The approaches to early diagnostic and correction of nutritive disorders under arterial hypertension combined with chronic obstructive lungs disease

The complex evaluation of food status of patients with arterial hypertension and chronic obstructive disease of lungs was implemented. The patients with combination of arterial hypertension and chronic obstructive disease of lungs are characterized by expressed anomalies of body composition (visceral obesity, surplus of total and extracellular fluid, protein-energy deficiency), dyslipidemia (increasing of level of cholesterol of low density lipoproteins, index of atherogenicity and hypertriglycer-inemia), disorders of protein metabolism (decreasing of total protein and pre-albumin) and adipocytokine status (increasing of concentration of leptin and resistin of blood against the background of decreasing of content of adiponeсtin). The mentioned alterations can promote increasing of cardiovascular risk in patients of this phenotype. The patients received protein formula for enteric nutrition during 21 day in combination with standard therapy. Whereupon, the indices of food status were re-evaluated. In dynamics, amelioration of indices of protein and fat metabolism was established. Hence, it appropriates to prescribe to patients with combination of arterial hypertension and chronic obstructive disease of lungs nutritive support with higher protein products for enteric nutrition.

arterial hypertension, chronic obstructive disease of lungs, nutrition status, adipokine, diagnostic and correction of nutritive disorders