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The Food Delusion
Нефрологическая эффективность живого какао
Пациенты с полной или частичной утратой функции почек находятся в зоне повышенного риска развития проблем с сердцем и сосудами. Только изменения в диете могут помочь поддерживать здоровье сосудов и значительно снизить риск сердечно-сосудистых заболеваний для таких пациентов. Ученые из University Hospital Essen, Germany проверяли действие флаванолов какао  на тест-группе индивидуалов с нормальной функцией почек. Было обнаружено, что в тестируемой группе после 30 дней какао терапии функции сосудов значительно улучшились и уменьшилось до нормы давление.
В результате было решено использовать ту же диетическую терапию для 57 пациентов, принимающих процедуру диализа. Ученые обнаружили к своему удивлению намного более значительное восстановление функций сосудов под воздействие диетического фактора флаванолов какао по сравнению с использованием традиционной лекарственной терапии, включающей прием статинов и других лекарств. По мнению ученых поскольку тяжесть состояний для пациентов диализа связанных с падением функции почек настолько большая проблема, что ее терапия с помощью именно диетического фактора очень важна поскольку помогает избежать осложнений с побочным действием лекарств. Прием примерно 900 мг натуральных флаванолов сырого какао в сутки (примерно 40 грамм сырого дикорастущего какао) обеспечивает снижение риска развития сердечно-сосудистых заболеваний пациентов диализа примерно в 5 - 8 раз. Обнаружение данного эффекта авторами квалифицируется как значительное событие в нефрологии.  
Journal References:
1. C. Zoccali, F. Mallamaci. Cocoa Flavanols: A Magic Potion for Protecting the Endothelium in Kidney Failure? Clinical Journal of the American Society of Nephrology, 2015; DOI: 10.2215/CJN.12141115
2. T. Rassaf, C. Rammos, U. B. Hendgen-Cotta, C. Heiss, W. Kleophas, F. Dellanna, J. Floege, G. R. Hetzel, M. Kelm. Vasculoprotective Effects of Dietary Cocoa Flavanols in Patients on Hemodialysis: A Double-Blind, Randomized, Placebo-Controlled Trial. Clinical Journal of the American Society of Nephrology, 2015; DOI: 10.2215/CJN.05560515
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