Romatolojik Hastalıklarda Beslenme
Özet
Romatolojik hastalıklara sahip hastalar hem akut hem de kronik sistemik inflamasyona maruz kalırlar. Sistemik inflamasyona bağlı olarak yağ dokusu artarken kas dokusu kitlesinde azalmaya bağlı hastalarda sarkopeni gelişmektedir. Beslenme; gut artriti, osteoartrit, romatoid artrit gibi romatolojik hastalıkların gelişimiyle yakın ilişkisi ve vücut sağlığı için önemlidir. Bu hastalıklardaki sistemik inflamasyonun yanında inflamatuar gıda içeren besinlerin ayrıca alınması vücut kitle indeksindeki değişime, visseral yağ birikimi, diyabet ve kardiyovasküler hastalık gibi komorbid durumların hastalarda gelişimine neden olmaktadır. Yine tedavi sürecinde hastalar steroid grubu ilaçlar başta olmak üzere biyolojik ve immunosupressif tedaviye almak zorunda kalmaktadırlar. Bu ilaçların iştah, vücut yağ dengesi ve besin öğeleri metabolizması üzerine olumsuz etkileri olabilmektedir. Bu nedenle romatolojik hastalıkların tedavi yönetiminde hastaların beslenme durumlarının göz önünde bulundurulması komorbid ve komplikasyon gelişiminin önlenmesiyle tedavideki başarıyı arttırmada önemli katkı sağlayacaktır.
Patients with rheumatologic diseases are exposed to both acute and chronic systemic inflammation. Sarcopenia develops in patients due to a decrease in muscle tissue mass while adipose tissue increases due to systemic inflammation. Nutrition is important for body health and its close relationship with the development of rheumatological diseases such as gouty arthritis, osteoarthritis, and rheumatoid arthritis. In addition to the systemic inflammation in these diseases, additional intake of foods containing inflammatory foods causes changes in body mass index and the development of comorbid conditions such as visceral fat accumulation, diabetes and cardiovascular disease in patients. Again, during the treatment process, patients have to receive biological and immunosuppressive treatment, especially corticosteroid group drugs. These drugs can have negative effects on appetite, body fat balance and nutrient metabolism. Therefore, considering the nutritional status of patients in the treatment management of rheumatological diseases will make a significant contribution to increasing the success of treatment by preventing the development of comorbidities and complications.
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