Bakaliuk T. G. EFFICACSY OF DIETARY CORRECTION IN A COMPLEX OF REHABILITATION ACTIVITIES IN ELDERLY PATIENTS WITH OSTEOARTHROSIS

SHEE "I. Ya. Gorbachevsky Ternopil State Medical University Ministry of Health Ukraine, 46000 Ternopil

Examined were 84 patients aged 56—77 with primary osteoarthritis clinico-roentgenological stage І—ІІ, divided in 2 groups depending on change of diet after sanatorium-resort stage of rehabilitation. The results of estimation of modified therapy revealed a decrease of excess body weight, normalization of indexes of carbohydrate and lipid metabolism, deceleration of remodeling processes of subchondral bone induced by dietary correction. Also significantly positive was a dynamics in the decrease of proinflammatory cytokines (interleukin-1b) and increase of antiinflammatory cytokine – interleukin-10. Revealed was a positive dynamics of life quality indices owing to improvement of capacity to move in the space, as well as reduction of pain and discomfort and increase of everyday activity. The results obtained allowed to recommend the proposed chart of dietary correction as an accessible and effective method of rehabilitative treatment of the elderly patients with osteoarthritis and concomitant pathology that does not induce complications and improves life quality.

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