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BMJ：早餐对体重管理及能量摄入的影响研究

2019-02-02 zhangfan MedSci原创

体重早餐减肥
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研究认为，吃早餐是好的生活习惯，但其对减肥以及控制热量摄入却有相反的作用，考虑到本次研究证据质量较低，未来可能需要高质量的研究以确定早餐对体重管理的影响

近日研究人员考察了发达国家早晨摄入对居民体重变化和能量摄入的影响。

本次研究为系统综述及荟萃分析研究，考察了1990-2018年间的相关研究资料，比较吃早晨人群与不吃人群对体重及能量摄入的影响。

总计13个研究纳入本次荟萃分析，其中7个考察了早晨对体重变化的影响，10个考察了对能量摄入的影响。荟萃分析显示，不吃早餐人群体重略微降低（平均差异0.44kg），但异质性显著（I2=43%）；吃早餐人群的日均能量摄入量较高（平均差异259.79kcal/d），但同样异质性显著（I2=80%）。所有研究均在至少一个领域存在高风险或不明确的偏倚风险，并且随访期短 (体重研究平均7周，能量摄入研究2周)，证据质量较低。

研究认为，吃早餐是好的生活习惯，但其对减肥以及控制热量摄入却有相反的作用，考虑到本次研究证据质量较低，未来可能需要高质量的研究以确定早餐对体重管理的影响。

原始出处：


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    2019-08-02 tamgche

    #能量摄入#

    0

  2. 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    2019-02-06 gaoxiaoe

    #BMJ#

    0

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    2019-07-13 xugumin

    #体重管理#

    0

  4. 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createdBy=148754, createdName=gaoxiaoe, createdTime=Wed Feb 06 08:16:00 CST 2019, time=2019-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1648831, encodeId=86901648831de, content=<a href='/topic/show?id=4265266982a' target=_blank style='color:#2F92EE;'>#体重管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26698, encryptionId=4265266982a, topicName=体重管理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Sat Jul 13 02:16:00 CST 2019, time=2019-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1601612, encodeId=b3431601612bf, content=<a href='/topic/show?id=23ce5951642' target=_blank style='color:#2F92EE;'>#早餐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59516, encryptionId=23ce5951642, topicName=早餐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=767c18890183, createdName=LSJ117, createdTime=Mon Feb 04 00:16:00 CST 2019, time=2019-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359879, encodeId=808b3598e91b, content=学习了，谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Feb 03 11:12:14 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359836, encodeId=204135983677, content=学习了，谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Feb 02 19:52:50 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359814, encodeId=50de35981470, content=早餐的重要性, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Feb 02 13:16:09 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359812, encodeId=462335981244, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:06 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359811, encodeId=0b0a359811ea, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:02 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359810, encodeId=19ca359810d3, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-04 LSJ117

    #早餐#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1809995, encodeId=52da18099954a, content=<a href='/topic/show?id=273684289c7' target=_blank style='color:#2F92EE;'>#能量摄入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84289, encryptionId=273684289c7, topicName=能量摄入)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=674961, createdName=tamgche, createdTime=Fri Aug 02 08:16:00 CST 2019, time=2019-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848686, encodeId=c6b0184868601, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Wed Feb 06 08:16:00 CST 2019, time=2019-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1648831, encodeId=86901648831de, content=<a href='/topic/show?id=4265266982a' target=_blank style='color:#2F92EE;'>#体重管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26698, encryptionId=4265266982a, topicName=体重管理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Sat Jul 13 02:16:00 CST 2019, time=2019-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1601612, encodeId=b3431601612bf, content=<a href='/topic/show?id=23ce5951642' target=_blank style='color:#2F92EE;'>#早餐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59516, encryptionId=23ce5951642, topicName=早餐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=767c18890183, createdName=LSJ117, createdTime=Mon Feb 04 00:16:00 CST 2019, time=2019-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359879, encodeId=808b3598e91b, content=学习了，谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Feb 03 11:12:14 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359836, encodeId=204135983677, content=学习了，谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Feb 02 19:52:50 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359814, encodeId=50de35981470, content=早餐的重要性, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Feb 02 13:16:09 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359812, encodeId=462335981244, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:06 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359811, encodeId=0b0a359811ea, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:02 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359810, encodeId=19ca359810d3, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-03 1e145228m78(暂无匿称)

    学习了，谢谢作者分享!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1809995, encodeId=52da18099954a, content=<a href='/topic/show?id=273684289c7' target=_blank style='color:#2F92EE;'>#能量摄入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84289, encryptionId=273684289c7, topicName=能量摄入)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=674961, createdName=tamgche, createdTime=Fri Aug 02 08:16:00 CST 2019, time=2019-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848686, encodeId=c6b0184868601, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Feb 02 19:52:50 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359814, encodeId=50de35981470, content=早餐的重要性, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Feb 02 13:16:09 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359812, encodeId=462335981244, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:06 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359811, encodeId=0b0a359811ea, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:16:02 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359810, encodeId=19ca359810d3, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 1e145228m78(暂无匿称)

    学习了，谢谢作者分享!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1809995, encodeId=52da18099954a, content=<a href='/topic/show?id=273684289c7' target=_blank style='color:#2F92EE;'>#能量摄入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84289, encryptionId=273684289c7, topicName=能量摄入)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=674961, createdName=tamgche, createdTime=Fri Aug 02 08:16:00 CST 2019, time=2019-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848686, encodeId=c6b0184868601, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, 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objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 flysky120

    早餐的重要性

    0

  8. 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objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 Y—xianghai

    学习了长知识

    0

  9. 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objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 Y—xianghai

    学习了新知识

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Feb 02 12:15:57 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 Y—xianghai

    学习了长知识

    0

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近日，美国洛杉矶儿童医院和英国剑桥大学代谢研究实验室的研究人员合作在下丘脑找出了一组与体重控制有关的重要分子—SEMA3A及其受体家族，这些分子形成的信号通路对神经环路的正确塑造至关重要，可调节机体能量平衡，若这条信号通路被干扰，就可能造成严重肥胖。

J Hypertens：高盐摄入会影响舌下微循环，并与体重变化有关

由此可见，在健康志愿者中，该研究证明了给予NTG后，较高的盐摄入量与舌下微血管密度降低有关；高盐摄入后体重的较大变化与微血管密度较大程度的降低相吻合。微血管密度的变化在没有血压影响的情况下发生，表明高盐负荷本身会导致微血管变化，并且可能发生在高血压发展之前。

Int J Cardiol：利拉鲁肽对非糖尿病超重女性冠状动脉微血管功能障碍患者体重和微血管功能的影响

由此可见，利拉鲁肽治疗导致显著的体重减轻和血压降低，治疗期间没有伴随的症状缓解，并且冠状动脉微血管功能也没有改善。

BMJ：非糖甜味剂与健康

研究认为，非糖甜味剂相对于糖类甜味剂对大部分健康指标无益

JAMA Oncol：女性乳腺癌发病风险与体重、体脂相关吗？

世界卫生组织将体重指数（BMI）≥25kg/m2定义为超重、≥30 kg/m2定义为肥胖。既往研究证实，超重和肥胖均与乳腺癌发生风险增加相关。然而BMI只是一个初略衡量指标，不能区分脂肪和肌肉。近期发布在JAMA Oncology杂志的一项研究，评估了BMI正常的绝经后女性，体脂质量与乳腺癌发生风险的关系。

Obes Rev：“闻香识胖人”：研究发现嗅觉与肥胖之间的联系

众所周知，肥胖已经是全球性问题，是糖尿病和心脏病的主要风险因素。根据世界卫生组织(WHO)的数据，自从1975年以来全世界的肥胖率上升了三倍。2016年，几乎有20亿成年人超重，其中6.5亿属于肥胖。同年，4100万5岁以下的儿童超重或肥胖。

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