Patent RU-2734910-C1 (RU)
Title: Weight reduction method
Inventor: Kochenkova Ekaterina Vladimirovna
IPC: A61M21/00
Filed: 2019-10-04
Granted: 2020-10-26
Abstract: FIELD: medicine. 
     SUBSTANCE: invention refers to medicine, particularly to psychotherapy. Hunger awareness skill is formed. For this purpose, the patient uses cards of a single plate of food, into which he enters the names of products of a single portion of food, which he eats per one meal. Interval between single meals makes 3.5–4.5 hours, while a single portion of the food taken by patient till 6 o'clock in the evening contains vegetables, protein and carbohydrates in ratio of 50:25:25. One portion of food taken by patient after 6 o'clock in the evening contains vegetables and protein in ratio of 50:50. Single portion of food has a weight of not more than 200 grams and consists of 2–3 kinds of products and is consumed from utensils, into which only such portion of food is stored. Patient consumes food in portions weighing not more than 10 g. To develop skills of awareness of hunger, satiation or overeating, a hunger rating scale is used, wherein division 5 of the hunger assessment scale corresponds to feeling of satiety in the patient's stomach, division of 0–4 hunger assessment scale corresponds hunger, 6–10 hunger assessment scales - overeating. Patient sits at the table, puts his/her right hand on the stomach and assesses on the hunger assessment scale his or her hunger, and if it corresponds to 0–4 grades of the hunger assessment scale, then one proceeds with eating. Patient eats not more than 50 % of the food in dish during 2–3 minutes, gets up from the table, switches his attention to any activity and does not start eating during 3–5 minutes. Patient again sits at the table, puts his/her right hand on the stomach and assesses on the hunger assessment scale his/her hunger feeling and if it corresponds to scale divisions 0–4 of the hunger assessment scale, then he/she starts eating and slowly and deliberately eats not more than 10% of portions of food which is in dishware. Then he gets up from the table, switches his attention to any activity and does not start eating for 3–5 minutes. Patient again sits at the table, puts his/her right hand on the stomach and assesses on the hunger assessment scale his hunger, and if hunger corresponds to division of 5 famine assessment scale, the patient stops eating. If it corresponds to scale grades 0–4 of the hunger assessment scale, then one begins eating and slowly eats the food until the bottom of the dishware appears. Between meals the patient drinks water according to organism needs. Bites are absent. Additionally, during the interview, the patient is evaluated by means of a questionnaire on depression, wherein the Zung scale is used to assess the depression. In addition, the patients assess themselves by an anxiety scale, wherein the anxiety scale is a Zung anxiety self-assessment scale for measuring stress resistance and anxiety. And if patient's anxiety level is more than 5, patient performs exercises for stress and relaxation of body muscles - straining and relaxing fists, arms, shoulder girdle, abdomen, hips, legs, face. Additionally, the patient forms a table of positive effects in his or her life that occur during weight-loss, which is accompanied by positive effects throughout the period of losing weight. Plate of the single plate of food contains a stylized image of the plate which is divided into parts with names of products included into a single portion of food. Tea cup or a tea saucer is used as a dish for a single portion of food. One portion of food is eaten with a teaspoon. Activity involves physical activity, physical exercises and physical labor. Water used is pure, non-carbonated, unsweetened, unsalted water. Conscious control of the process of food intake and formation of skills of awareness of hunger, satiation or overeating in the stomach is performed in the form of two sessions, each of which consists of a rational part and sessions of indirect suggestions. During the session of indirect suggestions, the patients are immersed into a trance state and a session is performed, repeating the formulated formula using categories of visual images, auditory impressions, by sensations, using neurolinguistic programming and metaphors. Sessions of conscious control of the process of food intake and formation of habits of awareness of hunger, satiation or overeating in the stomach are performed in the afternoon or in the evening. Patients count the caloric content of a single portion of food, conduct a food diary and daily weight is measured. 
     EFFECT: method allows to reduce the weight by the required number of kilograms for a long period and independently to maintain the achieved weight. 
     10 cl, 1 tbl, 3 ex