TEYXOS 172 3/17/09 11:13 AM Page 3 - μ. πιτσιλιδης α.ε.
TEYXOS 172 3/17/09 11:13 AM Page 3 - μ. πιτσιλιδης α.ε.
TEYXOS 172 3/17/09 11:13 AM Page 3 - μ. πιτσιλιδης α.ε.
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<strong>TEYXOS</strong> <strong><strong>17</strong>2</strong> 3/<strong>17</strong>/<strong>09</strong> <strong>11</strong>:14 <strong>AM</strong> <strong>Page</strong> 42<br />
Ε Ι Δ Ι Κ Ο Θ Ε Μ Α<br />
Οι στ<strong>α</strong>τίν<strong>ε</strong>ς κ<strong>α</strong>ι οι<br />
<strong>α</strong>λλ<strong>α</strong>γές του τρόπου<br />
ζωής <strong>μ</strong><strong>ε</strong>ίωσ<strong>α</strong>ν<br />
την LDL χοληστ<strong>ε</strong>ρόλη<br />
κ<strong>α</strong>τά 40% π<strong>ε</strong>ρίπου,<br />
<strong>α</strong>λλά η τ<strong>ε</strong>λ<strong>ε</strong>υτ<strong>α</strong>ί<strong>α</strong><br />
προσέγγιση<br />
<strong>μ</strong><strong>ε</strong>ίωσ<strong>ε</strong> <strong>ε</strong>πίσης το<br />
σω<strong>μ</strong><strong>α</strong>τικό βάρος<br />
κ<strong>α</strong>ι τ<strong>α</strong> <strong>ε</strong>πίπ<strong>ε</strong>δ<strong>α</strong> τριγλυκ<strong>ε</strong>ριδίων.<br />
42 / MEDICAL EXPRESS / TEYXOΣ <strong><strong>17</strong>2</strong> / ΜΑΡΤΙΟΣ 20<strong>09</strong><br />
0,003). Η HDL χοληστ<strong>ε</strong>ρόλη κ<strong>α</strong>ι η γλυκόζη<br />
δ<strong>ε</strong>ν <strong>ε</strong>πηρ<strong>ε</strong>άστηκ<strong>α</strong>ν <strong>α</strong>πό οποι<strong>α</strong>δήποτ<strong>ε</strong><br />
π<strong>α</strong>ρέ<strong>μ</strong>β<strong>α</strong>ση. Στην ο<strong>μ</strong>άδ<strong>α</strong> της στ<strong>α</strong>τίνης,<br />
3 <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς <strong>ε</strong>ίχ<strong>α</strong>ν <strong>μ</strong>υοσκ<strong>ε</strong>λ<strong>ε</strong>τικά<br />
συ<strong>μ</strong>πτώ<strong>μ</strong><strong>α</strong>τ<strong>α</strong> κ<strong>α</strong>ι 1 <strong>α</strong>υξη<strong>μ</strong>έν<strong>α</strong> <strong>ε</strong>πίπ<strong>ε</strong>δ<strong>α</strong><br />
τρ<strong>α</strong>νσ<strong>α</strong><strong>μ</strong>ιν<strong>α</strong>σών. Στην ο<strong>μ</strong>άδ<strong>α</strong> <strong>α</strong>λλ<strong>α</strong>γής<br />
του τρόπου ζωής, 2 <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς <strong>ε</strong>ίχ<strong>α</strong>ν κ<strong>α</strong>ύσο<br />
στο<strong>μ</strong>άχου κ<strong>α</strong>ι 1 <strong>ε</strong><strong>μ</strong>φάνισ<strong>ε</strong> υψηλά <strong>ε</strong>πίπ<strong>ε</strong>δ<strong>α</strong><br />
CK. Οι Becker κ<strong>α</strong>ι συν<strong>ε</strong>ργάτ<strong>ε</strong>ς κ<strong>α</strong>τέληξ<strong>α</strong>ν<br />
στο συ<strong>μ</strong>πέρ<strong>α</strong>σ<strong>μ</strong><strong>α</strong> ότι οι <strong>α</strong>λλ<strong>α</strong>γές<br />
τρόπου ζωής κ<strong>α</strong>ι η κ<strong>α</strong>τ<strong>α</strong>νάλωση ρυζιού<br />
κόκκινης <strong>μ</strong><strong>α</strong>γιάς κ<strong>α</strong>ι ιχθυέλ<strong>α</strong>ιου οδήγησ<strong>α</strong>ν<br />
σ<strong>ε</strong> π<strong>α</strong>ρό<strong>μ</strong>οι<strong>ε</strong>ς <strong>ε</strong>πωφ<strong>ε</strong>λ<strong>ε</strong>ίς <strong>ε</strong>πιδράσ<strong>ε</strong>ις<br />
στην LDL χοληστ<strong>ε</strong>ρόλη <strong>μ</strong><strong>ε</strong> τη <strong>μ</strong>έτρι<strong>α</strong><br />
δόση στ<strong>α</strong>τίνης σ<strong>ε</strong> <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς που πληρούσ<strong>α</strong>ν<br />
τις τρέχουσ<strong>ε</strong>ς κ<strong>α</strong>τ<strong>ε</strong>υθυντήρι<strong>ε</strong>ς οδηγί<strong>ε</strong>ς<br />
γι<strong>α</strong> φ<strong>α</strong>ρ<strong>μ</strong><strong>α</strong>κ<strong>ε</strong>υτική <strong>α</strong>γωγή λόγω υψηλής<br />
LDL χοληστ<strong>ε</strong>ρόλης.<br />
Σχόλιο<br />
Ότ<strong>α</strong>ν <strong>α</strong>ντι<strong>μ</strong><strong>ε</strong>τωπίζω <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς <strong>μ</strong><strong>ε</strong> ν<strong>ε</strong>οδι<strong>α</strong>γνωσ<strong>μ</strong>ένη<br />
υπ<strong>ε</strong>ρλιπιδ<strong>α</strong>ι<strong>μ</strong>ί<strong>α</strong> που πληρούν<br />
τ<strong>α</strong> κριτήρι<strong>α</strong> γι<strong>α</strong> φ<strong>α</strong>ρ<strong>μ</strong><strong>α</strong>κ<strong>ε</strong>υτική <strong>α</strong>γωγή,<br />
συχνά συν<strong>α</strong>ντώ <strong>α</strong>προθυ<strong>μ</strong>ί<strong>α</strong> γι<strong>α</strong> τη<br />
λήψη στ<strong>α</strong>τινών. Πολλοί <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς έχουν<br />
κ<strong>α</strong>κές δι<strong>α</strong>τροφικές συνήθ<strong>ε</strong>ι<strong>ε</strong>ς, <strong>ε</strong>ίν<strong>α</strong>ι<br />
υπέρβ<strong>α</strong>ροι κ<strong>α</strong>ι κάνουν κ<strong>α</strong>θιστική ζωή.<br />
Το γνωρίζουν κ<strong>α</strong>ι υπόσχοντ<strong>α</strong>ι ν<strong>α</strong> <strong>α</strong>λλάξουν<br />
τρόπο ζωής. Έχ<strong>ε</strong>ι υπολογιστ<strong>ε</strong>ί ότι<br />
π<strong>ε</strong>ρίπου 20% των Α<strong>μ</strong><strong>ε</strong>ρικ<strong>α</strong>νών <strong>ε</strong>νηλίκων<br />
π<strong>α</strong>ίρνουν διάφορ<strong>α</strong> φυσικά προϊόντ<strong>α</strong><br />
<strong>μ</strong>η <strong>α</strong>ποδ<strong>ε</strong>δ<strong>ε</strong>ιγ<strong>μ</strong>ένης <strong>α</strong>ποτ<strong>ε</strong>λ<strong>ε</strong>σ<strong>μ</strong><strong>α</strong>τικότητ<strong>α</strong>ς<br />
χωρίς τη γνώση ή τη συγκ<strong>α</strong>τάθ<strong>ε</strong>ση<br />
του ι<strong>α</strong>τρού τους. Συχνά <strong>α</strong>ν<strong>α</strong>ρωτιέ<strong>μ</strong><strong>α</strong>ι<br />
πόσο <strong>α</strong>ποτ<strong>ε</strong>λ<strong>ε</strong>σ<strong>μ</strong><strong>α</strong>τική <strong>ε</strong>ίν<strong>α</strong>ι <strong>α</strong>υτή η προσέγγιση<br />
<strong>μ</strong><strong>ε</strong> <strong>α</strong>λλ<strong>α</strong>γή του τρόπου ζωής<br />
κ<strong>α</strong>ι <strong>μ</strong>η συντ<strong>α</strong>γογρ<strong>α</strong>φού<strong>μ</strong><strong>ε</strong>ν<strong>α</strong> προϊόντ<strong>α</strong>.<br />
Στην π<strong>α</strong>ρούσ<strong>α</strong> <strong>μ</strong><strong>ε</strong>λέτη, οι <strong>α</strong>λλ<strong>α</strong>γές του<br />
τρόπου ζωής κ<strong>α</strong>ι τ<strong>α</strong> φυσικά προϊόντ<strong>α</strong> έδ<strong>ε</strong>ιξ<strong>α</strong>ν<br />
<strong>α</strong>ρκ<strong>ε</strong>τά κ<strong>α</strong>λά <strong>α</strong>ποτ<strong>ε</strong>λέσ<strong>μ</strong><strong>α</strong>τ<strong>α</strong>. Οι στ<strong>α</strong>τίν<strong>ε</strong>ς<br />
κ<strong>α</strong>ι οι <strong>α</strong>λλ<strong>α</strong>γές του τρόπου ζωής<br />
<strong>μ</strong><strong>ε</strong>ίωσ<strong>α</strong>ν την LDL χοληστ<strong>ε</strong>ρόλη κ<strong>α</strong>τά 40%<br />
π<strong>ε</strong>ρίπου, <strong>α</strong>λλά η τ<strong>ε</strong>λ<strong>ε</strong>υτ<strong>α</strong>ί<strong>α</strong> προσέγγιση<br />
<strong>μ</strong><strong>ε</strong>ίωσ<strong>ε</strong> <strong>ε</strong>πίσης το σω<strong>μ</strong><strong>α</strong>τικό βάρος κ<strong>α</strong>ι τ<strong>α</strong><br />
<strong>ε</strong>πίπ<strong>ε</strong>δ<strong>α</strong> τριγλυκ<strong>ε</strong>ριδίων. Κ<strong>α</strong>ι οι δύο ο<strong>μ</strong>άδ<strong>ε</strong>ς<br />
έλ<strong>α</strong>β<strong>α</strong>ν την κλ<strong>α</strong>σική συ<strong>μ</strong>βουλ<strong>ε</strong>υτική<br />
γι<strong>α</strong> τη δι<strong>α</strong>τροφή κ<strong>α</strong>ι την άσκηση, <strong>α</strong>λλά η<br />
ο<strong>μ</strong>άδ<strong>α</strong> της στ<strong>α</strong>τίνης <strong>μ</strong>όνο <strong>μ</strong>ί<strong>α</strong> φορά <strong>μ</strong><strong>ε</strong> την<br />
π<strong>α</strong>ροχή προ<strong>ε</strong>κτυπω<strong>μ</strong>ένου υλικού κ<strong>α</strong>ι <strong>ε</strong>κ<strong>ε</strong>ίνη<br />
της <strong>α</strong>λλ<strong>α</strong>γής του τρόπου ζωής κάθ<strong>ε</strong><br />
<strong>ε</strong>βδο<strong>μ</strong>άδ<strong>α</strong> <strong>ε</strong>πί 3,5 ώρ<strong>ε</strong>ς. Αυτό <strong>μ</strong>οιάζ<strong>ε</strong>ι<br />
κ<strong>α</strong>τά κάποιο τρόπο <strong>μ</strong><strong>ε</strong> την η π<strong>α</strong>ρ<strong>α</strong>κολού-<br />
θηση ο<strong>μ</strong><strong>α</strong>δικής θ<strong>ε</strong>ρ<strong>α</strong>π<strong>ε</strong>ί<strong>α</strong>ς "<strong>α</strong>νώνυ<strong>μ</strong>ων<br />
<strong>μ</strong><strong>ε</strong> <strong>α</strong>νθυγι<strong>ε</strong>ινό τρόπο ζωής". Επίσης, το<br />
ρύζι κόκκινης <strong>μ</strong><strong>α</strong>γιάς <strong>ε</strong>ίν<strong>α</strong>ι γνωστό ότι<br />
π<strong>ε</strong>ριέχ<strong>ε</strong>ι το φυσικό ισοδύν<strong>α</strong><strong>μ</strong>ο της λοβ<strong>α</strong>στ<strong>α</strong>τίνης,<br />
<strong>α</strong>λλά σ<strong>ε</strong> δόση π<strong>ε</strong>ρίπου τη <strong>μ</strong>ισή<br />
της συνήθους θ<strong>ε</strong>ρ<strong>α</strong>π<strong>ε</strong>υτικής. Τέλος, <strong>ε</strong>ίν<strong>α</strong>ι<br />
γνωστό ότι τ<strong>α</strong> ιχθυέλ<strong>α</strong>ι<strong>α</strong> <strong>μ</strong><strong>ε</strong>ιώνουν τ<strong>α</strong> τριγλυκ<strong>ε</strong>ρίδι<strong>α</strong>.<br />
Επο<strong>μ</strong>ένως, στην ο<strong>μ</strong>άδ<strong>α</strong> <strong>α</strong>λλ<strong>α</strong>γής<br />
του τρόπου ζωής έγιν<strong>ε</strong> <strong>μ</strong>ί<strong>α</strong> <strong>ε</strong>ντ<strong>α</strong>τική<br />
π<strong>α</strong>ρέ<strong>μ</strong>β<strong>α</strong>ση που π<strong>ε</strong>ριλά<strong>μ</strong>β<strong>α</strong>ν<strong>ε</strong> φυσικά<br />
προϊόντ<strong>α</strong> γνωστής <strong>α</strong>ποτ<strong>ε</strong>λ<strong>ε</strong>σ<strong>μ</strong><strong>α</strong>τικότητ<strong>α</strong>ς.<br />
Η <strong>μ</strong><strong>ε</strong>λέτη <strong>α</strong>υτή έχ<strong>ε</strong>ι <strong>α</strong>ρκ<strong>ε</strong>τούς π<strong>ε</strong>ριορισ<strong>μ</strong>ούς.<br />
Ήτ<strong>α</strong>ν <strong>μ</strong>ί<strong>α</strong> <strong>μ</strong><strong>ε</strong>λέτη <strong>μ</strong>ικρής διάρκ<strong>ε</strong>ι<strong>α</strong>ς,<br />
η οποί<strong>α</strong> δ<strong>ε</strong>ν ήτ<strong>α</strong>ν τυφλή. Σ<strong>ε</strong> <strong>μ</strong>ί<strong>α</strong><br />
τέτοι<strong>α</strong> <strong>μ</strong><strong>ε</strong>λέτη, η σχ<strong>ε</strong>τική συν<strong>ε</strong>ισφορά κάθ<strong>ε</strong><br />
τ<strong>μ</strong>ή<strong>μ</strong><strong>α</strong>τος της π<strong>α</strong>ρέ<strong>μ</strong>β<strong>α</strong>σης στον τρόπο<br />
ζωής δ<strong>ε</strong>ν ήτ<strong>α</strong>ν δυν<strong>α</strong>τόν ν<strong>α</strong> κ<strong>α</strong>θοριστ<strong>ε</strong>ί.<br />
Οι <strong>ε</strong>ντ<strong>α</strong>τικές συν<strong>ε</strong>δρί<strong>ε</strong>ς συ<strong>μ</strong>βουλ<strong>ε</strong>υτικής<br />
κάθ<strong>ε</strong> <strong>ε</strong>βδο<strong>μ</strong>άδ<strong>α</strong> <strong>μ</strong>πορ<strong>ε</strong>ί ν<strong>α</strong> <strong>μ</strong>ην <strong>ε</strong>ίν<strong>α</strong>ι <strong>ε</strong>φικτές<br />
γι<strong>α</strong> όλους τους <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς, ούτ<strong>ε</strong> <strong>ε</strong>ύκολο<br />
ν<strong>α</strong> δι<strong>α</strong>τηρηθούν <strong>μ</strong><strong>α</strong>κροπρόθ<strong>ε</strong>σ<strong>μ</strong><strong>α</strong>. Επίσης,<br />
ση<strong>μ</strong><strong>ε</strong>ιώθηκ<strong>α</strong>ν <strong>α</strong>ν<strong>ε</strong>πιθύ<strong>μ</strong>ητ<strong>ε</strong>ς <strong>ε</strong>νέργ<strong>ε</strong>ι<strong>ε</strong>ς<br />
κ<strong>α</strong>ι στις δύο ο<strong>μ</strong>άδ<strong>ε</strong>ς, <strong>ε</strong>πο<strong>μ</strong>ένως η <strong>μ</strong><strong>α</strong>κροπρόθ<strong>ε</strong>σ<strong>μ</strong>η<br />
<strong>α</strong>νοχή των <strong>α</strong>λλ<strong>α</strong>γών του τρόπου<br />
ζωής κ<strong>α</strong>ι των φυσικών προϊόντων<br />
δ<strong>ε</strong>ν <strong>ε</strong>ίν<strong>α</strong>ι γνωστές. Επιπλέον, το ρύζι κόκκινης<br />
<strong>μ</strong><strong>α</strong>γιάς δ<strong>ε</strong>ν έχ<strong>ε</strong>ι έγκριση <strong>α</strong>πό το<br />
FDA, <strong>α</strong>λλά <strong>ε</strong>ίν<strong>α</strong>ι <strong>ε</strong>ύκολ<strong>α</strong> δι<strong>α</strong>θέσι<strong>μ</strong>η. Ωστόσο,<br />
η <strong>α</strong>κριβής σύστ<strong>α</strong>ση κ<strong>α</strong>ι στ<strong>α</strong>θ<strong>ε</strong>ρότητ<strong>α</strong><br />
του προϊόντος <strong>α</strong>υτού δ<strong>ε</strong>ν <strong>ε</strong>ίν<strong>α</strong>ι γνωστή.<br />
Πέρ<strong>α</strong>ν της λοβ<strong>α</strong>στ<strong>α</strong>τίνης, <strong>α</strong>κό<strong>μ</strong>η κ<strong>α</strong>ι χ<strong>α</strong><strong>μ</strong>ηλές<br />
δόσ<strong>ε</strong>ις του ρυζιού κόκκινης <strong>μ</strong><strong>α</strong>γιάς<br />
<strong>μ</strong>πορ<strong>ε</strong>ί ν<strong>α</strong> έχουν <strong>α</strong>ν<strong>ε</strong>πιθύ<strong>μ</strong>ητ<strong>ε</strong>ς <strong>ε</strong>νέργ<strong>ε</strong>ι<strong>ε</strong>ς.<br />
Τέλος, <strong>α</strong>ν υπάρχουν πλ<strong>ε</strong>ιοτροπικές<br />
δράσ<strong>ε</strong>ις των στ<strong>α</strong>τινών πέρ<strong>α</strong>ν της <strong>μ</strong><strong>ε</strong>ίωσης<br />
της LDL χοληστ<strong>ε</strong>ρόλης, οι <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς<br />
που δ<strong>ε</strong>ν π<strong>α</strong>ίρνουν στ<strong>α</strong>τίν<strong>ε</strong>ς χάνουν <strong>α</strong>υτά<br />
τ<strong>α</strong> δυνητικά οφέλη.<br />
Επί του π<strong>α</strong>ρόντος, στους <strong>α</strong>σθ<strong>ε</strong>ν<strong>ε</strong>ίς<br />
<strong>μ</strong>ου που δ<strong>ε</strong>ν <strong>ε</strong>πιθυ<strong>μ</strong>ούν ν<strong>α</strong> λάβουν στ<strong>α</strong>τίν<strong>ε</strong>ς<br />
<strong>α</strong>λλά πληρούν τ<strong>α</strong> κριτήρι<strong>α</strong> των<br />
κ<strong>α</strong>τ<strong>ε</strong>υθυντηρίων οδηγιών γι<strong>α</strong> τη χορήγησή<br />
τους, συνιστώ τη <strong>μ</strong><strong>ε</strong>σογ<strong>ε</strong>ι<strong>α</strong>κή δι<strong>α</strong>τροφή,<br />
την άσκηση, την <strong>α</strong>πώλ<strong>ε</strong>ι<strong>α</strong> βάρους<br />
<strong>α</strong>ν <strong>ε</strong>ίν<strong>α</strong>ι <strong>α</strong>π<strong>α</strong>ρ<strong>α</strong>ίτητη, κ<strong>α</strong>ι την κ<strong>α</strong>τ<strong>α</strong>νάλωση<br />
ψ<strong>α</strong>ριών ή ιχθυέλ<strong>α</strong>ιου, ιδι<strong>α</strong>ίτ<strong>ε</strong>ρ<strong>α</strong> <strong>α</strong>ν<br />
έχουν <strong>α</strong>υξη<strong>μ</strong>έν<strong>α</strong> τριγλυκ<strong>ε</strong>ρίδι<strong>α</strong>. Αν <strong>ε</strong>πιθυ<strong>μ</strong>ούν<br />
ν<strong>α</strong> δοκι<strong>μ</strong>άσουν το ρύζι κόκκινης<br />
<strong>μ</strong><strong>α</strong>γιάς, τους συ<strong>μ</strong>βουλ<strong>ε</strong>ύω ν<strong>α</strong> λάβουν<br />
<strong>μ</strong>ί<strong>α</strong> χ<strong>α</strong><strong>μ</strong>ηλή δόση λοβ<strong>α</strong>στ<strong>α</strong>τίνης, προκ<strong>ε</strong>ι<strong>μ</strong>ένου<br />
ν<strong>α</strong> <strong>ε</strong>ξ<strong>α</strong>σφ<strong>α</strong>λίσουν την ποιότητ<strong>α</strong> κ<strong>α</strong>ι<br />
τη στ<strong>α</strong>θ<strong>ε</strong>ρότητ<strong>α</strong> του <strong>ε</strong>ν<strong>ε</strong>ργού συστ<strong>α</strong>τικού.
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