ILD Nutrition Manual: Prednisone and Weight Gain
体重增加是一种常见的副作用 强的松. Prednisone can also cause a redistribution of fat to the face, 脖子后面和腹部, although these changes vary from person to person. Generally speaking, the higher the dose and the longer the treatment, the greater the changes.
Weight gain while taking 强的松 is typically due to fluid retention and increased calorie intake because of increased appetite. In addition, those with lung disease have more difficulty maintaining physical activity.
液体潴留
Fluid retention can be controlled by eating a diet low in sodium – no more than 2,每天000毫克,钾含量更高. You can find a list of high-sodium foods to avoid in the 健康饮食的一般指引.
You can increase your potassium intake by eating potassium-rich foods such as:
- 杏子
- 烤土豆
- 香蕉
- 香瓜,
- 日期
- 干李子
- 葡萄柚
- 青豆
- 牛奶
- 橙汁,西柚汁
- 橙子
- 葡萄干
- 菠菜、熟
- 炖西红柿
- 番茄汁
- 笋瓜
- 酸奶
增加卡路里摄入量
Prednisone increases appetite, resulting in increased calorie intake. This increased appetite can be difficult to control. Below are a few tips for controlling the amount of calories and the quality of nutrients you eat:
Eat small, frequent meals of high nutritional value.
吃高蛋白、低碳水化合物的食物. 有证据表明,低碳水化合物, high-protein diet is at least as effective for losing weight as a traditional low-calorie diet that's low in fat and portion-controlled. A high-protein diet may also help suppress appetite.
Eat carbohydrates in the form of fresh fruits and vegetables. Prednisone has a tendency to raise the level of glucose, 或糖, 在血液里, which can cause increased body fat or diabetes in some people. It is important to avoid "simple" carbohydrates and concentrated sweets, 比如蛋糕, 馅饼, 饼干, 堵塞, 蜂蜜, 芯片, 面包, 糖果和其他高度加工的食品. 这有助于保持低血糖.
限制饱和脂肪和胆固醇. 选择瘦肉、家禽和鱼. Avoid fried foods and foods with extra oil, butter, margarine, mayonnaise and the like.
吃富含钙的食物. Prednisone may alter your body's ability to use calcium. Try to get four servings of calcium-rich foods per day to help prevent osteoporosis. Check with your doctor to see if you would benefit from calcium supplements.
富含钙的食物包括:
- 加钙橙汁
- Cheese (American, Swiss, Colby, Cheddar and Jack)
- 白软干酪
- 牛奶
- 脱脂奶粉
- 橙子
- 沙丁鱼(带骨罐头)
- 虾
- 酸奶
体力活动减少
Having a lung disease makes physical activity more difficult. 每天的锻炼计划,如散步, working out at a gym or at home or practicing tai chi will burn calories, help prevent muscle and bone loss and improve your sense of well-being.
Your exercise program should include aerobic exercises, which burn calories and improve cardiovascular fitness, 适度的重量训练, which strengthens muscles and slows bone loss. 从一个简单的步行计划开始. If you're ever too fatigued to exercise, try harder tomorrow. Eat your main meal early in the day so you'll have more energy throughout the day and if you need it, 一定要带着氧气.
The key is to have a program of regular exercise. A pulmonary rehabilitation program is an excellent way to learn how to exercise despite shortness of breath and fatigue — plus you'll learn about lung disease and get lots of encouragement.
For more information on eating healthy with chronic lung disease, please see our 一般的指导方针.
ILD营养手册索引:
- ILD Nutrition Manual: 一般的指导方针 for Eating Healthy
- ILD营养手册:体重指数
- ILD Nutrition Manual: Increasing Protein in Your Diet
- ILD Nutrition Manual: Tips for Gaining Weight
- ILD Nutrition Manual: High-Calorie, High-Protein Sample Menu
- ILD Nutrition Manual: High-Calorie Shakes and Smoothies
- ILD Nutrition Manual: Tips for Losing Weight
- ILD Nutrition Manual: Plate Method for Healthy Meal Planning
- ILD Nutrition Manual: Prednisone and Weight Gain
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.