Volume 13 Issue 2
Mar.  2022
Turn off MathJax
Article Contents
SUN Mingyao, CHEN Wei. Interpretation of the Chinese Guidelines on Medical Nutritional Therapy for Overweight/Obesity(2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 255-262. doi: 10.12290/xhyxzz.2021-0796
Citation: SUN Mingyao, CHEN Wei. Interpretation of the Chinese Guidelines on Medical Nutritional Therapy for Overweight/Obesity(2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 255-262. doi: 10.12290/xhyxzz.2021-0796

Interpretation of the Chinese Guidelines on Medical Nutritional Therapy for Overweight/Obesity(2021)

doi: 10.12290/xhyxzz.2021-0796
Funds:

The Key Program of Beijing Municipal Science & Technology Commission Z191100008619006

CAMS Innovation Fund for Medical Sciences 2020-I2M-C&T-B-027

Youth Scientific Research Project of Fujian Provincial Health Commission 2020QNB002

More Information
  • Corresponding author: CHEN Wei, E-mail: chenw@pumch.cn
  • Received Date: 2021-12-21
  • Accepted Date: 2022-01-30
  • Available Online: 2022-01-30
  • Publish Date: 2022-03-30
  • Obesity has become a global "epidemic".At this stage, overweight/obesity has become a major public health problem that seriously affects the physical and mental health of Chinese people. Medical nutritional therapy is the basic treatment for obesity and an indispensable measure for prevention and control at any stage in the course of obesity.In December 2021, the Chinese Guidelines on Medical Nutritional Therapy for Overweight/Obesity (2021) was published, which covers the relationship of weight loss with different dietary patterns, meal replacement foods, biorhythms, intestinal microecology, metabolic surgery, and medical nutritional intervention, as well as weight loss in special populations. With a view to providing clinical reference for the standardized treatment and management of overweight/obesity, this paper makes a detailed interpretation of the key points of the guidelines.
  • loading
  • [1] World Health Organization. WHO Discussion Paper: Draft recommendations for the prevention and management of obesity over the life course, including potential targets[EB/OL ]. (2021-08-17)[2021-12-21]. https://www.who.int/publications/m/item/who-discussion-paper-draft-recommendations-for-the-prevention-and-management-of-obesity-over-the-life-course-including-potential-targets.
    [2] 中国超重肥胖医学营养治疗专家共识编写委员会. 中国超重/肥胖医学营养治疗专家共识(2016年版)[J]. 中华糖尿病杂志, 2016, 8: 525-540. doi:  10.3760/cma.j.issn.1674-5809.2016.09.004
    [3] 中国医疗保健国际交流促进会营养与代谢管理分会, 中国营养学会临床营养分会, 中华医学会糖尿病学分会, 等. 中国超重/肥胖医学营养治疗指南(2021)[J]. 中国医学前沿杂志(电子版), 2021, 13: 1-55. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQY202111001.htm
    [4] Santesso N, Akl EA, Bianchi M, et al. Effects of higher-versus lower-protein diets on health outcomes: a systematic review and meta-analysis[J]. Eur J Clin Nutr, 2012, 66: 780-788. doi:  10.1038/ejcn.2012.37
    [5] Johnston BC, Kanters S, Bandayrel K, et al. Comparison of weight loss among named diet programs in overweight and obese adults: a meta-analysis[J]. JAMA, 2014, 312: 923-933. doi:  10.1001/jama.2014.10397
    [6] Sun S, Kong Z, Shi Q, et al. Non-Energy-Restricted LowCarbohydrate Diet Combined with Exercise Intervention Improved Cardiometabolic Health in Overweight Chinese Females[J]. Nutrients, 2019, 11: 3051. doi:  10.3390/nu11123051
    [7] Liu X, Zhang G, Ye X, et al. Effects of a low-carbohyd-rate diet on weight loss and cardiometabolic profile in Chinese women: a randomised controlled feeding trial[J]. Br J Nutr, 2013, 110: 1444-1453. doi:  10.1017/S0007114513000640
    [8] Wycherley TP, Thompson CH, Buckley JD, et al. Long-term effects of weight loss with a very-low carbohydrate, low saturated fat diet on flow mediated dilatation in patients with type 2 diabetes: A randomised controlled trial[J]. Atherosclerosis, 2016, 252: 28-31. doi:  10.1016/j.atherosclerosis.2016.07.908
    [9] Ebbeling CB, Feldman HA, Klein GL, et al. Effects of a low carbohydrate diet on energy expenditure during weight loss maintenance: randomized trial[J]. BMJ, 2018, 363: k4583.
    [10] Van Zuuren EJ, Fedorowicz Z, Kuijpers T, et al. Effects of low-carbohydrate-compared with low-fat-diet interventions on metabolic control in people with type 2 diabetes: a systematic review including GRADE assess ments[J]. Am J Clin Nutr, 2018, 108: 300-331. doi:  10.1093/ajcn/nqy096
    [11] Tay J, Luscombe-Marsh ND, Thompson CH, et al. Comparison of low-and high-carbohydrate diets for type 2 diabetes management: a randomized trial[J]. Am J Clin Nutr, 2015, 102: 780-790. doi:  10.3945/ajcn.115.112581
    [12] Saslow LR, Daubenmier JJ, Moskowitz JT, et al. Twelve-month outcomes of a randomized trial of a moderate carbohydrate versus very low-carbohydrate diet in overweight adults with type 2 diabetes mellitus or prediabetes[J]. Nutr Diabetes, 2017, 7: 304. doi:  10.1038/s41387-017-0006-9
    [13] Kessler CS, Stange R, Schlenkermann M, et al. A nonrandomized controlled clinical pilot trial on 8 wk of intermittent fasting (24 h/wk)[J]. Nutrition, 2018, 46: 143-152.e2. doi:  10.1016/j.nut.2017.08.004
    [14] Anton SD, Lee SA, Donahoo WT, et al. The Effects of Time Restricted Feeding on Overweight, Older Adults: A Pilot Study[J]. Nutrients, 2019, 11: 1500. doi:  10.3390/nu11071500
    [15] Lee SA, Sypniewski C, Bensadon BA, et al. Determinants of Adherence in Time-Restricted Feeding in Older Adults: Lessons from a Pilot Study[J]. Nutrients, 2020, 12: 874. doi:  10.3390/nu12030874
    [16] Rajpal A, Ismail-Beigi F. Intermittent fasting and 'metabolic switch': Effects on metabolic syndrome, prediabetes and type 2 diabetes[J]. Diabetes Obes Metab, 2020, 22: 1496-1510. doi:  10.1111/dom.14080
    [17] Corley BT, Carroll RW, Hall RM, et al. Intermittent fasting in Type 2 diabetes mellitus and the risk of hypoglycaemia: a randomized controlled trial[J]. Diabet Med, 2018, 35: 588-594. doi:  10.1111/dme.13595
    [18] Zafar MI, Mills KE, Zheng J, et al. Low glycaemic index diets as an intervention for obesity: a systematic review and meta-analysis[J]. Obes Rev, 2019, 20: 290-315. doi:  10.1111/obr.12791
    [19] Schwingshackl L, Hoffmann G. Long-term effects of low glycemic index/load vs. high glycemic index/load diets on parameters of obesity and obesity-associated risks: a syste-matic review and meta-analysis[J]. Nutr Metab Cardiovasc Dis, 2013, 23: 699-706. doi:  10.1016/j.numecd.2013.04.008
    [20] Abete I, Parra D, Martinez JA. Energy-restricted diets based on a distinct food selection affecting the glycemic index induce different weight loss and oxidative response[J]. Clin Nutr, 2008, 27: 545-551. doi:  10.1016/j.clnu.2008.01.005
    [21] Kucharska A, Gajewska D, Kiedrowski M, et al. The impact of individualised nutritional therapy according to DASH diet on blood pressure, body mass, and selected biochemical parameters in overweight/obese patients with primary arterial hypertension: a prospective randomised study[J]. Kardiol Pol, 2018, 76: 158-165. doi:  10.5603/KP.a2017.0184
    [22] RazaviZade M, Telkabadi MH, Bahmani F, et al. The effects of DASH diet on weight loss and metabolic status in adults with non-alcoholic fatty liver disease: a randomized clinical trial[J]. Liver Int, 2016, 36: 563-571. doi:  10.1111/liv.12990
    [23] Shenoy SF, Poston WS, Reeves RS, et al. Weight loss in individuals with metabolic syndrome given DASH diet counseling when provided a low sodium vegetable juice: a randomized controlled trial[J]. Nutr J, 2010, 9: 8. doi:  10.1186/1475-2891-9-8
    [24] Esposito K, Kastorini CM, Panagiotakos DB, et al. Mediterranean diet and weight loss: meta-analysis of randomized controlled trials[J]. Metab Syndr Relat Disord, 2011, 9: 1-12. doi:  10.1089/met.2010.0031
    [25] Huo R, Du T, Xu Y, et al. Effects of Mediterranean-style diet on glycemic control, weight loss and cardiovascular risk factors among type 2 diabetes individuals: a meta-analysis[J]. Eur J Clin Nutr, 2015, 69: 1200-1208. doi:  10.1038/ejcn.2014.243
    [26] Stendell-Hollis NR, Thompson PA, West JL, et al. A comparison of Mediterranean-style and MyPyramid diets on weight loss and inflammatory biomarkers in postpartum breastfeeding women[J]. J Womens Health (Larchmt), 2013, 22: 48-57. doi:  10.1089/jwh.2012.3707
    [27] Di Daniele N, Petramala L, Di Renzo L, et al. Body composition changes and cardiometabolic benefits of a balanced Italian Mediterranean Diet in obese patients with metabolic syndrome[J]. Acta Diabetol, 2013, 50: 409-416. doi:  10.1007/s00592-012-0445-7
    [28] Astbury NM, Piernas C, Hartmann-Boyce J, et al. A systematic review and meta-analysis of the effectiveness of meal replacements for weight loss[J]. Obes Rev, 2019, 20: 569-587. doi:  10.1111/obr.12816
    [29] Davis LM, Coleman C, Kiel J, et al. Efficacy of a meal replacement diet plan compared to a food-based diet plan after a period of weight loss and weight maintenance: a rando-mized controlled trial[J]. Nutr J, 2010, 9: 11. doi:  10.1186/1475-2891-9-11
    [30] Kruschitz R, Wallner-Liebmann S, Lothaller H, et al. Long-Term Weight-Loss Maintenance by a Meal Replacement Based Weight Management Program in Primary Care[J]. Obes Facts, 2017, 10: 76-84. doi:  10.1159/000454836
    [31] Coleman CD, Kiel JR, Mitola AH, et al. Effectiveness of a Medifast meal replacement program on weight, body composition and cardiometabolic risk factors in overweight and obese adults: a multicenter systematic retrospective chart review study[J]. Nutr J, 2015, 14: 77. doi:  10.1186/s12937-015-0062-8
    [32] Chow LS, Manoogian ENC, Alvear A, et al. Time Rest-ricted Eating Effects on Body Composition and Metabolic Measures in Humans who are Overweight: A Feasibility Study[J]. Obesity (Silver Spring), 2020, 28: 860-869.
    [33] Cienfuegos S, Gabel K, Kalam F, et al. Effects of 4- and 6-h Time-Restricted Feeding on Weight and Cardio metabolic Health: A Randomized Controlled Trial in Adults with Obesity[J]. Cell Metab, 2020, 32: 366-378.e3. doi:  10.1016/j.cmet.2020.06.018
    [34] Gabel K, Hoddy KK, Haggerty N, et al. Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study[J]. Nutr Healthy Aging, 2018, 4: 345-353. doi:  10.3233/NHA-170036
    [35] Bäckhed F, Ding H, Wang T, et al. The gut microbiota as an environmental factor that regulates fat storage[J]. Proc Natl Acad Sci U S A, 2004, 101: 15718-15723. doi:  10.1073/pnas.0407076101
    [36] Turnbaugh PJ, Gordon JI. The core gut microbiome, energy balance and obesity[J]. J Physiol, 2009, 587: 4153-4158. doi:  10.1113/jphysiol.2009.174136
    [37] Viggiano A, Viggiano E, Di Costanzo A, et al. Kaledo, a board game for nutrition education of children and adoles cents at school: cluster randomized controlled trial of healthy lifestyle promotion[J]. Eur J Pediatr, 2015, 174: 217-228. doi:  10.1007/s00431-014-2381-8
    [38] Meiklejohn S, Ryan L, Palermo C. A Systematic Review of the Impact of Multi-Strategy Nutrition Education Programs on Health and Nutrition of Adolescents[J]. J Nutr Educ Behav, 2016, 48: 631-646.e1. doi:  10.1016/j.jneb.2016.07.015
    [39] Rock CL, Flatt SW, Byers TE, et al. Results of the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) Trial: A Behavioral Weight Loss Intervention in Overweight or Obese Breast Cancer Survivors[J]. J Clin Oncol, 2015, 33: 3169-3176. doi:  10.1200/JCO.2015.61.1095
    [40] Ann Nutr Metab. Abstracts of the Asian Congress of Nutrition 2019[J]. Ann Nutr Metab, 2019, 75: 1-424.
    [41] Leblanc ES, Patnode CD, Webber EM, et al. Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity Related Morbidity and Mortality in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force[J]. JAMA, 2018, 320: 1172-1191. doi:  10.1001/jama.2018.7777
    [42] Rudolph A, Hilbert A. Post-operative behavioural manage-ment in bariatric surgery: a systematic review and metaanalysis of randomized controlled trials[J]. Obes Rev, 2013, 14: 292-302. doi:  10.1111/obr.12013
    [43] Prabhakaran S, Misra S, Magila M, etal. Randomized Controlled Trial Comparing the Outcomes of Enhanced Recovery After Surgery and Standard Recovery Pathways in Laparoscopic Sleeve Gastrectomy[J]. Obes Surg, 2020, 30: 3273-3279. doi:  10.1007/s11695-020-04585-2
    [44] Kouvelioti R, Vagenas G, Langley-Evans S. Effects of exercise and diet on weight loss maintenance in overweight and obese adults: a systematic review[J]. J Sports Med Phys Fitness, 2014, 54: 456-474.
    [45] De Toro-Martín J, Arsenault BJ, Després JP, et al. Preci-sion Nutrition: A Review of Personalized Nutritional Approaches for the Prevention and Management of Metabolic Syndrome[J]. Nutrients, 2017, 9: 913. doi:  10.3390/nu9080913
    [46] Horne J, Gilliland J, O'Connor C, et al. Study protocol of a pragmatic randomized controlled trial incorporated into the Group Lifestyle BalanceTM program: the nutrigenomics, overweight/obesity and weight management trial (the NOW trial)[J]. BMC Public Health, 2019, 19: 310. doi:  10.1186/s12889-019-6621-8
    [47] Ramos-Lopez O, Riezu-Boj JI, Milagro FI, et al. Models Integrating Genetic and Lifestyle Interactions on Two Adiposity Phenotypes for Personalized Prescription of Energy Restric-ted Diets With Different Macronutrient Distribution[J]. Front Genet, 2019, 10: 686. doi:  10.3389/fgene.2019.00686
    [48] Arkadianos I, Valdes AM, Marinos E, et al. Improved weight management using genetic information to personalize a calorie controlled diet[J]. Nutr J, 2007, 6: 29. doi:  10.1186/1475-2891-6-29
    [49] O'Donoghue G, Blake C, Cunningham C, et al. What exercise prescription is optimal to improve body composition and cardiorespiratory fitness in adults living with obesity? A network meta-analysis[J]. Obes Rev, 2021, 22: e13137.
    [50] 李明伟, 高剑峰, 吴迎春, 等. 不同营养支持治疗对青少年肥胖伴脂质代谢紊乱的影响[J]. 中国民康医学, 2015, 27: 104-105. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMYX201504058.htm
    [51] 张耀东, 谭利娜, 卫海燕, 等. 有氧运动结合饮食控制对单纯性肥胖儿童的干预效果[J]. 国际儿科学杂志, 2016, 43: 82-84. doi:  10.3760/cma.j.issn.1673-4408.2016.01.023
    [52] Andela S, Burrows TL, Baur LA, et al. Efficacy of very low-energy diet programs for weight loss: A systematic review with meta-analysis of intervention studies in children and adolescents with obesity[J]. Obes Rev, 2019, 20: 871-882. doi:  10.1111/obr.12830
    [53] Sanada K, Chen R, Willcox B, et al. Association of sarcopenic obesity predicted by anthropometric measurements and 24-y all-cause mortality in elderly men: The Kuakini Honolulu Heart Program[J]. Nutrition, 2018, 46: 97-102. doi:  10.1016/j.nut.2017.09.003
    [54] Lim SS, Hutchison SK, Van Ryswyk E, et al. Lifestyle changes in women with polycystic ovary syndrome[J]. Cochrane Database Syst Rev, 2019, 3: CD007506.
    [55] Ji L, Hu D, Pan C, et al. Primacy of the 3B approach to control risk factors for cardiovascular disease in type 2 diabetes patients[J]. Am J Med, 2013, 126: 925. e11-e22. doi:  10.1016/j.amjmed.2013.02.035
    [56] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华糖尿病杂志, 2021, 13: 315-409. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202106003.htm
    [57] Aune D, Norat T, Vatten LJ. Body mass index and the risk of gout: a systematic review and dose-response metaanalysis of prospective studies[J]. Eur J Nutr, 2014, 53: 1591-1601. doi:  10.1007/s00394-014-0766-0
    [58] TerMaaten JC, Voorburg A, Heine RJ, et al. Renal hand-ling of urate and sodium during acute physiological hyperinsulinaemia in healthy subjects[J]. Clin Sci (Lond), 1997, 92: 51-58. doi:  10.1042/cs0920051
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2785) PDF downloads(1364) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return