在急诊抢救室，高强度的脑力决策、长周期的交感兴奋，以及轮班制带来的昼夜节律破碎，常常使急诊 和危重症医生成为代谢综合征与慢性疲劳的高危人群。针对这一群体的饮食建议，长期存在着"少食多 餐"与"间歇式轻断食"的路线之争。 本文基于近五年《新英格兰医学杂志》（NEJM）、《细胞》杂志（Cell）及《美国医学会杂志》 （JAMA）发表的高质量研究，从代谢灵活性与神经生物学角度，为繁忙的临床医生提供一份基于证据 的精力管理方案。这份方案其实也适用于那些从事科研、金融、IT等高压脑力劳动者，帮助大家建 立"代谢灵活性"，通过科学的进食节律，让身体保持冷静、敏锐与坚韧的状态，更好地应对每一个危机 时刻。 一、为何"少食多餐"是高压脑力劳动者的代谢陷阱？ 在传统的营养学观念中，"少食多餐"被认为能维持血糖恒定。然而，对于处于"高皮质醇、高负荷脑力 工作状态"的急诊和危重症医生等高压脑力劳动者人群而言，频繁进食往往适得其反，下面以急诊和危 重症医生人群为例来具体解释下原因： 1. 高皮质醇背景下的胰岛素抵抗 急诊和危重症医生工作环境具有天然的高应激性。长期升高的皮质醇会诱导糖异生，并抑制外周组织对 葡萄糖的摄取。此时，如果采 ...

Core Insights - The article emphasizes the importance of nutritional support during the recovery phase from Chikungunya fever, focusing on restoring body functions, enhancing physical strength, and boosting immunity while avoiding additional burdens on the body [1] Group 1: Key Nutritional Elements - High-quality protein is essential for repairing damaged cells and tissues, with a recommendation of 1.2-1.5 grams per kilogram of body weight daily, suggesting sources like chicken breast, fish, eggs, and dairy [2] - Omega-3 fatty acids can alleviate joint discomfort due to inflammation, with sources including deep-sea fish and walnuts, recommending consumption of fish 1-2 times a week [3] - Vitamins and minerals play a crucial role in strengthening immunity, with specific recommendations for B vitamins, calcium, magnesium, and zinc from various food sources [4] Group 2: Targeted Dietary Plan - A balanced intake of staple foods is advised, incorporating whole grains and legumes to provide sustained energy and dietary fiber, with a daily intake of 250-300 grams [5] - A diverse range of vegetables and fruits is recommended, with a daily intake of 300-500 grams of vegetables and 200-350 grams of low-GI fruits to enhance nutrient intake [6] - It is important to avoid foods that may burden the body, such as spicy, fried, and high-sugar items, as well as high-purine foods that could exacerbate joint discomfort [6] Group 3: Dietary Details for Recovery - A gradual transition from soft to solid foods is suggested, starting with easily digestible options to accommodate potentially weak digestive functions [8][9] - Eating smaller, more frequent meals (4-5 times a day) is recommended to prevent overloading the digestive system while ensuring continuous nutrient supply [10] - Adequate hydration is crucial, with a recommendation of 1500-2000 milliliters of water daily to support metabolism and maintain digestive health [11] Conclusion - The article concludes that a balanced and moderate nutritional strategy, combined with appropriate rest and light activity, is vital for accelerating recovery from Chikungunya fever, ultimately ensuring a comprehensive recovery process [11][12]