50例来本院健康管理中心体检并同意接受营养干预的肥胖患者（内脏脂肪面积，CT值＞100 cm2），作为研究对象（排除患有内分泌疾病或者未找到导致肥胖的特殊疾病，既往史中排除了使用减肥类的药物，排除了严重的肝肾疾病，孕妇）。给予个体化营养干预3月，观察干预前后体重、体质指数（ BMI ）、腹部脂肪比率、体脂百分数、腰臀比等指标变化来综合评价营养干预效果。结果50例患者体重、BMI、腹部脂肪比率、体脂肪、体脂百分数、内脏脂肪面积（ CT值）、腰围、臀围、腰臀比等指标在干预后均有下降，差异均有统计学意义，P＜0．05。血压、中轻度脂肪肝、血糖、血清总胆固醇、甘油三酯、谷丙转氨酶、谷氨酰基转移酶等指标在干预后均有明显改善，差异均具有统计学意义，P＜0．05。身体水成分、蛋白质、无机盐、肌肉重量等指标在干预前后差异无统计学意义，P＜0．05。结论个体化营养干预不仅对内脏脂肪的减少、体重的减轻、腰臀围的减小都起到显著的效果，而且此方法还具有安全、简单、容易执行的特点。%Objective To study the effects of individualized nutrition intervention on weight loss in patients with visceral fat obesity .Methods 50 cases of obese patients whose CT value of visceral fat area>100cm2 and who agree to accept individualized nutrition intervention were randomly selected from health management center as research objects .Results After the intervention , 50 cases of patients with body weight , BMI, abdominal fat percentage, body fat, percentage of body fat, visceral fat area ( CT value ), waist circumference , hip circumference , waist to hip ratio index were decreased , the differences were statistically significant, P<0.05.After the intervention blood pressure , mild fatty liver, blood glucose, serum total cholesterol, triglycerides , alanine aminotransferase ( ALT ) , glutamyltransferase ( GGT ) were significantly improved , the differences were statistically significant , P<0.05.After the intervention body water , protein, inorganic salt , muscle mass had no statistical significance , P>0.05.Conclusions Individual nutritional intervention not only has a significant effect on the reduction of visceral fat , body weight , waist and hip circumference , but also has other characteristics like safety , not complicated and easy to perform .
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