diet isocaloric balance IN OUT kcal kcal IN & OUT. positive Calorie balance IN OUT 2... IN.. negative

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1 식이다이어트의득과실,,, 1 TV '2016 ' [ 그림 1] 미국의한시민과함께 ( 비만은상대적?! ^^ 필자가왜소해보이는건필자만느끼는것일까?) 71

2.5 1.7.. diet..... 3 2. isocaloric balance IN OUT 2... 1 600 2 200kcal. 2 200 2 800kcal IN & OUT. positive Calorie balance IN OUT 2... IN.. negative Calorie balance.

2 diet isocaloric balance IN OUT kcal kcal IN & OUT. positive Calorie balance IN OUT 2... IN.. negative Calorie balance. IN OUT [ 그림 2] 다이어트의원리-칼로리균형 ( 다 ) 와같이음의칼로리균형일때체중의감소가일어난다. 음의칼로리균형은필요한칼로리보다적게섭취하거나운동을통하여더많은칼로리를소비하는것을말한다 IN OUT. IN 72 SPORT SCIENCE

3 OUT. 1kg 7 700kcal 7 700kcal 1kg kcal 500kcal 1 700kcal 7 500kcal 500 X 15 = 7 500kcal 1kg kcal 1 500kcal.. OUT IN.. OUT IN. IN. Calorie restrictions IN.. IN.. Minnesota Starvation Recovery Experiment Keys et al Control Period 3 200kcal 2 24 Semi Starvation Period Semi 1 570kcal IN 1 570kcal 24 25% 60kg 45kg. 1 1%

4 OUT... Low Calorie Diets, LCD Very LCD, VLCD LCD VLCD. LCD kcal Saris kcal kcal 1kg 4kg kcal kcal 6 10% Wozniak et al BMI 30 20% LCD 8 8% Johnson et al LCD LCD 2.3% 7.2% 16.6% Bogdanov et al LCD Morley et al 2010 Tomiyama et al SPORT SCIENCE

5 VLCD kcal IN VLCD LCD LCD. VLCD kg wk Mustajoki & Pekkarinen VLCD. VLCD.. VLCD. Tsai & Wadden 2006 VLCD VLCD LCD 3. VLCD 6 VLCD. NIH NHLBI VLCD kcal kcal NIH & NHLBI [ 그림 3] VLCD 와 LCD 의감량효과의차이 Tsai & Wadden(2006) 그림은 VLCD 의감량치 (%) 에서 LCD 감량치를뺀값을나타내고있다. ( 가 ) 의단기간에서는약 6% 포인트차이가있었지만, ( 나 ) 의장기간에서는약 1% 포인트차이로 감량효과에거의차이가없어지는것을나타낸다. 75

6 kacl 1 200kcal 60% 300g. Low Carbohydrate L CHO g L CHO Shai 2008 Hainer et al Foster et al Urbain et al Low Fat L F 35 40% 15 20% Very L F 15% Lichtenstein & Van Horn Nathan Pritkin 1979 L F % L F LDL Schwingshack et al Ornish L F 1 11kg 5. 2 L F 16 trials 10.2% 3.2kg. L CHO L F Sackner Bernstein 2015 L CHO 76 SPORT SCIENCE

7 <=120g CHOs day L F <=30% energy from fat day 17 trials L CHO L F 2.0kg..... High Protein H P. H P L CHO. Te Morenga 2011 H P 30% protein 40% carbohydrate 20% protein 50% carbohydrate H P. 74 trials Santesso et al 2012 BMI. 2 3 Eisenstein et al IN.. NIH NHLBI kg % 77

8 kg %. 4 10% 6. [ 그림 4] 미국립보건원 (NIH) 과국립심폐혈연구소 (NHLBI) 에서제안하는비만치료방법 (NIH;NHLBI, 2017). Franzet VLCD 18kg kg 2.! [ 그림 5] 다양한방법에의한다이어트효과 (Franzet et al, 2007, 발췌부분변경 ) 최초 6 개월후에는다이어트방법에따라차이가크게나타나지만, 48 개월 (4 년 ) 까지연장하면감소량은 3~6 kg 정도로큰차이없음. 78 SPORT SCIENCE

9 [ 참고문헌 ] Bog danov AR, Derbeneva SA, Bogdanova AA, Feofanova TB, Panfilova NV, Nesierova VE. (2015) Low calorie diet influence optimization on body composition at obese patients with secondary diastolic heart failure. Vopr Pitan. 84(4), Russian. Eise nstein J, Roberts SB, Dallal G, Saltzman E. (2002) High-protein weight-loss diets: are they safe and do they work? A review of the experimental and epidemiologic data. Nutr Rev. 60(7 Pt 1), Review. Fran z MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Bowman JD, Pronk NP. (2007) Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 107(10), Review. John son JB, Summer W, Cutler RG, Martin B, Hyun DH, Dixit VD, Pearson M, Nassar M, Telljohann R, Maudsley S, Carlson O, John S, Laub DR, Mattson MP. (2007) Alternate day calorie restriction improves clinical findings and reduces markers of oxidative stress and inflammation in overweight adults with moderate asthma. Free Radic Biol Med ;42(5): Epub 2006 Dec 14. Erratum in: Free Radic Biol Med. Nov 1, 43(9):1348. Keys, A., Brozek, J., Henschel, A., Mickelsen, O., & Taylor, H. L., (1950) The Biology of Human Starvation (2 volumes), University of Minnesota Press. Licht enstein AH & Van Horn L. (1998) Very low fat diets. Circulation. 98, doi: /01.cir Morl ey JE, Chahla E, Alkaade S. (2010) Antiaging, longevity and calorie restriction. Curr Opin Clin Nutr Metab Care. 13(1), doi: /MCO.0b013e Mustajoki P1, Pekkarinen T. (2001) Very low energy diets in the treatment of obesity. Obes Rev. 2(1), Nat han Pritikin, Patrick, Jr.Patrick McGrady Jr. (1978) The Pritikin Program for Diet and Exercise. Penguin Group. USA NIH( NHLBI). (2017) Explore Overweight and Obesity. Retrieved August 03, from health/health-topics/topics/obe Sac kner-bernstein J, Kanter D, Kaul S. (2015) Dietary Intervention for Overweight and Obese Adults: Comparison of Low-Carbohydrate and Low-Fat Diets. A Meta-Analysis. PLoS One. Oct 20, 10(10):e doi, /journal.pone Sant esso N, Akl EA, Bianchi M, Mente A, Mustafa R, Heels-Ansdell D, Schunemann HJ. (2012) Effects of higher- versus lower-protein diets on health outcomes: a systematic review and meta-analysis. Eur J Clin Nutr. 66(7), doi, /ejcn Review. Saris WH. (2001) Very-low-calorie diets and sustained weight loss. Obes Res. 9 Su ppl 4, 295S-301S. Review. Sch wingshack, Lukas; Hoffmann, Georg. (2014) Comparison of effects of long-term low-fat vs high-fat diets on blood lipid levels in overweight or obese patients: a systematic review and meta-analysis. Journal of the Academy of Nutrition and Dietetics. Elsevier Inc. 113 (12), PMID doi, / j.jand Te M orenga LA, Levers MT, Williams SM, Brown RC, Mann J. (2011) Comparison of high protein and high fiber weight-loss diets in women with risk factors for the metabolic syndrome: a randomized trial. Nutr J. 28, 10:40. doi, / Tomi yama AJ, Mann T, Vinas D, Hunger JM, Dejager J, Taylor SE. (2010) Low calorie dieting increases cortisol. Psychosom Med. 72(4), doi, /PSY.0b013e3181d9523c. Tsai AG, Wadden TA. (2006) The evolution of very-low-calorie diets: an update and meta-analysis. Obesity (Silver Spring). 14(8), Review. Woz niak P, Oszukowski P, Stachowiak G, Szyłło K. (2003) The effectiveness of low-calorie diet or diet with acupuncture treatment in obese peri- and postmenopausal women. Ginekol Pol. 74(2), Polish. 79

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<BAF1B8B8C3DFB0E8C7D0BCFAB9D7BFACBCF62D323031322831302E3231292E687770> 대한비만학회 제5회 연수강좌 저칼로리 레시피를 활용한 저칼로리 식단 작성하기 김 우 정 강남세브란스병원 영양팀 비만인구는 전 세계적으로 급속히 증가되고 있으 며, 00년에는 005년 유병률의 배인 세계인구의 약 60% 정도가 과체중 또는 비만일 것으로 예측되기 도 한다. 00년 국민건강영양조사 결과에 따르면 우 리나라의 성인 비만 유병률은 998년 6. %에서