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Ketogenic diet(KD) has been used for centuries in the treatment of epilepsy, which can restrict calorie and liquid intake, with significant therapeutic effects. In recent years, KD has been proved to have therapeutic effects in other fields, such as obesity, diabetes, hypertension, cancer, Alzheimer′s disease and other chronic diseases. KD has a positive effect on the treatment of many diseases, but the high proportion of fat intake in KD process, as well as too little intake of carbohydrates, proteins and trace elements will lead to a very uneven absorption of nutrients. Therefore, the use of KD to treat disease may cause a variety of adverse reactions, and its long-term results are the subjects of controversy. The purpose of this review is to summarize the literature of KD adverse effects and their prevention and treatment methods, in order to provide guidance and assistance to clinical administration.
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INTRODUCTION: Peptic ulcer is a lesion of the mucosal lining of the upper gastrointestinal tract characterized by an imbalance between aggressive and protective factors of the mucosa, having H. pylori as the main etiologic factor. Dietotherapy is important in the prevention and treatment of this disease. AIM: To update nutritional therapy in adults' peptic ulcer. METHODS: Exploratory review without restrictions with primary sources indexed in Scielo, PubMed, Medline, ISI, and Scopus databases. RESULTS: Dietotherapy, as well as caloric distribution, should be adjusted to the patient's needs aiming to normalize the nutritional status and promote healing. Recommended nutrients can be different in the acute phase and in the recovery phase, and there is a greater need of protein and some micronutrients, such as vitamin A, zinc, selenium, and vitamin C in the recovery phase. In addition, some studies have shown that vitamin C has a beneficial effect in eradication of H. pylori. Fibers and probiotics also play a important role in the treatment of peptic ulcer, because they reduce the side effects of antibiotics and help reduce treatment time. CONCLUSION: A balanced diet is vital in the treatment of peptic ulcer, once food can prevent, treat or even alleviate the symptoms involving this pathology. However, there are few papers that innovate dietotherapy; so additional studies addressing more specifically the dietotherapy for treatment of peptic ulcer are necessary. .
INTRODUÇÃO: A úlcera péptica é uma lesão que ocorre na mucosa do trato gastrointestinal, sendo caracterizada por um desequilíbrio entre fatores agressores e protetores da mucosa gástrica, tendo como principal fator etiológico o H. pylori. A dietoterapia é fundamental na prevenção e tratamento dessa patologia. OBJETIVO: Rever a terapia nutricional na úlcera péptica em adultos. MÉTODOS: A metodologia utilizada foi um estudo exploratório de revisão do conhecimento disponível na literatura científica. RESULTADOS: A dietoterapia bem como a distribuição calórica deve ser ajustada as necessidades do paciente com objetivo de normalizar o estado nutricional e promover a cicatrização. As recomendações de nutrientes podem ser diferenciadas nas fases aguda e de recuperação, havendo uma maior necessidade proteica e de alguns micronutrientes como vitamina A, zinco, selênio e vitamina C na fase de recuperação. Além disso, alguns estudos evidenciam que a vitamina C tem efeito benéfico na erradicação do H. pylori. As fibras e probióticos também possuem um importante papel no tratamento da úlcera péptica, reduzindo os efeitos colaterais dos antibióticos e auxiliando na redução do tempo de tratamento. CONCLUSÃO: Percebe-se que poucos são os trabalhos que evidenciam a terapia nutricional da úlcera e não há consenso sobre o tema. Com isso, mais estudos são necessários para abordar com maior especificidade o tratamento dietoterápico da úlcera péptica. Dieta equilibrada é fundamental no tratamento da úlcera péptica, uma vez que o alimento pode prevenir, tratar ou mesmo aliviar os sintomas que envolvem esta doença. No entanto, existem poucos trabalhos que inovam dietoterapia; assim, são necessários estudos adicionais abordando mais especificamente a dietoterapia para o tratamento de úlcera péptica. .
Subject(s)
Humans , Peptic Ulcer/diet therapyABSTRACT
Objective To search a proper method for calculating the energy requirement in the patients with diabetes.Methods Based on the energy metabolic characteristic of the patients with diabetes and main effective factors of energy requirement,such as age (A),height (H),weight (W),activity factor (AF)and climate factor (CF),we have established a formula:E(kcal)=[(H-A)?6+500?WI 2]?AF?CF.Results This formula is of accuracy and applicabi- lity ,compared with traditional method for calculating energy requirement.Conclusion It is available that this method is used in dietotherapy of patients with diabetes.