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Premise
The following indications are for informational purposes EXCLUSIVELY and are not intended to replace the opinion of professionals such as a doctor, nutritionist or dietician, whose intervention is necessary for the prescription and composition of PERSONALIZED food therapies.
Gastro-oesophageal reflux disease
Gastroesophageal reflux disease (GERD) is a disorder linked to the ascent of the gastric contents into the esophagus which, not having the necessary protections against such an acid pH, can be damaged in the long term, causing symptoms characterized by: retro-sternal heartburn, regurgitation gastric material (NOT always noticeable at night) and epigastric pain; NB. gastroesophageal reflux disease is often linked to an anatomical alteration called a hiatal hernia.
Gastro-esophageal reflux is a PHYSIOLOGICAL manifestation (about 50 episodes per day), but what determines GERD is the alteration of the balance between aggressive agents (gastric acid content) and preventive-defensive agents of the esophagus; the latter are: the anti-reflux barrier (consisting mainly of the lower esophageal sphincter - SEI - which activity, in GERD, is partially compromised) and mucosal trophism (stratified paving epithelium that prevents the passage of acid ions to the submucosa - in GERD greatly worn out by the chemical stress of the gastric contents).
The diagnostic criteria of gastroesophageal reflux disease are mainly related to the symptoms: reflux episodes that last at least 3-5 minutes and are associated with heartburn, regurgitation and pain. However, especially in the initial phase, gastroesophageal reflux disease is almost totally asymptomatic and for the diagnosis are necessary: ​​an associated pH-metric evaluation and, possibly, an esophagogastroduodenoscopy.
NB. GERD occurs more frequently in obese than in normal weight subjects.
Useful supplements for gastroesophageal reflux disease
There are no real supplements useful in preventing or treating gastroesophageal reflux disease; on the other hand, considering that the drug therapy consists mainly of inhibitors of gastric secretion, the subject with GERD could benefit from herbal products useful in case of gastritis.
Diet for gastroesophageal reflux disease
The diet for gastroesophageal reflux disease is aimed at:
- Eventually, reduce overweight
- Divide meals more by reducing their volume
- Eliminate foods that promote gastric secretion (nerves: coffee, tea, alcohol)
- Eliminate spices and carbonated drinks
- Eliminate / minimize high-fat meals
- Eliminate / minimize poorly digestible protein foods, therefore raw or with prolonged cooking
- Eliminate / minimize very cold or very hot foods
- Eliminate / minimize chocolate, mint, onion and garlic.
Gastro-oesophageal reflux disease must also be associated with some very specific habits; for example: abolition of cigarette smoking, elimination of clothes that are too tight, maintenance of upright posture during and after meals, prolonged chewing, going to bed at least 3 hours after a meal and not performing physical exertion immediately after a meal.
Diet Example for Gastro-Esophageal Reflux Disease
- Overweight auto electrician who often sleeps on the sofa after meals.
Gender | M | |||
Age | 40 | |||
Height cm | 182 | |||
Wrist circumference cm | 18,1 | |||
Constitution | Robust | |||
Height / wrist | 10,1 | |||
Morphological type | Normolineo | |||
Weight kg | 85 | |||
Body mass index | 25,7 | |||
Evaluation | Overweight | |||
Physiological body mass index desirable | 24,1 | |||
Desirable physiological weight kg | 79,8 | |||
Basal metabolism kcal | 1805 | |||
Physical activity level coefficient | NO from 1,41 | |||
Energy expenditure kcal | 2545,1 | |||
Diet | IPOCALORIC - 10% | 1780 Kcal approx | ||
Lipids | 25% | 445kcal | 49,4g | |
Protein | 1,2g / kg * physiol. | 383kcal | 95,8g | |
Carbohydrates | 53,5% | 952kcal | 253,9g | |
Breakfast | 15% | 267kcal | ||
Snack | 10% | 178kcal | ||
Lunch | 35% | 623kcal | ||
Snack | 10% | 178kcal | ||
Price | 30% | 534kcal |
It was decided to invert the foods commonly used for lunch with those for dinner in order to obtain a lower gastric commitment in the hours preceding sleep; in this way it is possible to sleep with the stomach almost completely empty, reducing gastroesophageal reflux to a minimum.
Anti-Reflux Diet Example - Day 1
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Strawberries | 150g, 48,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Grilled pork chop | |||
Braciola, carne magra | 200g, 254kcal | ||
zucchini | 200g, 32kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Sour red cherries | 100g, 50,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Pasta with tomato sauce | |||
Semolina pasta | 60g, 213,6kcal | ||
Tomato Sauce | 100g, 24,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Fennel | 100g, 62,0kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 2
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 100g, 50,7kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Veal steak | |||
Loin of veal | 200g, 232kcal | ||
Carciofi | 150g, 70,5kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 100g, 50,7kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Rice with zucchini | |||
Brown rice | 60g, 217,2kcal | ||
zucchini | 100g, 16,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Melanzane | 100g, 48,0kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 3
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Hard-boiled eggs | |||
Chicken eggs | 100g, 143kcal | ||
Potatoes | 250g, 192,5kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 10g, 90kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Boiled beans and carrots | |||
Dried beans | 50g, 155,5kcal | ||
carrots | 200g, 82,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 4
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Strawberries | 150g, 48,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Baked sea bass | |||
Sea bass, various species | 200g, 194kcal | ||
zucchini | 200g, 32kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 20g, 180kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Sour red cherries | 100g, 50,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Pasta with eggplants | |||
Semolina pasta | 60g, 213,6kcal | ||
Melanzane | 100g, 24,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Fennel | 100g, 62,0kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 5
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 100g, 50,7kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Baked sea bream | |||
sea ​​bream | 200g, 180kcal | ||
Carciofi | 150g, 70,5kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 20g, 180kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 100g, 50,7kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Rice with radicchio | |||
Brown rice | 60g, 217,2kcal | ||
radicchio | 100g, 24,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Melanzane | 100g, 48,0kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 6
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
ricotta cheese | |||
Semi-skimmed milk cow ricotta | 100g, 138kcal | ||
Potatoes | 250g, 192,5kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 10g, 90kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Chickpeas and boiled celery | |||
DRIED chickpeas | 60g, 200,4kcal | ||
Celery | 200g, 32,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Anti-Reflux Diet Example - Day 7
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75kcal | ||
Bitter cocoa | 10g, 39,8kcal | ||
Muesli | 30g, 102,0kcal | ||
Honey | 10g, 30,4kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Strawberries | 150g, 48,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Lunch, about 35% kcal TOT | |||
Cod in the pan | |||
Cod fillets | 200g, 164,0kcal | ||
Endive | 200g, 34kcal | ||
Whole grain bread | 90g, 218,7kcal | ||
Extra virgin olive oil | 25g, 225kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Sour red cherries | 100g, 50,0kcal | ||
Rusks | 15g, 63,9kcal | ||
Dinner, about 30% kcal TOT | |||
Pasta with spinach | |||
Semolina pasta | 60g, 213,6kcal | ||
Spinaci | 100g, 23,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Fennel | 100g, 62,0kcal | ||
Whole grain bread | 30g, 72,9kcal | ||
Extra virgin olive oil | 15g, 135kcal |
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