The impact of intermittent energy restriction on women's health.

IF 7.6 2区 医学 Q1 NUTRITION & DIETETICS
Michelle Harvie, Mai Haiba
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引用次数: 0

Abstract

Intermittent energy-restricted diets are used amongst women with overweight and obesity and a healthy weight. For those with overweight and obesity weight control is typically achieved through daily energy restriction (DER) which has reduced adherence and attenuated metabolic benefits over time. Several intermittent energy restriction (IER) regimens have been developed aiming to promote maintained weight loss and additional weight independent metabolic benefits including the 5:2 diet, alternate day fasting (ADF) and time-restricted eating (TRE). This review summarises the potential benefits or harms of these regimens for managing women’s health. 5:2 and ADF diets have equivalent long term (≥ 6-month) adherence, weight loss and metabolic benefits to DER. Current limited evidence suggests IER is a safe weight loss intervention for women which does not affect reproductive or bone health, increase eating disorders or disturb sleep. Adherence and weight loss with both IER and DER are lower amongst younger women compared to older women and men. Weight loss with ADF and TRE has, respectively, improved symptoms of polycystic ovarian syndrome and premenstrual syndrome, but there is no evidence of weight-independent effects of IER on these conditions. There is little evidence of the benefits and/or harms of IER amongst healthy weight women in whom there is a greater potential for adverse effects on reproductive and bone health, fat free mass, eating disorders and sleep. Further research benefits of IER for weight control and metabolic health as well as harms are required.

间歇性能量限制对妇女健康的影响。
间歇性能量限制饮食适用于超重、肥胖和健康体重的妇女。对于那些超重和肥胖的人来说,体重控制通常是通过每日能量限制(DER)来实现的,随着时间的推移,这种限制会降低依从性,并减弱代谢益处。一些间歇性能量限制(IER)方案旨在促进维持体重减轻和额外的体重独立代谢益处,包括5:2饮食,隔日禁食(ADF)和限时进食(TRE)。本综述总结了这些治疗方案在管理女性健康方面的潜在益处或危害。5:2和ADF饮食具有与DER相同的长期(≥6个月)依从性、体重减轻和代谢益处。目前有限的证据表明,对女性来说,雌激素受体是一种安全的减肥干预措施,不会影响生殖或骨骼健康,不会增加饮食失调,也不会扰乱睡眠。与老年女性和男性相比,年轻女性服用雌激素受体和雌激素受体的依从性和体重减轻率都较低。ADF和TRE减肥分别改善了多囊卵巢综合征和经前综合征的症状,但没有证据表明雌激素对这些疾病的影响与体重无关。很少有证据表明,对于体重健康的妇女来说,雌激素对她们的益处和/或危害更大,因为雌激素对生殖和骨骼健康、无脂肪量、饮食失调和睡眠有更大的潜在不利影响。需要进一步研究雌激素对体重控制和代谢健康的益处和危害。
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来源期刊
CiteScore
15.50
自引率
0.00%
发文量
190
审稿时长
6-12 weeks
期刊介绍: Proceedings of the Nutrition Society publishes papers and abstracts presented by members and invited speakers at the scientific meetings of The Nutrition Society. The journal provides an invaluable record of the scientific research currently being undertaken, contributing to ''the scientific study of nutrition and its application to the maintenance of human and animal health.'' The journal is of interest to academics, researchers and clinical practice workers in both human and animal nutrition and related fields.
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