The diet is basically calorie, carbohydrate and discount hipolipidic mandatory concentrated sweets, the pasta and bread. Proteins will be administered in sufficient quantity, especially those with high biological value (milk, meat, cheese, eggs). Vegetables and fruits will be permitted without restriction, covering the needs of water-soluble vitamins and mineral salts obese. Calorie intake will be 1200 -1300 calories in normal activity. in hospitals or absolute rest, the contribution will be 800 or even 400 calories, sometimes absolute fast (of course 1-2 days). Proteins will be administered at a rate of 1 -1.5 g / kg ideal body weight and fat will be reduced to 40-50 g / day. Conditions will be low in carbohydrates. As liquids are permitted, a -1.5 l / day. It will give 5-6 meals a day and will be instructed not to eat anything between meals, not to abuse the salt (allow 5-8 g / day), not to smoke. Alcohol is forbidden because it fat. At the center of Bucharest nutritional and metabolic diseases, prescribing a regime type, with approximately 1,000 calories (75 g protein, 35 g fat, 100 g carbohydrate).
Below this regime: I.M.F. Professor Dr. N. Paulescu BUCHAREST HOSPITAL CLINICAL NUTRITION AND METABOLIC DISEASE DIABETIC CENTER - OBESITY
OBESITY
- The cause of 70-80% of cases of diabetes in adults.
- Promotes atherosclerosis and its accidents (angina pectoris, myocardial infarction, apoplexii etc.).
- Causes high blood pressure.
- Enhances the appearance of gallstones.
- Enhances the appearance of arthrosis and spondylosis.
- Enhances the appearance of varicose veins.
- Increases risk of cancer.
- Decreases power of work. Rules of procedure in obesity
1. Do not eat anything between meals prescribed.
2. Do not abuse the salt.
3. Do not drink alcohol.
4. Follow exactly the amount of food given.
ARRANGEMENTS FOR A DAY (cea. 1000 calories, 75g protein, lOOg carbohydrates, 35g fat)
Morning - cold or warm milk 200g.
Time 10 to 1 roll (50g) or a slice of bread (50g), with cheese or
cooked lean meat (50g).
Time 12 to 1 cup of black coffee with saccharin.
Noon
soup - from 200g raw vegetables salad or red cabbage or radishes
months, or endive, lettuce or cucumbers, lettuce, tomato, peppers, leeks with a teaspoon of oil, lemon or vinegar.
- Can use 1 -2 soup plates or soup, vegetable dishes and the same amount the same as those indicated for the salad.
Unable to use radishes and endive, veggie soups
Loboda soups will be filled with spinach, zucchini or cauliflower.
type II - lOOg lean beef, veal, chicken boiled, roasted, diced
boiled or roasted, stewed, canned cooked lean meat as a quickie.
- Or 150g fish, mackerel, cod, pike, perch (frozen or fresh) boiled, broiled in the oven, tinned fish, boiled.
- Or 150g of cheese. felulIII-unmar (lOOg).
Evening - 150g or 200g potatoes braised green beans soteuri
200g zucchini with 2 tablespoons of yogurt, soup - lOOg or 150g lean meat roasted over low (ie not shorts
was consumed at lunch) how unmar II (lOOg). - The day is replaced with 50g parizer meat, ham, sausages or salami popular over the salad oil is not added, but paraffin oil and lemon or vinegar.
- Salads, soups, or soups and soteurile not made from carrots, celery, beets and green peas.
- Soups does not thicken with flour.
- Soups and soups type season with herbs parsley, dill, lovage, tarragon.
- The sauces are prepared from defatted broth and tinker with a tablespoon of yogurt, lime greens, thyme or bay.
- Meat and give a little taste with thyme and garlic, and salad with lemon, vinegar and cumin.
- Using all these spices, you can easily reduce the usual amount of salt you add to food. In this way the desired amount of liquid you consume, but excluding sweetened beverages (juice, syrup, liqueur, nectar, Pepsi, etc.) and the alcoholic.
- I totally forbidden: sugar, all concentrated sweets, pasta and exceed prescribed quantities of bread and potatoes.
- Some fruits are prohibited: dried fruit, the oil and of what is consumed fresh: Grapes, plums, cherries gritty, bergamot pears.
- The forms will be as varied as the regime can be held in time.
Use more restrictive regimes, with 400-600 or 800 calories. For example: scheme allows 240 calories 300 g cheese per day, the regime milk (1 liter of milk per day), brings about 600 calories, and fruit arrangements, (eg 1 kg of apples) brings 400 calories. in hospitals can also use absolute position. The patient lies in bed rest and receive the 1500 - 2500 ml tea sweetened with sugar bowl with parenteral vitamins supplementation (Clinical Nutrition and Metabolic Diseases in Bucharest). Such a restrictive regime is possible only for very limited. Other types of energy-restricted diets have been shown to notions of nutrition and dietetics essay, with more general diets. Among them we quote: hydro-sugar diet, calorie diets, regime hipolipidic (cholesterol), vegetarian diet, raw foods regime, lacto-ovo-vegetarian diet of fruits, etc..
Physical Culture is a valuable adjunct of the regime. The gymnastics practice in specialized centers, but is accessible free gymnastics that made herself sick, alone. Physical efforts will be moderated, and practiced daily for life. Not recommended for large physical efforts, sporadic, which increases appetite and thirst. We recommend walking 60-90 minutes a day, running, biking, swimming, skating, travel, gym, etc..
Physio-therapy spa treatment is also a factor in adjuvant. It consists of thermo-therapy procedures (steam baths, bath light), massage, pressure shower, etc..
Medical treatment in obesity is not acting as expected. The increased use of drugs to inhibit appetite, stimulating catabo-pluralism and diuretics to eliminate water. Of anorexines: Anapetolul, Gastrofibranul Silutinul and causing early satiety. Silutinul one tablet is administered 30 minutes before three meals and 4-5 Gastrofibranul tablets when hunger occurs. Treatment lasts up to 1-2 months.
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