今日文獻聚焦於特殊族群(癌症、孕婦、第一型糖尿病青少年)的精準營養介入與評估工具,並對減重期間的身體組成變化提出重要警示,強調臨床營養需從「單純供給熱量」走向「時機與代謝調控」。
Nutrition reviews · Impact of Diet Interventions for Weight Loss on Lean Body Mass and Resting Metabolic Rate: A Systematic Review.
無論何種減重飲食模式,皆會導致體重顯著下降,但瘦體質量與靜息代謝率也呈現下降趨勢,凸顯減重期間維持肌肉量的臨床挑戰。
Nutrition (Burbank, Los Angeles County, Calif.) · Arm circumference as a predictor of cancer outcomes: validity of proposed cutoff points and BMI adjustment factors.
低上臂圍(MUAC)能獨立預測癌症住院患者的三個月死亡率與住院天數,在過重患者中預測力更強,是極具實用性的床邊營養評估工具。
Nutrition (Burbank, Los Angeles County, Calif.) · Effects of dietary glycemic index and glycemic load on blood pressure and hypertensive disorders of pregnancy in women with preexisting diabetes mellitus: findings from a Brazilian cohort study.
雖未直接增加妊娠高血壓風險,但高升糖指數/負荷飲食會顯著升高孕晚期血壓並惡化糖化血色素,強調早期營養監測的重要性。
Clinical nutrition ESPEN · Nutritional Support for Cancer Cachexia: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
營養支持能小幅改善惡病質患者的體重與身體組成,但無法逆轉代謝異常或改善握力與生活品質,且現有研究品質受限。
Nutrition (Burbank, Los Angeles County, Calif.) · The role of nutrition literacy in dietary patterns, body composition, and glycemic control among adolescents with type 1 diabetes mellitus.
較高的營養素養與第一型糖尿病青少年更健康的飲食選擇、規律進餐及更好的糖化血色素控制顯著相關。
Journal of the Academy of Nutrition and Dietetics · Understanding Postpartum Mothers' Perspectives of Chrononutrition Approaches: A Qualitative Study.
產後婦女最接受「睡前停止進食」的時間營養學策略(中位數為睡前2小時),為預防產後體重滯留提供可行的介入方向。
Clinical nutrition ESPEN
素食狀態與能量攝取低報並無顯著關聯,且純素食者的低報率最低,為植物性飲食研究的方法學提供重要佐證。