代謝型態檢測對減重成效之影響

Effects of Reducing Body Weight by the Metabolic Typing Test

袁毓瑩(Yu-Ying Yuan)

指導教授 ： 黃士懿

臺北醫學大學/公共衛生暨營養學院/保健營養學研究所/碩士(2007年)

https://doi.org/10.6831/TMU.2007.00012

摘要

基於每個生物個體皆有其獨特的生化代謝狀態，對飲食及營養素的需求亦不相同，因此對於利用飲食控制來進行減重的肥胖者，應該採用何種飲食改善型態來有效地進行代謝控制，是值得探討的。本研究主要目的即探討對於肥胖者的治療，檢測其代謝型態(metabolic type)，再給予適當地飲食型態建議，是否能達到有效減重。本研究計劃召募33位體重過重者，個別進行一次3小時之代謝型態檢測(包括人體體位基本量測及指尖採血)，並提出相對飲食型態建議及衛教之後，再進行4週的網路飲食運動記錄互動及輔導，觀察個案計劃前後之體重、體脂量和腰圍的變化。結果顯示無論男性或女性、代謝型態組[自主型態(交感型及副交感型)和氧化型態(快速氧化型和慢速氧化型)]及飲食型態組[第一類飲食(Group I)及第二類飲食(Group II)]，對於減輕體重與減少體脂肪比例及腰圍均有顯著的效果(p＜0.05)；但在自主代謝型態組間則發現交感型比副交感型較容易減重(p＜0.05)；而對於體脂量的影響，飲食型態組的Group II更能使體脂量明顯降低(p＜0.05)。在空腹血糖方面，自主型態組明顯比氧化型態組高。由本研究結果得知，透過”代謝型態檢測”了解減重個案對特定飲食型態及營養素的需求，做為有效執行減重計劃是有必要的。

關鍵字

代謝型態 ； 體質 ； 飲食型態 ； 網路飲食記錄 ； 體重 ； 體脂量

並列摘要

Due to people’s nutritional requirements being both genetically determined and highly individualized nutritional required, a workable controlled diet for overweight subjects is worth of further study. The objective of this study is to analyze whether the metabolic typing test could be a guide for diet recommendation and also to evaluate the effect of weight-loss for the subjects. Thirty-three overweight recruits were treated with the program, and each having three hours of metabolic typing test, one dietary consultation, and four weeks of website journaling regarding daily intake. BMI, weight, fat mass and waistline were measured before and after the program and then both results were compared. The results showed that no matter what gender, metabolic type (Autonomic-Sympathetic, Parasympathetic and Oxidizer-Slow, Fast) and diet type (Group I and Group II) were all significant on weight-loss, fat-loss and waistline reduced (p＜0.05). However, it was found that Sympathetic type had more significant improvement on BMI, weight, fat mass and waistline than Parasympathetic type in Autonomic group(p＜0.05). Group II was significant on fat-loss than Group I in diet type (p＜0.05). On the fasting blood sugar level, the Autonomic is significantly higher than the Oxidizer and both of Slow Oxidizer and Parasympathetic were slowly declined after ingesting glucose challenge. In conclusion, it is recommended individualized diet and nutrient via metabolic typing test could execute efficiently on weight management.

並列關鍵字

metabolic type ； individual biochemistry ； diet type ； website journal ； weight ； fat mass

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