Diet in patients with coronary heart disease (CHD )
Gastroenterology / / August 12, 2017
Nowadays in civilized countries of the world all the more prevalent coronary heart disease (CHD), which develops against the background of atherosclerotic lesions of the coronary arteries.This is due to an increase in the content of refined foods, such as carbohydrate, in the population diet, physical inactivity, and smoking and alcohol use.
The principle of the diet protivoateroskleroticheskim determined, on the one hand, the body's physiological need for nutrients and energy, and with another - the degree of functional disorders and the level of violations of metabolic processes, characteristic of coronary artery disease.
prerequisite of successful prevention and treatment of coronary heart disease is the normalization mainly lipid metabolism.Limit animal fats, refined carbohydrates, reduced calorie diet have pronounced hypolipidemic effect and positive impact on the blood coagulation system.The same problem is the enrichment of the diet with vegetable fats, fiber, enhancing cholesterol excretion fr
Diet therapy has a significant impact on the circulation and myocardial function.This effect is due to the restriction of dietary salt and the inclusion of foods rich in potassium salts (prunes, dried apricots, dried apricots, and so on. D.).
To ensure the effectiveness of diet therapy of patients with ischemic heart disease requires a balanced energy diet.Patients with a normal body weight, or some of its deficit prescribed diet, caloric which is 2800 kcal.
ration distribution during the day should be uniform, the food should be taken 5-6 times a day.All dishes are prepared without salt, meat and fish used in boiled and baked form.
patients recommend the following products and dishes: bread baking yesterday rye and wheat meal, crackers, bread;vegetarian soups, fruit, milk;lean meats and fish cooked and baked form, lean ham, "Doctor's" sausage, boiled eggs (2-3 eggs per week), protein omelettes, milk and dairy products, vegetables and fruits in large quantities, vegetable oils (up to 30g per day), butter (20 g daily), crisp cereals, puddings, casseroles.
Limit bread, pasta and sweets.
Sample menu for the day.250 g of bread (150 g of a black or gray and white 100 g);sugar '20
1st breakfast (8 hours and 30 minutes).Omelet 2 proteins or oatmeal, vegetable salad with sunflower oil, tea or coffee with milk 1 cup.
2nd breakfast (11 hours).Cheese 100 g, an apple or a decoction of rose hips 1 cup.
Lunch (14 hours).Vegetarian soup of assorted vegetables 1 plate, boiled meat 60 grams, collecting 150 g vegetable garnish, stewed apples 1 cup.
Afternoon (17 hours).1 cup broth hips, fresh fruit, the 100-200
Dinner (19 hours).Fish, boiled 85 g, mashed potatoes 150g (with sunflower oil), rice with fruit 180 grams, tea with milk 1 cup.
at night (21 hours).Sour 1 cup or 50 grams of prunes.
When overweight need to even greater caloric restriction due to sugar and bread.
In consultation with the doctor used a variety of contrasting (unloading) days.
meat or fish.250-300 g of boiled meat or fish to 5 times per day, each serving of 50 g of any vegetable garnish.During the day, allowed 3 cups of broth hips or fruit juice.
Curd.400-500 g cheese in its natural form or as a casserole or cheesecakes divided into 5 equal portions, with 2-3 cups of milk or yogurt.
Apple.1 kg of apples (200 g 5 times a day) with 100 g of boiled meat or cheese in the daytime or in the evening.
In the period of acute coronary insufficiency with reduced mobility regime should also limit the caloric intake.
When combined coronary artery disease with hypertension and cardiovascular insufficiency recommended stricter giponatrievaya diet containing 2-3 grams of salt (natural content in products), with the restriction of fluid and including foods rich in magnesium salts (wheat bran, whole grains, nuts, almond), in the first case, the potassium salts - in the second.
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protivoateroskleroticheskim diet with the inclusion of seafood (seaweed, mussels, squid) is primarily indicated in patients with CHD and elevated blood coagulating properties.
In all cases forbidden: fatty meats, fish, strong broth, beef, mutton and pork fat, internal organs of animals, eggs, bacon, pastries, cream, savory snacks, cocoa, chocolate, alcoholic beverages.