Therapeutic fasting for obesity
Features of the preparation and conduct of therapeutic fasting in patients with obesity. / a source - Guidelines for the use of RDT in honey. practice. / prof., d.m.s. E.I. Tkachenko, prof., D.m.s. A.N. Kokosov and others. /
Our experience and the experience of other authors show that many patients perceive fasting as an effective method of weight loss. Indeed, this is confirmed by various scientific publications. However, it should be noted that the implementation of therapeutic fasting with excess body weight has its own methodological features.
A patient with alimentary obesity before RDT should preferably be reduced to a reduced diet for 1-1,5 month, which will allow changing food stereotypes typical for such patients (1-2 meals a day, often overnight, without limiting themselves), and develop new skills food behavior:
food 6 once a day;
at the certain time;
in small portions.
This approach makes it possible to lay down the basic principles of rational nutrition at the beginning of treatment with RDT.
In order to consolidate skills in translating into therapeutic fasting, it is desirable to observe 5-6-one-time regimen of fluid intake during food deprivation. After the fasting is completed, you should follow the same regimen when eating.
The treating physician needs to adjust not only the food, but also the motor condition of the patient. The goal of complex treatment should be a change in the habitual way of life that has become the cause of alimentary obesity. Otherwise, fasting will bring only a short-term result, and the patient will restore the original weight or exceed it.
For obese patients, RDT can be performed as an independent treatment, and also serve as a preparatory stage and contribute to a favorable outcome in various surgical interventions, both for various concomitant diseases and for obesity itself (for example, liposuction, etc.).
See also: starvation and AIDS