THE ACTUAL FOOD AND NUTRITIONAL STATUS OF PATIENTS WITH METABOLIC SYNDROME AND INTESTINAL DYSBIOSIS
https://doi.org/10.47470/0016-9900-2017-96-4-328-332
Abstract
Purpose of the study. The study of actual nutrition and nutritional status of patients with metabolic syndrome and intestinal dysbiosis under outpatient observation for subsequent correction of nutrition. Material and methods. The actual nutrition in conditions of outpatient observation was studied in 117 patients (60 men and 57 women) aged of 18-60 years, living under the service of the one of the clinics of St. Petersburg. In these patients on the basis of results of clinical and laboratory-instrumental examinations there was revealed metabolic syndrome, but on the basis of the microbiological examination of feces there was established intestinal dysbiosis of the 1-2 grades. The nutrition was studied by means of questionnaire-ballot method, and with the use of computer software «Analysis of the state of Human Nutrition» (version by Institute of Nutrition, 1.2.4. - 2003-2006). Daily energy expenditures were calculated according to table-time-keeping method. Body composition of patients was studied by impedance method with the use of diagnostic monitoring complex «Diamant». All patients were included in the study on the base of the principle of informed consent and all of them gave written consent. Results. The caloric content of the daily average diets of patients with metabolic syndrome and intestinal dysbiosis exceeds in an average the physiological norm by 930 calories. Nutrient composition of diets of men and women have the same features: in compared with the daily requirement there was excessive content of fat, NLC, cholesterol, protein, sodium, phosphorus deficiency of dietary fiber, vitamins A and B2, magnesium, starch. Conclusion. The structure of food packages, caloric content and nutrient composition of the diet of patients with metabolic syndrome and intestinal dysbiosis seem to be unbalanced and cannot serve to purposes of the prevention and treatment of this disease. The characteristic imbalance of the body components in these patients was the excess of fat mass and total fluid.
About the Authors
V. V. Zakrevskii
I.I. Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
D. V. Kopchak
I.I. Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
References
1. International Diabetes Federation. The IDF consensus worldwide definition of the metabolic syndrome. Available at: http://www.idf.org/webdata/docs/MetSyndrome_FINAL.pdf.
2. Festi D., Schiumerini R., Eusebi L.H., Marasco G., Taddia M., Colecchia A. Gut microbiota and metabolic syndrome. World J. Gastroenterol. 2014; 20(43): 16079-94.
3. Fukuda S, Ohno H. Gut microbiome and metabolic diseases. Semin. Immunopathol. 2014; 36(1): 103-14.
4. Фонсека В., ред. Метаболический синдром. Пер. с англ. М.: Практика; 2011
5. Millen B.E., Pencina M.J., Kimokoti R.W., Zhu L., Meigs J.B., Ordovas J.M. et al. Nutritional risk and the metabolic syndrome in women: opportunities for preventive intervention from the Framingham Nutrition Study. Am. J. Clin. Nutr. 2006; 84(2): 434-41.
6. Sonnenberg L., Pencina M.J., Kimokoti R.W., Quatromoni P., Nam B.H., D’Agostino R. et al. Dietary patterns and the metabolic syndrome in obese and non-obese Framingham women. Obes. Res. 2005; 13(1): 153-62.
7. Esposito K., Marfella R., Ciotola M., Di Palo C., Giugliano F., Giugliano G. et al. Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004; 292(12): 1440-6.
8. Ардатская, М.Д., Бельмер С.В., Доброица В.П., Захаренко С.М., Лазебник Л.Б., Минушкин О.Н. и др. Дисбиоз (дисбактериоз) кишечника: современное состояние проблемы, комплексная диагностика и лечебная коррекция. Экспериментальная и клиническая гастроэнтерология. 2015; (5): 13-50.
9. Ткаченко Е.И., Закревский В.В., Копчак Д.В., Оришак Е.А., Нилова Л.Ю. Клиническая и микробиологическая оценка эффективности использования индивидуально подобранных пробиотиков у пациентов с метаболическим синдромом и нарушенным микробиоценозом кишечника. Профилактическая и клиническая медицина. 2016; 1: 60-6.
10. Кордюкова Л.В., Закревский В.В. Гигиеническая оценка состояния питания различных групп трудоспособного населения: учебно-методическое пособие. СПб.: СЗГМУ им. И.И. Мечникова; 2015.
11. Мартинчик А.Н., Батурин А.К, Баева В.С. Альбом порций продуктов и блюд. М.: Медицина; 1995.
12. Скурихин И.М., Волгарев М.Н., ред. Химический состав пищевых продуктов: Книга 1: Справочные таблицы содержания основных пищевых веществ и энергетической ценности пищевых продуктов. 2-е изд., перераб. и доп. М.: ВО Агропромиздат; 1987: 207-12.
13. Вискунова А.А., Каганов Б.С., Шарафетдинов Х.Х., Плотникова О.А., Погожева А.В., Ворожко И.В. Определение пищевого статуса пациентов с метаболическим синдромом с помощью современных методов нутриметаболомики. Вопросы питания. 2010; 79(3): 30-5.
14. David L.A., Maurice C.E., Carmody R.N., Gootenberg D.B., Button J.E., Wolfe B.E. et al. Diet rapidly and reproducibly alters the human gut microbiome Nature. 2014; 505(7484): 559-63
Review
For citations:
Zakrevskii V.V., Kopchak D.V. THE ACTUAL FOOD AND NUTRITIONAL STATUS OF PATIENTS WITH METABOLIC SYNDROME AND INTESTINAL DYSBIOSIS. Hygiene and Sanitation. 2017;96(4):328-332. (In Russ.) https://doi.org/10.47470/0016-9900-2017-96-4-328-332
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