METHOD OF COMPLEX THERAPY OF OBESITY IN PATIENTS WITH ARTERIAL HYPERTENSION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, cardiology, endocrinology. Patients with arterial hypertension (AH) and obesity, depending on presence or absence of metabolic disorders, impaired glucose tolerance (IGT) are administerred with one of three dietary plans (DP). Dietary regime for all patients: every 3 hours, last meal for 3 hours before sleep, drinking mode: on empty stomach, instead of snacks and for 10 minutes before meals 1 glass of water, total for day 1,250 ml, night sleep is no less than 7 hours. Wherein DP for patients without metabolic disorders: physiological norms of consumption of proteins, fats, carbohydrates (P, F, C), limiting energy value of food ration to 1,800 kcal a day and daily sodium consumption to 2.5 mg. DP of patients with impaired glucose tolerance (IGT): physiological norm P, F, caloric content to 1,800 kcal a day, daily sodium consumption to 2.5 mg and up to 250 mg. DP for patients with dyslipidemia: physiological norm P, C, caloric content to 1,800 kcal a day, daily sodium consumption to 2.5 mg and cholesterol to 100 mg. Patients do physical exercises in morning, day and in evening daily: swing hands forward and backward, rising on toes and lowering, nodding, inclinations of head to right-left, flexion and extension in elbows, clutching hands in lock rotation of hands, at level of arms spreading hands and closure ahead, above head, concatenated hand ahead and moving them up and down, bend leg in knee, lift, then the same with other leg. Each exercise is performed 5 times at 5–10 sec, all exercises take 15–20 minutes. Patients with AH degree I and II obesity I degree without metabolic disorders and patients with AH degree I and II obesity I degree and with IGT do exercises standing, patients with AH degree I and II and obesity degree II – sitting, patients with AH degree I and II obesity degree I and II with dyslipidemia – sitting.;EFFECT: method provides effective reduction of weight and BP differentiated in patients without and with different combination of metabolic disorders, when correcting lifestyle, feeding, drinking and motor mode.;3 cl, 3 ex, 1 dwg, 2 tbl