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Method of treating arterial hypertension with metabolic syndrome. RU patent 2504390.

IPC classes for russian patent Method of treating arterial hypertension with metabolic syndrome. RU patent 2504390. (RU 2504390):

A61P43/00 - Drugs for specific purposes, not provided for in groups ; A61P0001000000-A61P0041000000
A61P3/00 - Drugs for disorders of the metabolism (of the blood or the extracellular fluid A61P0007000000)
A61K36/45 - PREPARATIONS FOR MEDICAL, DENTAL, OR TOILET PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J0003000000; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L)
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FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to cardiology, and may be used for treating and preventing arterial hypertension with metabolic syndrome. That is ensured by adding the food ration with the functional foodstuff 'Samarskiy Zdorovyak' No 61 in a min daily dose of 33.3 g per one intake - with breakfast or lunch or dinner with underlying drug-induced therapy.

EFFECT: enabled treatment and prevention of arterial hypertension with metabolic syndrome

 

The invention relates to medicine, in particular to cardiology, and for the treatment and prevention of arterial hypertension with metabolic syndrome.

There is a method of treatment of arterial hypertension dosed physical activity at further introduction of sudorific plant collection (RF patent №2303431, the priority date of 15.06.2005). Enables effective pressure reduction through sweating, accompanied by the release of chloride.

There is a method of treatment of arterial hypertension (patent 2418592, the priority date of 19.04.2010). According to the mode in the sequence specified in the complex conventional therapy impose additional prostaglandin E2 in the form of 0,0008% solution. Prostaglandin injected from a speed of 50 to 100 ng/kg/min, increasing the speed of every 10 minutes to 20-40 ng/kg/min, leading up to 150-300 ng/kg/min, for 40-60 minutes. Only three of the introduction to the course with intervals between them 1-2 days. The additional introduction of prostaglandin E2 in developed doses and mode provides effective normalization of blood pressure over the long term by strengthening the excretion of prostaglandins kidneys, expressed vasodilation of blood vessels of the kidney, heart and brain, as well as the normalization of the functional activity of platelets.

However, the treatment efficiency of these methods is insufficient. The methods of treatment do not provide influence on the basic links of the pathogenesis of the metabolic syndrome: overweight, hyperlipidemia, optimization of neurogenic regulation of vascular tone, reduction of daily index blood pressure.

The present invention is directed to achievement of the technical result, consisting in the increase of efficiency of treatment of patients with arterial hypertension with metabolic syndrome, due to the influence on the basic links of the pathogenesis of the metabolic syndrome: overweight, hyperlipidemia, reduction of daily index blood pressure.

This technical result is achieved by the fact that in the known method of treatment of arterial hypertension with metabolic syndrome (RF patent 2418592) additionally injected into the daily diet of functional food product (FRR) in a daily dose of no more than 100 g in equal doses, not less than 33.3 g in single-dose three times a day: Breakfast, lunch and dinner.

The method is as follows. In a bowl with a capacity of 250 ml fall asleep 3 tablespoons (not less than 33.3 d) dry product (powder in the form of dry cereal) and add to taste sugar or honey. Bred to desired consistency fluid with a temperature above 60 C (hot milk, water, milk products, juices, etc), mix thoroughly and cover. After a moment the product is ready to use. The specified product type to the basic ration of food three times a day - Breakfast, lunch and dinner. At the same time spend drug therapy.

Used functional food product is a product of a special purpose of natural origin, which is designed for systematic use and aims to fill the lack of energy in the body, plastic or regulatory food substances. By regulating effect on physical function, biochemical reactions and psychosocial human behavior, these products support the physical and spiritual health and reduce the risk of diseases.

For approbation of the method used FRR «Samara husky» (Russian Federation patents 2403802, 2403805, 2405380). The composition of the FRR «Samara big boy» provides antioxidant activity, through an adequate selenium + zinc + Vit. group+With+ folic acid. 100 g of the product FRR «Samara big boy» contains: two times greater (800 mcg) daily folic acid intake (in the norm of 400 mcg); iron - 26,26 mg (18 mg, selenium 50 mg (55 mg), zinc 6.3 mg (12.0 mg); magnesium 140,6 mg (400,0 mg); phosphorus 490,0 mg (800,0 mg) and others, as well as 20.8 g fiber (20,0 g).

Therapeutic and prophylactic nutrition therapy functional food product is a method of suppressing free radical activity, invasive detoxification of the human body, optimization of neurogenic regulation of vascular tone when the arterial hypertension (AH).

The constant use of FRR of the Samara big boy» with high content of antioxidants, vitamins and minerals, especially zinc and selenium, is a reliable tool in the treatment and prevention of hypertension.

During 2009 in the Federal state institution «Russian scientific centre of rehabilitation medicine and balneology Institute were carried out clinical trials on the topic «Evaluation of the effectiveness of dietary, medical and preventive food on the basis of the patent of Russian Federation №2403802, studying his , pre-biotic, hepatoprotective action on the metabolism of patients, as well as the study of neurogenic regulation of circulation and blood pressure in patients», fully confirmed the achievement of the technical result.

Under the supervision was 41 patients with arterial hypertension with the presence of metabolic syndrome I-III stage I-3 degree increase the level of blood pressure mainly high and very high risk of cardiovascular complications (according to who classification and GFCF, 2009). Of these, 85% were women, 15% - men, the average age of patients 56,8±3,95 years. Disease duration from 3 to 18 years. Patients given not more than 100 g FRR, in equal doses, three times a day, for Breakfast, lunch and dinner.

A random sample of all the patients were divided into two groups. I group (31 sick) took a functional food product «Samara big №61» 3 times a day for 3 weeks on a background of physiotherapeutic treatment (therapy) and medical gymnastics. II group (group of comparison, 10 patients) received only physiotherapy and therapeutic gymnastics. All patients received basic medical therapy.

In addition to common clinical examination carried out special methods of the research: was determined body mass index (BMI), waist circumference was measured; lipid metabolism were evaluated according to the level of cholesterol, triglycerides, cholesterol high-density lipoprotein (LDL HDL)cholesterol, low-density lipoprotein cholesterol (LDL); set glucose tolerance; evaluation of the daily schedule of blood was performed by the daily monitoring of arterial pressure. Check blood pressure was carried out with 15 min interval from 7 to 23 h 30 min from 23 to 7 PM

Results of observations (-P<0,01; -P<0.05). All the studied patients overweight (mean body mass index was 31.2 ħ 0,62 kg/sq.m (obesity of I-II level)), and manifestations of abdominal obesity (waist circumference is equal to 105.5±1,29). 57% of the patients had obesity of the first degree, 43% of patients had II degree obesity. 85% of violations of lipid spectrum, which were presented to the increase in total cholesterol in 85% of patients up to 5.85±of 0.08 mmol/l; reduction of 60% of patients HDL cholesterol and 0.92±of 0.04 mmol/l, increasing the level of LDL cholesterol to 3.9±0.06 mmol/l, increasing the level of triglycerides in the blood 47% of patients to 2.22 approximately 0.5 mmol/L.

All patients had hypertension. Hypertension (GB) stage II took place in 54% of patients with stage III - 46% of patients; 1 degree AG fixed - 15% of patients, 2 degree - 62%, grade 3 - in 23% of patients. Average risk was noted in 8% of patients with a high risk of 46% and very high - 46% of patients. Among concomitant diseases in 30% of patients recorded CHD, exertional angina of II FK, 38% of the patients Б, 8% of type 2 diabetes.

One-time clinical blood pressure in the outcome was increased: systolic blood pressure (SBP) in 92% of patients to 163, 64±2,99 (healthy - 126,11±4.2 mm Hg, p<0.01) and diastolic blood pressure (DBP) of 82% - up to 93.3±1,19, mm Hg(healthy 82,72±1,77 mm Hg, p<0.01).

In Exodus 50% of patients were highly increased heart rate (HR) to 89.0±0,55 UD/minutes (healthy 69,0 ħ 2.1 beats/min P<0.01), indicating an increase in the activity of the sympathoadrenal system.

As a result of treatment, both groups showed positive dynamics. However, in the group of patients having taken a functional food product «Samara husky, these changes were more pronounced: body mass index (BMI) in this group decreased from 31.5±0.62 to 27,44±of 0.26 (p<0.01). Waist circumference decreased by 1 basic group - with 105,0±1,41 to 101,7±1,42 2.3 see Blood glucose was not significantly changed. In the 2nd group dynamics was less pronounced.

In group 1 significantly decreased total cholesterol, triglycerides, while in group 2 showed only a tendency to reduce these indicators.

Positive dynamics of the clinical picture of the disease both groups of patients was confirmed by the dynamics of indicators of blood pressure, as according to one-time measurements, and daily monitoring of arterial pressure.

When analyzing the dynamics of arterial pressure according to the data of single measurements marked a distinct gipotenzivny effect with the achievement of the target blood pressure levels. In group I patients meals a day systolic blood pressure (SBP) decreased by 21%, diastolic blood pressure (DBP) decreased by 27%, in group 2, the pattern was less pronounced, respectively 18% and 21%.

According to the Smad a decline of average daily GARDEN, as well as average values GARDEN for the day and night in both groups, but in the main group hypotensive effect was higher was statistically significant reduction of time of hypertension GARDEN in the day time, night time period decreased hypertension GARDEN, indicating a decrease in the severity of the major risk factors for development of cardiovascular complications.

The increase in the index of time hypertension, reflecting the duration of the increase in blood pressure throughout the day, is an important risk factor for development of cardiovascular complications. Reduction of daily index, blood pressure, violation of circadian rhythm indicates a breach of neuro-humoral regulation of blood pressure.

Thus, the inclusion in the medical complex of functional food products based on FRR «Samara husky» (Russian Federation patent №2403802) contributes to a more marked reduction in the weight, BMI and reduction of waist circumference. Weight reduction is associated with a low calorie whole grain cereals that contain a lot of fiber and nutrients. Weight loss occurs very physiological, and when this body receives a large number of useful biologically active substances. Reducing the body weight and contributed to some greater hypotension effect, mainly in respect of the GARDEN.

The positive impact of the FRR on lipid manifested decrease in total cholesterol, LDL cholesterol and increase HDL cholesterol. This is connected with the position of lipid distress-syndrome, with increasing , restoration of motor-evacuation function of the gallbladder, a decrease of neurogenic tone of the sphincter of Oddi, that provides higher flow of bile into the intestine and creates all the metabolic conditions for the normalization of the mechanism of enterohepatic circulation of bile acids and digestive system. Improving the function of the liver, silymarin (contained in ) ingibiruet synthesis of cholesterol by reducing the activity of microsomal -COA reductase inhibitors, beta-glucan (contained in oat) improves the level of dezoksiholeva acid in the liver that helps to reduce the output from the liver cholesterol and prevent its reabsorption, normalizes the intestine for timely evacuation of bile acids, prevents constipation.

Thus, therapeutic effect of the FRR is implemented through function of the liver, by lowering hyperlipidemia, stimulation of lipolysis, increasing the antioxidant function, decrease of abdominal obesity, normalization of blood pressure. The obtained data allow to consider the application of the FRR as an adequate medicamentous method of increase of efficiency of treatment of patients with arterial hypertension with metabolic syndrome, which provides influence on the basic links of the pathogenesis of the metabolic syndrome: overweight, hyperlipidemia, arterial hypertension.

Results of clinical approbation of a functional food product «Samara big boy» with showed the effectiveness of the inclusion of the specified product in the diet of patients with diseases of cardio.

Therapeutic and preventive effect of the application of functional food product «Samara big boy» is confirmed in the report on the results of the clinical evaluation of the effectiveness of dietary Samara big guy» in the treatment and prevention of gastroenterological patients and cardiac profile approved by the Director of the FGI Russian research center of rehabilitation medicine and balneology of Ministry of health and social development of the RF, academician of the RAMP, Professor A.N. Razumov., 22.03.2010.

The additional introduction of FRR of the Samara big guy» in developed doses and mode provides effective normalization of blood pressure and metabolic disorders in the human body for a long period due to the liver function, by lowering hyperlipidemia, stimulation of lipolysis, increasing the antioxidant function, decrease of abdominal obesity, increase resistance to stress, as well as the normalization of the functional system operation regulation of the arteries. Application of functional food «Samara big boy» allows to control the number of free radicals, detoxifying and tissues, the preservation of elasticity of blood vessels of all sizes, improve blood circulation and microcirculation, normalization of neurogenic mechanisms of regulation of blood flow and blood pressure.

The method of treatment of arterial hypertension with metabolic syndrome, characterized in that in the background of medical additionally administered in the diet of functional food product «Samara husky # 61 of at least 33 g per reception - Breakfast, or lunch, or dinner.

 

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