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Objective methods of examination of patients with obesity.

After all, you already know that it is extremely important that during the period of weight loss in the body, the amount of fat and excess fluid content, and not muscle mass, decrease.
The age, height, weight, waist size and hips of a person are recorded in a computer with a special program. Then electrodes are connected to the arm and leg of the person lying down. The measured electrical resistance, bioimpedance, quantified the various components of the body (fat, lean mass, muscle tissue, fluid), determined the ratio of waist and hip, body mass index. According to these data, the doctor develops an individual program for the correction of body weight.
The big advantage of the analyzer is the indirect detection of a possible lack of nutrients in the body, which impedes the achievement of a successful treatment result. This device has the only drawback - it gives reliable data only when used in a specially prepared room and has quite a lot of errors.
Objective control of the indicators of the composition of body tissues is the basis of my method of healing and correction of overweight. If necessary, based on these indicators, I accurately calculate the nutrients required for this patient: proteins, fats, carbohydrates, ballast substances. I build graphs of body composition indicators throughout the entire course of correction of excess fat mass and body proportions. Activities without objective control of these ratios, for example, on the basis of only weighing results, can lead, and most often lead to, a sharp decrease in active muscle mass.
Bioimpedance analysis is available, easy to use and completely safe. It makes it possible at any time to control the process of changing the tissue balance, and although this method of examination has already become very popular among dietitians, few of them know that these measurements are of great importance precisely during the first treatment of a patient. It is ineffective for conducting continuous monitoring, especially when analyzing data by an inexperienced doctor.
This is explained at least by the fact that in the first few weeks of a low-calorie diet, indicators of cholesterol in the blood fall, and he is known to bind water. At the same time, a large amount of fluid is excreted in the urine, and the decrease in body weight as a whole is greater than the total reduction in fat mass and without fat tissue. In addition, when the water balance changes, the electrical resistance of the tissue also changes, which distorts the actual results. The dynamics of bioelectric impedance show a false "increase" in body fat, while in fact it is decreasing. In assessing the mass of non-fatty tissues, the content of both muscle tissue and water is taken into account. The decrease in water content leads to an apparent sharp decrease in the mass of non-fatty tissues; This causes false visibility of an increase in the percentage of body fat.
Therefore, when analyzing the results of the bioimpedance method of research in a hospital, I always consider it expedient to take into account at least changes in the level of cholesterol in the patient’s blood. By making an amendment to the program of the dynamics of bioelectrical impedance for changes in the level of blood cholesterol, we can get the most reliable result.
Many patients and doctors overestimate the accuracy of the results of this examination and sometimes face paradoxical indicators that can not be explained either to themselves or, especially, to their patients. Moreover, when measuring the bioelectric impedance, small changes in the fat content cannot be detected at all, and this must be emphasized when talking with the patient.
For dietitians and other health care workers, it is important to understand the relative values ​​of body composition analysis and the importance of individual dieting, taking into account the patient’s muscle mass and protein requirements. When calculating it is necessary to take into account the analysis of the dynamics of quantitative indicators of blood cholesterol. This makes it possible to obtain more reliable digital values.
In addition, studies have shown that patient awareness of factors such as a drop in the initial numbers of blood cholesterol or blood pressure significantly affects the effectiveness of changing their lifestyle and belief in a successful outcome of treatment. Strengthen motivation. It is also recommended to constantly remind the patient about the optimal values ​​for his body weight.
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Objective methods of examination of patients with obesity.

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