Efectos de la dietas Cetogénica e Hipocalórica balanceada en el tratamiento del obeso.
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Keywords

dietas Cetogénica
dieta Hipocalórica
obesidad

How to Cite

Rodríguez Amaro, M., Carrasco Martínez, B., Díaz Díaz, O., Reyes Pullés, J. M., Claro López, A., & Márquez Guillén, A. (2018). Efectos de la dietas Cetogénica e Hipocalórica balanceada en el tratamiento del obeso. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, -12(1), 12–20. https://doi.org/10.53853/encr.-12.1.177

Abstract

Se estudiaron 40 obesos entre 20 y 45 años no afectos de enfermedades crónicas o degenerativas. Se dividieron aleatoriamente en dos grupos: A, sometido a dieta hipocalórica balanceada de 1000 calorias y B, con dieta no restringida en calorías, proteínas ni grasas, exento de carbohidratos. El estudio duró 24 semanas, registrándose el peso y los niveles de lípidos, así como de insulina, después de una sobrecarga oral de glucosa. Finalizaron el estudio 7 pacientes del grupo A y 10 del B. La pérdida promedio de peso en la primera semana fue significativamente mayor (P <0,05) para el grupo B (3,7 kg) que para el A (2,1 kg). Posteriormente hubo pérdidas de peso similares en ambos grupos.

El colesterol en el grupo A disminuyó desde la segunda semana, con diferencia significativa (P <0,05) entre el inicio y el final. Los triglicéridos no se modificaron significativamente. Las variaciones del colesterol en el B no fueron significativas y sí la dismiinución de los Triglicéridos (P <0,05).

Inicialmente ambos grupos tenían hiperinsulinismo. La disminución del mismo sólo fue significativa en el grupo B (P <0,05).

La dieta cetogénica provocó mayores pérdidas de peso, no causó alteraciones lipídicas nocivas. Y favoreció la disminución de la secreción insulínica.

SUMMARY

Effects of Ketogenic and balanced low - calorie diets in treatment of obese patients.

Forty obese patients ranging from 20 to 45 years of age, free from chronic and degenerative diseases, were studied. They were aleatorily divided into two groups: A, who received a 1000 calorie, balanced diet and B, with a diet unrestricted in calories, protein or fat, but carbohydrate-free. Trial lasted 24 weeks; Weight and lipid levels, as well as insulin levels after an oral glucose load, were recorded and measured.

Seven patients of group A and ten of group B Completed the study. Average weight loss at the end of first week was significantly greater (P<0.05) for group B (3.7 kg) than for group A (2.1 kg). Later on there were weight losses similar for both groups.

Cholesterol decreased after second week for group A, and difference between levels at the beginning and at the end was statistically significant (P<0.05). Triglyceride levels did not change significantly. Variations in cholesterol levels were not significant for group B, but decreases in triglyceride levels were significant (P < 0.05).

Initially, there was hyperinsulinism in both groups. Its decrease was only significant for group B (P<0.05).

Ketogenic diet induced greater weight loss, did not cause dangerous lipid abnormalities and favoured a diminished insulin output.

https://doi.org/10.53853/encr.-12.1.177
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