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Background. The proper nutrition in diabetes is one of the crucial elements of therapy, but in practice, diet of diabetic individuals is commonly improperly balanced, that is associated with lack of nutritional knowledge. The nurses are also often characterized by insufficient knowledge about diabetes diet therapy and poor nutritional behaviors. Objective. The aim of the study was to analyze of the declared nutritional behaviors in a group of diabetology nurses and to compare it with declared nutritional behaviors of the control group. Material and Methods. The group of 52 nurses recruited from all the regions of Poland working with diabetic patients was analysed and compared with control group of 63 individuals – random non-diabetic patients from all the regions of Poland. They were asked about accomplishing practical recommended nutritional goals for adults in Poland and were able to indicate if they follow detailed recommended nutritional goals “always” (3 points), “sometimes” (1 point) or “never” (0 points). Results. The diabetology nurses rarely declared fish and legumes intake (never or sometimes accomplishing goal: 87%), milk and dairy products intake (75%), as well as moderate sugar and sweets intake (69%). Nurses significantly rarer than control group declared regularity of meals (p=0.0000) and diversion of meals (p=0.0000). The lack of correlation between number of years of working with diabetic individuals and number of obtained points during assessment of nutritional be­haviors was observed. Conclusions. The nutritional behaviors of diabetology nurses are not good, even if they educate diabetic patients on daily basis. Nutritional education should be conducted not only in groups of diabetic patients, but also, in groups of diabetology nurses.
The paper reviews the human intestinal microflora and the effects of probiotics on human microecology. The aspects of probiotic strain selection as well as implications of such selection for health and improved quality of life were taken into consideration.
The aim of this study was to asses the effect of glutamine-supplemented total parenteral feeding on clinical and nutritional states in severe inflammatory bowel diseases (IBD). Twenty seven patients with severe IBD were qualified to total parenteral feeding with or without glutamine. The clinical, metabolic and nutritional improvements have been analyzed after 14-day treatment. Though, we were able to notice some improvements in hemoglobin and transferrin concentrations as well as nitrogen balance, it still cannot be strongly concluded that these effects were due to glutamine supplementation. There were any beneficial effects of glutamine on immunological, biochemical nor anthropometric parameters of nutritional status.
The objective of the study was to evaluate the content of vitamin D in the diet and in blood serum of adolescent girls and the impact thereof on the forearm bone mineral density. Fifty eight girls aged 12-13 years from Warsaw have been examined. Data regarding the intake of vitamin D have been obtained during three 24-h recalls undertaken in one year. The concentration of vitamin D in blood serum has been determined three times in the perspective of one year. Two measurements have been taken in winter, one in the summer. The forearm bone mineral density (BMD) in the non-dominating arm has been examined using p-DXA osteoplan in the middistal and ultradistal section. The diets of the girls examined are characterised by a very low content of vitamin D. The percentage of that content against recommended norm has remained at the level of 20-25%. In both winter periods the sufficient level of vitamin D in blood serum has been observed only among 8.9% of the girls. In the middistal section in the group of non-menstruating girls BMD have been significantly higher, when the level of vitamin D in blood serum exceeded 50 nmol/L.
The aim of the study was to assess energy, protein, fat and carbohydrates intake by centenarians living in Warsaw. The study was conducted between the years 2001 and 2004. An average dietary energy covered only approximately 81% of Polish RDA for elderly people over 60 years of age, and for 7 persons (1 male and 6 females) was lower than 66.7% of the RDA. Protein and fat intake fully covered nutritional recommendations for these nutrients with exception of 2 women for protein and 4 women for fat. The energy distribution figures were slightly higher for protein and fat, while for carbohydrates lower than recommended. It is very difficult to assess whether energy and nutrient intake by centenarians were adequate because of a lack of nutritional recommendations for such old people. It is necessary to determine the RDA values for a group of 85+ years old.
There are sparse data on supplementation practice related to folic acid (FAS). The prevalence of FAS usage in different European countries/areas varied from 10% to 43% among women before pregnancy, from 9% to 80% during pregnancy and from 0% to 53% in other population groups. With respect to public health, the results of this study indicate that there is a need to consider which strategy of increasing folates intake could be effective in demographic, cultural, economic etc. situation in each country. Because of the increased intake of folic acid there is a need for monitoring supplements and fortified food as the sources of this nutrient to determine exposure at the individual and population levels as well as some measurable health outcomes. It was found that a high intake of folic acid resulted in an increased level of this unmetabolized form in plasma, hence the use of [6S-]-5-methyltetrahydrofolic acid, the natural circulating folate form, should be considered as a supplement and fortificant.
Obesity is a growing problem worldwide. The risk of the excessive body weight occurrence is a multifactorial issue. Environmental factors, lifestyle habits, diet, physical activity level, as well as genetic predisposition can increase obesity risk. One of the genes studied – the FTO gene - plays a crucial role in obesity occurrence. Individuals who carry risk alleles of specific single nucleotide polymorphisms (SNP) have a greater risk of being overweight. Recent studies revealed that specific macronutrient diet composition can influence differently on the FTO expression. The aim of this article is to review the recent literature on the topic of the FTO gene, its influence on overweight and obesity prevalence and the role of diet in modifying its impact on the risk of the excessive body weight occurrence. There are not many studies focusing on the dietary intervention influence on the FTO gene expression. As far as it has been researched it seems that the proper dietary habits can modify the FTO gene risk allele influence on obesity susceptibility.
The influence of calcium intake on bone mineralisation was evaluated in 200 girls at the age of 11-15 years and 97 women at the age of 20-23 years from a random sample of general population. The nutritional value of diets was estimated with the use of a three-day record method. Bone mineral density (BMD) of two points of radius was measured by a p-DEXA device. Mean daily intake of calcium accounted for 831±363 mg in girls and for 933±401 mg in women. An increase in calcium contents in the diet significantly influenced bone mineralisation only in girls. It was concluded that an insufficient calcium intake during puberty was connected with lower bone mineralization and thereafter risk of osteoporosis development.
Thyroid activity is influenced by both food amount and composition. It is affected by protein to carbohydrate ratio, fat composition and level of dietary cholesterol. The role of thyroid hormone in the regulation of metabolism implies the necessity of taking into consideration the relationship between nutrition and thyroid activity in the design for nutritional interventions
The aim of this study was to compare the diet of older women examined in 1992 and in 2002. Comparing to 1992, in 2002, a statistically significant increase in calcium, potassium, folates, vitamin C and E content and a significant decrease in sodium content were observed. Despite these positive changes, in both studies the energy of diets and the contents of minerals (besides phosphorus and sodium), vitamins from group B and vitamin D was below the safe level of the Polish RDA.
Nutritional patterns of 400 children (212 girls and 188 boys) selected at random from the whole territory of Poland, aged 4, have been assessed. The study was realised in Spring 2005 by way of a 7-day consumption record participated by mothers and kindergarten caretakers. The share of children using dietary supplementation, taking into account all analysed components, was 26.2 (22.2% girls and 30.9% boys). Diets of children consuming dietary supplements contained excessive contents of almost all analysed vitamins; certain vitamins exceeded the recommended levels even 4-5 times.
Organic farming is based on harmony with the environment and promotes biodiversity and biological cycles. Products obtained from organic arable farms exhibit lower levels of pesticides along with a higher content of vitamin C, minerals, sugars and flavonoids, but probably also mycotoxins. Organic production methods seem to have a positive effect on meat, milk and egg quality, although the prohibition of antibiotic use may cause an increase in the frequency of bacterial and parasitic infections in consumers. Importantly, contamination of conventional food with chemicals and that produced from organic crops with fungal toxins may modulate immune system function.
Rats of control group were fed a standard diet (LSM). One of the diets was supplemented with 1% cholesterol (LSM+CH), another one with 5% freeze-dried apple pulp (APP), and the last one with both, 1% cholesterol and 5% apple pulp. Dietary addition of apple pulp significantly increased calcium concentration in femur bone from 154.2±5.6 (LSM, LSM+CH) to 180.1±4.8 g/kg wet weight (APP, APP+CH), while bone magnesium content was reduced from 3.34±0.14 to 2.70±0.12 g/kg. Dietary cholesterol (1%) had the similar significant effect on the bone content of these macroelements, and decreased bone manganese content. Moreover, rats fed diets with cholesterol (LSM+CH, APP+CH) revealed the higher Ca concentration in kidney and the lower liver Mg content (p<0.05) than in the other groups (LSM, APP). The 5% administration of the freeze-dried apple pulp reduced significantly kidney Mn content. It may be concluded that both dietary factors studied (apple pulp and cholesterol) positively influence calcification of bones but a high level of cholesterol significantly reduces bioavailability and/or storage of the other important macroelement – magnesium.
A total of 147 patients (73 men and 74 women) with a mean age of 56.9±11 years participated in the study. All hypertensive subjects were medically treated and their average BP was 131±8 mmHg systolic and 81±6 mmHg diastolic. An average BMI was 32.7±3.1 kg/m2 and 35.3±3.8 kg/m2 among men and women respectively. Only 33% of patients had BMI of <25 kg/m2. Daily energy intake did not reach 80% of recommended value in both, men and women group. An average intake of protein was 17% of total energy, and carbohydrates amount was 48-46% of total energy. Fat consumption averaged 36.9±9% of total energy in men and 34.8±9% of total energy in hypertensive women. Daily intake of SFA, amounting to 11% of total energy, was higher than recommended value. Low intakes of calcium and potassium, as well as an appropriate sodium amount were observed. Besides vitamin E, the intakes of other vitamins, especially vitamin C, were below current recommendations. To improve nutrition of hypertensive patients, comprehensive dietary changes should be advised.
The aim of the study was to estimate the effect of 5% and/or 10 % of inulin and/or oligofructose on thiamine level in blood serum and urine. The vitamin was administered in doses of: 20 or 40 μg/day/rat. With respect to the control (fructan-free), the diet containing 5% of inulin decreased (p<0.05) serum thiamine level when the lower daily vitamin dose was used, and oligofructose had no influence. It was observed that all experimental diets decreased urine thiamine level (p<0.05), which remained stable until the 9th day of the experiment. Then, after next 3 days, the urine thiamine increased, except for the I-5 group with 20 μg daily thiamine dose. The diet with 5% of oligofructose increased (p<0.05) average daily thiamine excretion when rats consumed 20 μg of vitamin per day. Oligofructose was demonstrated to be capable of improving thiamine nutritional status in thiamine-malnourished rats.
Cardiovascular disease (CVD) is the leading cause of death in most developed and developing countries. Epidemiological studies indicate that enhanced intake of pulses is associated with a lower CVD risk. Observational and clinical studies have shown that legume proteins possess significant hypocholesterolemic and hypotensive activity. These proteins influence also carbohydrate metabolism and plasma glucose levels. Other beneficial health effects of enhanced legume consumption have been reported. Therefore, legumes and legume proteins can play an important role in CVD prevention.
This study analyses the nutritional value of diets consumed by boys with two different food patterns, expressed as a different frequency of consuming pork and poultry or snacks, sweets and sweet drinks. Two hundred and fifty-three boys aged 15-18 years from secondary schools of various types situated in the Suwałki region and in the city of Olsztyn were included in the study. The factor analysis was applied to data on the frequency of consuming 21 products, which resulted in identifying 8 food patterns typical of young people. Two selected food patterns were further analysed: pork plus poultry (pattern III) and snacks, sweets and sweet drinks (pattern IV). When the frequency of consuming pork and poultry was low, the boys’ diet had a high nutritional value, but at the same time, cholesterol, protein and fat contents were too high. The results indicate that a low frequency of pork and poultry consumption resulted in a more varied diet, containing products of both plant and animal origin. An increase in the frequency of snacks, sweets and sweet drinks consumption resulted in higher amounts of consumed vitamins and minerals; however, it also resulted in consuming excessive amounts of protein, fat and energy.
The aim of our study was to estimate the intakes of energy and macronutrients by patients with hypertension and normal (NGT) or impaired glucose tolerance (IGT). Thirty six patients with medically treated essential hypertension, 18 with NGT and 18 with IGT, were included in the study. Over 80% of individuals with NGT and 70% with IGT were overweight or obese, and approximately 60% of them had waist circumferences confirming the presence of abdominal obesity. More than 70% of patients had metabolic syndrome traits in both, NGT and IGT group. Low energy intake (20 kcal/kg BW), normal protein and fat intakes (0.9-1.1 g/kg BW and 0.8-0.9 g/kg BW, respectively) and appropriate carbohydrates intake (45-48% of total energy) were observed among patients. There were no significant differences in energy and nutrients intake between NGT and IGT subjects, except for protein density and percentage of energy from protein. To prevent or delay diabetes, nutrition counseling for IGT patients, as well as monitoring of the adherence to a healthy life style, should be considered.
High dietary glycemic index (GI) may increase colorectal cancer risk by affecting insulin and insulin-like growth factor-I levels. Colon polyps are a pre-malignant condition. We examined carbohydrate intake, the value of GI and glycemic load (GL) in patients with colon polyps recognized as adenomas (n = 83) in comparison with patients with normal result of colonoscopy (n = 73). The mean intake of carbohydrates in study group was 256.5±36.5 g/d, in control group 305.9±39.1 g/d (NS). The mean value of GI in study group was 59.8±4.1, in control group – 60.4±5.2 (NS). The value of the mean GL was 128.4±8.6 and 130.2±9.1, respectively (NS).
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