[Changes in immunoreactive gastrin in patients with obesity treated by hunger (author's transl)].
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Biomedical subjects
Publications and source records attributed to I Ponikowska.
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Physical, clinical, biochemical, and functional examinations have been carried out in 70% of patients with diabetes mellitus type 2 treated in health resorts. Patients were treated with diet, drugs, and physiotherapy during a 3-5-week period. It was found, that the whole period of the treatment may be divided into 3 subperiods: period I is characterized by the subjective symptoms produced by the process of adaptation to different environment. This period lasts for 4 days, on average. Periods II and III are characterized by the set of symptoms reflecting a sum of therapeutical physical stimuli. Such symptoms are known in the literature as bath- or spa-reaction. Symptoms of spa-reaction were noted in about 50% of the examined patients. In 21% of them late reaction, i.e. after about 3 weeks, was seen. No worsening of diabetes mellitus was observed during spa-reaction. No correlation between the onset of this reaction and duration of the disease as well as the results of therapy was found. However, spa-reaction was more frequent in the elderly. Period III was followed by the decrease of the symptoms of spa-reaction with marked improvement in glycaemia. Authors' observations lead to some practical conclusions concerning the programs of physiotherapy in dependence on the course of patients' adaptation to the spa. Regulations concerning the routine 24-day treatment period of all patients in health resorts should be revised.
An analysis of the nutrition was carried out in 50 obese subjects with questionnaire technique. It was found that moderately obese patients received an excess of calories in comparison with the standards and requirements but approximately 25% of the obese subjects of this group was adequately fed. One of the important nutritive errors in the examined obese subjects was significant percentage of fat in the daily ration and relatively low content of the complex carbohydrates. Nutrition might be considered high-protein++. Obese subjects frequently eat irregularly, and ate between meals, especially sweets.
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