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在cochrane systematic review這個產品中，有30篇Facebook貼文，粉絲數超過10萬的網紅一分鐘健身教室，也在其Facebook貼文中提到， #Bracoo專業護具。 許多病患向我反映，穿上護腰看起來腰部多一大圈不美觀，台灣炎熱的夏天又會讓皮膚紅腫搔癢，這些問題Bracoo都聽到了。 Bracoo護腰以 #輕薄材質 製造、採 #Z字型織帶設計 透氣又舒適，即使穿在衣服裡也不會感到笨重悶熱。更厲害的是，護腰內藏著 #四根彈性支撐條 ，能...
　同時也有4部Youtube影片，追蹤數超過3萬的網紅[email protected]，也在其Youtube影片中提到，濕疹專題 － 陳上熙皮膚科專科醫生＠FindDoc.com FindDoc Facebook : https://www.facebook.com/FindDoc FindDoc WeChat : 快徳健康香港 FindDoc FindDoc Instagram：@finddochk （一...

cochrane systematic review 在 一分鐘健身教室 Facebook 的最佳解答

一分鐘健身教室 By 一分鐘健身教室

2021-04-12 18:00:00 有 911 人按讚
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#Bracoo專業護具。

許多病患向我反映，穿上護腰看起來腰部多一大圈不美觀，台灣炎熱的夏天又會讓皮膚紅腫搔癢，這些問題Bracoo都聽到了。

Bracoo護腰以 #輕薄材質 製造、採 #Z字型織帶設計 透氣又舒適，即使穿在衣服裡也不會感到笨重悶熱。更厲害的是，護腰內藏著 #四根彈性支撐條 ，能完美貼合下背弧度，給予穿戴者最佳的彈性支撐。聰明的 #單手調節機制 ，讓您不用雙手死命拉緊，只要一隻手就能輕鬆調整鬆緊度。

最後提醒各位，良好設置的桌椅位置、避免長時間像雕像一般維持同一姿勢、以及肌力訓練才是預防腰痠背痛的根本。除了就醫、復健、吃藥之外，護腰可以幫你一把，但千萬別忘記基本功喲！

史考特很榮幸擔任 #Bracoo #奔酷護具 的品牌大使，如果各位在藥局、醫材行、網路商城上看到有張臉怎麼有點眼熟，沒看錯那就是我😂

Bracoo_TW 奔酷
#奔酷護具

買護具這邊請：

【PChome】
https://reurl.cc/dVaamM

【Momo】
https://reurl.cc/9ZnnRn

【Bracoo】台灣官網
https://www.bracoo.tw/ㄅ

（本文經台北市衛生局廣字第110040003號核定許可）

參考文獻

1. van Poppel MN, de Looze MP, Koes BW, Smid T, Bouter LM. Mechanisms of action of lumbar supports: a systematic review. Spine (Phila Pa 1976). 2000 Aug 15;25(16):2103-13.
2. van Duijvenbode IC, Jellema P, van Poppel MN, van Tulder MW. Lumbar supports for prevention and treatment of low back pain. Cochrane Database Syst Rev. 2008 Apr 16;2008(2):CD001823.
3. Takasaki H, Miki T. The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis. Spine J. 2017 Jun;17(6):889-900.
4. Azadinia F, Ebrahimi E Takamjani, Kamyab M, Parnianpour M, Cholewicki J, Maroufi N. Can lumbosacral orthoses cause trunk muscle weakness? A systematic review of literature. Spine J. 2017 Apr;17(4):589-602.

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史考特醫師的飲食運動筆記 讓讀者在短時間內獲得以實證科學為基礎的健康/減重/運動新知 合作事宜請來信：[email protected]
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cochrane systematic review 在 運動營養師 楊承樺 Facebook 的精選貼文

運動營養師 楊承樺 By 運動營養師 楊承樺

2021-03-28 21:00:01 有 90 人按讚
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還記得上次討論到輪班者的最佳作息建議，（忘記的人趕快往前滑）

🔔補充提醒！
很多夜班的人會在夜班時間吃零食，
但在夜間飲食可能會影響消化和代謝，並且影響生理時鐘😵
加上半夜輪班的飲食品質普遍比日班的人差，尤其很少吃水果和蔬菜（不方便準備）
➡️所以如果真的要吃，盡量選加工較少的天然食品、微量營養素豐富、容易飽且好消化的食物。

參考資料：
Grosch, W. (1998). Flavour of coffee. A review. Food/Nahrung, 42(06), 344-350.
Ker, K., Edwards, P. J., Felix, L. M., Blackhall, K., & Roberts, I. (2010). Caffeine for the prevention of injuries and errors in shift workers. Cochrane Database of Systematic Reviews, (5).
Panda, S. (2016). Circadian physiology of metabolism. Science, 354(6315), 1008-1015.

#個人運動飲食安排有疑問者建議請先洽詢運動營養師
—
#輪班 #護理師 #竹科 #空姐 #醫院 #naturefood #零食 #工程師
#增肌減脂 #飲食顧問服務 #營養講座 #胰島素 #運動營養
#促進運動表現飲食顧問服務 #減重 #減肥 #競技運動營養師 #營養品顧問 #拼pin小教室
#北市大運科所 #SportsNutrition #SportsDietitian #SportsScience
#FatLoss #MuscleGain #Performance
#Inbody570 #統一陽光豆漿 #全家健康志向

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運動營養師 楊承樺

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-豐禾健康管理顧問 總運動營養師 -楊氏診所 顧問營養師 -台北市立大學運動科學研究所碩士 -實踐大學食品營養與保健生技學系 -ACSM(美國運動醫學會)中文CPT(私人教練)證書&講師 -CTSSN台灣運動營養師專業課程認證 -BNI長照分會 會員 -世新大學兼任講師 -台北市體育局運動科學中心暨防護計畫 合作運動營養師 -游泳、排球、網球、競技體操、田徑、羽球、桌球、女子五人制足球國手以及職業選手之運動營養師 -長跑、鐵人三項、空手道菁英組 特約運動營養師 -高雄市體育會空手道委員會 顧問營養師 -嘉義縣武術會、中華金鷹拳總會、嘉義縣體育會國武術競技委員會 顧問營養師 -多家健身房及健身教練特約運動營養師 -澳門澳仕醫療中心最新運動醫學、AFFA美國有氧體適能協會APEX、專任運動教練增能研習…等運動營養講師 -統一陽光 代言營養師 -全家便利商店健康志向鮮食 代言營養師 -美味生活影音料理之美味名人專家 -榮獲 2017 公共健康數位傳播獎 -運動聚落專欄作家暨專家營養師 -運動營養家 顧問營養師 -Joii Sports、運動筆記、華人健康網、女人知己等邀稿作家營養師 -東森幼幼台 料理甜甜圈 顧問營養師 -電視節目、新聞、廣播、健康媒體平台之採訪營養師 -中華民國肥胖研究學會會員 -中華民國糖尿病衛教學會會員 -中華民國營養師公會全國聯合會會員 -台北市營養師公會會員 -台灣運動營養學會會員 -前楊氏生化科技 營養師
*個人化運動營養顧問、諮詢、企業演講、採訪等事宜 請發送粉絲團訊息聯繫。 *廠商合作、異業合作、節目邀約，請e-mail經紀人 心如: [email protected]
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cochrane systematic review 在 王姿允醫師。我的無齡秘笈。 Facebook 的最佳貼文

王姿允醫師。我的無齡秘笈。 By 王姿允醫師。我的無齡秘笈。

2020-12-08 00:22:14 有 612 人按讚
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［用副作用來治療疾病，只會產生更多的副作用］

看到一個朋友傳來，關於吃高脂肪生酮飲食後體重不減反增，而且身體出現很多狀況的個案自白，剛開始有瘦後來卡住，怎麼提高脂肪含量都瘦不下來，於是開始破戒大吃，碳水一補體重上升到比原本更重⋯⋯

看完後睡不著，想要說說「Off-Label use」（沒有治療疾病的適應症卻拿來使用）這件事。

減肥藥常見的雞尾酒療法就是一種「off-label use」，之前有過吃完後發生藥物過敏失明跟心肌梗塞的例子，法院的判決是「被告醫師於開立之藥物作為減肥處方，明顯係以藥物副作用達成體重減輕之目的，皆不符合個別藥物使用之適應症。」

是的，一個利尿劑或瀉藥造成脫水後的體重下降、一個抗憂鬱藥或糖尿病的藥被發現「副作用」是食慾變差或腹瀉、腸胃功能變差，因為有些藥物的「副作用會造成體重減輕」，所以就被拿來用在沒有糖尿病或憂鬱症的人身上，做為治療肥胖的藥，這是一件很冒險的事，因為 #這個藥物的副作用絕對不會只有一種，還有其他很多也都會照單全收，問題是患者都知道嗎？

就好像，高脂肪生酮飲食，是源於1920年代的一種醫療用途飲食法，主要被用於 #治療頑固性癲癇，極低碳水化合物，低至中度蛋白質並搭配高脂肪是主要特色（比例為75% 脂肪，20%蛋白質及5%碳水化合物），因為發現這些兒童有變瘦的情況，所以後來被人拿來做為減肥的用途，在我看來，這個飲食法的 #適應症只有頑固型癲癇，把一個治療癲癇兒童的飲食法，用在治療肥胖症這件事，也是一種 off-label use，非適應症的冒險作法。

這些被治療的兒童的副作用，可不是只有變瘦而已，一則文獻回顧（Cochrane Review），發現兒童曾被報導的長短期生酮飲食副作用包括：生長遲緩、腎結石、骨質疏鬆、高膽固醇血症、低度酸中毒、便秘、脫水、嘔吐、噁心、低血糖、腹瀉、急性胰腺炎、腎鈣質沉著症（nephrocalcinosis）、心悸、呼吸道感染、疲倦等，且部分狀況也可能發生於成年人。

另外，長期執行生酮飲食可能造成礦物質元素硒缺乏，提升心肌症（cardiomyopathy）、心律不整及心因性猝死等嚴重併發症發生率，另外也會缺乏鈣質而產生骨鬆跟結石，請問執行的人，有被告知要監控血液中硒濃度跟鈣濃度，還有心臟功能嗎？

而且就算以減肥成效來說，低碳水跟低脂肪並沒有差別，但一則文獻統合分析指出，長期低碳水化合物飲食可能提高全因死亡率，而且對於 #無糖尿病者， #長期低碳水飲食可能增加二型糖尿病發生率。

這就是為何，有人問我高脂肪極低碳生酮飲食的想法，我總是回答：「只推薦用在頑固型癲癇症兒童身上，因為那就是當初出現這個飲食的適應症。」

By the way，所有減重飲食介入的研究的結論，純粹為減脂來說的話，任何一種「降低熱量的攝取」皆能產生一定的效果，但是目前對於「減重後體重維持」最好的飲食還是 #高蛋白質 #低脂 #高纖維 飲食，碳水不是重點，重點是要來自好的纖維，研究也發現低脂肪高纖維的飲食有益於腸道菌相的健康。

對我而言，這才是 「有效不易復胖兼且健康的減脂」，最好的適應症。

Reference:

1. Namazi N, Larijani B, Azadbakht L. Low-Carbohydrate-Diet Score and its Association with the Risk of Diabetes: A Systematic Review and Meta-Analysis of Cohort Studies. Horm Metab Res. 2017 Aug;49(8):565-571.

2. Martin K, Jackson CF, Levy RG, Cooper PN. Ketogenic diet and other dietary treatments for epilepsy. Cochrane Database Syst Rev. 2016 Feb 9;2:CD001903. doi: 10.1002/14651858.CD001903.pub3. Update in: Cochrane Database Syst Rev. 2018 Nov 07;11:CD001903. PMID: 26859528.
3. PLoS One. 2013; 8(1): e55030.

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王姿允醫師。我的無齡秘笈。

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王姿允醫師 Dr.WZY 台灣唯一同時擁有家醫、肥胖、美容、老年、骨鬆等五科專科醫師認證的醫師。專長為肥胖醫學、專利4+2R增肌減脂飲食、腸道微菌研究、新陳代謝疾病。高雄湞媄診所院長。
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cochrane systematic review 在 [email protected] Youtube 的最讚貼文

FindDocTV@FindDoc.com By [email protected]

2020-09-30 15:00:02 有 46,723 人看過 有 0 人喜歡
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濕疹專題 － 陳上熙皮膚科專科醫生＠FindDoc.com

FindDoc Facebook : https://www.facebook.com/FindDoc
FindDoc WeChat : 快徳健康香港 FindDoc
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（一）濕疹對日常生活有什麼影響？ 00:06

（二）濕疹會誘發什麼併發症？ 00:45

（三）濕疹有什麼治療方法？ 01:29

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料：
1. Schonmann, Y., Mansfield, K. E., Hayes, J. F., Abuabara, K., Roberts, A., Smeeth, L., & Langan, S. M. (2020). Atopic Eczema in Adulthood and Risk of Depression and Anxiety: A Population-Based Cohort Study. The journal of allergy and clinical immunology. In practice, 8(1), 248–257.e16. https://doi.org/10.1016/j.jaip.2019.08.030
2. George SMC, Karanovic S, Harrison DA, Rani A, Birnie AJ, Bath‐Hextall FJ, Ravenscroft JC, Williams HC. Interventions to reduce Staphylococcus aureus in the management of eczema. Cochrane Database of Systematic Reviews 2019, Issue 10. Art. No.: CD003871. DOI: 10.1002/14651858.CD003871.pub3.
3. Sutherland M, Parent A. Cellulitis: Assessment, diagnosis and management. Dermatological Nursing 2017. 16(4): 24-28
4. Ekbäck M, Tedner M, Devenney I, Oldaeus G, Norrman G, Strömberg L, et al. (2014) Severe Eczema in Infancy Can Predict Asthma Development. A Prospective Study to the Age of 10 Years. PLoS ONE 9(6): e99609. https://doi.org/10.1371/journal.pone.0099609
5. Mayo Clinic. (2020). Atopic dermatitis (eczema). Retrieved from https://www.mayoclinic.org/diseases-conditions/atopic-dermatitis-eczema/diagnosis-treatment/drc-20353279
6. Meagher, L.J., Wines, N.Y. and Cooper, A.J. (2002), Atopic dermatitis: Review of immunopathogenesis and advances in immunosuppressive therapy. Australasian Journal of Dermatology, 43: 247-254. doi:10.1046/j.1440-0960.2002.00610.x
7. Deleanu, D., & Nedelea, I. (2019). Biological therapies for atopic dermatitis: An update. Experimental and therapeutic medicine, 17(2), 1061–1067. https://doi.org/10.3892/etm.2018.6989




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香港最全面醫療資訊影片平台，超過200位專科醫生、中醫、物理治療師、營養師等解答你的健康問題。搜尋全港各區醫生資料，即上FindDoc.com! At FindDoc, we aim to increase general public health awareness through our FindDocTV videos. Patients can make doctors’ appointments online using our platform Anytime Anywhere. FindDoc is Free and open to both patients and doctors.
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cochrane systematic review 在 [email protected] Youtube 的精選貼文

FindDocTV@FindDoc.com By [email protected]

2020-08-12 15:00:09 有 45,545 人看過 有 0 人喜歡
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中風的治療方法 －霍偉明神經内科專科醫生＠FindDoc.com

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（一）急性中風和後期有甚麼治療方法？ 00:06
缺血性中風 00:34
腦出血00:47
藥物治療01:10
外科手術01:38

（二）中風患者在康復期有甚麼治療方法？01:50

（三）如何改善生活習慣預防再次中風？03:48

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料：
1. Hospital Authority. (2020). Stroke. Retrieved March 20, 2020 from https://www21.ha.org.hk/smartpatient/SPW/en-us/Disease-Information/Disease/?guid=29ac1219-3d68-4378-a2bd-09e111da3650
2. Department of Health. (2016) Stroke. Retrieved March 20, 2020 from https://www.elderly.gov.hk/tc_chi/common_health_problems/stroke/stroke.html
3. Overgaard, K. (2014). The Effects of Citicoline on Acute Ischemic Stroke: A Review. Journal of Stroke and Cerebrovascular Diseases, 23(7), 1764–1769. doi: 10.1016/j.jstrokecerebrovasdis.2014.01.020
4. Martí‐Carvajal AJ, Valli C, Solà I, Martí‐Fàbregas J, Bonfill Cosp X. Citicoline for treating people with acute ischemic stroke. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD013066. DOI:10.1002/14651858.CD013066.from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013066/full
5. Hospital Authority. (2020). Stroke. Retrieved March 20, 2020 from https://www21.ha.org.hk/smartpatient/SPW/en-us/Disease-Information/Disease/?guid=29ac1219-3d68-4378-a2bd-09e111da3650
6. Bailey, R. R. (2016). Lifestyle Modification for Secondary Stroke Prevention. American Journal of Lifestyle Medicine, 12(2), 140–147. doi: 10.1177/1559827616633683




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香港最全面醫療資訊影片平台，超過200位專科醫生、中醫、物理治療師、營養師等解答你的健康問題。搜尋全港各區醫生資料，即上FindDoc.com! At FindDoc, we aim to increase general public health awareness through our FindDocTV videos. Patients can make doctors’ appointments online using our platform Anytime Anywhere. FindDoc is Free and open to both patients and doctors.
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益生菌專題 －張世華腸胃肝臟科專科醫生＠FindDoc.com

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（一）街訪：有聽過什麼是益生菌嗎？ 00:00

（二）醫生解話：什麼是益生菌？ 00:32

（三）街訪：什麼食物會含有益生菌？ 01:01

（四）醫生解答：益生菌經過胃酸還能生存嗎？1:15

（五）醫生解答：如何選擇益生菌產品？01:33

（六）醫生解答：日常飲食能補充益生菌嗎？01:48

（七）醫生解答：應該補充多少益生菌？02:18

（八）醫生解答：年紀大壞菌會變多，所以更需要吃益生菌？02:29

（九）醫生解答：益生菌能當補品吃嗎？02:57

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料：
1. Magro, F., Gionchetti, P., Eliakim, R., Ardizzone, S., Armuzzi, A., Acosta, M. B., …Raine, T. (2017). ECCO Guideline / Consensus Paper Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis . Part 1 : Definitions , Diagnosis , Extra-intestinal Manifestations , Pregnancy , Cancer Surveillance , Surgery , and Ileo-anal Pouch Disorders, Journal of Crohn’s and Colitis, 11(6), 649–670. doi: 10.1093/ecco-jcc/jjx008
2. Allen, SJ., Martinez, E. G., Gregorio, G. V., & Dans, L. F.(2010) Probiotics for treating acute infectious diarrhoea. Cochrane Database of Systematic Reviews 2010, (11). doi: 10.1002/14651858.CD003048.pub3
3. Didari, T., Mozaffari, S., Nikfar, S., and Abdollahi, M. (2015). Effectiveness of probiotics in irritable bowel syndrome: Updated systematic review with meta-analysis. World journal of gastroenterology, 21(10), 3072–3084. doi:10.3748/wjg.v21.i10.3072


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