В книге пойдет речь о рационе питания, известном под названием «диета low-FODMAP». Она может быть полезна лицам, страдающим от вздутия и болей в животе. Материал, изложенный в книге, представляет интерес и для врачей различных специальностей, которые хотят ознакомиться с основными принципами диеты. Помимо информации об этапах и особенностях соблюдения диеты low-FODMAP, дополнительно представлены сведения о видах и количестве разрешенных продуктов, а также блюда из них. В книгу добавлена 11 глава.

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Формирование меню в рамках первого этапа диеты должно быть основано на принципах рационального питания, рацион должен быть разнообразным. Так, например, количество порций овощей в суточном рационе должно быть не менее 5, молока и кисломолочных продуктов (разрешенных диетой) 2—3 порции в день, фруктов ― 2 порции, злаков и продуктов из них ― 6—7 порций. Размеры «порции» различаются как внутри одной группы продуктов, так и между группами. Например, для большинства овощей одна порция обычно составляет 75 г. В группе молочных продуктов и заменителей молока 1 порция ― это 1 чашка (250 мл) молока, 3 / 4 чашки (200 мл) кисломолочных продуктов, 2 кусочка твердого сыра, 1 / 2 чашки (120 г) мягкого сыра или творога. Одна порция фруктов соответствует в среднем 100—150 г свежих плодов (1 банан, 1 груша, 1 апельсин или 2 мандарина, 2 киви) или 30—40 г сушёных фруктов или 1 / 2 стакана сока. В группе злаков одна порция ― это 1 кусок хлеба (40 г), полчашки

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. Следует помнить, что Всемирная организация здравоохранения (ВОЗ) включила красное мясо (говядину, телятину, свинину, ягнятину, баранину, конину и козлятину) в список продуктов, которые могут быть причиной развития рака толстой кишки. По данным крупного длительного исследования, риск развития рака толстой кишки возрастает на 17% с увеличением порции красного мяса на каждые 100 г в день. Продукты переработки красного мяса (в том числе сосиски, сардельки, бекон, ветчина, колбаса, мясные консервы, буженина, солонина, билтонг) ВОЗ рассматривает в качестве канцерогенов. Это означает, что есть веские доказательства того, что они увеличивают риск возникновения рака толстой кишки. Этот риск увеличивается на 18% на каждые 50 г мясопродуктов в день. ВОЗ рекомендует ограничить количество красного мяса 700 г в неделю (масса мяса до тепловой обработки). Белое мясо (птица) не повышает риск развития рака толстой кишки. Рыба может снижать риск развития рака толстой кишки

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ных изделий (75—120 г), 4 столовые ложки хлопьев и мюсли. Завтрак может включать в себя следующие блюда: 1) каши из разрешенных круп (гречневая крупа в виде продела, кукурузная, рисовая и пшенная крупы, овсяная крупа в виде хлопьев, киноа) – на воде или с безлактозным, рисовым, соевым, миндальным молоком; в каши можно добавить разрешенные ягоды и фрукты, сливочное или растительное масло, сахар (1 чайная ложка); 2) омлеты натуральные, белковые; в омлет можно добавить разрешенную зелень, разрешенные овощи (например, морковь, соцветия брокколи и т. п.); 3) яичница с возможным добавлением некоторых овощей (томаты), бекона; нельзя добавлять лук, грибы; 4) сыр (разрешенный диетой и в разрешенном количестве), безлактозные молоко или молочные продукты – 1 порция; 5) хлеб из рисовой, кукурузной, льняной муки в виде тостов, в том числе с запечёнными томатами или твердым сыром; можно использовать хлеб с пометкой «low-FODMAP»; количество – 1

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1) для лиц старше 2 лет калорийность продуктов с высоким содержанием добавленного сахара (сладости, подслащенные напитки, сиропы и т.д.) должна быть <10% от суточной энергоценности рациона; 2) для лиц старше 2 лет калорийность продуктов с высоким содержанием насыщенных жиров должна быть <10% от суточной энергоценности рациона;

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https://www.dietaryguidelines.gov, свободный. –

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Мясо, птица, рыба, морепродукты, яйца не содержат углеводов FODMAP и могут быть использованы в рационе в количествах, рекомендованных правилами рационального питания

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кини, картофель, морковь); 7) оладьи или блины из гречневой, кукурузной, льняной, рисовой муки; 8) блюда из мяса, птицы и рыбы – любые, в том числе привычные для пациента; следует помнить, что согласно рациональному питанию, следует ограничить употребление продуктов переработки красного мяса (колбасы, сосиски, ветчина); 9) одна стандартная порция фруктов, разрешенных на первом этапе диеты; 10) салаты из разрешенных овощей; 11) смузи с использованием безлактозного, рисового, соевого, миндального молока и разрешенных фруктов и ягод. Обед и ужин может быть представлен следующими блюдами: 1) первые блюда с мясом, рыбой, птицей с добавлением разрешенных овощей (картофель, морковь, капуста брокколи, стручковая фасоль и т. д.) и круп; 2) любое блюдо из мяса, рыбы, птицы, морепродуктов ― они не содержат FODMAP-углеводов; можно использовать разрешенные специи, приправы, семена (например, кунжут), фрукты (цитрусовые, ананас и т. д.) для улучшения

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Орехи . Большинство орехов относятся к продуктам с высоким содержанием галактанов, поэтому их употребление в пищу даже в небольшом количестве может привести к появлению неприятных желудочно-кишечных симптомов. Добиться снижения FODMAPвеществ в орехах можно с помощью их замачивания и дальнейшего высушивания. Для замачивания понадобится стеклянная емкость с чистой фильтрованной водой, в которую кладут орехи на 7—12 часов. По истечении этого времени орехи промывают, сушат на бумажном полотенце окол

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Тем не менее, уже к началу 2000-х годов была накоплена информация о том, что пища с высоким содержанием лактозы и фруктозы, а также бобовые, капуста, яблоки, лук, пшеница, кофе и алкогольные напитки входят в перечень плохо переносимых и провоцирующих симптомы СРК.

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