Pub Date : 2025-01-01Epub Date: 2025-01-21DOI: 10.33029/0042-8833-2025-94-1-50-63
Kh Kh Khamidulina, E V Tarasova, A S Proskurina, A K Nazarenko, E V Dorofeeva
In the Russian Federation, ensuring food security is one of the main tasks of state policy, which is reflected in the national Food Security Doctrine, which declares the need not only to control products for compliance with the mandatory requirements of the technical regulations of the Eurasian Economic Union, but also to harmonize food quality and safety standards with international ones. The purpose of the work was to identify priorities for the development or revision of characteristics and parameters of food safety and quality in the Russian Federation, taking into account global trends. Material and methods. The comparative analysis of the normative legal acts of the Russian Federation and the Eurasian Economic Union, documents of the Food and Agriculture Organization of the United Nations and the World Health Organization, Codex Alimentarius, national and international databases on the toxicity and danger of chemicals has been carried out. As part of the study, a search of literature for the last 8 years was performed using Elsevier, eLIBRARY, PubMed bibliographic platforms. Results. Traditionally, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) is most concerned about the regulation of heavy metals, pesticides, mycotoxins, veterinary drugs and chemicals entering food as a result of technological processes. The management of the danger and risk of exposure to contaminants in food is based on the establishment and updating of hygienic standards, including the maximum permissible levels of residual content, (temporary) permissible daily doses of consumption, permissible levels of migration from containers and packaging, prohibition and (or) restriction of the use of highly hazardous chemicals, their replacement with safer alternatives, changing technological processes. Conclusion. A comparative analysis showed that despite the active actions of Rospotrebnadzor to develop new standards, hygienic regulations and guidelines for the control of contaminants, harmonization with international requirements is needed in a number of areas based on fundamental research in the field of hygiene and nutrition science. The standards for the permissible lead content in food and the maximum permissible levels of residual amounts of a number of pesticides in agricultural crops require updating. In addition, activities under the Rotterdam Convention's prior informed consent procedure indicate the need for timely and relevant decisions on the prohibition or restriction of particularly hazardous chemicals and pesticides.
{"title":"[Current issues of regulation of contaminants in food].","authors":"Kh Kh Khamidulina, E V Tarasova, A S Proskurina, A K Nazarenko, E V Dorofeeva","doi":"10.33029/0042-8833-2025-94-1-50-63","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-50-63","url":null,"abstract":"<p><p>In the Russian Federation, ensuring food security is one of the main tasks of state policy, which is reflected in the national Food Security Doctrine, which declares the need not only to control products for compliance with the mandatory requirements of the technical regulations of the Eurasian Economic Union, but also to harmonize food quality and safety standards with international ones. <b>The purpose</b> of the work was to identify priorities for the development or revision of characteristics and parameters of food safety and quality in the Russian Federation, taking into account global trends. <b>Material and methods</b>. The comparative analysis of the normative legal acts of the Russian Federation and the Eurasian Economic Union, documents of the Food and Agriculture Organization of the United Nations and the World Health Organization, Codex Alimentarius, national and international databases on the toxicity and danger of chemicals has been carried out. As part of the study, a search of literature for the last 8 years was performed using Elsevier, eLIBRARY, PubMed bibliographic platforms. <b>Results</b>. Traditionally, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) is most concerned about the regulation of heavy metals, pesticides, mycotoxins, veterinary drugs and chemicals entering food as a result of technological processes. The management of the danger and risk of exposure to contaminants in food is based on the establishment and updating of hygienic standards, including the maximum permissible levels of residual content, (temporary) permissible daily doses of consumption, permissible levels of migration from containers and packaging, prohibition and (or) restriction of the use of highly hazardous chemicals, their replacement with safer alternatives, changing technological processes. <b>Conclusion</b>. A comparative analysis showed that despite the active actions of Rospotrebnadzor to develop new standards, hygienic regulations and guidelines for the control of contaminants, harmonization with international requirements is needed in a number of areas based on fundamental research in the field of hygiene and nutrition science. The standards for the permissible lead content in food and the maximum permissible levels of residual amounts of a number of pesticides in agricultural crops require updating. In addition, activities under the Rotterdam Convention's prior informed consent procedure indicate the need for timely and relevant decisions on the prohibition or restriction of particularly hazardous chemicals and pesticides.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"50-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-15DOI: 10.33029/0042-8833-2025-94-5-151-158
A V Tarasov, R S Rakhmanov, N A Skoblina, E S Bogomolova
The academic demands and lifestyle of university students contribute to the development of stress, anxiety, and depression, with micronutrient deficiencies, including vitamin D insufficiency, among the contributing risk factors. The aim of the research was to evaluate the impact of vitamin D status on anxiety and depression in students by season.
Material and methods: A study was conducted in September-October (n=100, including 64 girls and 36 boys) and April-May (n=94, including 70 girls and 24 boys) among students of 1st-5th years. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS), with scores ≤7 indicating no clinically significant symptoms, 8-10 - subclinical symptoms, and ≥11 - clinically significant symptoms. Plasma 25-hydroxyvitamin D [25(OH)D] levels were measured using ELISA.
Results: Anxiety and depression were recorded in 25.0 and 11.0% of students in autumn, increasing to 50.0 and 29.8% in spring, respectively. In spring, the prevalence of clinically significant anxiety (from 6.0±2.5 to 25.5±4.5%, p=0.001) and subclinical depression (from 9.0±3.0 to 24.5±4.3%, p=0.001) rose. Median 25(OH)D level was 1.9-fold lower in spring than in autumn (10.16 [8.02; 13.85] vs 19.16 [16.41; 22.90] ng/ml, р<0.001) with no significant gender differences. The prevalence of severe deficiency increased 9.6-fold in spring, while insufficiency decreased 4.9-fold. In spring, the proportion of students with severe vitamin D deficiency increased from 8.4±3.5 to 54.2±6.7% among males and from 3.1±1.8 to 45.7±7.4% among females, while the prevalence of insufficiency decreased from 33.3±8.1 to 8.4±4.5% and from 37.5±7.9 to 7.1±3.6%, respectively. The correlation between vitamin D status and anxiety scores increased from weak to moderate (r =-0.39 to -0.56), and between vitamin D status and depression scores from very weak to moderate (r =-0.22 to -0.52); all correlations were statistically significant, supporting the role of vitamin D status in the development of these conditions.
Conclusion: These findings support the implementation of biochemical screening to identify students with low vitamin D status and the initiation of supplementation at the beginning of the academic year.
{"title":"[The influence of vitamin D status on anxiety and depression in students in different seasons of the year].","authors":"A V Tarasov, R S Rakhmanov, N A Skoblina, E S Bogomolova","doi":"10.33029/0042-8833-2025-94-5-151-158","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-5-151-158","url":null,"abstract":"<p><p>The academic demands and lifestyle of university students contribute to the development of stress, anxiety, and depression, with micronutrient deficiencies, including vitamin D insufficiency, among the contributing risk factors. The aim of the research was to evaluate the impact of vitamin D status on anxiety and depression in students by season.</p><p><strong>Material and methods: </strong>A study was conducted in September-October (n=100, including 64 girls and 36 boys) and April-May (n=94, including 70 girls and 24 boys) among students of 1st-5th years. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS), with scores ≤7 indicating no clinically significant symptoms, 8-10 - subclinical symptoms, and ≥11 - clinically significant symptoms. Plasma 25-hydroxyvitamin D [25(OH)D] levels were measured using ELISA.</p><p><strong>Results: </strong>Anxiety and depression were recorded in 25.0 and 11.0% of students in autumn, increasing to 50.0 and 29.8% in spring, respectively. In spring, the prevalence of clinically significant anxiety (from 6.0±2.5 to 25.5±4.5%, p=0.001) and subclinical depression (from 9.0±3.0 to 24.5±4.3%, p=0.001) rose. Median 25(OH)D level was 1.9-fold lower in spring than in autumn (10.16 [8.02; 13.85] vs 19.16 [16.41; 22.90] ng/ml, р<0.001) with no significant gender differences. The prevalence of severe deficiency increased 9.6-fold in spring, while insufficiency decreased 4.9-fold. In spring, the proportion of students with severe vitamin D deficiency increased from 8.4±3.5 to 54.2±6.7% among males and from 3.1±1.8 to 45.7±7.4% among females, while the prevalence of insufficiency decreased from 33.3±8.1 to 8.4±4.5% and from 37.5±7.9 to 7.1±3.6%, respectively. The correlation between vitamin D status and anxiety scores increased from weak to moderate (r =-0.39 to -0.56), and between vitamin D status and depression scores from very weak to moderate (r =-0.22 to -0.52); all correlations were statistically significant, supporting the role of vitamin D status in the development of these conditions.</p><p><strong>Conclusion: </strong>These findings support the implementation of biochemical screening to identify students with low vitamin D status and the initiation of supplementation at the beginning of the academic year.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"151-158"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-15DOI: 10.33029/0042-8833-2025-94-5-110-119
I B Sedova, Z A Chalyy, A L Spiridonova, D M Kompaintseva, E E Keshabyants, V A Tutelyan
Fruit juices and nectars are an integral part of the diet of the Russian population, especially children. Being a source of antioxidants, vitamins, minerals, trace elements and dietary fibers, at the same time fruit and berries are a good substrate for the development of mold fungi capable of producing secondary metabolites with toxic and even carcinogenic properties - mycotoxins, which pose a real danger to human health. The aim of the research was studying of the nature of mycotoxins' contamination of fruit juices based on apples and grapes sold in the Russian market.
Material and methods: The content of 31 mycotoxins in 49 samples of fruit juices marketed in Moscow and Moscow region was studied using high-performance liquid chromatography combined with tandem mass spectrometric detection.
Results: Screening studies of fruit juices based on apples and grapes for mycotoxin content were carried out. The results obtained by multidetection method indicate the detection of at least one mycotoxin at relatively low levels in 39 samples; two or more mycotoxins - in 26 out of 49 tested samples. The spectrum of toxins found differed depending on the type of juice. Tenuazonic acid, mycophenolic acid, toxins T-2, HT-2 and alternariol were found more frequently. The detection of toxins (fumonisins, ochratoxin A, aflatoxin B1, sterigmatocystin, deoxynivalenol and patulin) at low levels of contamination, including in juice samples intended for children's nutrition, indicates the relatively low quality of fruit and berry raw materials used.
Conclusion: The results of the study indicate the need to revise the technical requirements for fruit and berry raw materials in juice production industry. This is primarily necessary to prevent the inclusion of moldy and spoilage-prone fruit and berries, as well as to strengthen simultaneously control over product quality and safety, especially during storage and transportation intended for juice manufacturing.
{"title":"[Study of frequency and levels of mycotoxin contamination of fruit juices].","authors":"I B Sedova, Z A Chalyy, A L Spiridonova, D M Kompaintseva, E E Keshabyants, V A Tutelyan","doi":"10.33029/0042-8833-2025-94-5-110-119","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-5-110-119","url":null,"abstract":"<p><p>Fruit juices and nectars are an integral part of the diet of the Russian population, especially children. Being a source of antioxidants, vitamins, minerals, trace elements and dietary fibers, at the same time fruit and berries are a good substrate for the development of mold fungi capable of producing secondary metabolites with toxic and even carcinogenic properties - mycotoxins, which pose a real danger to human health. The aim of the research was studying of the nature of mycotoxins' contamination of fruit juices based on apples and grapes sold in the Russian market.</p><p><strong>Material and methods: </strong>The content of 31 mycotoxins in 49 samples of fruit juices marketed in Moscow and Moscow region was studied using high-performance liquid chromatography combined with tandem mass spectrometric detection.</p><p><strong>Results: </strong>Screening studies of fruit juices based on apples and grapes for mycotoxin content were carried out. The results obtained by multidetection method indicate the detection of at least one mycotoxin at relatively low levels in 39 samples; two or more mycotoxins - in 26 out of 49 tested samples. The spectrum of toxins found differed depending on the type of juice. Tenuazonic acid, mycophenolic acid, toxins T-2, HT-2 and alternariol were found more frequently. The detection of toxins (fumonisins, ochratoxin A, aflatoxin B1, sterigmatocystin, deoxynivalenol and patulin) at low levels of contamination, including in juice samples intended for children's nutrition, indicates the relatively low quality of fruit and berry raw materials used.</p><p><strong>Conclusion: </strong>The results of the study indicate the need to revise the technical requirements for fruit and berry raw materials in juice production industry. This is primarily necessary to prevent the inclusion of moldy and spoilage-prone fruit and berries, as well as to strengthen simultaneously control over product quality and safety, especially during storage and transportation intended for juice manufacturing.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"110-119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-11-17DOI: 10.33029/0042-8833-2025-94-6-69-79
E A Smirnova, V V Bessonov, E S-A Shakhvalieva, G D Shcherbakov, E E Keshabyants, M S Andronova, V A Tutelyan
<p><p>The development of digital nutrition science, based on the application of artificial intelligence algorithms for the personalization of dietary recommendations, is hindered in the Russian Federation by the absence of a unified verified database of the chemical composition of foods. Such a resource should representatively reflect the current state of the agro-industrial complex and include products that form the basis of the diet of various demographic groups of the population. The objective of the research was to develop a software-analytical complex for creating and verifying a national database of the chemical composition of food. The system being created will ensure the consolidation of data from heterogeneous sources on food raw materials, industrially produced products, and culinary dishes, forming a representative resource that reflects the structure of the actual nutrition of the population and the current product range.</p><p><strong>Material and methods: </strong>The development of a three-tier software-analytical complex (MySQL 8.0, Python 3.13.3/Flask 2.0, HTML5/CSS3/JavaScript) involved the implementation and refinement of the following approaches: data collection (via web interface and REST API), data verification (using algorithms for missing value imputation, outlier detection, and k-means clustering), and the creation of algorithms to calculate the nutritional value of foods and dishes, accounting for technological losses. The system was validated against retrospective data from nutritional epidemiology studies.</p><p><strong>Results: </strong>A software-analytical complex has been created, including three interconnected databases: the chemical composition of food raw materials and industrially produced foods, dishes and culinary products, as well as coefficients of losses during technological processing. Data verification algorithms were developed and implemented, including methods for processing missing values, detecting statistical outliers, and clustering. A module for calculating the nutritional value of ready-made dishes, taking into account technological losses, was created. Criteria for classifying data as verified were developed, including requirements for completeness of filling (≥95%), compliance with permissible value ranges, and consistency with reference values. Tools for calculating the nutritional value of ready-made dishes, taking into account technological losses, were created, including a methodology for selecting recipes considering regional dietary characteristics.</p><p><strong>Conclusion: </strong>The developed software-analytical complex with a web interface is designed for managing data on the chemical composition of food. The system supports the full data lifecycle. Further development of the complex involves expanding the list of analyzed nutrients and integration with software for various purposes, including for dietitians, public catering specialists, diet calculations for organized groups, as we
{"title":"[On digitalizing the analysis of food chemistry composition data].","authors":"E A Smirnova, V V Bessonov, E S-A Shakhvalieva, G D Shcherbakov, E E Keshabyants, M S Andronova, V A Tutelyan","doi":"10.33029/0042-8833-2025-94-6-69-79","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-6-69-79","url":null,"abstract":"<p><p>The development of digital nutrition science, based on the application of artificial intelligence algorithms for the personalization of dietary recommendations, is hindered in the Russian Federation by the absence of a unified verified database of the chemical composition of foods. Such a resource should representatively reflect the current state of the agro-industrial complex and include products that form the basis of the diet of various demographic groups of the population. The objective of the research was to develop a software-analytical complex for creating and verifying a national database of the chemical composition of food. The system being created will ensure the consolidation of data from heterogeneous sources on food raw materials, industrially produced products, and culinary dishes, forming a representative resource that reflects the structure of the actual nutrition of the population and the current product range.</p><p><strong>Material and methods: </strong>The development of a three-tier software-analytical complex (MySQL 8.0, Python 3.13.3/Flask 2.0, HTML5/CSS3/JavaScript) involved the implementation and refinement of the following approaches: data collection (via web interface and REST API), data verification (using algorithms for missing value imputation, outlier detection, and k-means clustering), and the creation of algorithms to calculate the nutritional value of foods and dishes, accounting for technological losses. The system was validated against retrospective data from nutritional epidemiology studies.</p><p><strong>Results: </strong>A software-analytical complex has been created, including three interconnected databases: the chemical composition of food raw materials and industrially produced foods, dishes and culinary products, as well as coefficients of losses during technological processing. Data verification algorithms were developed and implemented, including methods for processing missing values, detecting statistical outliers, and clustering. A module for calculating the nutritional value of ready-made dishes, taking into account technological losses, was created. Criteria for classifying data as verified were developed, including requirements for completeness of filling (≥95%), compliance with permissible value ranges, and consistency with reference values. Tools for calculating the nutritional value of ready-made dishes, taking into account technological losses, were created, including a methodology for selecting recipes considering regional dietary characteristics.</p><p><strong>Conclusion: </strong>The developed software-analytical complex with a web interface is designed for managing data on the chemical composition of food. The system supports the full data lifecycle. Further development of the complex involves expanding the list of analyzed nutrients and integration with software for various purposes, including for dietitians, public catering specialists, diet calculations for organized groups, as we","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 6","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-01-15DOI: 10.33029/0042-8833-2025-94-1-21-36
K I Nikitina, T V Strelnikova, I T Vykhodets, T F Abramova, T M Nikitina
Modern professional sports activities are characterized by high training and competitive loads, which are a factor affecting bone metabolism and leading to an increase in injuries, including due to osteoporotic disorders. Nutrition can be classified as a modifiable factor that determines the development and maintenance of bone mass and quality. Correction of athlete's nutrition is an important mechanism aimed at preventing disorders of bone metabolism in elite sports in order to reduce the risk of injuries of the musculoskeletal system. The aim of the research was to analyze modern scientific publications devoted to the influence of the diet of adult athletes over 18 years of age on the maintenance of bone metabolism. Material and methods. The review is based on publications from the PubMed, Google Scholar, Cyberleninka, eLIBRARY databases. Preference was given to international recommendations published over the past 10 years in refereed sources. Results. The review presents current data on the role of nutrition in maintaining the quantity and quality of bone mass, given that the process of skeletal formation requires an adequate and constant supply of macro- and micronutrients: protein, calcium, magnesium, phosphorus, vitamin D, zinc, iron, vitamins A, C, K, E, B vitamins, ω-3 polyunsaturated fatty acids. An important place is given to nutrition balanced in macronutrient composition, designed taking into account energy needs that increase with intense physical activity, which is especially important given the negative impact of limited energy intake on bone metabolism, up to the development of osteoporosis. It is recommended to evaluate the athlete's diet to determine whether he or she is consuming sufficient amounts of essential nutrients that have a positive effect on bone metabolism, taking into account systematic physical activity. If necessary, it is recommended to introduce fortified foods and dietary supplements into the athletes' diet to increase its nutritional value. Conclusion. A balanced diet rich in vitamins, minerals and trace elements, aimed at preventing a de crease in bone mineral density, is necessary for an athlete throughout the entire period of professional activity, in some cases in combination with vitamin D, magnesium, calcium and phosphorus intake.
{"title":"[The role of nutrition in the prevention of bone metabolism disturbances in high performance sports].","authors":"K I Nikitina, T V Strelnikova, I T Vykhodets, T F Abramova, T M Nikitina","doi":"10.33029/0042-8833-2025-94-1-21-36","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-21-36","url":null,"abstract":"<p><p>Modern professional sports activities are characterized by high training and competitive loads, which are a factor affecting bone metabolism and leading to an increase in injuries, including due to osteoporotic disorders. Nutrition can be classified as a modifiable factor that determines the development and maintenance of bone mass and quality. Correction of athlete's nutrition is an important mechanism aimed at preventing disorders of bone metabolism in elite sports in order to reduce the risk of injuries of the musculoskeletal system. <b>The aim</b> of the research was to analyze modern scientific publications devoted to the influence of the diet of adult athletes over 18 years of age on the maintenance of bone metabolism. <b>Material and methods</b>. The review is based on publications from the PubMed, Google Scholar, Cyberleninka, eLIBRARY databases. Preference was given to international recommendations published over the past 10 years in refereed sources. <b>Results</b>. The review presents current data on the role of nutrition in maintaining the quantity and quality of bone mass, given that the process of skeletal formation requires an adequate and constant supply of macro- and micronutrients: protein, calcium, magnesium, phosphorus, vitamin D, zinc, iron, vitamins A, C, K, E, B vitamins, ω-3 polyunsaturated fatty acids. An important place is given to nutrition balanced in macronutrient composition, designed taking into account energy needs that increase with intense physical activity, which is especially important given the negative impact of limited energy intake on bone metabolism, up to the development of osteoporosis. It is recommended to evaluate the athlete's diet to determine whether he or she is consuming sufficient amounts of essential nutrients that have a positive effect on bone metabolism, taking into account systematic physical activity. If necessary, it is recommended to introduce fortified foods and dietary supplements into the athletes' diet to increase its nutritional value. <b>Conclusion</b>. A balanced diet rich in vitamins, minerals and trace elements, aimed at preventing a de crease in bone mineral density, is necessary for an athlete throughout the entire period of professional activity, in some cases in combination with vitamin D, magnesium, calcium and phosphorus intake.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"21-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-10-06DOI: 10.33029/0042-8833-2025-94-5-159-170
N A Beketova, O A Vrzhesinskaya, O V Kosheleva, U M Lebedeva, N V Zhilinskaya
<p><p>Optimizing the micronutrient status of older adults is an important component of maintaining healthy longevity. The objective was to study gender and age characteristics of iodine, vitamin A, E, B2 and β-carotene status, as well as indicators of body component composition associated with aging in elderly indigenous people of the Republic of Sakha (Yakutia).</p><p><strong>Material and methods: </strong>In the autumn, a one-time examination of the micronutrient status of 53 women and 8 men aged 61-95 years (median - 75 years, indigenous residents of Yakutia) was conducted. The concentration of iodine in daily urine was determined by stripping voltammetry, in blood serum the level of riboflavin (vitamin B2) was determined by the fluorimetric titration with riboflavin-binding apoprotein, retinol (vitamin A), α- and γ-tocopherols (vitamin E), carotenoids (β-carotene) - by reversed-phase HPLC. Bioelectrical impedance analysis (BIA) of body composition was performed using the InBody S10 analyzer.</p><p><strong>Results: </strong>Reduced iodine status (excretion <100 μg/l) was observed in the majority of elderly individuals - 92.5%, vitamin B2 (riboflavin <5 ng/ml) - in 31.9%, vitamin E (α + γ-tocopherols <0.8 mg/dl) - 6.1% and carotenoids (β-carotene <10 μg/dl) - 22.4%. All subjects were provided with vitamin A (retinol >30 μg/dl). Combined deficiency of 3 micronutrients (most often iodine, vitamin B2 and β-carotene) was detected in 14.9% of citizens. In a subgroup of elderly women aged ≥75 years moderate (not mild) iodine deficiency was detected more often than in women 60-74 years old, while vitamin B2 deficiency was detected less often (p<0.05). There was a positive relationship (p<0.05) between the age of women and serum β-carotene level, as well as between the concentration of α-tocopherol, on the one hand, and the levels of γ-tocopherol and β-carotene, on the other. A negative correlation was found between the serum retinol level and some BIA body composition indices: extracellular water component (ECW; -0.466, p=0.002), minerals component (-0.420, p=0.006), bone mineral component (BMC; -0.405, p=0.009), soft lean mass (SLM; -0.408, p=0.008), fat free mass (FFM; -0.433, p=0.005), and skeletal muscle mass (SMM; -0.398, p=0.010). In women with 76.3-110.9 μg/dL serum retinol level (quartile IV), the mass of the ECW, minerals and BMC, SLM, FFM and SMM were significantly lower (p<0.05) than in those examined with retinol levels in the range of 30-63 μg/dL (quartiles I and II).</p><p><strong>Conclusion: </strong>Iodine and vitamin B2 deficiency are most common in elderly indigenous people of Yakutia; iodine deficiency worsens with age. In women aged ≥60 years, elevated serum retinol level (>80 μg/dl) was associated with negative changes in body composition parameters associated with aging. In elderly individuals, serum retinol levels above the upper norm limit should probably be considered as a diagnostically significant marker of increased risk of
{"title":"[Iodine and vitamin status, body composition in older persons living in Republic of Sakha (Yakutia)].","authors":"N A Beketova, O A Vrzhesinskaya, O V Kosheleva, U M Lebedeva, N V Zhilinskaya","doi":"10.33029/0042-8833-2025-94-5-159-170","DOIUrl":"10.33029/0042-8833-2025-94-5-159-170","url":null,"abstract":"<p><p>Optimizing the micronutrient status of older adults is an important component of maintaining healthy longevity. The objective was to study gender and age characteristics of iodine, vitamin A, E, B2 and β-carotene status, as well as indicators of body component composition associated with aging in elderly indigenous people of the Republic of Sakha (Yakutia).</p><p><strong>Material and methods: </strong>In the autumn, a one-time examination of the micronutrient status of 53 women and 8 men aged 61-95 years (median - 75 years, indigenous residents of Yakutia) was conducted. The concentration of iodine in daily urine was determined by stripping voltammetry, in blood serum the level of riboflavin (vitamin B2) was determined by the fluorimetric titration with riboflavin-binding apoprotein, retinol (vitamin A), α- and γ-tocopherols (vitamin E), carotenoids (β-carotene) - by reversed-phase HPLC. Bioelectrical impedance analysis (BIA) of body composition was performed using the InBody S10 analyzer.</p><p><strong>Results: </strong>Reduced iodine status (excretion <100 μg/l) was observed in the majority of elderly individuals - 92.5%, vitamin B2 (riboflavin <5 ng/ml) - in 31.9%, vitamin E (α + γ-tocopherols <0.8 mg/dl) - 6.1% and carotenoids (β-carotene <10 μg/dl) - 22.4%. All subjects were provided with vitamin A (retinol >30 μg/dl). Combined deficiency of 3 micronutrients (most often iodine, vitamin B2 and β-carotene) was detected in 14.9% of citizens. In a subgroup of elderly women aged ≥75 years moderate (not mild) iodine deficiency was detected more often than in women 60-74 years old, while vitamin B2 deficiency was detected less often (p<0.05). There was a positive relationship (p<0.05) between the age of women and serum β-carotene level, as well as between the concentration of α-tocopherol, on the one hand, and the levels of γ-tocopherol and β-carotene, on the other. A negative correlation was found between the serum retinol level and some BIA body composition indices: extracellular water component (ECW; -0.466, p=0.002), minerals component (-0.420, p=0.006), bone mineral component (BMC; -0.405, p=0.009), soft lean mass (SLM; -0.408, p=0.008), fat free mass (FFM; -0.433, p=0.005), and skeletal muscle mass (SMM; -0.398, p=0.010). In women with 76.3-110.9 μg/dL serum retinol level (quartile IV), the mass of the ECW, minerals and BMC, SLM, FFM and SMM were significantly lower (p<0.05) than in those examined with retinol levels in the range of 30-63 μg/dL (quartiles I and II).</p><p><strong>Conclusion: </strong>Iodine and vitamin B2 deficiency are most common in elderly indigenous people of Yakutia; iodine deficiency worsens with age. In women aged ≥60 years, elevated serum retinol level (>80 μg/dl) was associated with negative changes in body composition parameters associated with aging. In elderly individuals, serum retinol levels above the upper norm limit should probably be considered as a diagnostically significant marker of increased risk of","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"159-170"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-07-15DOI: 10.33029/0042-8833-2025-94-4-56-67
A S Frolova, A D Vesnina, A M Fedorova, I S Milentyeva, A Yu Prosekov, A V Zaushintsena
Polyphenols such as rutin (RUT), quercetin (KVC) and tras-cinnamic acid (TKR-k) are sought-after components of dietary supplements and functional foods for the prevention of metabolic diseases due to their bioactivity. Studies devoted to the evaluation of the complex effect of mixtures of these polyphenols are very few. The aim of this research was to evaluate mixtures consisting of different amounts of RUT, KVC and TKR-k isolated from plant cells in vitro, to exhibit hypoglycemic and hypocholesterolemic potential in vivo.
Material and methods: The objects of the study were mixtures of bioactive compounds (mixture No. 1 - RUT : KVC : TKR-k in a weight ratio of 1:1:1; mixture No. 2 - in a weight ratio of 2:1:1; mixture No. 3 - in a weight ratio of 1:2:1; mixture No. 4 - in a weight ratio of 1:1:2). To determine hypoglycemic activity, Wistar rats weighing 250±15 g were used as a model organism. After 12 hours of fasting, they were orally administered a mixture of bioactive compounds (100 mg/kg body weight), and then, 1 hour later, they were orally given glucose at a dose of 2000 mg/kg. Then, after 30 min, 1, 1.5, 2, 4 and 6 hours, blood plasma glucose and total cholesterol (TC) levels were estimated. To determine hypocholesterolemic activity, C57Bl/6 mice were used, which were orally administered a mixture of bioactive compounds (100 mg/kg body weight) daily for 14 days, and hypocholesterolemia was created using poloxamer P407 (three times a week intraperitoneally at a dose of 400 mg/kg). At the end of the experiment, blood plasma levels of glucose, TC, low-density lipoproteins (LDL) and triglycerides were estimated.
Results: In the hypoglycemic load experiment, mixture No. 3 reduced blood glucose level (р<0.05). In the hypocholesterolemic load experiment, all mixtures reduced blood glucose levels (р<0.10). Only mixture No. 4 caused a reliable decrease in the level of TC (2 fold lower compared to the control group, р<0.01) and LDL (1.72 times lower compared to the control group, р<0.10).
Conclusion: The relationship between the ratio of bioactive compounds in mixtures and their activity has not been established. According to in vivo experiments, it is advisable to use mixture No. 3 to normalize glucose levels, and mixture No. 4 to normalize glucose and cholesterol levels.
{"title":"[Hypoglycemic and hypocholesterolemic activities in vivo of polyphenols - popular components of dietary supplements].","authors":"A S Frolova, A D Vesnina, A M Fedorova, I S Milentyeva, A Yu Prosekov, A V Zaushintsena","doi":"10.33029/0042-8833-2025-94-4-56-67","DOIUrl":"10.33029/0042-8833-2025-94-4-56-67","url":null,"abstract":"<p><p>Polyphenols such as rutin (RUT), quercetin (KVC) and tras-cinnamic acid (TKR-k) are sought-after components of dietary supplements and functional foods for the prevention of metabolic diseases due to their bioactivity. Studies devoted to the evaluation of the complex effect of mixtures of these polyphenols are very few. The aim of this research was to evaluate mixtures consisting of different amounts of RUT, KVC and TKR-k isolated from plant cells in vitro, to exhibit hypoglycemic and hypocholesterolemic potential in vivo.</p><p><strong>Material and methods: </strong>The objects of the study were mixtures of bioactive compounds (mixture No. 1 - RUT : KVC : TKR-k in a weight ratio of 1:1:1; mixture No. 2 - in a weight ratio of 2:1:1; mixture No. 3 - in a weight ratio of 1:2:1; mixture No. 4 - in a weight ratio of 1:1:2). To determine hypoglycemic activity, Wistar rats weighing 250±15 g were used as a model organism. After 12 hours of fasting, they were orally administered a mixture of bioactive compounds (100 mg/kg body weight), and then, 1 hour later, they were orally given glucose at a dose of 2000 mg/kg. Then, after 30 min, 1, 1.5, 2, 4 and 6 hours, blood plasma glucose and total cholesterol (TC) levels were estimated. To determine hypocholesterolemic activity, C57Bl/6 mice were used, which were orally administered a mixture of bioactive compounds (100 mg/kg body weight) daily for 14 days, and hypocholesterolemia was created using poloxamer P407 (three times a week intraperitoneally at a dose of 400 mg/kg). At the end of the experiment, blood plasma levels of glucose, TC, low-density lipoproteins (LDL) and triglycerides were estimated.</p><p><strong>Results: </strong>In the hypoglycemic load experiment, mixture No. 3 reduced blood glucose level (р<0.05). In the hypocholesterolemic load experiment, all mixtures reduced blood glucose levels (р<0.10). Only mixture No. 4 caused a reliable decrease in the level of TC (2 fold lower compared to the control group, р<0.01) and LDL (1.72 times lower compared to the control group, р<0.10).</p><p><strong>Conclusion: </strong>The relationship between the ratio of bioactive compounds in mixtures and their activity has not been established. According to in vivo experiments, it is advisable to use mixture No. 3 to normalize glucose levels, and mixture No. 4 to normalize glucose and cholesterol levels.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 4","pages":"56-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-15DOI: 10.33029/0042-8833-2025-94-5-85-93
K V Kudryavtseva, A N Martinchik, V A Shipelin, D A Kraskevich, D O Gorbachev, Yu Yu Eliseev, O V Mitrokhin, S A Khotimchenko
<p><p>Microplastics (MP) contamination of food has become a serious problem due to its increasing accumulation in ecosystems, including terrestrial and aquatic, as well as in organisms of living creatures, including humans. MP can enter food such as water, milk, fish and seafood, which contributes to their entry into the human body and creates health risks. The main sources of contamination of food include the raw materials used and packaging or materials in contact with food during its transportation, cooking and storage. MP can be added or removed from food during processing and cooking. However, it is difficult to assess the total oral exposure to MP due to the lack of data on MP contamination in many other food groups. In addition, there is no data in the Russian Federation on the amounts of actual consumption of food packaged in plastic containers that may be contaminated with MP, which makes it relevant to study the scale of consumption of food groups in which microparticles are found most frequently. The purpose of the research was to assess the actual consumption of liquid products by the population of the Russian Federation, including dairy products, carbonated drinks, juices, mineral and drinking waters packaged in plastic containers as well as products in which, according to scientific data, the largest amounts of MP particles have been identified.</p><p><strong>Material and methods: </strong>The assessment of food consumption was carried out using data obtained by analyzing the frequency of food consumption applying an online survey, which was based on a specially designed questionnaire. The survey was conducted on a voluntary basis among 494 respondents aged over 18 who lived in various regions. The data from the electronic survey was automatically stored in an Excel database.</p><p><strong>Results: </strong>The obtained primary data on the frequency and volume of portions of consumed products, which were recalculated into average daily values - per capita and per consumer, and statistically processed. The average per capita consumption of water in plastic bottles was 411 ml/day, and per consumer - 497 ml/day. The average daily per capita consumption of milk in plastic bottles was 114 ml, in a tetrapack package - 68 ml. Milk consumption per consumer was 179 ml/day in a plastic bottle and 129 ml/day in a tetrapack package. There was also a high frequency of tea bag consumption. The average daily consumption of sugary carbonated and non-carbonated beverages was 81 and 55 ml, respectively. Among the products obtained from the aquatic ecosystem, boiled/ fried fish was the most consumed product - 16.9 g/day. However, the consumption of oysters (68.8 g/day) and mussels (29.9 g/day) per consumer was higher (this is due to the small number of consumers, n=30 and n=118, respectively). In general, the consumption of products packaged in plastic containers varied depending on the product category.</p><p><strong>Conclusion: </strong>The develope
{"title":"[The assessment of the consumption of food packaged in plastic containers].","authors":"K V Kudryavtseva, A N Martinchik, V A Shipelin, D A Kraskevich, D O Gorbachev, Yu Yu Eliseev, O V Mitrokhin, S A Khotimchenko","doi":"10.33029/0042-8833-2025-94-5-85-93","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-5-85-93","url":null,"abstract":"<p><p>Microplastics (MP) contamination of food has become a serious problem due to its increasing accumulation in ecosystems, including terrestrial and aquatic, as well as in organisms of living creatures, including humans. MP can enter food such as water, milk, fish and seafood, which contributes to their entry into the human body and creates health risks. The main sources of contamination of food include the raw materials used and packaging or materials in contact with food during its transportation, cooking and storage. MP can be added or removed from food during processing and cooking. However, it is difficult to assess the total oral exposure to MP due to the lack of data on MP contamination in many other food groups. In addition, there is no data in the Russian Federation on the amounts of actual consumption of food packaged in plastic containers that may be contaminated with MP, which makes it relevant to study the scale of consumption of food groups in which microparticles are found most frequently. The purpose of the research was to assess the actual consumption of liquid products by the population of the Russian Federation, including dairy products, carbonated drinks, juices, mineral and drinking waters packaged in plastic containers as well as products in which, according to scientific data, the largest amounts of MP particles have been identified.</p><p><strong>Material and methods: </strong>The assessment of food consumption was carried out using data obtained by analyzing the frequency of food consumption applying an online survey, which was based on a specially designed questionnaire. The survey was conducted on a voluntary basis among 494 respondents aged over 18 who lived in various regions. The data from the electronic survey was automatically stored in an Excel database.</p><p><strong>Results: </strong>The obtained primary data on the frequency and volume of portions of consumed products, which were recalculated into average daily values - per capita and per consumer, and statistically processed. The average per capita consumption of water in plastic bottles was 411 ml/day, and per consumer - 497 ml/day. The average daily per capita consumption of milk in plastic bottles was 114 ml, in a tetrapack package - 68 ml. Milk consumption per consumer was 179 ml/day in a plastic bottle and 129 ml/day in a tetrapack package. There was also a high frequency of tea bag consumption. The average daily consumption of sugary carbonated and non-carbonated beverages was 81 and 55 ml, respectively. Among the products obtained from the aquatic ecosystem, boiled/ fried fish was the most consumed product - 16.9 g/day. However, the consumption of oysters (68.8 g/day) and mussels (29.9 g/day) per consumer was higher (this is due to the small number of consumers, n=30 and n=118, respectively). In general, the consumption of products packaged in plastic containers varied depending on the product category.</p><p><strong>Conclusion: </strong>The develope","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-15DOI: 10.33029/0042-8833-2025-94-5-120-130
O V Kozubenko, Yu V Menshchikova, M S Turchaninova, E A Vilms, A V Brusentsova, D V Turchaninov
The federal project «Strengthening public Health» of the national project «Demography» was implemented in 2018-2024, an essential part of which was the organization and implementation of educational training (enlightenment) programs on healthy nutrition for various population groups. Omsk region has become one of the first five pilot Russian regions in this area, thanks to which some experience has been accumulated to solve an urgent scientific and practical task - assessing the effectiveness of educational measures, changes in the level of knowledge and skills in the field of healthy nutrition. The purpose of the study was to evaluate the effectiveness of educational programs on healthy nutrition in the Omsk region in 2018-2023.
Material and methods: The study was conducted in the design of an epidemiological study of the «before-after» type on representative samples formed in 2018 (n=241) and in 2023 (n=506) from the general adult population. The level of knowledge and skills of applying the principles of healthy eating was assessed based on the results of data analysis obtained by a sociological survey.
Results: The positive changes that indicate the effectiveness of educational programs among the population of the region include an increase in knowledge about the structure of a healthy diet and the formation of practices in the field of healthy nutrition. The majority of respondents believe that vegetables, fruits and grain products should prevail in the diet structure (an increase from 46.9±3.1% of respondents in 2018 to 57.7±2.1% in 2023, p>0.05), it is necessary to reduce salt consumption (an increase from 57.3±2.5% to 65.2±2.0%, p=0.045), and the predominant use of iodized salt is noted (from 46.1±3.1% in 2018 to 58.1±2.1% in 2023, p<0.001). The leading criterion for choosing food in 2023 was its quality, taste habits were in second place, nutritional value was in third, and knowledge of the product usefulness was in fourth place.
Conclusion: Against the background of activities within the framework of the implementation of training programs on healthy nutrition, the adult population of the region is developing ideas about the structure of a healthy diet. Although the media are the leading source of information for the general population, it should be noted that medical professionals have a significant influence on the formation of knowledge and ideas about healthy nutrition and their increasing role in this issue.
{"title":"[Effectiveness evaluation of the implementation of educational programs in the field of healthy nutrition in the Omsk Irtysh region adult population (2018-2023)].","authors":"O V Kozubenko, Yu V Menshchikova, M S Turchaninova, E A Vilms, A V Brusentsova, D V Turchaninov","doi":"10.33029/0042-8833-2025-94-5-120-130","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-5-120-130","url":null,"abstract":"<p><p>The federal project «Strengthening public Health» of the national project «Demography» was implemented in 2018-2024, an essential part of which was the organization and implementation of educational training (enlightenment) programs on healthy nutrition for various population groups. Omsk region has become one of the first five pilot Russian regions in this area, thanks to which some experience has been accumulated to solve an urgent scientific and practical task - assessing the effectiveness of educational measures, changes in the level of knowledge and skills in the field of healthy nutrition. The purpose of the study was to evaluate the effectiveness of educational programs on healthy nutrition in the Omsk region in 2018-2023.</p><p><strong>Material and methods: </strong>The study was conducted in the design of an epidemiological study of the «before-after» type on representative samples formed in 2018 (n=241) and in 2023 (n=506) from the general adult population. The level of knowledge and skills of applying the principles of healthy eating was assessed based on the results of data analysis obtained by a sociological survey.</p><p><strong>Results: </strong>The positive changes that indicate the effectiveness of educational programs among the population of the region include an increase in knowledge about the structure of a healthy diet and the formation of practices in the field of healthy nutrition. The majority of respondents believe that vegetables, fruits and grain products should prevail in the diet structure (an increase from 46.9±3.1% of respondents in 2018 to 57.7±2.1% in 2023, p>0.05), it is necessary to reduce salt consumption (an increase from 57.3±2.5% to 65.2±2.0%, p=0.045), and the predominant use of iodized salt is noted (from 46.1±3.1% in 2018 to 58.1±2.1% in 2023, p<0.001). The leading criterion for choosing food in 2023 was its quality, taste habits were in second place, nutritional value was in third, and knowledge of the product usefulness was in fourth place.</p><p><strong>Conclusion: </strong>Against the background of activities within the framework of the implementation of training programs on healthy nutrition, the adult population of the region is developing ideas about the structure of a healthy diet. Although the media are the leading source of information for the general population, it should be noted that medical professionals have a significant influence on the formation of knowledge and ideas about healthy nutrition and their increasing role in this issue.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"120-130"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-02-10DOI: 10.33029/0042-8833-2025-94-1-37-49
A A Dzhumagaziev, N M Shilina, D A Bezrukova, N Yu Otto, E V Sosinovskaya, A V Filipchuk
Obesity is a multifactorial disease associated with excessive deposition of adipose tissue, accompanied by impaired organism metabolic functions and changes in the function of organs and systems. Childhood obesity is of particular concern, which in many cases turns into obesity in adults. The most common is simple (constitutionally exogenous, polygenic, idiopathic) obesity associated with excessive intake of calories in conditions of physical inactivity and hereditary predisposition. The purpose of the research was to analyze the literature data on the influence of external factors on the development of constitutionally exogenous obesity in children. Material and methods. 84 literature sources were analyzed, keyword (children, obesity, risk factors) searches were conducted using PubMed, Scopus, Elsevier, eLibrary, and Google Scholar databases. The preference was given to the sources compiled from the standpoint of evidence-based medicine with a high level of reliability and evidence (meta-analyses of cohort studies). Results. External risk factors for obesity development include 3 groups of factors: family and home environment factors (parents' attitude to breastfeeding, responsive, positiveemotion feeding while responding sensitively to the child's signals of hunger and satiety, fostering children's skills and culture of optimal, balanced nutrition, family traditions associated with sweet and salty foods and juices, portion sizes, fast or slow eating style, duration of screen time and sleep, sedentary lifestyle, exposure to secondhand smoke, psychosocial stress, depression, adverse childhood experiences, the use of medications associated with an increase in body weight, unfavorably altered intestinal microbiota), environmental factors (fast food outlets, an unfavorable school environment, lack of conditions for safe physical activity) and systemic and political factors (inequality of individual social groups regarding access to quality health services, education, safe food and water, which can lead to differences in health status, ranging from maternal pregnancy planning and outcomes to children's adolescence, marketing of high-calorie foods high in saturated fat, simple carbohydrates and table salt, and sugar-containing beverages aimed at children). Conclusion. Obesity is a disease characteristic of modern society, the occurrence and development of which can be influenced by all the listed external risk factors. However most of these factors are manageable. Therefore, knowledge and understanding of the role of these external risk factors is necessary to develop adequate methods for obesity prevention and use them in clinical practice.
{"title":"[External factors contributing to the development of constitutional exogenous obesity in children].","authors":"A A Dzhumagaziev, N M Shilina, D A Bezrukova, N Yu Otto, E V Sosinovskaya, A V Filipchuk","doi":"10.33029/0042-8833-2025-94-1-37-49","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-37-49","url":null,"abstract":"<p><p>Obesity is a multifactorial disease associated with excessive deposition of adipose tissue, accompanied by impaired organism metabolic functions and changes in the function of organs and systems. Childhood obesity is of particular concern, which in many cases turns into obesity in adults. The most common is simple (constitutionally exogenous, polygenic, idiopathic) obesity associated with excessive intake of calories in conditions of physical inactivity and hereditary predisposition. <b>The purpose</b> of the research was to analyze the literature data on the influence of external factors on the development of constitutionally exogenous obesity in children. <b>Material and methods</b>. 84 literature sources were analyzed, keyword (children, obesity, risk factors) searches were conducted using PubMed, Scopus, Elsevier, eLibrary, and Google Scholar databases. The preference was given to the sources compiled from the standpoint of evidence-based medicine with a high level of reliability and evidence (meta-analyses of cohort studies). <b>Results</b>. External risk factors for obesity development include 3 groups of factors: family and home environment factors (parents' attitude to breastfeeding, responsive, positiveemotion feeding while responding sensitively to the child's signals of hunger and satiety, fostering children's skills and culture of optimal, balanced nutrition, family traditions associated with sweet and salty foods and juices, portion sizes, fast or slow eating style, duration of screen time and sleep, sedentary lifestyle, exposure to secondhand smoke, psychosocial stress, depression, adverse childhood experiences, the use of medications associated with an increase in body weight, unfavorably altered intestinal microbiota), environmental factors (fast food outlets, an unfavorable school environment, lack of conditions for safe physical activity) and systemic and political factors (inequality of individual social groups regarding access to quality health services, education, safe food and water, which can lead to differences in health status, ranging from maternal pregnancy planning and outcomes to children's adolescence, marketing of high-calorie foods high in saturated fat, simple carbohydrates and table salt, and sugar-containing beverages aimed at children). <b>Conclusion</b>. Obesity is a disease characteristic of modern society, the occurrence and development of which can be influenced by all the listed external risk factors. However most of these factors are manageable. Therefore, knowledge and understanding of the role of these external risk factors is necessary to develop adequate methods for obesity prevention and use them in clinical practice.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"37-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}