【摘要】 目的 比较低能量平衡膳食、营养代餐这2种营养干预方式对医院营养科门诊超重/肥胖人群的干预效果。方法 选取2023年9月至2024年9月在金华市妇幼保健院临床营养科就诊的60例超重/肥胖患者为研究对象。按照随机数字表法将其分为低能量平衡膳食组与营养代餐组，每组30例。2组超重/肥胖患者分别进行低能量平衡膳食、营养代餐饮食，干预时间为4周。对比2组干预前后体质量与人体成分其他指标的变化。结果 干预前，2组超重/肥胖患者的年龄、基础体质量、体质量指数(BMI)、体脂百分比和腰围比较差异均无统计学意义(均P gt; 0.05)。干预后

    2组患者的体质量、BMI、体脂率、内脏脂肪等级、腰围、基础代谢年龄均低于干预前(均P lt; 0.05)，且营养代餐组患者体质量、BMI、体脂百分比均低于低能量平衡膳食组(均P lt; 0.05)。结论 代餐减重营养治疗方式较常规低能量平衡膳食更有利于优化超重/肥胖人群的人体成分，可以在短期内达到较好的减重效果，适于医院进行体质量管理。

    【关键词】 超重；肥胖症；低能量平衡膳食；营养代餐；体质量管理

    Comparison of the weight loss effects of low-energy balanced diet and nutritional meal replacement intervention in overweight/obese patients

    ZHANG Peipei ， SUN Qiao

    (Department of Clinical Nutrition， Jinhua Maternal and Child Health Hospital， Jinhua 321000， China)

    Corresponding author： ZHANG Peipei， E-mail： wanqing616@163.com

    【Abstract】 Objective To compare the interventional effectiveness of low-energy balanced diet and nutritional meal replacement in overweight and obese individuals admitted to the Nutrition Clinic of hospitals. Methods Sixty overweight and obese patients admitted to Department of Clinical Nutrition of Jinhua Maternal and Child Health Hospital between September 2023 and September 2024 were selected as the study subjects. They were divided into low-energy balanced diet group (n = 30) and nutritional meal replacement group (n = 30). The low-energy balanced diet and nutritional meal replacement were conducted for 4 weeks. The changes in body mass and body composition indicators before and after interventions were collected and compared between two groups. Results Before treatment ......