식이다이어트의득과실,,, chang@dongduk.ac.kr. 1 TV. 4 6... 2025 3 1 30. '2016 ' 2006 2015 3 [ 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. IN OUT [ 그림 2] 다이어트의원리-칼로리균형 ( 다 ) 와같이음의칼로리균형일때체중의감소가일어난다. 음의칼로리균형은필요한칼로리보다적게섭취하거나운동을통하여더많은칼로리를소비하는것을말한다. 1.... IN OUT. IN 72 SPORT SCIENCE
OUT. 1kg 7 700kcal 7 700kcal 1kg. 2 200kcal 500kcal 1 700kcal 7 500kcal 500 X 15 = 7 500kcal 1kg. 2 200kcal 1 500kcal.. OUT IN.. OUT IN. IN. Calorie restrictions IN.. IN.. Minnesota Starvation Recovery Experiment Keys et al 1950. 1944 11 1945 12 1 2. 36 4. 1 12 Control Period 3 200kcal 2 24 Semi Starvation Period Semi 1 570kcal. 3 12 4 8. IN 1 570kcal 24 25% 60kg 45kg. 1 1%.... 73
.. 3 4 20. OUT... Low Calorie Diets, LCD Very LCD, VLCD LCD VLCD. LCD 800 1 200kcal Saris 2001. 1 600 2 200kcal.. 1 100kcal 1kg 4kg. 1 000kcal 1 200 1 500kcal 6 10% Wozniak et al 2003. BMI 30 20% LCD 8 8% Johnson et al 2007. LCD.. 30 50 6 LCD 2.3% 7.2% 16.6% Bogdanov et al 2015. LCD Morley et al 2010 Tomiyama et al 2010. 74 SPORT SCIENCE
VLCD 400 800 kcal IN. 5 1 10 1. VLCD LCD LCD. VLCD 1.5 2.5kg wk Mustajoki & Pekkarinen 2001. VLCD. VLCD.. VLCD. Tsai & Wadden 2006 VLCD VLCD LCD 3. VLCD 6 VLCD. NIH NHLBI VLCD 1 000 1 200 kcal 1 200 1 500 kcal NIH & NHLBI 2017. [ 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 3.... 2 000kacl 1 200kcal 60% 300g. Low Carbohydrate L CHO 60 100g. 5 1 3 1. 3. L CHO Shai 2008 Hainer et al 2008. Foster et al. 2003. Urbain et al 2017. Low Fat L F 35 40% 15 20% Very L F 15% Lichtenstein & Van Horn 1998. Nathan Pritkin 1979 L F % 80 10 10. L F LDL Schwingshack et al 2014. Ornish 1990 28 1 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
<=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 2002.... IN.. NIH NHLBI 4 4. 1 0.5 1kg 6 5 10% 77
6. 1. 2 1 0.5 1kg. 3 6 5 10%. 4 10% 6. [ 그림 4] 미국립보건원 (NIH) 과국립심폐혈연구소 (NHLBI) 에서제안하는비만치료방법 (NIH;NHLBI, 2017). Franzet 2007 1 80 5. 6 VLCD 18kg 12. 6 9kg 2.! [ 그림 5] 다양한방법에의한다이어트효과 (Franzet et al, 2007, 발췌부분변경 ) 최초 6 개월후에는다이어트방법에따라차이가크게나타나지만, 48 개월 (4 년 ) 까지연장하면감소량은 3~6 kg 정도로큰차이없음. 78 SPORT SCIENCE
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