ó㳺í³÷íà îö³íêà ñòàíó ôàêòè÷íîãî õàð÷óâàííÿ äîðîñëîãî íàñåëåííÿ Óêðà¿íè òà íàóêîâå îá´ðóíòóâàííÿ øëÿõ³â éîãî îïòèì³çàö³¿

Ñòàí ôàêòè÷íîãî õàð÷óâàííÿ äîðîñëîãî íàñåëåííÿ äðóãî¿ ãðóïè ô³çè÷íî¿ àêòèâíîñò³. Âñòàíîâëåííÿ ïð³îðèòåòíèõ äåô³öèò³â òà ïðîô³öèò³â ìàêðî- òà ì³êðîíóòð³ºíò³â ó ãîäóâàíí³ æèòåë³â â ð³çí³ ïîðè ðîêó. Àíàë³ç çàáåçïå÷åíîñò³ ëþäåé â³òàì³íàìè òà êàëüö³ºì.

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ßçûê óêðàèíñêèé
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Îòïðàâèòü ñâîþ õîðîøóþ ðàáîòó â áàçó çíàíèé ïðîñòî. Èñïîëüçóéòå ôîðìó, ðàñïîëîæåííóþ íèæå

Ñòóäåíòû, àñïèðàíòû, ìîëîäûå ó÷åíûå, èñïîëüçóþùèå áàçó çíàíèé â ñâîåé ó÷åáå è ðàáîòå, áóäóò âàì î÷åíü áëàãîäàðíû.

13. Øâåöü Î.Â., Öèïð³ÿí Â.². Öèìáàë³ñòà Í.Â. Îïòèì³çàö³ÿ ïðèíöèï³â çäîðîâîãî õàð÷óâàííÿ (õàð÷îâî¿ ï³ðàì³äè) íàñåëåííÿ Óêðà¿íè// ²íôîðìàö³éíèé ëèñò ¹ 158, - 2007. - 4 ñ.: (* - âèâ÷èëà ð³âí³â ñïîæèâàííÿ îñíîâíèõ ãðóï õàð÷îâèõ ïðîäóêò³â íàñåëåííÿì, ðîçðîáêà «Õàð÷îâî¿ ï³ðàì³äè»).

14. Øâåöü Î.Â., Öèïð³ÿí Â.². Öèìáàë³ñòà Í.Â. Äàâèäåíêî Í.Â. Ïðèñêîðåíèé ìåòîä ðåàá³ë³òàö³¿ õâîðèõ ç àðòåð³àëüíîþ ã³ïåðòåí糺þ. ²íôîðìàö³éíèé ëèñò ¹ 159, - 2007. - 4 ñ.: (*àíàë³ç çàõâîðþâàíîñò³, ðîçðîáêà 䳺òè÷íîãî ðàö³îíó).

15. Øâåöü Î.Â., Áàíêîâñüêà Í.Â. ó㳺í³÷íà îö³íêà ôàêòè÷íîãî õàð÷óâàííÿ íàñåëåííÿ òà ð³âí³â ñïîæèâàííÿ îñíîâíèõ ãðóïï õàð÷îâèõ ïðîäóêò³â// Ìåòîäè÷í³ ðåêîìåíäàö³¿. Êè¿â. - 2008. - 37 ñ.: (* - ðîçðîáêà ìåòîäèêè, ùîäî ïîäàëüøîãî ìîí³òîðèíãó ôàêòè÷íîãî õàð÷óâàííÿ íàñåëåííÿ).

ÀÍÎÒÀÖ²ß

Áàíêîâñüêà Í.Â. ó㳺í³÷íà îö³íêà ñòàíó ôàêòè÷íîãî õàð÷óâàííÿ äîðîñëîãî íàñåëåííÿ Óêðà¿íè òà íàóêîâå îá´ðóíòóâàííÿ øëÿõ³â éîãî îïòèì³çàö³¿. - Ðóêîïèñ.

Äèñåðòàö³ÿ íà çäîáóòòÿ íàóêîâîãî ñòóïåíþ êàíäèäàòà ìåäè÷íèõ íàóê çà ñïåö³àëüí³ñòþ 14.02.01 - «ã³ã³ºíà òà ïðîôåñ³éíà ïàòîëîã³ÿ». - Íàö³îíàëüíèé ìåäè÷íèé óí³âåðñèòåò ³ìåí³ Î.Î. Áîãîìîëüöÿ ̳í³ñòåðñòâà îõîðîíè çäîðîâ'ÿ Óêðà¿íè, Êè¿â, 2008.

Äèñåðòàö³þ ïðèñâÿ÷åíî íàóêîâîìó îá´ðóíòóâàííþ øëÿõ³â îïòèì³çàö³¿ ñòàíó ôàêòè÷íîãî õàð÷óâàííÿ äîðîñëîãî íàñåëåííÿ Óêðà¿íè äðóãî¿ ãðóïè ô³çè÷íî¿ àêòèâíîñò³.

Ïðîâåäåíî äîñë³äæåííÿ, ÿê³ äîçâîëèëè îö³íèòè ôàêòè÷íó åíåðãåòè÷íó ö³íí³ñòü ðàö³îí³â õàð÷óâàííÿ òà íóòðèºíòíèé ñêëàä, âñòàíîâëåí³ ð³âí³ ñïîæèâàííÿ îñíîâíèõ ïðîäóêò³â ïðàöåçäàòíèìè îñîáàìè äðóãî¿ ãðóïè ô³çè÷íî¿ àêòèâíîñò³ â ð³çí³ ïîðè ðîêó òà âïëèâ ôàêòè÷íîãî õàð÷óâàííÿ íà ïîøèðåí³ñòü ñåðåä íàñåëåííÿ àë³ìåíòàðíîîáóìîâëåíèõ çàõâîðþâàíü.

Îá´ðóíòîâàíî «Õàð÷îâó ï³ðàì³äó» äëÿ íàñåëåííÿ äðóãî¿ ãðóïè ô³çè÷íî¿ àêòèâíîñò³. Âèçíà÷åíî ðîçïîä³ë õàð÷îâèõ ïðîäóêò³â òà ð³âíÿ ¿õ ñïîæèâàííÿ, ùî äຠìîæëèâ³ñòü ï³äâèùèòè çàáåçïå÷åí³ñòü îðãàí³çìó âîäîðîç÷èííèìè â³òàì³íàìè, â-êàðîòèíîì, êë³òêîâèíîþ. Îá´ðóíòîâàíî àë³ìåíòàðíó êîðåêö³þ õàð÷óâàííÿ äëÿ íàñåëåííÿ äðóãî¿ ãðóïè ô³çè÷íî¿ àêòèâíîñò³ ç ìåòîþ ïðîô³ëàêòèêè àðòåð³àëüíî¿ ã³ïåðòåí糿. Çä³éñíåíî çàõîäè ³ç âïðîâàäæåííÿ ðåçóëüòàò³â äîñë³äæåíü ó ïðàêòèêó îõîðîíè çäîðîâ'ÿ íà äåðæàâíîìó ð³âí³.

Êëþ÷îâ³ ñëîâà: ôàêòè÷íå õàð÷óâàííÿ, àë³ìåíòàðíà çàõâîðþâàí³ñòü, äîðîñëå íàñåëåííÿ, ðàö³îíàëüíå õàð÷óâàííÿ, íóòð³ºíòíèé ñêëàä, çäîðîâ'ÿ íàñåëåííÿ.

Áàíêîâñêàÿ Í.Â. Ãèãèåíè÷åñêàÿ îöåíêà ñîñòîÿíèÿ ôàêòè÷åñêîãî ïèòàíèÿ âçðîñëîãî íàñåëåíèÿ Óêðàèíû è íàó÷íîå îáîñíîâàíèå ïóòåé åãî îïòèìèçàöè. - Ðóêîïèñü.

Äèññåðòàöèÿ íà ñîèñêàíèå ó÷åíîé ñòåïåíè êàíäèäàòà ìåäèöèíñêèõ íàóê ïî ñïåöèàëüíîñòè 14.02.01 - "ãèãèåíà è ïðîôåññèîíàëüíàÿ ïàòîëîãèÿ". - Íàöèîíàëüíûé ìåäèöèíñêèé óíèâåðñèòåò èìåíè À.À. Áîãîìîëüöÿ ÌÇ Óêðàèíû, Êèåâ, 2008.

Äèññåðòàöèÿ ïîñâÿùåíà íàó÷íîìó îáîñíîâàíèþ ïóòåé îïòèìèçàöèè ñîñòîÿíèÿ ôàêòè÷åñêîãî ïèòàíèÿ âçðîñëîãî íàñåëåíèÿ Óêðàèíû âòîðîé ãðóïïû ôèçè÷åñêîé àêòèâíîñòè.

Ïðîâåäåííûå èññëåäîâàíèÿ ïîçâîëèëè îöåíèòü ôàêòè÷åñêóþ ýíåðãåòè÷åñêóþ öåííîñòü ðàöèîíîâ ïèòàíèÿ è èõ íóòðèåíòíûé ñîñòàâ, óñòàíîâèòü óðîâíè ïîòðåáëåíèÿ îñíîâíûõ ïðîäóêòîâ ëèöàìè äàííîé ãðóïïû â ðàçíûå ñåçîíû ãîäà è âëèÿíèå ôàêòè÷åñêîãî ïèòàíèÿ íà ðàñïðîñòðàíåííîñòü ñðåäè íàñåëåíèÿ àëèìåíòàðíî-îáóñëîâëåííûõ çàáîëåâàíèé.

Èññëåäîâàíèÿ ïîêàçàëè, ÷òî ýíåðãåòè÷åñêàÿ àäåêâàòíîñòü ïèòàíèÿ ðåãèñòðèðóåòñÿ â 52,3 % îáñëåäîâàííûõ ëèö, íåäîñòàòî÷íàÿ ýíåðãåòè÷åñêàÿ öåííîñòü ðàöèîíîâ - â 9,3 % ëèö, à èçáûòî÷íàÿ - â 38,4 % ëèö.

 ïðîöåññå èññëåäîâàíèé îïðåäåëåíî, ÷òî ýíåðãåòè÷åñêàÿ öåííîñòü çèìíå-âåñåííèõ ðàöèîíîâ áîëåå âûñîêàÿ (â ìóæ÷èí íà 10,3 %, ó æåíùèí - íà 14,4 %), ÷åì ýíåðãåòè÷åñêàÿ öåííîñòü ëåòíå-îñåííèõ ðàöèîíîâ. Ïèòàíèå ìóæ÷èí íàèáîëåå àêòèâíîé âîçðàñòíîé ãðóïïû 18-29 ëåò õàðàêòåðèçîâàëîñü ýíåðãåòè÷åñêîé íåäîñòàòî÷íîñòüþ, äåôèöèò äîñòèãàë 17,3 %. Ýòîò äåôèöèò áîëüøèé ñðåäè ñåëüñêîãî íàñåëåíèÿ ýòîé æå âîçðàñòíîé ãðóïïû. Ñðåäíÿÿ ýíåðãåòè÷åñêàÿ öåííîñòü ïèòàíèÿ æåíùèí êîëåáàëàñü â ïðåäåëàõ ôèçèîëîãè÷åñêèõ íîðì. Ìàêðîíóòðèåíòíûé ñîñòàâ ðàöèîíîâ ïèòàíèÿ âñåõ âîçðàñòíûõ ãðóïï, õàðàêòåðèçîâàëñÿ äîñòàòî÷íûì ñîäåðæàíèåì áåëêà, èçáûòî÷íûì ñîäåðæàíèåì æèðîâ è íåäîñòàòî÷íûì ñîäåðæàíèåì ñëîæíûõ óãëåâîäîâ. Ýòî îòîáðàæàëîñü íà ñáàëàíñèðîâàííîñòè ïèùåâûõ ðàöèîíîâ, êîòîðàÿ äëÿ ðàöèîíîâ ìóæ÷èí 1,0:2,8:5,2, à äëÿ ðàöèîíîâ æåíùèí 1,0:2,1:5,1 (ïðè íåîáõîäèìîì 1,0:1,0:4,0). Èíäèâèäóàëüíîå ïîòðåáëåíèå îñíîâíûõ ìàêðîíóòðèåíòîâ êîëåáàëîñü â øèðîêèõ ïðåäåëàõ. Óðîâåíü ïîòðåáëåíèÿ áåëêà, êîòîðûé ñîîòâåòñòâîâàë ôèçèîëîãè÷åñêèì íîðìàì ðåãèñòðèðîâàëñÿ ó 42,7 % îáñëåäîâàííûõ, äåôèöèò áåëêà âûÿâëåí ó 32,5 % ëèö, à ïîâûøåííîå åãî ïîòðåáëåíèå - ó 24,8 % ëèö. Èçáûòî÷íîå ñîäåðæàíèå æèðîâ â ðàöèîíàõ îòìå÷àëñÿ ó 27,9 % îáñëåäîâàííûõ, íåäîñòàòî÷íîå - ó 16,9 % ëèö. Óãëåâîäíàÿ êâîòà ðàöèîíà â ïèòàíèè 50,0 % ìóæ÷èí è 55,0 % æåíùèí ñîîòâåòñòâîâàëà ôèçèîëîãè÷åñêèì ðåêîìåíäàöèÿì.  óãëåâîäíîé êâîòå ðàöèîíà çíà÷èòåëüíîå ìåñòî çàíèìàëè ïðîñòûå óãëåâîäû (íà 37 % âûøå íîðìû).

Àíàëèç ìèêðîíóòðèåíòíîãî ñîñòàâà ðàöèîíîâ ïèòàíèÿ õàðàêòåðèçîâàëñÿ íåäîñòàòî÷íûì ñîäåðæàíèåì êàëüöèÿ è ôîñôîðà. Äåôèöèò êàëüöèÿ â çèìíå-âåñåííèõ ðàöèîíàõ ìóæ÷èí ñîñòàâëÿë 23,7%, à â ëåòíå-îñåííèõ 29,2 %.  ðàöèîíàõ ïèòàíèÿ æåíùèí ýòîò äåôèöèò ñîñòàâëÿë 28,8 % è 36,8 %, ñîîòâåòñòâåííî. Äåôèöèò êàëüöèÿ â ïèòàíèè ìóæ÷èí è æåíùèí ïîäòâåðæäàëñÿ èññëåäîâàíèÿìè åãî ñîäåðæàíèåì â ìî÷å. Òîëüêî â 69% îáñëåäîâàííûõ ëèö ðåãèñòðèðîâàëñÿ óðîâåíü ýêñêðåöèè, êîòîðûé îòâå÷àë îáåñïå÷åííîñòè îðãàíèçìà ïî ýòèì ìèíåðàëüíûì ýëåìåíòàì.  42,2 % æåíùèí äåòîðîäíîãî âîçðàñòà ïèòàíèå áûëî äåôèöèòíûì ïî ñîäåðæàíèþ æåëåçà. Àíàëèç ìèêðîíóòðèåíòíîãî ñîñòàâà ïèùåâûõ ðàöèîíîâ õàðàêòåðèçîâàëñÿ, òàêæå, íåäîñòàòî÷íûì ïîñòóïëåíèåì âèòàìèíîâ: Â1 - íà 18,4 %, âèòàìèíà Â2 - íà 25,2 %, âèòàìèíà Â6 - íà 23,2 %, âèòàìèíà Â12 - íà 32,5 %, ñíèæåííîå ïîòðåáëåíèå âèòàìèíà ÐÐ - íà 31,0 %, ôîëàöèíà - íà 34,6 %, âèòàìèíà À - íà 40,9 %, âèòàìèíà Ñ - íà 31,9 %, âèòàìèíà Å - íà 35,5 %. Çèìíå-âåñåííèé ïåðèîä ïèòàíèÿ õàðàêòåðèçîâàëñÿ áîëüøèì äåôèöèòîì âèòàìèíîâ. Óñòàíîâëåíî, ÷òî óðîâåíü ýêñêðåöèè âèòàìèíîâ è êàëüöèÿ ñ ìî÷îé ïîäòâåðæäàåò äåôèöèò ïîòðåáëåíèÿ âèòàìèíîâ íàñåëåíèåì. Íåäîñòàòî÷íàÿ îáåñïå÷åííîñòü âèòàìèíîì Â1 îòìå÷àëàñü â 36,4 % îáñëåäîâàííûõ, âèòàìèíîì ÐÐ - â 42,6 % îáñëåäîâàííûõ, âèòàìèíîì Ñ - â 41,2 % îáñëåäîâàííûõ, Ñà - â 31,6 %.

Ñîâðåìåííîå ïèòàíèå òðóäîñïîñîáíîãî íàñåëåíèÿ õàðàêòåðèçîâàëîñü ïîâûøåííûì óðîâíåì ïîòðåáëåíèÿ âûñîêîêàëîðèéíûõ ïðîäóêòîâ ïèòàíèÿ ñ íèçêîé áèîëîãè÷åñêîé öåííîñòüþ - çåðíîâûõ ïðîäóêòîâ, êàðòîôåëÿ, êîíäèòåðñêèõ èçäåëèé è íåäîñòàòî÷íûì óðîâíåì ïîòðåáëåíèÿ ïðîäóêòîâ ñ âûñîêîé áèîëîãè÷åñêîé öåííîñòüþ - ìîëîêà, ìÿñà, ðûáû è ïðîäóêòîâ èõ ïåðåðàáîòêè. Äåôèöèò ïîòðåáëåíèÿ îâîùåé è ôðóêòîâ äîñòèãàë 34,0 %.

Îñóùåñòâëåíû ìåðîïðèÿòèÿ ïî âíåäðåíèþ ðåçóëüòàòîâ èññëåäîâàíèé â ïðàêòèêó çäðàâîîõðàíåíèÿ: îïóáëèêîâàíû ìåòîäè÷åñêèå ðåêîìåíäàöèè, à òàêæå 2 èíôîðìàöèîííûå ïèñüìà ðàçðàáîòàííûå ñ öåëüþ ïðîôèëàêòèêè íóòðèåíòíûõ äåôèöèòîâ, àëèìåíòàðíîçàâèñèìûõ çàáîëåâàíèé è óêðåïëåíèþ çäîðîâüÿ íàñåëåíèÿ.

Îáîñíîâàíà "Ïèùåâàÿ ïèðàìèäà" äëÿ íàñåëåíèÿ âòîðîé ãðóïïû ôèçè÷åñêîé àêòèâíîñòè. Ïðåäëîæåííîå ðàñïðåäåëåíèå ïèùåâûõ ïðîäóêòîâ è óðîâíÿ èõ ïîòðåáëåíèÿ ïîâûñèò îáåñïå÷åííîñòü îðãàíèçìà âîäîðàñòâîðèìûìè âèòàìèíàìè, â-êàðîòèíîì, êëåò÷àòêîé, ìàãíèåì.

Îáîñíîâàíà àëèìåíòàðíàÿ êîððåêöèÿ ïèòàíèÿ äëÿ íàñåëåíèÿ âòîðîé ãðóïïû ôèçè÷åñêîé àêòèâíîñòè ñ öåëüþ ïðîôèëàêòèêè àðòåðèàëüíîé ãèïåðòåíçèè.

Êëþ÷åâûå ñëîâà: ôàêòè÷åñêîå ïèòàíèå, àëèìåíòàðíàÿ çàáîëåâàåìîñòü, âçðîñëîå íàñåëåíèå, ðàöèîíàëüíîå ïèòàíèå, íóòðèåíòíûé ñîñòàâ, çäîðîâüå íàñåëåíèÿ.

Bankovskaya N. V. Hygienic estimation of a condition of an actual feed of adult population of Ukraine and scientific substantiation of ways of its optimization. - Manuscript.

Dissertation for the candidate of medical sciences degree in speciality 14.02.01 - hygiene and professionals pathology. - Bohomolets National Medical University of the Ministry of Ukraine, Kiev, 2008.

The dissertation is devoted a scientific substantiation of ways of optimization of a condition of an actual feed of adult population of Ukraine of the second group of physical activity.

Defined of natural researches of an actual feed of the population of Ukraine which have allowed to estimate actual power value of feed allowances and nutrient structure are carried out, consumption levels of the basic products by able-bodied persons of the second group of physical activity during a different time of year and influence of an actual food on prevalence among the population nutrient deficiencies, and also alimentary and alimentary provided diseases are established.

"The food pyramid" for the population of the second group of physical activity is proved. Alimentary correction of a food for the population of the second group of physical activity for the purpose of preventive maintenance of an arterial hypertension the item is proved. Measures on introduction of results of researches in public health services practice at the state level are taken.

Key words: an actual feed, alimentary disease, adult population, a balanced diet, nutrient structure, population health.

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