RU2482885C2 - Method of weight reduction and health improvement - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, food hygiene. The rational psychotherapy, diet therapy, self-regulation aimed at reducing the functional stress of the pancreas during digestion are applied. At the stage of preparation (1-2 weeks), a number of 60-second breathing exercises (BE) precede every meal, including: normal inhalation, more extended exhalation directed to the solar plexus. After the meal, self-massage of biologically active points: HOU-SI (IG3) on the enteric meridian, HE-GU (GI4) on the colonic meridian. The appetite and digestion are controlled by self-cognition and self-analysis; the need-motivational sphere is described on the principle of a dominant. The food is fletcherised while being separated from water in the mouth. There are used: 3-4 meals a day with a good appetite, water between meals at least 700-1000 ml/day, in the morning, a glass of water drunk at a gulp on an empty stomach 20-30 minutes before breakfast, another 300-500 ml of water between breakfast and lunch, 200-300 ml between lunch and dinner; the portions are no more than 1/4 of a cup or in sips. After lunch and dinner, water and beverages shall not be taken for 2-3 hours, after breakfast and lunch, solid food is washed down. The amount of protein per day is 0.8-1.0 g per kg of normal weight. Besides, 3-5 minutes before bedtime the contrast shower hydrotherapy (CSH) of the lower extremities is applied. The main stage (4-5 weeks) involves the BEs, acupressure, CHS, digestion control, water schedule. The following food is excluded: refined sugar, including added to beverages, roast, smoked food, saturated fat and their products, mayonnaise, ketchup, white bread, pasta, refined vegetable oil, milk, cottage cheese for 2 months. The following food is obligatory: unrefined vegetable fat 30-45 g/day, butter fat 30 g, edible greens, heat treated vegetables, except for potatoes, starchy food, biscuits or chocolate 25 g not later than at 18 o'clock. The food is cooked, stewed or roasted at t°C no more than 100°C; the protein food is garnished with greens. At the final state (2-3 weeks), a daily diet is corrected: protein, fat and carbohydrates in ratio 1:1:4 for the patients of blood groups 1, 3, in ratio 1:1:5 for the patients of blood groups 2, 4, seasonally: cereals - in winter and spring, baked potatoes - in autumn and winter.

EFFECT: method provides weight reduction for a longer period free from stress of hunger, recovered metabolic processes, improved functionality of the digestive system, improved work of the other organs and systems, increased muscle mass, normalised blood chemistry.

3 ex, 3 tbl

Description

The invention relates to medicine, in particular to the field of food hygiene, and can be used to reduce weight and improve the human body.

There is a comprehensive method for reducing excess body weight, for which diet therapy is carried out in three stages lasting 21 days each, alternating seven-day low-calorie monotonous food diets, whose energy value is 600-700 kcal per day, with fourteen-day varied, more high-calorie diets, whose energy value is not exceeds 1000-1400 kcal per day, the calculation of the diet is carried out per kilogram of proper body weight, while in the first seven days of each stage, 0.4-0.6 g / kg of proteins and fats are administered, 1.6-1.8 g / kg of carbohydrates with an energy value of 11-15 kcal / kg, the next fourteen days of each stage inject proteins and fats of 0.7-0.9, carbohydrates of 2.9-3.4 g / kg of energy value of 20-25 kcal / kg; during the seven-day low-calorie diets daily sessions of general massage are carried out, walking is at least 1.5-2 hours a day, bowels are cleaned every other day, and during periods of fourteen-day rations - massage is no more than 2 times a week, continuing daily walking for at least 1, 5-2 hours a day. The method allows to reduce the treatment time for obesity and return the patient to a normal lifestyle, eliminating the likelihood of the disease becoming chronic and disabling patients by combining diet therapy with physical activity, physiotherapeutic procedures and psychotherapeutic techniques aimed at normalizing eating behavior. (Patent for invention No. 2295326, IPC A61H 1/00, A23L 1/29).

A known method of treating obesity, including preliminary daily fasting, psychotherapeutic effect in the wakeful state by the method of group rational psychotherapy and diet therapy with the exception of high-calorie foods, characterized in that at the stage of rational therapy the achievement of the effect is associated with individual weight optimization due to overregulation of self-regulating food center systems, after which in a state of meditation they exercise direct and indirect suggestive influence and form active, positive emotional-volitional motivation for the implementation of the diet program, rebuilding and subordinating the motivation scheme to socially significant motivations, for which they use psychosomatic paradigms in the form of short verbal plots and simultaneously reinforce them with reflex action in the forehead and temporal lobes with fixation of physical pressure in the epigastrium while the volume of food is limited to 1300-1500 ml per day and high-calorie foods are excluded for 2-3 months. (Patent for the invention No. 2153362, IPC A61M21 / 00).

A disadvantage of the known methods is the low efficiency associated with the low physiological validity of the used diet, the presence of physical stress caused by hunger.

The purpose of the invention is to provide the ability to reduce weight over a long period using gentle methods of exposure.

The goal is achieved by using a method of reducing weight and healing the body through psychotherapeutic effects in the wakeful state by the method of rational psychotherapy and diet therapy with the inclusion of a self-regulation mechanism, moreover, self-regulation of the human body is carried out through phased actions aimed at reducing the functional stress of the pancreas during digestion; at the preparatory stage, which is 1-2 weeks, they perform respiratory gymnastics before each meal for 60 seconds: inhale is normal, exhale is more extended, directing the exhalation to the solar plexus, after eating for 2 min self-massage of biologically active points on the hands: HOU-SI point (IG3) on the meridian of the small intestine, point HA-GU (GI4) on the meridian of the colon, monitor the appetite and the functioning of the digestive system using methods of self-knowledge and introspection, identify the need nosto-motivational sphere of the patient on the principle of dominance; thoroughly chew food, excluding the simultaneous presence of food and water in the oral cavity, and eat food 3-4 times a day with a good appetite; use the following drinking regime: drink water between meals in an amount of at least 700-1000 ml per day, drink a morning glass of water in one gulp on an empty stomach 20-30 minutes before breakfast, drink 300-500 ml of water between breakfast and lunch, between afternoon tea and dinner - 200-300 ml, drink water in small portions - no more than 1/4 cup or a sip, after lunch and dinner do not drink water and drinks for 2-3 hours, after breakfast and afternoon tea, drink solid food with drinks; the amount of protein in the daily diet is determined from the calculation of 0.8-1.0 g of protein per kilogram of normal weight; before going to bed for 3-5 minutes spend a contrast shower of the lower extremities; at the main stage of 4-5 weeks, they continue breathing exercises, acupressure and contrast showers, continue self-knowledge and introspection while observing the digestive system, observe the specified drinking regimen; exclude prohibited foods from the diet - refined sugar and drinks with sugar, fried and smoked foods, saturated solid fats and products containing them, mayonnaise, ketchup, white bread, pasta, refined vegetable oil, milk, and also exclude cottage cheese for 2 months; obligatory products are introduced - 30-45 grams of unrefined vegetable fats per day, 30 g of creamy fats - butter, cream, sour cream, green leafy vegetables and heat-treated vegetables, except for potatoes, starchy foods - bran bread, cereals, baked potatoes, seasonally adjusted nutrition and blood groups, cookies - 2-3 pcs. or chocolate 25 g, if desired, during the afternoon snack no later than 18 hours; food is prepared at a temperature not exceeding 100 ° C in boiled, stewed, baked form; protein foods - meat, chicken, fish, egg, cheese are consumed in the presence of green leafy vegetables; at the final stage, which is 2-3 weeks, the diet is adjusted taking into account a balanced rational diet: the amount of proteins, fats and carbohydrates according to the balance of the daily diet is determined by a ratio of 1: 1: 4 for patients of blood groups 1 and 3 and a ratio of 1: 1: 5 for patients of blood groups 2 and 4, taking into account the seasonality of nutrition: cereals are consumed in winter and spring, baked potatoes in autumn and winter.

Phased actions to reduce the functional stress of the pancreas during digestion are designed for 8 weeks: the preparatory stage - 1-2 weeks, the main stage - 4-5 weeks, the final stage - 2-3 weeks. The next 4 weeks - consolidation of the result. The entire monitoring program is 12 weeks.

To monitor the effectiveness of the method of weight loss and healing the body, the GSRS gastroenterological questionnaire (Gastrointestinal Simptom Rating Scale, author I.Wiklund, 1998) is used, which assesses the quality of life of patients at the preparatory stage, at the final stage and 12 weeks from the start of the program.

The Russian-language version of the GSRS questionnaire was created by researchers at the International Center for the Study of Quality of Life (ICIC, St. Petersburg) in 1998. The text of the questionnaire is presented in Appendix No. 1.

The method is as follows: by psychotherapeutic effects in the waking state by the method of rational psychotherapy and diet therapy with the inclusion of a self-regulation mechanism, characterized in that the self-regulation of the human body is carried out through phased actions aimed at reducing the functional stress of the pancreas during digestion; at the preparatory stage, which is 1-2 weeks, they perform respiratory gymnastics before each meal for 60 seconds: a regular inhalation, an exhalation is longer, directing the exhalation to the solar plexus, after eating for 2 min, self-massage of biologically active points on hands: HOU-SI point (IG3) on the meridian of the small intestine, CE-GU point (GI4) on the meridian of the colon, monitor the appetite and the functioning of the digestive system using methods of self-knowledge and introspection, identify needs rest-motivational sphere of the patient on the principle of dominance; thoroughly chew food, excluding the simultaneous presence of food and water in the oral cavity, and eat food 3-4 times a day with a good appetite; use the following drinking regime: drink water between meals in an amount of at least 700-1000 ml per day, drink a morning glass of water in one gulp on an empty stomach 20-30 minutes before breakfast, drink 300-500 ml of water between breakfast and lunch, between afternoon tea and dinner - 200-300 ml, drink water in small portions - no more than 1/4 cup or a sip, after lunch and dinner do not drink water and drinks for 2-3 hours, after breakfast and afternoon tea, drink solid food with drinks; the amount of protein in the daily diet is determined from the calculation of 0.8-1.0 g of protein per kilogram of normal weight; before going to bed for 3-5 minutes spend a contrast shower of the lower extremities; at the main stage of 4-5 weeks, they continue breathing exercises, acupressure and contrast showers, continue self-knowledge and introspection while observing the digestive system, observe the specified drinking regimen; exclude prohibited foods from the diet - refined sugar and drinks with sugar, fried and smoked foods, saturated solid fats and products containing them, mayonnaise, ketchup, white bread, pasta, refined vegetable oil, milk, and also exclude cottage cheese for 2 months; obligatory products are introduced - 30-45 g of unrefined vegetable fats per day, 30 g of creamy fats - butter, cream, sour cream, green leafy vegetables and heat-treated vegetables, except for potatoes, starchy foods - bran bread, cereals, baked potatoes, seasonally adjusted nutrition and blood types, cookies 2-3 pcs. or chocolate 25 g, if desired, during the afternoon snack no later than 18 hours; food is prepared at a temperature not exceeding 100 ° C in boiled, stewed, baked form; protein foods - meat, chicken, fish, egg, cheese are consumed in the presence of green leafy vegetables; at the final stage, which is 2-3 weeks, the diet is adjusted taking into account a balanced rational diet: the amount of proteins, fats and carbohydrates according to the balance of the daily diet is determined by a ratio of 1: 1: 4 for patients of blood groups 1 and 3 and a ratio of 1: 1: 5 for patients of blood groups 2 and 4, taking into account the seasonality of nutrition: cereals are consumed in winter and spring, baked potatoes in autumn and winter.

We give examples of the practical implementation of the method in the following patients.

1. Olga, 46 years old, turned to a nutritionist in 2005 with a view to correcting her figure. During a conversation and a survey on the functional state of the digestive system, it turned out that the patient had a history of chronic pancreatitis. At the time of treatment, the state of remission, the blood rate for pancreatic amylase had an indicator at the upper limit of the norm (115 IU / L with a norm of 17-115 IU / L). Assessment of quality of life according to the GSRS questionnaire: abdominal pain over the past month on a scale of No. 1 has a rating of 4 (Table No. 1), reflux syndrome (scale No. 2) - rating 6, diarrheal syndrome (scale No. 3) - 5 points, on a scale No. 4 - dyspeptic syndrome - assessment of 6 points. The scale indicators in the questionnaire range from 1 to 7, higher values correspond to more pronounced gastrointestinal symptoms and a lower quality of life. At the preparatory stage, Olga learned respiratory gymnastics, acupressure, and received recommendations on thoroughly chewing food and organizing a drinking regimen, as well as on conducting a contrast shower before bedtime. At the main stage, prohibited foods were excluded and mandatory ones were included, diet correction was carried out taking into account the balance of the daily diet and the combination of dishes at the time of eating, received recommendations on how to cook food. The patient improved the methods of introspection and self-knowledge when observing the work of the digestive system. At the final stage, the diet was adjusted taking into account the seasonality of nutrition and blood type, and the state of health was assessed in dynamics: there was a surge of strength and a rise in mood. The biochemical indicator of blood for amylase was normal. After 3 months from the beginning of the program, an additional questionnaire was conducted on the GSRS questionnaire, which revealed a significant improvement in well-being and increase in the quality of life of the patient (Table 1): on a scale of 1, decrease from 4 points to 1, on a scale of 2 - from 6 points to 1, on the third and fourth scales - up to 2 points, which corresponds to the questionnaire: gastrointestinal symptoms did not disturb or almost did not disturb. The patient's weight loss was 500 g, while muscle mass increased by 1.5 kg. Body volumes at the waist and hips decreased by 2-4 cm, respectively. Olga was not involved in sports; she did not use the services of cosmetic body correction. For 2010 (result after 5 years): body weight stabilized, body volumes did not increase, exacerbation of chronic pancreatitis was not observed.

2. Igor, 48 years old, turned to a nutritionist 3 years ago with the goal of losing weight and normalizing the biochemical parameters of blood for glucose and total cholesterol. Despite swimming and strict restriction of fatty foods, weight normalization, lowering cholesterol and blood sugar concentrations did not occur. The patient complained of the gastrointestinal tract. According to the GSRS questionnaire, adverse symptoms were identified on a scale of No. 4 (dyspeptic syndrome): rumbling in the abdomen, bloating, belching of air, and on a scale of 5, constipation syndrome (Table 2). At the preparatory stage, the patient received recommendations on the active inclusion of the salivary glands in the food conditioned reflex activity, compliance with the drinking regime and control the intake of protein products in the daily diet. Additionally, Igor mastered respiratory gymnastics, acupressure of hands. At the main stage, prohibited products were excluded from the diet and mandatory products were included, the diet was drawn up taking into account a balanced and adequate diet, as well as taking into account the compatibility of products at the time of eating. Using the methods of self-knowledge and introspection, the patient was monitored by the digestive system and overall well-being. Monitoring for weight loss and body composition indicators controlled a decrease in body fat mass without loss of muscle. At the final stage, the diet was adjusted taking into account the season of the year and blood type. A repeated survey was conducted on the GSRS questionnaire. After 3 months from the moment of treatment, a final assessment of the quality of life was carried out, which had a positive trend: on all three scales, gastrointestinal symptoms were absent, and the quality of life improved (Table No. 2). Blood biochemical parameters were normal. Weight reduction was 8 kg. Igor throughout the specified period regularly visits the pool. For 2010, the patient retains the achieved results.

3. Svetlana, 44 years old, turned to a nutritionist 2 years ago in order to reduce weight, which with a height of 164 cm was 109.8 kg. History: chronic gastritis, cholelithiasis. At the preparatory stage, Svetlana, together with the doctor, determined her need-motivational sphere and realized that the desire to lose weight with her is the dominant need, she learned the techniques of acupressure, breathing exercises, methods of self-knowledge and introspection while observing the appetite and the functioning of the digestive system. Svetlana complied with the recommendations on the drinking regimen, thorough chewing of food, optimal consumption of protein products in the daily diet. Before going to bed, she held a contrast shower for the legs and feet. Assessment of quality of life according to the GSRS questionnaire revealed adverse symptoms on a scale of No. 3 (diarrheal syndrome) by 4 points (Table No. 3) and on a scale of No. 4 (dyspeptic syndrome) by 5 points with a maximum of 7 points. At the main stage, the patient complied with the recommendations on the exclusion of prohibited foods and the inclusion of healthy foods in the diet, learned how to adjust the diet for a balanced ratio of proteins, fats and carbohydrates in the daily diet, and how to cook foods diet. The optimal combination of products at the time of eating was also provided. The state of health was assessed in dynamics: endurance increased, chronic fatigue disappeared, and the skin condition improved. At the final stage, the diet was adjusted taking into account seasonal nutrition and blood type. The final questionnaire on assessing the quality of life was confirmed by positive results: indicators on a scale of No. 3 and No. 4 fell to 2 points, which indicates an improvement in the quality of life. The excess weight loss was 15 kg. Svetlana continues to fulfill the recommendations received and for 2010 the total weight loss is 29 kg. Sports loads were not connected. Exacerbations of chronic diseases of the digestive system are not observed. The patient's intention is to further reduce excess weight.

The method of weight loss and healing the body has been used in nutritional practice for 5 years. Positive results were monitored in 200 people. The author of the method uses these actions to improve his own body for over 10 years. The result achieved by the author using the presented method: reducing the size of clothes from 52 to 46, increasing the functionality of the digestive system, strengthening immunity, normalizing hormonal levels.

The result of the inclusion of the body’s self-regulation process by reducing the functional tension of the pancreas is the restoration of metabolic processes, the activation of fat metabolism, the increase in the functional capabilities of the digestive system and, as a result, the improvement of the work of other organs and body systems, the increase in muscle mass due to the activation of anabolic processes, normalization of biochemical blood parameters, restoration of hormonal levels.

The result of the method of weight loss and healing the body is also to improve the condition of the skin, hair, nails and teeth, improving the quality of life, reveals the patient's natural (intuitive) needs when selecting individual food products.

The difference between the method and other methods is the following: fasting and a low-calorie diet are not used, there is no loss of strength, calories are not used, pharmacological drugs that block hunger, cause a laxative and diuretic effect, and also prevent fat absorption, do not connect sports , starchy foods are not excluded: bread, cereals, baked potatoes, vegetable and creamy fats are not excluded, there is no loss of muscle mass.

Advantages of the method: comfortable weight loss, without physical stress caused by hunger, a surge of strength is felt, muscle mass of the body increases without playing sports, the body's reserves increase, the whole body heals.

We present the results of a survey of 30 patients who underwent a program to reduce weight and improve the body. The quality of life of patients was evaluated at the beginning of the program and after 3 months. Considering the main purpose of going to a dietitian is to normalize weight, the GSRS questionnaire has been adjusted in terms of increasing the time during which one or another adverse symptom was observed: not the past week, but the past month. "Constipation Syndrome" was considered in the case of not only the lack of a daily stool, but also in the absence of the morning.

To compare the results, 3 groups of patients of 10 people were formed, who with different results completed a weight loss program. The first group included patients who reduced body weight to 5 kg (Table No. 1), the second group included patients with weight loss from 5 kg to 10 kg (Table No. 2). The third group of patients reduced body weight by 10 kg or more (Table No. 3). The group of 30 people included 25 women and 5 men aged 20 to 50 years.

All respondents had some or other adverse symptoms from the gastrointestinal tract, which indicated a decrease in QOL. Comparing the average indicators of 3 groups on a scale of total measurement (Tables No. 1, 2, 3), we note the following: lower quality of life at the time of treatment was observed in patients of group 1, average indicators of quality of life in patients of group 3, the highest quality indicator life in patients of group 2.

In each of the three groups, the most pronounced in frequency of manifestation was scale number 4 - "Dyspeptic syndrome". Its presence was noted by 87% of respondents. In second place is "Reflux Syndrome" (Scale No. 2), it was noted by 83% of patients. The third place is occupied by Scale No. 3 “Diarrheal Syndrome” (57%).

At the time of treatment, “Dyspeptic Syndrome” by the average in 3 groups is manifested in a rating of 5.3; 5.1; 5.8 points, respectively, which is the highest among other scales (Tables No. 1, 2, 3). Upon completion of the program, all patients got rid of "Abdominal pain" and "Constipation Syndrome." “Dyspeptic syndrome” for the indicated period disappeared in 62% of patients, but its severity in points decreased significantly: to 2 points with a maximum score of 7 points.

After 12 weeks, on the scale of the total measurement in the first group of patients, the manifestation of gastroenterological symptoms decreased to 4.0 points at an initial level of 16.0 points; in the second group, the severity of symptoms decreased to 3.0 points with an initial level of 10.7 points; in the third group, gastrointestinal symptoms amounted to 3.8 points from the initial level of 13, 7 points. All patients of the three groups achieved significant results in improving indicators of quality of life.

The physiological basis of the method is the statement of Academician I.P. Pavlova (Volume No. 2, Book 2, Moscow, 1951, Leningrad. Lectures on the work of the main digestive glands): “it is possible that pancreatic gland to a large extent plays the role of an additional, reserve gland, which, depending on the burden on the digestive canal , by virtue of its special nature, it is especially capable of either strengthening or weakening its work, while the gastric glands, being the first strong digestive authority, are therefore obliged to constantly work at the maximum size of their strength. "

Modern authors A.D. Ado, V.V. Novitsky (Pathological physiology. Textbook for medical universities) note that in case of disorders of the pancreatic function, the digestion and absorption of fat are particularly sharply affected: up to 60-80% of it is not absorbed and excreted in the feces (steatorrhea), protein digestion is disturbed to a slightly lesser extent, up to 30-40% of which is not absorbed. The authors also cite the work of I.P. Pavlova, who noted the amazing coherence and regularity in the work of the digestive glands: “With poor chewing of food, gastric motility suffers, the reflex Department of gastric and pancreatic juices decreases. "This interdependence is especially pronounced in conditions of pathology, when a violation of the activity of any part of the digestive tract naturally leads to a dysfunction of its other departments."

The reference book edited by I.M. Skurikhin and M.N. Volgarev (Chemical composition of food products. Moscow. VO, Agropromizdat, 1987) indicates the negative effect of excess protein in the human diet: “Because of the greater reactivity, the body transfers excess protein is much worse than many other nutrients, such as fats and carbohydrates. In this case, the liver and kidneys are primarily affected, since the liver is overloaded from an excessively large amount of amino acids entering it, and the kidneys from the excretion of an increased amount of protein metabolism products in the urine. These organs increase in size. A prolonged excess of proteins in the diet causes an overexcitation of the nervous system, while there is a violation of the metabolism of vitamins (for example, A, B-6) and hypovitaminosis may occur. Excessive intake of proteins, especially of animal origin, is usually combined with a high content of nucleic acids and contributes to the accumulation in the body of products of purine metabolism - uric acid. Uric acid salts can be deposited in joints, cartilage, and other tissues. As a result, the likelihood of gout disease, joint disease, urolithiasis with the formation of stones increases. Excess protein in the diet also leads to obesity, since an excess of it after appropriate transformations is partially used for the synthesis of fats. Not only the excess of animal protein in the daily diet, but also the method of preparation of foods affects the absorption of nutrients: “during prolonged or high-temperature heat treatment (for example, when frying), some proteins can react with carbohydrates and other substances present in foods, as a result, melanoidins are formed that are not absorbed by the body. " Fats are no less important nutritional factors. They "are also plastic material, as they are part of cellular components, especially membranes (membranes). Of particular importance are polyunsaturated fatty acids, such as linoleic, linolenic and arachidonic, which are part of cell membranes, including normal growth and metabolism, vascular elasticity, etc. Polyunsaturated fatty acids cannot be synthesized in the human body and therefore are indispensable . On the other hand, these acids, mainly linoleic and arachidonic, serve as precursors of hormone-like substances - prostaglandins, prevent the deposition of cholesterol in the walls of blood vessels. Linoleic acid is found in a lot of sunflower oil (60%). Lecithin and choline (phospholipids) prevent liver obesity. Milk fat containing phospholipids is considered one of the most easily absorbed fats. Beta-sitosterol is most known in plant products, most of all - in vegetable oils. Beta-sitosterol normalizes cholesterol metabolism. Of animal sterols, cholesterol is essential. It is a structural component of all cells and tissues, is involved in the exchange of bile acids, a number of hormones, vitamin D (part of which is formed in the skin under the influence of ultraviolet rays from cholesterol). The bulk of cholesterol (about 70-80%) is formed in the liver. It is unreasonable to completely exclude products containing cholesterol, since its main amount is formed in the body, mainly in the liver, from other components of food. The more cholesterol that comes with food, the less it is synthesized in the liver, and vice versa. In a normal daily diet, on average, 500 mg of cholesterol should be contained, with its contraindications, the content should be reduced to 300 mg. During heat treatment, vegetable oils are easily oxidized. Polymeric products of fat oxidation have a toxic effect. Animal and vegetable fats in food are recommended to be consumed in combination. With a high serum cholesterol, the ratio of vegetable fats to animals should be 1: 1. "

Digestible carbohydrates can be largely replaced by fats and proteins, but they cannot be completely excluded from nutrition. “Otherwise, products of incomplete oxidation of fats, the so-called“ ketone bodies ”, will appear in the blood, dysfunction of the central nervous system and muscles, weakening of mental and physical activity, and a shorter life span”. The role of saliva enzymes in the digestive process, their similarity with pancreatic enzymes and the possibility of dietary cure for some pancreatic dysfunctions is presented in the Dietetic Guide for Physicians (2008), edited by Professor A.Yu. Baranovsky: “During the day, from 0.5-2.0 saliva is secreted. The most important component of saliva is enzymes. Saliva amylase begins its action in the oral cavity, but it is insignificant due to the short-term stay of food here (15-18 seconds). Saliva also contains proteinases, peptidases, lipases, alkaline and acid phosphatases, etc. Pancreatic enzymes are divided into amylolytic (starch hydrolysis), proteolytic (protein hydrolysis), lipolytic (fat hydrolysis) and nucleolytic (nucleic acid hydrolysis). The breakdown of starch begins alpha-amylase. The main amount of this enzyme is secreted by the pancreas in its active form. A similar isoenzyme is synthesized by the salivary glands. Alpha-Amylase breaks down polysaccharides (starch, glycogen) to dextrins, maltooligosaccharides, maltose and a small amount of glucose. These polymers are then converted into glucose by intestinal enzymes - maltase, gamma-amylase, isomaltase. The pancreas secretes the main amount of lipase (a little lipase is also found in saliva and intestinal juice), which breaks down triglycerides to monoglycerides and fatty acids that pass through the erythrocyte membrane. The secretion of pancreatic juice is enhanced 2-3 minutes after eating and lasts 6-14 hours (with a maximum allocation of juice at 90 minutes), depending on its composition. Mixed foods produce a greater secretory response than single foods. Neutral fats and products of their digestion stimulate the most producing pancreatic enzymes and cells. The predominance of carbohydrates in the diet “spares” the pancreas, which must be taken into account during exacerbation of chronic pancreatitis. Low concentrated glucose and sucrose solutions introduced into the duodenum cause short-term and small stimulation of alpha-amylase secretion, and concentrated solutions - a sharp inhibition of exocrine secretion.

The dependence of the enzymatic composition of pancreatic juice on food quality is well known. The granules located in acinar cells contain all the enzymes present in secretion in a constant ratio, so that it is also constant in pancreatic juice. However, an increase in the proportion of any component of the diet, for example, proteins, gradually increases the synthesis of the corresponding hydrolyzing enzymes. This adaptation to the diet made it possible to discuss the possibility of dietary cure for some pancreatic dysfunctions. ”

Table number 1 The way to reduce weight and improve the body No. Name, age Indicators Scale №1
(at the beginning - after completion) Indicators Scale №2
(at the beginning - after completion) Indicators of Scale No. 3
(at the beginning - after completion) Indicators Scale №4
(at the beginning - after completion) Indicators Scale №5
(at the beginning - after completion) Total Measurement Scores
(at the beginning - after completion) one. Ksenia, 36 4-1 5-2 6-1 15-4 2. Dilya, 44 4-1 5-1 7-1 16-3 3. Anna, 27 3-1 6-1 4-1 13-3 four. Larisa, 43 4-1 6-2 5-1 15-4 5. Lyudmila, 49 2-1 5-1 5-1 4-1 16-4 6. Natalia, 36 2-1 4-1 7-2 5-1 18-5 7. Elena, 31 5-1 4-1 4-1 13-3 8. Nina, 23 6-1 3-1 3-1 4-1 16-4 9. Olga, 46 4-1 6-1 5-2 6-2 21-6 10 Maria, 28 3-1 2-1 7-1 5-1 17-4 Average performance 2.8-1.0 4.2-1.0 4.8-1.5 5.3-1.3 4.9-1.0 16.0-4.0

Table number 2 The way to reduce weight and improve the body No. Name, age Indicators Scale №1
(at the beginning - after completion) Indicators Scale №2
(at the beginning - after completion) Indicators of Scale No. 3
(at the beginning - after completion) Indicators Scale №4
(at the beginning - after completion) Indicators Scale №5
(at the beginning - after completion) Total Measurement Scores
(at the beginning - after completion) one. Svetlana, 44 4-1 7-1 11-2 2. Olga, 41 3-1 4-1 3-1 10-3 3. Alena, 29 3-1 5-2 4-1 12-4 four. Katya, 21 3-1 4-1 3-1 10-3 5. Anna, 50 3-1 7-1 10-2 6. Vladimir, 28 4-1 3-1 7-2 7. Maria, 48 2-1 5-2 7-3 8. Igor, 48 2-1 7-1 6-1 15-3 9. Andrey, 42 2-1 7-1 2-1 11-3 10 Alexander, 44 3-1 4-2 7-2 14-5 Average performance 3.0-1.0 3.8-1.4 5.1-1.3 4,5-1,0 10.7-3.0

Table number 3 The way to reduce weight and improve the body No. Name, age Indicators Scale №1
(at the beginning - after completion) Indicators Scale №2
(at the beginning - after completion) Indicators of Scale No. 3
(at the beginning - after completion) Indicators Scale №4
(at the beginning - after completion) Indicators Scale №5
(at the beginning - after completion) Total Measurement Scores
(at the beginning - after completion) one. Maria 36 5-1 2-1 7-2 2. Irina, 33 7-2 7-2 14-4 3. Sergey, 45 3-2 5-2 8-4 four. Olga, 38 7-1 7-1 14-2 5. Maya, 20 7-1 5-2 4-1 16-4 6. Katya, 24 3-1 4-1 7-2 14-4 7. Olga, 34 7-2 4-1 11-3 8. Anna, 48 3-1 5-1 4-1 7-1 19-4 9. Svetlana, 44 4-2 5-2 9-4 10 Alla, 28 3-1 5-1 5-2 6-2 6-1 25-7 Average performance 3.0-1.0 5.0-1.3 5.1-1.6 5.8-1.6 4.7-1.0 13.7-3.8

Claims (1)

The way to reduce weight and improve the body through psychotherapeutic effects in the waking state by the method of rational psychotherapy and diet therapy with the inclusion of a self-regulation mechanism, characterized in that the self-regulation of the human body is carried out through phased actions aimed at reducing the functional stress of the pancreas during digestion; at the preparatory stage, which is 1-2 weeks, they perform respiratory gymnastics before each meal for 60 s: inhale - normal, exhale - more extended, directing the exhalation to the solar plexus, after eating, self-massage of biologically active points on the hands: point HOU-SI (IG3) on the meridian of the small intestine, point HA-GU (GI4) on the meridian of the colon; monitor the sense of appetite and the functioning of the digestive system using methods of self-knowledge and introspection, identify the patient’s need-motivational sphere by the principle of dominance, carefully chew food, excluding the simultaneous presence of food and water in the oral cavity, and eat food 3-4 times a day in the presence of a feeling of good appetite; use the following drinking regime: drink water between meals in an amount of at least 700-1000 ml per day, drink a morning glass of water in one gulp on an empty stomach 20-30 minutes before breakfast, drink 300-500 ml of water between breakfast and lunch, between afternoon tea and dinner - 200-300 ml, drink water in small portions - no more than ¼ cup or pharynx; after lunch and dinner do not drink water and drinks for 2-3 hours, after breakfast and afternoon tea they drink solid food with drinks; the amount of protein in the daily diet is determined from the calculation of 0.8-1.0 g per kilogram of normal weight; before going to bed for 3-5 minutes spend a contrast shower of the lower extremities; at the main stage of 4-5 weeks, they continue breathing exercises, acupressure and contrast showers, continue self-knowledge and introspection while observing the digestive system, observe the specified drinking regimen; exclude prohibited foods from the diet - refined sugar and drinks with sugar, fried and smoked foods, saturated solid fats and products containing them, mayonnaise, ketchup, white bread, pasta, refined vegetable oil, milk, and also exclude cottage cheese for 2 months; obligatory products are introduced - 30-45 g of unrefined vegetable fats per day, 30 g of creamy fats - butter, cream, sour cream, green leafy vegetables, heat-treated vegetables, except for potatoes, starchy foods - bran bread, cereals, baked potatoes seasonally adjusted nutrition and blood types, cookies 2-3 pcs. or chocolate - 25 g, if desired, no later than 18 hours during a snack, food is cooked at a temperature not exceeding 100 ° C in boiled, stewed, baked form, protein products - meat, fish, egg, cheese are consumed in the presence of green leafy vegetables; at the final stage, which is 2-3 weeks, the diet is adjusted taking into account a balanced diet: the amount of proteins, fats and carbohydrates according to the balance of the daily diet is determined by a ratio of 1: 1: 4 for patients of blood groups 1 and 3 and a ratio of 1: 1: 5 for patients of blood groups 2 and 4, taking into account the seasonality of nutrition: cereals are consumed in winter and spring, baked potatoes in autumn and winter.