标题：混合谷物粉代餐对肥胖患者血脂变化的影响

      作者：刘 芳，蒋一倩，马志红，周桂英
    (上海市松江区中心医院营养科，上海 201600)

      卷次： 2015年26卷4期

      【摘要】 目的 研究以大豆、燕麦、亚麻籽为主的混合谷物粉作为膳食代餐对肥胖患者血脂变化的影响。
方法 选取本院体检中心100名男性肥胖患者随机分为观察组和对照组，每组50例。观察组给予每日混合谷物
粉(大豆、燕麦、亚麻籽等)两包，替代早餐服用，能量为180 kCal，50例对照组仅给予正常早餐饮食，研究对象于治
疗前测定身高、体重和腰臀比，检测血脂水平，包括三酰甘油(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低
密度脂蛋白胆固醇(LDL-C)。疗程为3个月，之后重新测定患者体重及血脂水平。结果 服用前，观察组和对照
组身高、体重、腰臀比和血脂水平比较差异均无统计学意义(P>0.05)。通过3个月的代餐膳食和饮食控制后，观察
组BMI、TG、TC和LDL-C低于对照组和服用前，差异均有统计学意义(P<0.05)。对照组干预前后以上各指标比
较差异均无统计学意义(P>0.05)。结论 混合谷物粉膳食作为一种高纤维低血糖指数代餐，对肥胖患者起到降
低体重、血脂的作用。

      【关键词】 肥胖患者；混合谷物粉；血脂

      【中图分类号】 R589.2 【文献标识码】 A 【文章编号】 1003—6350（2015）04—0501—04


Effect of meal with mixed grain cereal on serum lipid of obese patients.
LIU Fang, JIANG Yi-qian, MA Zhi-Hong,
ZHOU Gui-ying. Department of Nutrition, Shanghai Songjiang District Center Hospital, Shanghai 201600, CHINA

【Abstract】 Objective To study the effect of taking mixed grain cereal (soybean powder, oat, flaxseed) for
meal on serum lipid level of obese patients. Methods One hundred obese male patients were selected from Shanghai
Songjiang District Center hospital, which were randomly divided into treatment group and control group, each with 50
samples. The treatment group received face-to-face instructions, and 2 packets of mixed grain cereal (consists of soy-
bean powder, oat, flaxseed, etc, with energy of 180 kcal) for breakfast every day for 3 months. The control group was
given normal breakfast. The body height, weight, waist to hip ratio (WHR) and serum lipid levels, including serum to-
tal cholesterol (TC), serum triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein
cholesterol (HDL-C), were measured before treatment and 3 months after treatment. Results The body height, weight,
WHR and the levels of serum lipid had no significant difference between the two groups before treatment (P>0.05).
After three months of treatment, BMI, TC, TG, LDL-C were significantly lower than those before treatment, and they
were significantly lower in the treatment group than the control group (P<0.01). The indexes showed no statistically
significant difference in the control group before and after treatment (P>0.05). Conclusion Mixed grain cereal, with
high fiber and low glycemic index (GI), can help decrease serum lipid level and weigh in obese patients.