., Talamini, R., Franceschi, S., Negri, E., La Vecchia, C.: Influence of the Mediterranean diet on the risk of cancers of the upper aerodigestive tract. Cancer Epidemiol. Biomarkers Prev., 2003, 12 , 1091
de Vries, E. J., Jacobs, G., Sabelis, M. W., Menken, S. B. J. and Breeuwer, J. A. J. (2004): Diet-dependent effects of gut bacteria on their insect host: the symbiosis of Erwinia sp. and western flower thrips. Proc. R. Soc. Lond. B, 271, 2171
Do our elderly diabetic patients keep the diet?
Primary care evaluation from Hungary
The medical nutritional therapy has high importance in the management of diabetes mellitus. The aim of this study was to collect information on how the diabetic elderly follow medical advices regarding nutrition. A population of 291 persons were selected consecutively from primary care patients in Hungary. Ninety-five type 2 diabetes patients were compared to 196 non-diabetics, focusing on nutritional habits, life style elements and anthropological parameters. The diabetics were mainly overweight or obese and educated at lower levels. People with higher BMI (Body Mass Index) have eaten less frequently than people in the normal BMI range. The daily food frequency of diabetics was higher only on weekends and holidays. There were only minimal differences concerning food choices as well. The differences in the diet proved smaller than expected and recommended. The time spent with physical activity was low in general, especially among diabetics. The self-judgement showed that only 49% of diabetics kept their eating habit as healthy, vs. 63% of non-diabetics. The food choices were also modified by the economic situations of patients. It was observed that the majority of elderly diabetics did not pay enough attention to correct diabetic diet, therefore, they should be controlled more effectively by primary care staff.
A Wernicke-encephalopathia akutan kialakuló, életet veszélyeztető neurológiai kórkép, amely a tiaminhiány következtében alakul ki. A betegséget nagyon gyakran nem diagnosztizálják időben, így megfelelő terápia hiányában a krónikus forma, a Korsakoff-szindróma kialakulásához vagy egyes esetekben halálhoz is vezethet. A tiaminhiány fejlett országokban leggyakrabban krónikus alkoholfogyasztás következtében alakul ki, de az utóbbi időben az alkoholfogyasztással nem összefüggő esetek száma is gyarapodott. A szerzők egy 23 éves nőbeteg esetét mutatják be, akinél drasztikus diéta és fogyasztótabletta használata következtében alakult ki szemmozgászavar, zavartság és ataxia, amelyek hátterében Wernicke-encephalopathia igazolódott. A diagnózist támogatta, hogy a tünetek parenteralis tiaminpótlás hatására napokon belül megszűntek. A szerzők az esetet etiológiai ritkasága és diagnosztikai nehézsége miatt közlik, illetve rámutatnak a legfrissebb ajánlásokra a kórkép diagnosztikáját és terápiáját illetően. Orv. Hetil., 2014, 155(12), 469–474.
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