Dietary management of digestive and gastrointestinal disorders after long-term self-isolation and lockdown as well as patients with SARS-CoV-2 during the rehabilitation period

Introduction. The article examines disorders of the digestive function, diet regimes, appetite in conditions of prolonged self-isola-tion and quarantine during a coronavirus pandemic. The article analyzes the clinical efficacy and safety of the use of specialized dietary therapeutic and dietary preventive food products in conditions of self-isolation and quarantine. Methods. A survey was conducted of 620 individuals of various ages who were in self-isolation and quarantine from 1 to 1.5 months. All participants were questioned, examined by a gastroenterologist and therapist, biochemical and clinical blood tests, endoscopic examination of the stomach and duodenum, ultrasound of the abdominal organs. Results. A survey of 620 individuals showed that self-isolation / quarantine can lead to changes in diets, dietary patterns, changes in eating habits, the development of a number of symptoms from the gastrointestinal tract and other organs, changes in body weight, and chronicity. a number of previously existing diseases. The use of dietary food leads to an improvement in the antitoxic function of the liver, anti-inflammatory effects, and an improvement in the symptoms of gastrointestinal diseases. Discussion. Clinical and laboratory data make it possible to state the need for the use of specialized dietary products of domestic production in the diet prophylactically in people from risk groups, as well as in patients with various diseases of the gastrointestinal tract both during illness and for the purpose of rehabilitation. Conclusion. Data on the efficacy and safety of dietary food products give reason to recommend them for inclusion in the diets of patients infected with SARS-CoV-2, both during illness, in order to prevent complications and improve the effectiveness of treatment and subsequent rehabilitation of patients, as well as for the rehabilitation of individuals, who were in self-isolation and quarantine for a long time. © 2020, Remedium Group Ltd. All rights reserved

Dietary management of digestive and gastrointestinal disorders after long-term self-isolation and lockdown as well as patients with SARS-CoV-2 during the rehabilitation period

Introduction. The article examines disorders of the digestive function, diet regimes, appetite in conditions of prolonged self-isola-tion and quarantine during a coronavirus pandemic. The article analyzes the clinical efficacy and safety of the use of specialized dietary therapeutic and dietary preventive food products in conditions of self-isolation and quarantine. Methods. A survey was conducted of 620 individuals of various ages who were in self-isolation and quarantine from 1 to 1.5 months. All participants were questioned, examined by a gastroenterologist and therapist, biochemical and clinical blood tests, endoscopic examination of the stomach and duodenum, ultrasound of the abdominal organs. Results. A survey of 620 individuals showed that self-isolation / quarantine can lead to changes in diets, dietary patterns, changes in eating habits, the development of a number of symptoms from the gastrointestinal tract and other organs, changes in body weight, and chronicity. a number of previously existing diseases. The use of dietary food leads to an improvement in the antitoxic function of the liver, anti-inflammatory effects, and an improvement in the symptoms of gastrointestinal diseases. Discussion. Clinical and laboratory data make it possible to state the need for the use of specialized dietary products of domestic production in the diet prophylactically in people from risk groups, as well as in patients with various diseases of the gastrointestinal tract both during illness and for the purpose of rehabilitation. Conclusion. Data on the efficacy and safety of dietary food products give reason to recommend them for inclusion in the diets of patients infected with SARS-CoV-2, both during illness, in order to prevent complications and improve the effectiveness of treatment and subsequent rehabilitation of patients, as well as for the rehabilitation of individuals, who were in self-isolation and quarantine for a long time. © 2020, Remedium Group Ltd. All rights reserved

Clinical efficacy of vitamin-mineral complexes in the treatment of diseases of the gastrointestinal tract

Introduction. Chronic diseases of the digestive system lead to impaired absorption, assimilation and metabolism of macro-and micronutrients, primarily vitamins, inhibition of microflora, producing a number of vitamins, which requires correction of nutritional status. Purpose of the study. To study the clinical efficacy of the “Gastrobin Forte” vitamin-mineral complex in patients with gastritis and gastroduodenitis. Materials and methods. An open observational clinical study was conducted on patients with chronic gastritis and gastroduodenitis (the main group – 60 patients) and a comparison group (30 patients). An objective examination of patients were evaluated before the study, on the 14th, 30th, 60th and 120th days of observation. The results of the study. The 120-day administration of the vitamin-mineral complex «Gastrobin Forte» was well tolerated by patients, did not cause unwanted adverse reactions, including allergic ones. Two weeks later, there was a tendency to a decrease in the frequency of pain, discomfort in the epigastrium, and after 4 months all patients of the main group achieved persistent remission and the disappearance of the pain syndrome. At the same time, in the comparison group, complaints of discomfort in the epigastrium and unstable stool persisted in 10% of patients, and expressed pain syndrome persisted in 5% of patients. Conclusions. Gastrobin Forte is recommended as an additional source of vitamins and minerals for aftercare from hospital, as well as for prolonging remissions and preventing exacerbations. © 2020, Remedium Group Ltd. All rights reserved

ИССЛЕДОВАНИЕ ЭФФЕКТИВНОСТИ ДЕТОКСИЦИРУЮЩЕГО ВЛИЯНИЯ КОМПЛЕКСНОЙ ПРОГРАММЫ ПИТАНИЯ DETOX НА ФУНКЦИОНАЛЬНЫЕ ПОКАЗАТЕЛИ ОРГАНИЗМА

Adverse environmental factors, prolonged pharmacotherapy of chronic diseases, irradiation therapy, food contaminants, poor nutrition, smoking, alcohol intake and other factors are the cause of metabolic disorders. This leads to cumulation in the body of xeno- and endobiotics and their metabolites, leading to a chronicity of pathological processes, an aggravation of the course of diseases, and a deterioration in the quality of life of patients. To eliminate the resulting toxins, detoxification diet therapy is the most physiological and effective. Purpose: to study the clinical effectiveness of the use of the Comprehensive nutrition program «DETOX», manufactured by LEOVIT Nutrio Ltd with the goal of detoxifying the organism. Material and methods. A 15-day study involved 20 volunteers. To evaluate the effectiveness of the use of a comprehensive detoxification nutrition program, we used the developed «quality of life» questionnaire, organoleptic properties were assessed using 5 parameters (appearance, smell, color, taste, texture). We measured the dynamics of parameters of a clinical blood test (hemoglobin, leukocyte, erythrocyte levels, leukocyte counts), biochemical indicators of impaired liver function (AST, ALT, GGT, total bilirubin, direct bilirubin, urea, creatinine), the spectrum of blood lipids (concentration of total lipids and cholesterol) and fasting blood glucose. The concentration of lipid peroxidation products (LPO) was analyzed by spectrophotometric method. Results. It was found that the DETOX comprehensive nutrition program significantly reduces the level of LPO, normalizes creatinine, urea, and liver enzymes (AST, ALT, GGT) in the blood, lowers ESR, glucose and cholesterol, improves skin barrier functions, has favorable organoleptic qualities and does not cause unwanted adverse reactions, including allergic ones. Conclusion. Studies of the clinical efficacy of the use of the DETOX comprehensive nutritional program showed that the products included in the program have pronounced detoxifying agents, improving the functions of the main organs and systems involved in the metabolism of xenobiotics and endotoxins, which is confirmed by pronounced hepatoprotective, antioxidant, hypocholesterolemic effects.Неблагоприятные экологические факторы внешней среды, длительная фармакотерапия хронических заболеваний, лучевая терапия, контаминанты пищевых продуктов, нерациональное _ питание, курение, прием алкоголя и ряд других факторов служат причиной метаболических нарушений. Это приводит к кумуляции в организме ксено- и эндобиотиков и их метаболитов, что приводит к хронизации патологических процессов, утяжелению течения заболеваний, ухудшению качества жизни больных. Для выведения образующихся токсинов наиболее физиологичной и эффективной является детоксикационная терапия. Цель исследования - изучить клиническую эффективность применения комплексной программы питания DETOX («ДЕТОКС») производства ООО «ЛЕОВИТ нутрио» с целью детоксикации организма. Материал и методы. В 15-дневном исследовании принимали участие 20 добровольцев. Для оценки эффективности применения комплексной детоксикационной программы питания использовали разработанную анкету «качества жизни», органолептические свойства оценивались по 5 параметрам (внешний вид, запах, цвет, вкус, консистенция). Проводилось измерение динамики показателей клинического анализа крови (уровней гемоглобина, лейкоцитов, эритроцитов, показателей лейкоцитарной формулы), биохимических показателей нарушений функции печени (АСТ, АЛТ, ГГТ, общий билирубин, прямой билирубин, мочевина, креатинин), спектра липидов крови (по содержанию общего холестерина) и уровня глюкозы крови натощак. Содержание продуктов перекисного окисления липидов (ПОЛ) анализировалось спектрофотометрическим методом. Результаты. Установлено, что комплекс сбалансированного питания DETOX («ДЕТОКС») достоверно снижает содержание продуктов ПОЛ, нормализует уровни креатинина, мочевины, печеночных ферментов (АСТ, АЛТ, ГГТ) в крови, снижает показатель скорости оседания эритроцитов (СОЭ), концентрацию глюкозы и холестерина, улучшает барьерные функции кожи, обладает благоприятными органолептическими качествами и не вызывает нежелательных побочных реакций, в том числе и аллергического характера. Заключение. Проведенные исследования клинической эффективности применения комплексной программы питания DETOX («ДЕТОКС») показали, что продукты, входящие в состав программы, обладают выраженными детоксицирующими средствами, улучшая функции основных органов и систем, участвующих в метаболизме ксенобиотиков и эндотоксинов, что подтверждено выраженными гепатопротекторными, антиоксидантными, гипохолестеринемическими эффектами

Dietary therapeutic and preventive food products in complex therapy of gastroinal tract diseases associated with helicobacter pylori

Introduction. The paper presents modern literature and clinical research data on the efficacy and safety of dietary therapeutic and prophylactic foods in the complex therapy of diseases associated with Helicobacter pylori. Aim. To assess the efficacy and safety of the use of dietary therapeutic and prophylactic food products in the complex therapy of diseases of the gastrointestinal tract associated with Helicobacter pylori. Materials and methods. To evaluate the efficacy of dietary therapeutic and prophylactic food products such as Vegetable Puree Soup with Herbs and Oatmeal, Oatmeal Porridge with Herbs and Flax Seed, Protein-Sea Buckthorn Cocktail (LEOVIT Nutrio LLC), the main group of patients with gastrointestinal diseases (n = 41) was formed, which was further divided into four subgroups. Each of three subgroups received one specialty food product, and the fourth subgroup received all three products. Changes in complete blood count were evaluated using Sysmex XT-2000i analyzer, those in proteinograms – using SAS1, SAS2 protein fraction analyser and those in metabolic liver disorders, lipid profile and glucose level – using Konelab PRIME 30i (Thermo Fisher Scientific) analyzer. All parameters were studied three times: Before use, 14 and 60 days after use of the products. Results and discussion. After 14 days, complaints of lack of appetite decreased in the main group, discomfort in the epigastrium, feeling of heaviness and nausea decreased. After 60 days, 100% of patients reported no heartburn, belching, nausea, pain, rumbling in the abdomen, appetite and stool returned to normal. There was a marked significant (p <0.05) decrease in the level of alpha-1 globulin against the background of an increase in albumin, a decrease in the concentration of CRP and ESR, the levels of leukocytes and neutrophils in all subgroups of the main group after 60 days. Conclusions. The investigated products are safe, no adverse reactions were noted, including the phenomena of intolerance and allergies, and are recommended for use in diseases of the gastrointestinal tract associated with Helicobacter pylori. © 2021, Remedium Group Ltd. All rights reserved

Эффективность специализированной диетотерапии у пациентов с заболеваниями желудочно-кишечного тракта

Objective: to study the effectiveness of specialized diet therapy in patients with diseases of the gastrointestinal tract using 3 therapeutic and prophylactic food products (LLC «LEOVIT nutria»). Material and methods. The main group included 41 patients, who were divided into 3 subgroups depending on the type of therapeutic and prophylactic food products. The control group included 30 patients. The dynamics of the indicators of the clinical blood analysis and dynamics of indicators of metabolic disorders of liver function, including biosynthetic and secretory, were assessed (AST, ALT, GGT, total bilirubin). A study was also made of the dynamics of the spectrum of blood lipids by the content of total cholesterol, as well as the level of glucose in the blood on an empty stomach. All laboratory tests were carried out before the use of the products, on days 14 and 60 after the start of the use of therapeutic and prophylactic food products. Results. The studies noted good tolerance of products, the absence of allergic reactions or any side effects, even with prolonged use of specialized products (180 days). In the main group, plasma concentrations of AST, ALT and GGT, as well as total bilirubin decreased, while in the comparison group the differences were minimal. After 180 days in the main group ESR and CRP significantly decreased. The most significant decrease of these indicators (-54% and -207% respectively) was in the subgroup receiving «Vegetable Soup with Herbs and Oatmeal» (LEOVIT GASTRO). In the subgroup receiving «Oatmeal porridge with herbs and flax seed» (LEOVIT GASTRO) by 16 and 13%, and in the subgroup receiving «Protein-sea-buckthorn cocktail» by 34 and 266% of the initial level, respectively. Moreover, in the comparison group, changes in these indicators were statistically unreliable. In all subgroups of the main group, after 180 days, a statistically significant decrease in the concentration of glucose by 6-17% and cholesterol by 9-18% from the initial level occurred. Conclusions. The studied products have pronounced anti-inflammatory activity, have hypoglycemic and hypocholesterolemic effects, do not cause side effects, can be recommended for the general population for the prevention and treatment of gastrointestinal diseases.Цель исследования - изучить эффективность специализированной диетотерапии у пациентов с заболеваниями желудочно-кишечного тракта (ЖКТ) с применением трех лечебно-профилактических продуктов питания (ООО «ЛЕОВИТ нутрио»). Материалы и методы. Основную группу исследования составил 41 пациент, которые, в зависимости от вида получаемого лечебно-профилактического продукта питания, были дополнительно разделены на 3 подгруппы. Контрольную группу составили 30 пациентов. 141 Была проведена оценка динамики показателей клинического анализа крови и показателей метаболических нарушений функции печени, включая биосинтетические и секреторные (активность АСТ, АЛТ, ГГТ, общий билирубин). Также в исследовании изучалась динамика спектра липидов крови по содержанию общего холестерина и уровня глюкозы в крови натощак. Все лабораторные исследования проводились до начала применения продуктов, на 14-й и 180-й дни после начала применения лечебно-профилактических продуктов питания. Результаты. Отмечена хорошая переносимость, отсутствие аллергических реакций или каких-либо побочных эффектов даже при длительном применении специализированных продуктов (180 дней). В основной группе наблюдалось снижение концентрации в плазме крови АСТ, АЛТ и ГГТ, а также общего билирубина, при этом в группе сравнения различия были минимальны. Через 180 дней в основной группе отмечалось достоверное снижение СОЭ и концентрации СРБ относительно исходного уровня; наиболее выраженным это снижение было в подгруппе пациентов, получавших специализированный продукт диетического лечебного и диетического профилактического питания «Суп-пюре овощной с травами и овсянкой» (ЛЕОВИТ GASTRO) - на 54 и 207%, соответственно. В подгруппе, получавшей «Кашу овсяную с травами и семенем льна» (ЛЕОВИТ GASTRO), СОЭ и концентрация СРБ снизились на 16 и 13% от исходного уровня, соответственно, а в подгруппе, получавшей «Коктейль белково-облепиховый» (ЛЕОВИТ GASTRO) - на 34 и 266%. При этом в группе сравнения изменения этих показателей не имели статистической достоверности. Во всех подгруппах основной группы через 180 дней произошло статистически достоверное снижение концентрации глюкозы на 6-17% и холестерина на 9-18% от исходного уровня. Заключение. Исследованные продукты обладают выраженной противовоспалительной активностью, оказывают гипогликемический и гипохолестеринемический эффекты, не вызывают побочных эффектов и могут быть рекомендованы широкому кругу пациентов с целью профилактики и комплексной терапии заболеваний ЖКТ

Experience of application of specialized food product of dietary therapeutic and dietary preventive nutrition in case of inflammatory diseases of gastrointestinal tract

Introduction. In almost all diseases of the gastrointestinal tract, the inflammatory process plays an important pathogenetic role and affects the course of the disease and the determination of treatment tactics. The most physiological way to prevent and treat inflammatory diseases of the gastrointestinal tract, of course, is dietary nutrition. Purpose: To study the anti-inflammatory effect of a specialized product specialized therapeutic and dietary prophylaxis nutrition «Vegetable soup with oatmeal herbs» based on a study of clinical and laboratory parameters and dynamics of inflammatory markers. Materials and methods. An open single-center prospective observational study was conducted in parallel groups. The main group and the comparison group were 14 and 10 patients with gastrointestinal diseases, respectively. Only patients of the main group received a specialized product «Vegetable Soup with herbs and oatmeal». All participants were assessed the dynamics of clinical blood analysis indicators (hemoglobin, white blood cells, red blood cells, leukocyte formula indicators) and the dynamics of proteinogram indicators (total protein and protein fractions-albumins and globulins) and C-reactive protein (CRP). Results. The anti-inflammatory effect after administration of the specialized product occurs in 14 days and is expressed in a reliable reduction of leukocytosis, blood sedimentation rate (BSR), CRP. After 2 months after the start of the product intake, the BSR values decreased significantly by 35%, the CRP by 51% from the baseline and the leukocyte content decreased by 14.5%. Against the background of a dietotherapy in 14 days levels α1-глобулина, α2-глобулина and γ-globulin began to decrease, and in 2 months level α1-globulins decreased by 40% of initial level to the reference values. The level of α2-globulins and γ-globulin also decreased significantly, while the albumin concentration in the blood increased significantly. In the comparison group, changes in these parameters did not reach a reliable degree of significance. Conclusions: the specialized product «Vegetable Soup with herbs and oatmeal» has an anti-inflammatory effect, characterized by a decrease in anti-inflammatory laboratory parameters, which manifests itself after 14 days of administration, can be recommended for inclusion in the diets of patients with gastrointestinal diseases during exacerbation and during remissions as well. © 2020, Remedium Group Ltd. All rights reserved

Nutritional problems of patients infected with covid-19 and potential for nutritional management of disorders

Introduction. One of the most significant issues that require close attention in the treatment and rehabilitation of patients with coronovirus infection is the analysis of the nutritional status of patients and the development of approaches to nutritional support for patients. Aim of study. Analysis of nutritional status of patients infected with COVID-19 and studying the effectiveness of specialized products dietary therapeutic and preventive nutrition during illness and recovery period. Materials and methods. A survey of 283 patients with mild and moderate severity was conducted. The survey showed a significant change in eating behavior in patients during the disease. To assess the effectiveness of nutritional support during the disease and during the recovery period, 36 individuals took a specialized product of dietary therapeutic and preventive nutrition “Detoxifying Kissel” LEOVIT DETOX daily after the diagnosis of COVID-19, both throughout the entire period of the disease, and within 2 weeks after the disease and going to work. Results and discussion. The survey showed the presence of a significant range of eating disorders in patients with coronavirus disease. It was found that in 90% of the respondents during the day, the main meal was 3 or more times. During the disease, the number of main meals decreased in 40% of individuals, and only in 4% of patients this figure increased. When using nutritional support with dietary therapeutic and prophylactic foods during the disease, patients noted a significant decrease in weakness and fatigue, temperature fluctuations, fears, anxiety, suspiciousness and other symptoms began to disappear. The continuation of the intake in the post-ovoid period of the use of nutritional support with the dietary therapeutic and preventive food product “Detoxifying Kissel” LEOVIT DETOX, contributes to a faster recovery of patients. Conclusion. The use of the dietary therapeutic and preventive food product “Detoxifying Kissel” LEOVIT DETOX is an effective method of nutritional support both during the disease and in the post-ovoid period. Long-term use of detoxification products (at least 3–6 months) after the disease is recommended. © 2021, Remedium Group Ltd. All rights reserved