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Medical nutrition therapy of obesity and its metabolic complications


Authors: Dana Müllerová
Authors‘ workplace: obezitologická ambulance, I. interní klinika LF UK a FN Plzeň ;  Ústav hygieny a preventivní medicíny LF UK v Plzni
Published in: Čas. Lék. čes. 2020; 159: 125-130
Category: Review Article

Overview

Diet therapy of obesity and its metabolic complications is focused on the reversal of chronic positive energy balance, systemic inflammation and adipose tissue dysfunction. The priority in the treatment is caloric restriction together with increased nutritional quality, prevention of nutritional deficits, care of intestinal microbioma, reduction of the organism's exposure to contaminants and increase of the protective components in the diet. The recommended daily energy dose ranges from very low-calorie diets (1.5 to 3 MJ) to low-calorie diets (5 to 7 MJ).

According to common EASD and ADA guidelines, the following energy-restricted types of diets are recommended in the management and prevention of metabolic complications of obesity in the form of type 2 diabetes mellitus: Mediterranean, DASH, low-carbohydrate, and vegetarian style of diet. Particular attention is required for the diet following metabolic-bariatric surgery, which is focused on the prevention and treatment of potential nutritional deficits.

Keywords:

obesity – Mediterranean diet – DASH – low-carbohydrate – vegetarian style of diet – diet after bariatric surgery


Sources
  1. Sturm R, An R. Obesity and economic environments. CA Cancer J Clin 2014; 64: 337–350.
  2. Salvia MG. The Look AHEAD trial: translating lessons learned into clinical practice and further study. Diabetes Spectr 2017; 30: 166–170.
  3. Lean MEJ. Low-calorie diets in the management of type 2 diabetes mellitus. Nat Rev Endocrinol 2019; 15: 251–252.
  4. Hall KD, Guo J. Obesity energetics: body weight regulation and the effects of diet composition. Gastroenterology 2017; 152: 1718–1727.
  5. Heianza Y, Qi L. Gene-diet interaction and precision nutrition in obesity. Int J Mol Sci 2017; 18: 787.
  6. Qi Q, Xu M, Wu H et al. IRS1 genotype modulates metabolic syndrome reversion in response to 2-year weight-loss diet intervention: the pounds lost trial. Diabetes Care 2013; 36: 3442–3447.
  7. Botchlett R, Woo SL, Liu M et al. Nutritional approaches for managing obesity-associated metabolic diseases. J Endocrinol 2017; 233: R145–171.
  8. Buse JB, Wexler DJ, Tsapas A et al. 2019 update to: Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2020; 63: 221–228.
  9. Mozaffari H, Ajabshir S, Alizadeh S. Dietary approaches to stop hypertension and risk of chronic kidney disease: a systematic review and meta-analysis of observational studies. Clin Nutr 2020; 39: 2035–2044.
  10. Hjorth MF, Ritz CH, Blaak EE et al. Pretreatment fasting plasma glucose and insulin modify dietary weight loss success: results from 3 randomized clinical trials. Am J Clin Nutr 2017; 106: 499–505.
  11. Yumuk V, Tsigos C, Fried M et al. European guidelines for obesity management in adults. Obesity Facts 2015; 8: 402–424.
  12. Via MA, Mechanick JI. Nutritional and Micronutrient care of bariatric surgery patients. Current evidence update. Curr Obes Rep 2017; 6: 286–296.
  13. Segata N. Gut microbiome: westernization and the disappearance of intestinal diversity. Curr Biol 2015; 25: R611–613.
  14. Neuenschwander M, Ballon A, Weber K et al. Role of diet in type 2 diabetes incidence: umbrella review of meta-analyses of prospective observational studies. BMJ 2019; 3; 366–368.
  15. Song Y, Chou EL, Baecker A et al. Endocrine-disrupting chemicals, risk of type 2 diabetes, and diabetes-related metabolic traits: a systematic review and meta-analysis. J Diabetes 2016; 8: 516–32.
  16. Chevalier N, Fénichel P. Bisphenol A: targeting metabolic tissues. Rev Endocr Metab Disord 2015; 16: 299–309.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management

Article was published in

Journal of Czech Physicians

Issue 3-4

2020 Issue 3-4

Most read in this issue
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