ABSTRACT
UNLABELLED: Aim of the study was to evaluate nutritional status in patients after gastrectomy due to gastric cancer. METHODS: In 55 (26 males and 29 females) gastric cancer patients after gastrectomy body composition (bioimpedansometry method); resting energy expenditures and home actual nutrition (frequency analysis method) were evaluated. Blood levels of major nutrients and metabolites were assessed. RESULTS: Both men and women suffered from weight loss after gastrectomy (mean BMI was 19,8+/-4,7 kg/m2 in men and 20,5+/-1,9 in women). Higher BMI was positively correlated with age in women (R=0,45; p<0,03), but not in men, however there was no difference in mean age and mean time after gastrectomy between men and women. Mean body fat mass significantly decreased in men (7,4+/-5,0 kg) and in women (12,0+/-7,1 kg) in compare to normal values (18,2 and 22,5 correspondingly) (p<0,001). Resting energy expenditure variably decreased (for 13-53%) in half of the patients, mainly due to decrease in lipid oxidation rate. Mean daily energy intake was lower than normal in short-term (1359 kcal in period of 12 months) and long-term (1814 kcal in 1-5 years period) after gastrectomy, due to decrease consumption of proteins, carbohydrates and fat. Mean blood total protein, hemoglobin and hematocrit levels were lower than normal values in 40% of patients. CONCLUSION: In gastric cancer patients low BMI, low fat mass and energy consumption are observed even long period of time after gastrectomy. Dietary counseling and support are badly needed in patients short-term as well as long-term period after gastrectomy in men and younger women.
Subject(s)
Gastrectomy/adverse effects , Nutritional Status , Stomach Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Basal Metabolism , Body Mass Index , Fats/metabolism , Female , Humans , Longitudinal Studies , Male , Middle Aged , Nutritional Support , Postgastrectomy Syndromes/pathology , Postgastrectomy Syndromes/prevention & control , Postoperative Complications/pathology , Postoperative Complications/prevention & control , Stomach Neoplasms/pathologyABSTRACT
The peculiarities of actual nutrition of the patients suffering from obesity have been studied with the use of a computer program. This computer program is based on studying the frequency of foodstuffs consumption and on the type of consumable substance. The results of the research demonstrate the violation of the basic nutrients consumption according to sex and the extent of obesity.
Subject(s)
Eating , Nutrition Assessment , Nutritional Status , Obesity/physiopathology , Software , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Sex FactorsABSTRACT
The article covers characteristics, structure and dynamics of congenital abnormalities in children of Novgorod region.
Subject(s)
Abnormalities, Multiple/epidemiology , Abnormalities, Multiple/etiology , Environmental Exposure/adverse effects , Hazardous Substances/adverse effects , Adolescent , Catchment Area, Health , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Russia/epidemiologyABSTRACT
The high abundance of functional disorders of a gastrointestinal tract stipulates an urgency of studies dedicated to their complex treatment and preventenance. The complex treatment of functional snaps is necessary to base on the system of measures which are powering up medical power supply, a fissile way of life, recovering of regularity of the act of defecation, normalization of the emotional status of the patients. The article considers characteristics of different kinds of probiotical substances and factors which provide normalization of intestinal microbial balance and related to probiotical action.
Subject(s)
Constipation/diet therapy , Diet , Attitude to Health , Constipation/diagnosis , Constipation/physiopathology , Diagnosis, Differential , Gastrointestinal Motility , Humans , ProbioticsABSTRACT
Sour milk product "Bifeedock" and biologically-active food additives of "Litovite" and "Pektsecom" type are used in the overall treatment of functional constipation and accompanying colon disbacteriosis of I and II degree. They help to improve the clinical symptomatics and the functional state of the gastrointestinal tract. According to the data analysis, the elimination of the colon stasis results in the improved microbiocenosis expressed in the suppression of growth of conditionally pathogenic microflora. It also stimulates the growth of the symbiotic elements of microbiota (bifidobacteria, lactobacteria and the intestinal E. coli).
