限制热量饮食对肥胖糖尿病病人有益

A low-calorie diet eliminates insulin（胰岛素） dependence and leads to improved heart function in obese patients with type 2 diabetes, according to a study presented November 28 at the annual meeting of the Radiological Society of North America (RSNA).

"Lifestyle interventions may have more powerful beneficial cardiac（心脏的） effects than medication in these patients," said the study's lead author, Sebastiaan Hammer, M.D., Ph.D., from the Department of Radiology at Leiden University Medical Center in the Netherlands. "It is striking to see how a relatively simple intervention of a very low calorie diet effectively cures type 2 diabetes mellitus（糖尿病） . Moreover, these effects are long term, illustrating the potential of this method."

Diabetes is a chronic illness in which there are high levels of glucose（葡萄糖） in the blood. According to the Centers for Disease Control and Prevention (CDC), diabetes affects 25.8 million people in the U.S., with 18.8 million diagnosed cases and an estimated seven million undiagnosed cases. Type 2 is the most common form of diabetes, representing 90 to 95 percent of diagnosed cases among adults.

Pericardial（心包的） fat is a visceral（内脏的） fat compartment around the heart that can be detrimental to cardiac function, especially in people with metabolic disease. Dr. Hammer and colleagues set out to determine the long-term effects of initial weight loss induced by caloric restriction on pericardial fat and cardiac function in obese patients with type 2 diabetes.

Using cardiac MRI, the researchers analyzed cardiac function and pericardial fat in 15 patients -- including seven men and eight women -- with type 2 diabetes before and after four months of a diet consisting of 500 calories daily. Changes in body mass index (BMI) were also measured.

The results showed that caloric restriction resulted in a decrease in BMI from 35.3 to 27.5 over four months. Pericardial fat decreased from 39 milliliters (ml) to 31 ml, and E/A ratio, a measure of diastolic heart function, improved from 0.96 to 1.2.

After an additional 14 months of follow-up on a regular diet, BMI increased to 31.7, but pericardial fat only increased slightly to 32 ml. E/A ratio after follow-up was 1.06.