RESUMO
The energy ration value and supply of the main nutrients were studied by 24-h reproduction before and after operations in 33 morbid obesity patients who had undergone vertical gastroplastic surgery. The surgery was accompanied by reducing of surplus mass of the body by 25-71.7% and at the same time by reducing caloric content of the ration from average 4726.9 kcal before the operation to 1087 kcal during the first three months after the operation followed by a rise to 1490.0 kcal in 12-24 months. The deficient quota of protein and stable reduction of consumption of vitamins E, PP, B2, B1, potassium, magnesium, phosphorus were stated in postoperative rations (to 40-50% from recommended rates). The diet recommended after restricting operations on the stomach for obese patients on principles of diets for obesity patients was designed. The need to use protein-vitamin-mineral additives with individually adjusted compositions and dosages is shown.
Assuntos
Gastroplastia/métodos , Fenômenos Fisiológicos da Nutrição , Obesidade Mórbida/metabolismo , Adolescente , Adulto , Deficiências Nutricionais/dietoterapia , Dieta/estatística & dados numéricos , Suplementos Nutricionais , Metabolismo Energético , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade Mórbida/cirurgia , Complicações Pós-Operatórias/dietoterapia , Período Pós-OperatórioRESUMO
Using of protein and vitamin enriched preparation "Miprovit" in treatment of 90 patients with obesity showed decreasing effect on serum cholesterol and glucose levels and coefficient of atherogenity which were increased in these patients. Decreasing of appetite and feeling of hungry were noted in 75% of patients. "Miprovit" favoured more comfortable feeling of patients during course of body weight reduction.