Dietary Modification in Various Imbalance of Endocrine Production

8/13/2019 Dietary Modification in Various Imbalance of Endocrine Production

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DIETARY MODIFICATION IN VARIOUS IMBALANCE OF

ENDOCRINE PRODUCTION

( dr. Dimyati Burhanuddin, Msc)

The Deviation of normal metabolic pathway, result to

Abnormal production of one or more hormones

Deficiency of an enzymes

Modification of ecretion

! effect the balance of endocrine production

!diseases

"ypo#lycemia ! shoc$ (insuline shoc$)

%aused by &

'nsuline overdose

Decrease of available #lucose

o food

oss of food

*ver eercise

+pontaneous hypo#lycemia disorder of carbohydrate metabolism ( functional, or#anic)

'n functional hyperinsulinism ! stimulative type of hypo#lycemia ( no or#anic lesion )

%arbohydrate islet cells (hi#h respons)

"yperinsulinism

"ypo#lycemia

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'n or#anic lesion (post #astro intestimal operation)

%arbohydrate

di#estion

rapid #lucose absorption

sudden elevation of blood #lucose

islet cells

hyperinsulinism

hypo#lycemia

Dietary principle

carbohydrate & restricted to levels below -// #r (01 1/ # , if no improvment)

protein & hi#h protein diet (-2/ -3/ #r)

! available blood #lucose, protein decrease to 1/ 4

5at & when blood level of carbohydrate and protein have been estabilshed,

fat for the remainin# calories (in available need)

Dietary plannin#

6se food echan#e list

Ade7uate amount of fruits and ve#etables

Mil$ ! limited

+upplement %a

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Adrenocortical insuicienc!

(Addison8s disease)

Adrenal corte ! Atrophy (un$nown ori#in)

! impairment the function

+ome causes & tubercolosis

adrenal ectomy

hypophysectomy

! absence of adrenocortical hormones

9lucocorticoids

%ortisol re#ulates the metabolism of carbohydrate, protein and fat.

'n absence & rapid #lyco#en depletion, followed by hypo#lecemia (in a few

hours

After meals)

Mineralocorticoids

Aldosterone & maintainin# electrolite homeostatis (espec a : ;)

a retention

; ecretion

The production is not under the influence pituitary

Deficiency aldosterone &

'ncrease Naecretion

'ncrease " retention

ead to & lar#e salt loss < water

Dehydration

"ypotension e.t.c

Andro#enic hormones

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+timulate protein synthesis in absence &

>ei#ht loss

Tissue wastin#

?eduction of muscle stren#th

5ati7ue

Dietary modification

mild insuff &

"i#her salt inta$e

5re7uent meals

(1 @ times a day)

+evere insuff &

Minerals metabolism in s controlled by #ivin# D*%A

(dioycarticosterone acetate)

"i#h protein and low carbohdydrate reduces the

stimulation of insuline

5re7uent intervals of meals

Avoid simple carbohydrate candy, su#ar, e.t.c

Thyroid "ormones

?e#ulates the oidation rate within the cells to influences

hysical and mental #rowth

5unctionin# of the nervous : muscles tissues

%irculatory activity

utrient metabolism

'n the low level of blood thyro#lobulin

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Thyroid stimulatin# hormon (T+")

(hypophsis anterior)

+timulate

Activity of thyroid #land increase

! with draw circulatory iodide

! concentrate

! oidizes ! iodine

C

Thyro#lobuline di iodotyrosine incorporate totyrosine

%omple triiodotyronine to forms

thyroine

%irculatory

B' protein bindin# iodine

"yperthyroidism Eophtalmic #oiter

Thyrotoicosis

9rave disease

Basedow8s diseases

Disturbance of thyroid function due to the eessive secretion of thyroid #land with a

conse7uent increase in the metabolic rate

%hief symptomes &

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wei#ht loss

Eessive

rominence of the eyes

Enlar#ement of thyroid #land

'ncrease appetide

wea$ness

cardic failure

serum B' elevated

basal metabolic increase 1/ 4 or more

increase of nitro#en metabolism ! destruction of tissue protein

ecretion of %a and increase ! osteoporosis, bone structure

Dietary modification &

restore normal nutrition

3/// 1/// calories

rotein -// -21 #r

%a 2 = #rFday

+upplement vit D, vit A, B comple, vit %

"ypothroidism

Decrease production of thyroid hormon

;nown as myedema (adult), cretinism (infant)

#OINT DISEASE

Arthritis

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?heumatism

9out

?heumaticfever &

in child or youn# adult

in adu7uate treatment

permanent dema#e of heart

osteoarthritis (de#enerative arthritis)

especially women youn# adults

inflamation, paintful

cause (theory) &

infection

hypersensitivity

hereditary

metabolic disorders

sympotmes & fati7ue

pain

stiffness

deformity

the disease is pro#ressive

the symptomes may spontaneously dissapear but reappear

later

supportive diet

in #ood nutritional status ! normal diet

obese ! low calorie diet (wei#ht loss)

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in poor nutritional status ! hi#h calorie and protein diet (wei#ht #ain)

in steroid therapy, when a retention


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*idized

6ric acid

6ric acid is also synthesized in the body from simple carbon and nitro#en compound.

+tores in liver and tissues

Eerated in urine and via the bile into intestinal

tract

Dietary modification &

owFrestriction purine diet

urine content of blood (per -// #r)

9roup ' & (/ -1 m#)

ve#etables caviar

fruits nuts

mil$ butter

chesse #elatin

e##s su#ar

bread and cereal fish roe

9roup '' & (1/ -1/ m#)

meats dry beans

poultry peas

fish spinach

sea food oatmeal

9roup ''' & (-1/ m# over)

sweet breads $idney

sardines meat etract

liver brains

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purine restriction (#roup '', limited amount)

ener#y obese low calorie diet (-2// -@// cal) in interval time

protein restricted to about @/ #Fday

fruits G = l per day

coffe, tea ! allowed

Osteo$orosis

deficiency disease

mostly the result of endocrine disorders

hyperthyroidism

hyperparathyroidism

hyperadrenocortism

acrome#aly

immobilization

rheumatoid arthritis

sic$le cell anemia

nutritional deficiency

symptomes &

low bac$ pain

vertebral fracture

Metabolic chan#es &

characterized by a reduction in the total bone mass

ne#ative balance of %a, , and level in blood

Dietary treatment

estro#en and andro#en

(anabolic effect, mineral retention)

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%a is recommended (-,1 # Fday)

+upplement & %a

Jit D

rotein & (hi#h protein inta$e)

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Dietary Modification in Various Imbalance of Endocrine Production

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