Clinical Implications for Women of a Low-Carbohydrate or Ketogenic Diet WithIntermittent Fasting.
Clinical Implications for Women of a Low-Carbohydrate or Ketogenic Diet WithIntermittent Fasting.
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DOI：
10.1016/j.nwh.2021.01.009
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发表时间：
2021-04-01
影响因子：
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通讯作者：
Wika, Judith C
中科院分区：
文献类型：
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作者：
Arbour, Megan W;Stec, Melissa;Wika, Judith C
肥胖在美国是普遍存在的，并与发病率，死亡率和增加的医疗保健费用。对于女性来说，肥胖可能会影响生命的各个阶段，包括初潮、生育、怀孕和绝经，这是荷尔蒙失衡和胰岛素抵抗的结果。肥胖的胰岛素-碳水化合物模型已被提出作为肥胖率增长的解释，并可用于通过增加胰岛素敏感性来靶向减肥策略。总之，低碳水化合物饮食模式沿着间歇性禁食可能有助于胰岛素抵抗患者不仅减肥，而且还增加他们的胰岛素敏感性。本文的目的是回顾肥胖的流行病学和生理学以及健康指标，同时概述护士和其他临床医生在咨询采用低碳水化合物或生酮饮食并间歇性禁食进行体重管理的女性时使用的策略。
Obesity in the United States is pervasive and associated with morbidity, mortality, and increased health care costs. For women, obesity may affect stages of life including early menarche, fertility, pregnancy, and menopause as a result of hormonal imbalances and insulin resistance. The insulin-carbohydrate model of obesity has been proposed as an explanation for growing obesity rates and can be used to target weight loss strategies by increasing insulin sensitivity. Together, low-carbohydrate dietary patterns along with intermittent fasting may help individuals with insulin resistance not only lose weight but also increase their insulin sensitivity. The purpose of this article is to review the epidemiology and physiology of obesity and the indicators for health while outlining strategies for nurses and other clinicians to use when counseling women who are following a low-carbohydrate or ketogenic diet with intermittent fasting for weight management.