THE ACTUAL FOOD AND NUTRITIONAL STATUS OF PATIENTS WITH METABOLIC SYNDROME AND INTESTINAL DYSBIOSIS

Purpose of the study. The study of actual nutrition and nutritional status of patients with metabolic syndrome and intestinal dysbiosis under outpatient observation for subsequent correction of nutrition. Material and methods. The actual nutrition in conditions of outpatient observation was studied in 117 patients (60 men and 57 women) aged of 18-60 years, living under the service of the one of the clinics of St. Petersburg. In these patients on the basis of results of clinical and laboratory-instrumental examinations there was revealed metabolic syndrome, but on the basis of the microbiological examination of feces there was established intestinal dysbiosis of the 1-2 grades. The nutrition was studied by means of questionnaire-ballot method, and with the use of computer software «Analysis of the state of Human Nutrition» (version by Institute of Nutrition, 1.2.4. - 2003-2006). Daily energy expenditures were calculated according to table-time-keeping method. Body composition of patients was studied by impedance method with the use of diagnostic monitoring complex «Diamant». All patients were included in the study on the base of the principle of informed consent and all of them gave written consent. Results. The caloric content of the daily average diets of patients with metabolic syndrome and intestinal dysbiosis exceeds in an average the physiological norm by 930 calories. Nutrient composition of diets of men and women have the same features: in compared with the daily requirement there was excessive content of fat, NLC, cholesterol, protein, sodium, phosphorus deficiency of dietary fiber, vitamins A and B2, magnesium, starch. Conclusion. The structure of food packages, caloric content and nutrient composition of the diet of patients with metabolic syndrome and intestinal dysbiosis seem to be unbalanced and cannot serve to purposes of the prevention and treatment of this disease. The characteristic imbalance of the body components in these patients was the excess of fat mass and total fluid.

фактическое питание, метаболический синдром, дисбиоз кишечника, dietary intake, metabolic syndrome, intestinal dysbiosis