Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Natsionalnyj meditsinskij issledovatelskij tsentr reabilitatsii i kurortologii" Ministerstva zdravookhraneniya Rossijskoj Federatsii (FGBU "NMITS R
发明人:
Fesyun Anatolij Dmitrievich (RU),Фесюн Анатолий Дмитриевич (RU),Sergeev Valerij Nikolaevich (RU),Сергеев Валерий Николаевич (RU),Musaeva Olga Mikhajlovna (RU),Мусаева Ольга Михайловна (RU),Petukhov Al
申请号：
RU2019133763
公开号：
RU0002714315C1
申请日:
2019.10.23
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, nutriology, nutritional science, immunology, endocrinology and can be used in persons of working age, having reduced body weight (BW) against underlying metabolic disorders for various reasons (somatic, nervous, mental diseases, oncology). Method comprises a high-protein diet (HPD), intake of balanced protein mixtures and food additives under control of objective indicators of body state: body weight index (BWI) dynamics, bioimpedance analysis of body composition, biochemical, immunological blood indices and intestinal microbiocenosis parameters. Base of HPD is low-fat veal, chicken, turkey, dairy products and eggs. Dry nutritional formula Nutrinor is added to the main course and beverages 3-4 times a day starting the diet with the energy requirement of 20 kcal/kg/day. In case of reduced BWI by 3 kg/m2 from the lower limit of the norm, the diet is first followed by providing 50 % of the daily energy requirement of the patient (PDER), before increasing BWI by 1 kg/m2 compared to initially reduced before correction. Further, the same diet with Nutrinor is followed, providing 75 % PDER, to BWI = 17 kg/m2. Further, the same diet with Nutrinor is observed, providing 100 % PDER, to BWI = 18 kg/m2, after which the patient switches to natural nutrition. If initially reduced BWI by 1–2 kg/m2 50 % PDER HPD with Nutrinor is ensured from the lower norm within first 3 days of correction； 75 % PDER is provided in following 3 days. Further, HPD with Nutrinor intake is continued, providing 100 % PDER to a BWI value which is the lower limit of norm of 18.5 kg/m2. At the end of the diet, the patient changes over to natural diet – a general version of the diet (GDO) with additional Nutrinor intake, daily dividing its volume into 5 equal meals a day, adding it to food and/or beverages in a combination with enzymes specified in the group: Hermitel, Creon, Mezim, Pancreatin, in dose of 15,000–20,000 units for each main meal – break
