A Whole Plant-Foods Diet in the Prevention and Treatment of Overweight and Obesity: From Empirical Evidence to Potential Mechanisms.

IF 6.8 4区 医学 Q1 NUTRITION & DIETETICS Journal of the American Nutrition Association Pub Date : 2024-10-14 DOI:10.1080/27697061.2024.2406887
Mariana Del Carmen Fernández-Fígares Jiménez
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Abstract

Excess body adiposity, referred to as overweight and obesity, represents a major health concern given that it increases the risk of various diseases, including cardiovascular diseases, type 2 diabetes, and cancer. Body weight reduction can be achieved via a wide variety of dietary strategies as long as an energy deficit is achieved. However, the effect of such diets on disease risk and mortality will depend on the foods included. Increasing evidence shows that consumption of whole plant foods (e.g., fruits, vegetables, whole grains, nuts, seeds, legumes) in place of animal foods (e.g., meat, poultry, dairy, fish, eggs, and seafood and their derivatives) and non-whole plant foods (e.g., refined grains, French fries, sugar-sweetened beverages) is associated with improvements in cardiometabolic risk factors and lower risk of chronic diseases and mortality. This review focuses on the effect of a whole plant-foods diet on overweight and obesity from observational to clinical studies and discusses the potential mechanisms involved. According to existing evidence, a whole plant foods diet seems to be more advantageous than other dietary approaches for the prevention and treatment of excess adiposity given that it is composed of the foods that lead to the best health outcomes.

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预防和治疗超重和肥胖症的全植物食品饮食:从经验证据到潜在机制。
身体脂肪过多,即超重和肥胖,是一个重大的健康问题,因为它会增加罹患各种疾病的风险,包括心血管疾病、2 型糖尿病和癌症。只要达到能量不足的目的,就可以通过各种饮食策略来减轻体重。然而,这种饮食对疾病风险和死亡率的影响取决于所包含的食物。越来越多的证据表明,食用全植物性食物(如水果、蔬菜、全谷物、坚果、种子、豆类)代替动物性食物(如肉类、家禽、乳制品、鱼、蛋、海鲜及其衍生物)和非全植物性食物(如精制谷物、薯条、含糖饮料)与改善心脏代谢风险因素、降低慢性疾病风险和死亡率有关。本综述从观察性研究到临床研究,重点探讨了全植物食品饮食对超重和肥胖的影响,并讨论了其中的潜在机制。根据现有证据,在预防和治疗超重肥胖方面,全植物食品膳食似乎比其他膳食方法更有优势,因为全植物食品膳食由能带来最佳健康效果的食物组成。
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