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Prävention und Therapie des metabolischen Syndroms

Ernährungsmedizinische Konzepte

Prevention and treatment of metabolic syndrome

Nutritional concepts

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Zusammenfassung

Die Ernährung spielt bei der Entstehung des metabolischen Syndroms eine zentrale Rolle. Daher kommt der Ernährungstherapie bei der Prävention und Behandlung dieses Syndroms eine besondere Bedeutung zu. Im Mittelpunkt der Pathophysiologie stehen die Expansion der viszeralen Fettdepots und die Insulinresistenz, die durch eine überkalorische und ungünstige Ernährung gefördert werden. Diese verursachen verschiedene metabolische Störungen, die zur Manifestation der Komponenten des metabolischen Syndroms beitragen. Eine Verringerung der Energiezufuhr und eine eher antiinflammatorische, pflanzlich betonte Ernährung sind sehr effektive Maßnahmen zur Besserung der metabolischen Störungen und wirken gleichzeitig auf alle Komponenten des Syndroms. Fettmoderate Mischkost, vegetarische Ernährung, Mittelmeerkost, aber auch definierte kohlenhydratarme Kostformen sind gleichermaßen zum Management des metabolischen Syndroms geeignet.

Abstract

Nutrition plays a central role in the pathogenesis of metabolic syndrome. Therefore, nutritional therapy is key in the prevention and management of this syndrome. Expansion of visceral adipose tissue and insulin resistance are characteristic features and are promoted by an energy-rich, unfavorable diet. Both produce metabolic disturbances which contribute to the clinical manifestations of metabolic syndrome. Caloric restriction and an anti-inflammatory, plant-based diet are effective measures for the treatment of the metabolic disturbances and address all components. A healthy, balanced diet, a vegetarian diet, and a Mediterranean diet, but also a moderate low-carbohydrate diet are equally effective and suitable for the management of metabolic syndrome.

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Correspondence to Prof. Dr. H. Hauner.

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Interessenkonflikt

H. Hauner gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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P.-M. Schumm-Dräger, München

J. F. Riemann, Ludwigshafen

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Hauner, H. Prävention und Therapie des metabolischen Syndroms. Gastroenterologe 12, 305–311 (2017). https://doi.org/10.1007/s11377-017-0157-1

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Schlüsselwörter

  • Adipositas
  • Insulinresistenz
  • Vegetarische Kost
  • Fettreduzierte Mischkost
  • Kohlenhydratarme Kost

Keywords

  • Obesity
  • Insulin resistance
  • Diet, vegetarian
  • Diet, fat-restricted
  • Diet, carbohydrate-restricted