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首页> 外文期刊>Journal of Eating Disorders >Treating binge eating and food addiction symptoms with low-carbohydrate Ketogenic diets: a case series
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Treating binge eating and food addiction symptoms with low-carbohydrate Ketogenic diets: a case series

机译：用低碳水化合物致癌饮食治疗狂犬病食品和食品成瘾症状：案例系列

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Background:Many patients with obesity and comorbid binge eating symptoms present with the desire to lose weight. Although some studies suggest that dietary restriction can exacerbate binge eating, others show dietary restriction is associated with significant reductions in binge eating. The effect of a particular type of dieting on binge eating, the ketogenic diet (a high fat, moderate protein, very low carbohydrate diet), is not known.Case presentations:We report on the feasibility of a low-carbohydrate ketogenic diet initiated by three patients (age 54, 34, and 63) with obesity (average BMI 43.5?kg/m2) with comorbid binge eating and food addiction symptoms. All patients tolerated following the ketogenic diet (macronutrient proportion 10% carbohydrate, 30% protein, and 60% fat; at least 5040?kJ) for the prescribed period (e.g., 6-7?months) and none reported any major adverse effects. Patients reported significant reductions in binge eating episodes and food addiction symptoms including cravings and lack of control as measured by the Binge-Eating Scale, Yale Food Addiction Scale, or Yale-Brown Obsessive-Compulsive Scale modified for Binge Eating, depending on the case. Additionally, the patients lost a range of 10-24% of their body weight. Participants reported maintenance of treatment gains (with respect to weight, binge eating, and food addiction symptoms) to date of up to 9-17?months after initiation and continued adherence to diet.Conclusions:Although the absence of control cases precludes conclusions regarding the specific role of ketogenic diets versus other forms of dietary restriction, this is the first report to demonstrate the feasibility of prescribing a ketogenic diet for patients with obesity who report binge eating and food addiction symptoms. Further research should seek to reproduce the observed effects in controlled trials as well as to explore potential etiologies.? The Author(s). 2020.
机译：背景：许多患有肥胖症和共聚物的患者患有减肥的欲望存在症状。虽然有些研究表明膳食限制可以加剧狂暴进食，但其他人表明饮食限制与狂犬病的显着减少有关。特定类型节食对狂犬病的影响，酮味饮食（高脂肪，中度蛋白质，非常低的碳水化合物饮食）未知.CASE介绍：我们报告了由此发起的低碳水化合物酮急性饮食的可行性具有肥胖症的三名患者（54,34和63岁）（平均BMI 43.5？KG / M2），具有共聚的狂犬病，食物成瘾症状。所有患者耐受后酮饮食（Macronuriger比例10％碳水化合物，30％蛋白质和60％脂肪;至少5040？KJ）进行规定的时间（例如6-7个月），没有报告任何主要的不良反应。患者报告的狂暴剧集和食物成瘾症状的显着减少，包括渴望和缺乏控制的控制，耶鲁食品成瘾规模或无晶棕色强迫尺度为狂暴进食，根据案例。此外，患者丢失了体重的10-24％的范围。参与者报告的治疗收益（相对于重量，狂暴，食物成瘾症状）到达最高9-17岁以下的时间，并持续遵守饮食。结论：虽然没有对照案例的缺失排除了关于的结论酮饮食与其他形式的膳食限制的特异性作用，这是第一份证明为患有肥胖患者开展致酮饮食的可行性的报告，该肥胖患者报告狂犬病吃和食物成瘾症状。进一步的研究应该寻求繁殖在对照试验中的观察到的效果以及探索潜在的病因。作者。 2020。

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