Особливості харчування пацієнтів з метаболічним синдромом в аспекті лікування та профілактики

Khatsko VE
Odesa National Medical University
https://orcid.org/0009-0002-7338-9902

Mykhaylenko VL
Odesa National Medical University
https://orcid.org/0000-0003-2559-467X

Danylchuk HO
Odesa National Medical University
https://orcid.org/0000-0002-5247-7164

Kornovan HV
Odesa National Medical University
https://orcid.org/0000-0002-9733-4482

Lahoda DO
Odesa National Medical University
https://orcid.org/0000-0003-0783-6225

Ключові слова: метаболічний синдром, харчування, дієта, DASH-дієта, макронутрієнти, мікронутрієнти.

Резюме

Особливості метаболічного синдрому (МС) полягають в пов’язаному з ним ризику серцево-судинних захворювань і цукрового діабету 2-го типу, а також інших шкідливих станів, таких як неалкогольна жирова хвороба печінки тощо. У даній статті надані наявні наукові докази зв’язку між змінами способу життя та МС та його компонентами, щоб отримати рекомендації щодо профілактики та лікування МС. Зниження маси тіла (МТ) за рахунок дієт з обмеженим споживанням калорій разом із збільшенням витрат енергії через фізичну активність доведено сприяє профілактиці та лікуванню МС. Середземноморська дієта з або без обмеження калорій є ефективним компонентом лікування за рахунок збільшеного споживання ненасичених жирів, насамперед з оливкової олії, та акценту на споживанні бобових, цільнозернових круп, фруктів, овочів, горіхів, риби та нежирних молочних продуктів, а також помірного вживання алкоголю. Інші схеми харчування (DASH, скандинавська та вегетаріанська дієти) також запропоновані як альтернатива для лікування та профілактики МС. Обов’язковою умовою успішного лікування є відмова від паління та зменшення споживання підсолоджених напоїв. Не у всіх пацієнтів дані підходи є дієвими, тому необхідні додаткові дослідження, щоб визначити найбільш прийнятну терапію МС. Здоровий спосіб життя має вирішальне значення для запобігання або відстрочення початку МС у сприйнятливих осіб та запобігання серцево-судинним захворюванням і цукрового діабету 2-го типу в тих, хто вже має МС. Рекомендації, надані в цій статті, повинні допомогти пацієнтам та лікарям зрозуміти та застосувати найефективніші підходи до зміни способу життя, щоб запобігти МС та покращити кардіометаболічний стан.

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Опубліковано: 2024-05-02

How to Cite

Khatsko VE, Mykhaylenko VL, Danylchuk HO, Kornovan HV, Lahoda DO (2024). Peculiarities of nutrition of patients with metabolic syndrome in the aspect of treatment and prevention. Diabetes Obesity Metabolic Syndrome. 13(2), 42-52. DOI: https://doi.org/10.57105/2415-7252-2024-2-02