个体化低血糖指数高蛋白膳食对男性2型糖尿病糖脂代谢及体成分的影响
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(1.中国人民解放军总医院第一医学中心营养科,北京 100853;2.解放军医学院,北京 100853)

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军队保健专项科研课题(22BJZ20)


Effects of individualized low-glycemic-index high-protein diet on glucose and lipid metabolism and body composition in male type 2 diabetes mellitus patients
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(1.Department of Nutrition, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China;2.Chinese PLA Medical School, Beijing 100853, China)

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This work was supported by the Special Scientific Research Project for Military Healthcare(22BJZ20).

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    摘要:

    目的 探讨智能系统的个体化低血糖指数(GI)高蛋白膳食对男性2型糖尿病患者糖脂代谢及体成分的改善作用,并与常规膳食指导进行对比分析。方法 选取2024年1月至2025年6月于解放军总医院第一医学中心营养科门诊就诊的2型糖尿病男性患者103例,根据膳食模式不同分为试验组(52例,采用智能个体化低GI高蛋白膳食模式)和对照组(51例,采用常规膳食指导)。试验组接受为期12周的智能个体化膳食干预,对照组接受同期常规膳食指导。比较两组干预前后人体测量指标、糖代谢指标、脂代谢指标及肝肾功能的变化,评估干预的安全性与有效性。采用SPSS 26.0软件进行数据分析。根据数据类型,组间比较分别采用t检验及χ2检验。结果 共有103例患者完成研究,其中干预组患者52例,对照组患者51例。干预12周后,试验组体质量、腰围、臀围、体脂率均低于对照组,差异均有统计学意义(P<0.05)。试验组空腹血糖[(6.18±0.95)mmol/L]、餐后2h血糖[(7.25±1.52)mmol/L]、糖化血红蛋白[(6.2±0.6)%]及空腹胰岛素[(6.48±2.53)mIU/L]均低于对照组[(7.25±1.03)mmol/L、(9.31±1.85)mmol/L、(7.1±0.6)%、(7.79±2.85)mIU/L],差异均有统计学意义(P<0.05)。脂代谢方面,试验组甘油三酯、总胆固醇、低密度脂蛋白胆固醇均低于对照组(P<0.05),高密度脂蛋白胆固醇、血尿酸与对照组比较差异无统计学意义(P>0.05)。肝肾功能方面,两组干预前后血肌酐、尿素氮比较,差异均无统计学意义(P>0.05),且均在正常参考范围内。结论 智能个体化低GI高蛋白膳食模式依托智能化系统实现了膳食干预的个体化调控,可改善男性2型糖尿病患者的糖脂代谢及体成分,短期应用安全,优于常规膳食指导,具有临床推广价值。

    Abstract:

    Objective To investigate the effects of an individualized low-glycemic-index (GI) high-protein diet based on an intelligent system on glucose and lipid metabolism and body composition in male patients with type 2 diabetes mellitus (T2DM), and to compare it with conventional dietary guidance. Methods A total of 103 male outpatients with T2DM who visited Department of Nutrition of First Medical Center, Chinese PLA General Hospital from January 2024 to June 2025 were enrolled, and based on their dietary pattern, they were divided into a study group (n=52, receiving an intelligent individualized low-GI high-protein diet) and a control group (n=51, receiving conventional dietary guidance). The intervention lasted 12 weeks. Anthropometric indicators, glucose metabolism indicators, lipid metabolism indicators, and liver and kidney functions were compared between two groups to evaluate the safety and efficacy of the intervention. SPSS statistics 26.0 was used for statistical analysis. Data comparison between two groups was performed using t test orχ2 test depending on data type. Results There were 103 patients completing the study, including 52 patients in the study group and 51 patients in the control group. After 12 weeks of intervention, body weight, waist circumference, hip circumference, and body fat percentage were significantly lower in the study group than the control group (P<0.05). The study group exhibited significantly lower fasting blood glucose [(6.18±0.95) vs (7.25±1.03 mmol/L], 2-h postprandial blood glucose [(7.25±1.52) vs (9.31±1.85) mmol/L], glycated hemoglobin [(6.2±0.6)% vs (7.1±0.6)%], and fasting insulin [(6.48±2.53) vs (7.79±2.85) mIU/L] compared to the control group (all P<0.05). In terms of lipid metabolism, triglycerides, total cholesterol, and low-density lipoprotein cholesterol in the study group were all notably lower than those in the control group (P<0.05), while there were no statistically significant differences in high-density lipoprotein cholesterol or serum uric acid between two groups (P>0.05). In liver and kidney function, no obvious differences were observed in serum creatinine and blood urea nitrogen before and after intervention between two groups (P>0.05), and all values were within the normal reference ranges. Conclusion The intelligent individualized low-GI high-protein diet pattern achieves personalized regulation of dietary intervention through an intelligent system, and can improve glucose and lipid metabolism dcisorders and optimize body composition in male patients with T2DM. It is safe for short-term application, superior to conventional dietary guidance, and has clinical promotion value.

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刘洋,张永,刘钊,刘英华.个体化低血糖指数高蛋白膳食对男性2型糖尿病糖脂代谢及体成分的影响[J].中华老年多器官疾病杂志,2026,25(8):583-588
DOI:10.11915/j. issn.1671-5403.2026.08.117

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  • 收稿日期:2026-03-26
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