Binge eating disorder
Binge eating & "binge eating"
"Food keeps body and soul together"
When the soul is hungry
Certified individual therapeutic counseling
with a doctor's prescription (§ 43 SGBV)
Hypertension (high blood pressure) is any lasting increase in mean arterial pressure that exceeds the norm.
A permanent increase in diastolic and systolic blood pressure (RR).
It is triggered by the constriction of the arterioles.
.
Classification of high blood pressure for adults according to the recommendations of the WHO:
category
Optimal value <120 Systolic RR <80 diastolic RR
Normal value 120-129 Systolic RR 80-84 Diastolic RR
Borderline blood pressure 130-139 Systolic RR 85 - 89 Diastolic RR
Severity 1 (mild hypertension) 140-159 Systolic RR 90 - 99 Diastolic RR
Severity grade 2 (moderate hypertension) 160-179 Systolic RR 100-109 Diastolic RR
Severity 3 (severe hypertension) ≥180 Systolic RR ≥110 Diastolic RR
Isolated systolic hypertension ≥140 systolic RR <90 diastolic RR
Effects - Hypertension as a risk factor for the target organs: heart, brain, eye, kidney, blood vessels
The primary meaning of hypertension is the numerous sequelae / complications:
Heart:
Left ventricular hypertrophy due to overloading of the left ventricle
Left heart failure
Coronary sclerosis, myocardial infarction, atherosclerosis
Kidneys:
Atherosclerotic changes in the vascular wall lead to functional impairment of the kidneys => shrink kidney => chronic. Renal failure
Brain:
apoplexy
Periphery, vessels
AVK
Eyes:
Retinopathy
Why is nutritional therapy important?
Nutritional therapy helps you normalize your blood pressure.
An energy-appropriate diet will also help you to normalize your blood pressure: If you are overweight or obese, weight reduction is important.
Weight reduction is essential if you are overweight or obese. The significance increases if there are second or multiple diseases such as increased blood lipid levels, overweight / obesity, hyperuricemia, hypertension, diabetes mellitus (metabolic syndrome). An energy-adjusted wholesome diet under the supervision of a certified nutritionist can lead to your long-term success. The diet is adapted to your current weight and a jointly defined goal for weight gain / or loss.
The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.
Table salt: 5-7 g NaCl / day: 85-119mmol Na
Corresponds to the DACH reference values for nutrient intake for healthy adults;
Prevention basis; Basic therapeutic concept in connection with antihypertensive therapy.
(Low-salt diet: 3g NaCl / d; 51 mmol Na; strictly low-salt diet; nowadays of no importance as it is not practicable)
Potassium-rich food, 2-3 g K / day, possibly insert leap days (e.g. extended Kempner rice diet, juice and fruit day, raw food day)
Tip : Use plenty of herbs and spices to save salt and fat.
The overall therapeutic concept:
The main therapeutic areas are:
Dietary therapy as a basis (energy-appropriate E (if overweight, reduction in energy intake), reduction in salt intake, fat and carbohydrate selection according to DGE recommendations, moderate alcohol consumption, high-potassium diet)
Medical therapy:
Antihypertenive therapy (possibly as a step-by-step plan)
A. ACE inhibitors
B. ß-blockers
C. Calcium antagonists
D. Diuretics
Regular exercise
Balanced lifestyle
Relaxation and anti-stress training
With cigarette consumption: smoking cessation
Goals of therapy:
Blood pressure values in the normal range at 130/80
For kidney diseases 120/70
Keep the likelihood of risk factors due to hypertension as low as possible.
Classification of your weight - definition and classification of weight in relation to height.
Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.
BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2
Underweight: <18.5
Normal weight: 18.5 - 24.9
Overweight = pre-obesity: 25-29.9
Obesity grade I: 30 - 34.9
Obesity grade II: 35-39.9
Obesity grade III:> 40 = per magna
Nutritional therapy
Anti-inflammatory diet with moderate salt consumption and a selection of foods rich in potassium.
Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?
Body weight: Weight reduction is recommended if you are overweight / obese.
Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations
Prevent protein deficiency
Which nutrients do I need in which ratio?
Consume fiber according to the respective level (low fiber or high fiber)
Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of 1.3 - 2 l drinking liquid is created.
add valuable anti-carcinogenic (anti-cancer) secondary plant substances
A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)
Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.
Overall fat selection, how should it be designed?
which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?
How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?
Get enough Omgea-3 fatty acids and essential fatty acids
How can I boost and support my metabolism with natural foods?
Coordinate sensible meal frequency for your individual case - meal allocation
What do I have to look out for when choosing animal foods?
How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?
Define the desired weight stabilization / normalization & the estimated period for this
what should be considered with beverages and alcoholic beverages?
How does exercise affect your body and thus also your diet?
Avoid blood sugar fluctuations
Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?
what should be considered when baking and cooking?
what are cheap snacks / main meals
Eating out - what should you watch out for?
Vacation, boat trip or hospital stay, what should be considered?
Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?
Daily plans as an example for practical implementation in everyday life
Enjoyment training
Optimizing your eating situation
long-term maintenance of a jointly defined weight
Strengthen the stomach and intestines with natural foods
Additional therapy options
Dietetic products in support of nutritional therapy
Food supplements - under certain circumstances, a supplement can be useful
and other topics
Any questions? I look forward to your call or email. To contact form
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