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[Sweet protein brazzein as a promising sweetener]. [甜蛋白布拉泽因作为一种有前途的甜味剂]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-01-19 DOI: 10.33029/0042-8833-2024-93-1-61-71
E V Markova, E I Leonova, Ju V Sopova

The excessive consumption of sugar-containing foods contributes to the development of a number of diseases, including obesity, diabetes mellitus, etc. As a substitute for sugar, people with diabetes mellitus and obesity most often use sweeteners. Sweet proteins, in particular brazzein, are an alternative to synthetic sweeteners that have natural origin, are broken down in the intestines along with food proteins, and do not affect blood sugar and insulin levels. The purpose of the review was to analyze the available data on the sweet protein brazzein, its physical and chemical properties, existing biotechnological methods of production, and prospects for application in the food industry in order to further develop an optimized heterologous expression system. Material and methods. Google Scholar, Scopus, Web of Science, PubMed, RSCI and eLibrary.ru databases were used for collecting and analyzing literature. Search depth - 30 years. Results. Numerous studies of the physical and chemical properties of brazzein have demonstrated its high potential for use in the food industry. In particular, a short amino acid sequence, thermal stability, the ability to maintain its structure and sweet properties in a wide pH range, hypoallergenicity, lack of genotoxicity, and an extremely high level of sweetness compared to sucrose allow us to conclude that its use is promising. Mutant variants of brazzein have been generated, the sweetest of which (with three amino acid substitutions H31R/E36D/E41A) exceeds sucrose sweetness by 22 500 times. To date, various systems for the expression of recombinant brazzein have already been developed, in which bacteria (Escherichia coli, Lactococcus lactis, Bacillus licheniformis), yeast (Komagataella phaffii, Kluyveromyces lactis, Saccharomyces cerevisiae), plants (Zea mays, Oryza sativa, Lactuca sativa, Nicotiana tabacum, Daucus carota) and animals (Mus musculus) have been used. Conclusion. Due to its high sweetness, organoleptic properties and long history of human consumption, brazzein can be considered as a promising natural sweetener. Despite the short peptide sequence, the production of the recombinant protein faced a number of problems, including low protein yield (for example, it could only be detected in mouse milk by Western blot hybridization) and loss of sweetness. Thus, further optimization of the process is necessary for widespread brazzein use in the food industry, which includes the selection of an adequate producer and the use of extracellular expression systems to reduce the final cost of the product.

过量食用含糖食品会导致多种疾病的发生,包括肥胖症、糖尿病等。作为糖的替代品,糖尿病和肥胖症患者最常使用甜味剂。甜蛋白,特别是布拉泽因,是合成甜味剂的替代品,它来源天然,在肠道中与食物蛋白一起分解,不会影响血糖和胰岛素水平。本综述旨在分析有关甜蛋白布拉泽因的现有数据、其物理和化学特性、现有的生物技术生产方法以及在食品工业中的应用前景,以便进一步开发优化的异源表达系统。材料与方法使用 Google Scholar、Scopus、Web of Science、PubMed、RSCI 和 eLibrary.ru 数据库收集和分析文献。搜索深度 - 30 年。搜索结果对布拉泽因的物理和化学特性进行的大量研究表明,布拉泽因在食品工业中具有很大的应用潜力。特别是其较短的氨基酸序列、热稳定性、在较宽的 pH 值范围内保持其结构和甜味特性的能力、低过敏性、无基因毒性以及与蔗糖相比极高的甜味,这些都使我们得出结论,认为其应用前景广阔。Brazzein 的突变体已经产生,其中最甜的突变体(三个氨基酸置换 H31R/E36D/E41A)的甜度比蔗糖甜度高 22 500 倍。迄今为止,已经开发出了多种重组布拉泽因的表达系统,其中包括细菌(大肠杆菌、乳酸乳球菌、地衣芽孢杆菌)、酵母(Komagataella phaffii、Kluyveromyces lactis、酿酒酵母)、植物(玉米、大麦、乳菊、烟草、菊芋)和动物(麝香草)。结论由于其甜度高、感官特性和人类食用的悠久历史,布拉泽因可被视为一种前景广阔的天然甜味剂。尽管肽序列很短,但重组蛋白的生产仍面临一些问题,包括蛋白产量低(例如,只能通过 Western 印迹杂交在小鼠牛奶中检测到)和甜味损失。因此,要想在食品工业中广泛使用布拉泽因,就必须进一步优化工艺,包括选择合适的生产商和使用细胞外表达系统,以降低产品的最终成本。
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引用次数: 0
[Dairy kitchens in besieged Leningrad (1941-1944)]. [被围困列宁格勒的乳品厨房(1941-1944 年)]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-09-16 DOI: 10.33029/0042-8833-2024-93-5-104-113
E D Tverdyukova

Retrospective analysis of medical and organizational problems of food supply in besieged Leningrad is important for the development of the principles of population nutrition in extreme situations. The aim of the paper was to characterize the work of dairy kitchens that provided nutrition to infants in Leningrad during the blockade years (1941-1944) on the basis of documentary data. Material and methods. The study was prepared on the materials of the archives of St. Petersburg, considered from the position of the social history of medicine, which is centered on the study of medical practice. Results. In the blockaded Leningrad under the conditions of food, electricity, and water supply shortages, there was a forced abandonment of a number of principles of infant feeding generally recognized by the pediatricians. Almost all infants born in the blockade ring were transferred to artificial feeding with the release of infant formula through milk kitchens. In conditions of food shortages, children under the age of three were also provided with centralized milk products. The activities of the staff of the milk kitchens were carried out in close contact with doctors of regional children's consultations and specialists of the Leningrad Pediatric Institute, who developed issues of rational nutrition for infants. During the blockade years, the formulae developed before the war were generally retained, but due to the lack of dairy resources, vegetable products were used as substitutes. As the food situation in the city improved, doctors and milk kitchens reverted to pre-war recipes, especially for infant nutrition. The products of the milk kitchens were subject to constant supervision by sanitary physicians. Laboratory tests indicated that, in terms of basic microbiological indicators, infant formulae were generally safe and differed slightly from those produced before the war. Conclusion. In blockaded Leningrad (especially during the winter of 1941/1942), the products of dairy kitchens served, as a rule, as the only source of nutrition for infants. Despite a number of organizational difficulties and abuse of workers, the preservation of the network of milk kitchens, centralized supply of milk and formula through them, and expansion of the contingents attached to them justified themselves.

对列宁格勒被围困期间食品供应的医疗和组织问题进行回顾性分析,对于制定极端情况下的人口营养原则具有重要意义。本文旨在以文献资料为基础,描述封锁时期(1941-1944 年)列宁格勒为婴儿提供营养的奶制品厨房的工作特点。材料和方法研究以圣彼得堡档案馆的资料为基础,从医学社会史的角度出发,以医疗实践研究为中心。研究结果在食品、电力和供水短缺的情况下,被封锁的列宁格勒被迫放弃了儿科医生普遍认可的一些婴儿喂养原则。几乎所有在封锁圈内出生的婴儿都被转为人工喂养,通过牛奶厨房发放婴儿配方奶粉。在食品短缺的情况下,三岁以下的儿童也可以获得集中的奶制品。奶站工作人员的活动是在与地区儿童会诊医生和列宁格勒儿科研究所专家密切联系的情况下开展的,他们制定了婴儿合理营养问题。在封锁年代,战前制定的奶粉配方被普遍保留下来,但由于缺乏奶制品资源,只能用蔬菜制品代替。随着城市食品状况的改善,医生和牛奶厨房恢复了战前配方,尤其是婴儿营养配方。奶制品厨房的产品一直受到卫生医生的监督。实验室测试表明,就基本微生物指标而言,婴儿配方奶粉总体上是安全的,与战前生产的奶粉略有不同。结论在被封锁的列宁格勒(尤其是 1941/1942 年冬季),奶制品厨房的产品通常是婴儿唯一的营养来源。尽管存在一些组织上的困难和对工人的虐待,但牛奶厨房网络的保留、通过牛奶厨房集中供应牛奶和配方奶粉以及扩大附属于牛奶厨房的特遣队都是合理的。
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引用次数: 0
[Biochemical disorders in mild protein-energy deficiency in children: gender peculiarities]. [儿童轻度蛋白质能量缺乏症的生化紊乱:性别特征]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-07-15 DOI: 10.33029/0042-8833-2024-93-4-22-30
I V Gorbacheva, O Yu Kuznetsova, F N Gilmiyarova, A O Gusyakova, D V Pechkurov

The growth of protein-energy malnutrition (PEM) in children with prevalence of endogenous factors of the causes of development has not been decreasing in the Russian Federation and all over the world for the last decades. This determines the relevance of multifaceted study of this pathology. Consequences of PEM suffered in early childhood can have a remote character of realization and influence on human health during the whole life. A separate problem of PEM is the identification of mild forms of pathology, which are often missed. The pathogenesis of PEM is insufficiently studied, in particular, the variability of pathology development depending on gender. The aim of the research was to characterize the peculiarities of the blood metabolic profile of infants at the initial stage of PEM with regard to gender. Material and methods. 38 children (20 boys, 18 girls) aged from 1 to 12 months with the degree I of PEM were examined; the comparison group consisted of 30 children (18 boys, 12 girls) aged from 2 to 12 months. Laboratory monitoring included general and biochemical blood tests with evaluation of such parameters as the content of total protein, albumin, hemoglobin, transferrin, urea, creatinine, glucose, lactate, pyruvate, triglycerides, the activity of lactate dehydrogenase, alanine aminotransferase, aspartate aminotransferase, creatine phosphokinase, using hematological analyzer (MEDONIC, Boule Diagnostics AB, Japan) and biochemical analyzer (Cobas Integra 400plus, Roche Diagnostics, Switzerland). Results. In children with a mild degree of PEM the blood levels of total protein, albumin, hemoglobin, transferrin didn't differ from that in the comparison group. Against this background, there is an increase in blood serum urea level in all children and a significant increase in creatinine level, which is most pronounced in girls, in whom this indicator is 2.5 fold higher than in the comparison group and by 79% higher than in boys (p≤0.05). In combination with body weight deficiency, this characterizes the development of catabolic stress. A decrease in blood glucose level was detected in all children of the main group; a decrease in triglycerides was revealed in boys (-33%; p≤0.05) with stability of the index in girls. The increase in pyruvate blood serum level in boys (+21%; p≤0.05) with a tendency to decrease in girls is accompanied by a significant elevation in the lactate/pyruvate ratio (by 75% in boys and 3 fold in girls, p≤0.05). Conclusion. There are gender peculiarities of metabolic in children of the first year of life with a mild degree of PEM. In male children there is a decrease in the levels of glucose and triglycerides as energy substrates with the orientation to the ketosis formation. In girls, a more intense character of catabolic stress is observed with stable blood levels of triglycerides with a tendency to develop lactacidosis.

过去几十年来,在俄罗斯联邦和全世界范围内,儿童蛋白质能量营养不良(PEM)发病率的增长并没有减少。这就决定了对这一病症进行多方面研究的重要性。幼年时期遭受的 PEM 后果会对人的一生健康产生遥远的影响。PEM 的另一个问题是识别轻微病症,这些病症常常被忽略。人们对 PEM 的发病机理研究不足,尤其是病理发展因性别而异的情况。本研究的目的是分析 PEM 初期婴儿的血液代谢特征与性别的关系。材料和方法研究人员对 38 名 1 至 12 个月大的 PEM I 级患儿(20 名男孩、18 名女孩)进行了检查;对比组包括 30 名 2 至 12 个月大的患儿(18 名男孩、12 名女孩)。实验室监测包括一般和生化血液化验,评估参数包括总蛋白、白蛋白、血红蛋白、转铁蛋白、尿素、肌酐、葡萄糖、乳酸、丙酮酸、甘油三酯的含量、使用血液分析仪(MEDONIC,Boule Diagnostics AB,日本)和生化分析仪(Cobas Integra 400plus,罗氏诊断,瑞士)评估乳酸脱氢酶、丙氨酸氨基转移酶、天门冬氨酸氨基转移酶、肌酸磷酸激酶的活性。结果。轻度 PEM 患儿血液中的总蛋白、白蛋白、血红蛋白和转铁蛋白含量与对比组没有差异。在此背景下,所有患儿的血清尿素水平都有所上升,肌酐水平也显著升高,其中以女孩最为明显,该指标比对比组高出 2.5 倍,比男孩高出 79%(P≤0.05)。这与体重不足相结合,是分解代谢压力发展的特征。主要组所有儿童的血糖水平都有所下降;男孩的甘油三酯有所下降(-33%;p≤0.05),而女孩的指数保持稳定。伴随着乳酸/丙酮酸比率的显著升高(男孩升高 75%,女孩升高 3 倍,p≤0.05),男孩血清丙酮酸水平升高(+21%;p≤0.05),女孩呈下降趋势。结论患有轻度 PEM 的 1 岁儿童的新陈代谢存在性别差异。在男性儿童中,作为能量底物的葡萄糖和甘油三酯的水平会下降,从而导致酮病的形成。女孩的分解代谢压力更强,血液中甘油三酯水平稳定,并有发生乳酸中毒的趋势。
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引用次数: 0
[Specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity]. [预防高脂血症和肥胖症的专用油脂乳液食品系统]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-03-25 DOI: 10.33029/0042-8833-2024-93-2-83-94
A V Tabakaev, O V Tabakaeva

The development of specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity is an important task of health concern in the Russian Federation. The aim of the study was to develop specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity, the distinctive features of which are the presence of functional ingredients and bioactive compounds that meet modern safety requirements, have a hypolipidemic effect and influence on body weight. Material and methods. As a source of fucoxanthin, an oil extract from the thallom (stratum) of the annual Undaria pinnatifida brown algae was used, obtained by re-extraction with soy oil for 8 hours from a glycerin extract (extractant - 60% glycerin solution, the duration of the process - 8 h). The determination of organoleptic parameters was carried out at a temperature of 20 °C 12 h after manufacture using standard methods. Organoleptic parameters were determined in the following sequence: consistency, appearance, color, smell, taste. Physical and chemical characteristics (mass content of fat, moisture, egg products in terms of dry yolk, acidity in terms of acetic acid, emulsion stability), acid and peroxide values were studied by standard methods. Fatty acid analysis of lipids was performed by gas-liquid chromatography. The fucoxanthin content was determined by spectrophotometric method. Results. The presented formulations of lipid compositions as the fat base of specialized oil-fat emulsion food systems for the prevention of hyperlipidemia and obesity included Schizochytrium sp. microalgae oil in a mass fraction of 3-6% as a source of ω-3 polyunsaturated fatty acids (PUFAs) (eicosapentaenoic and docosahexaenoic acids). An oil extract of U. pinnatifida brown algae in a mass fraction of 48-54% was used as a source of fucoxanthin. The total content of PUFA was significantly high - at least 73%, ω-6 PUFA prevailed (48.0-49.1%). However, the high content of ω-3 PUFA (at least 25%) should be also noted. The ratio of ω-3 to ω-6 PUFA was 1:1.72-1:1.90, which is atypical for individual vegetable oils traditionally used as the fat phase in fat-and-oil emulsion systems. The fucoxanthin content in the presented lipid compositions was 6.4-7.2 mg/100 ml. Edible fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity (mayonnaise and mayonnaise sauces) with a given ratio of ω-3:ω-6 PUFA containing eicosopentaenoic and docosahexaenoic acids, as well as fucoxanthin, have been obtained. The extract of U. pinnatifida brown algae, containing fucoxanthin, significantly slowed down the processes of lipid oxidation and hydrolysis, as evidenced by changes in the peroxide and acid values of fat isolated from specialized fat-and-oil emulsion systems for the prevention of hyperlipidemia and obesity. Conclusion. Specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity (mayon

在俄罗斯联邦,开发预防高脂血症和肥胖症的专门油脂乳化食品体系是一项重要的健康关注任务。本研究的目的是开发预防高脂血症和肥胖症的专门油脂乳剂食品体系,其显著特点是含有符合现代安全要求的功能成分和生物活性化合物,具有降血脂作用和对体重的影响。材料和方法从一年生裙带菜褐藻的表皮(地层)中提取油脂作为岩藻黄素的来源,这种油脂是从甘油提取物中用大豆油再萃取 8 小时得到的(萃取剂 - 60% 甘油溶液,过程持续时间 - 8 小时)。感官参数的测定采用标准方法,在生产 12 小时后的 20 °C 温度下进行。感官参数按以下顺序测定:稠度、外观、颜色、气味、口感。物理和化学特性(脂肪的质量含量、水分、干蛋黄的蛋制品、醋酸的酸度、乳液稳定性)、酸值和过氧化值采用标准方法进行研究。脂质的脂肪酸分析采用气液相色谱法进行。狐黄素含量采用分光光度法测定。研究结果作为预防高脂血症和肥胖症的专用油脂乳液食品系统的脂肪基础,所介绍的脂质成分配方包括微藻油,质量分数为3-6%,作为ω-3多不饱和脂肪酸(PUFAs)(二十碳五烯酸和二十二碳六烯酸)的来源。质量分数为 48-54% 的羽扇豆褐藻油提取物被用作狐黄素的来源。多不饱和脂肪酸的总含量很高,至少达到 73%,其中以 ω-6 多不饱和脂肪酸为主(48.0-49.1%)。不过,ω-3 PUFA 的高含量(至少 25%)也值得注意。ω-3和ω-6 PUFA的比例为1:1.72-1:1.90,这对于传统上用作油脂乳液体系中脂肪相的单个植物油来说并不典型。所述脂质组合物中的狐黄素含量为 6.4-7.2 毫克/100 毫升。我们获得了用于预防高脂血症和肥胖症的可食用油脂乳液食品体系(蛋黄酱和蛋黄酱调味汁),其中ω-3:ω-6 PUFA 的给定比例含有二十碳五烯酸和二十二碳六烯酸以及狐黄素。从预防高脂血症和肥胖症的专用油脂乳液体系中分离出的脂肪的过氧化值和酸值变化证明,含有狐黄素的羽扇豆褐藻提取物能显著减缓脂质氧化和水解过程。结论用于预防高脂血症和肥胖症的专用油脂乳剂食品系统(蛋黄酱和蛋黄酱调味汁,油相含量不同)含有狐黄素,脂肪酸组成优化,ω-3:ω-6 PUFA比例给定,必需PUFA(二十碳五烯酸和二十二碳六烯酸)含量高,是具有传统感官特征和特定理化参数的安全食品。
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引用次数: 0
[Eating patterns and risk of eating disorders in adolescents]. [饮食模式与青少年饮食失调的风险]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-04-22 DOI: 10.33029/0042-8833-2024-93-3-31-40
A V Pogodina, T A Astakhova, L N Lebedeva, L V Rychkova

Adolescence is a critical period for the onset of eating disorders, which affect an adolescent's diet and can have adverse and long-term health consequences. The relationship between the risk of eating disorders and the diet of Russian adolescents has been little studied. The objective of the research was to characterize the relationship between the risk of eating disorders and dietary patterns in a sample of Russian schoolchildren. Material and methods. The continuous cross-sectional study included tenth-graders of secondary schools (n=379, 63.1% girls) aged 16.0±0.5 years. The Russian version of the Eating Disorder Inventory was used to assess the risk of eating disorders. Dietary information was obtained from questionnaires completed by adolescents, characterizing the frequency of meals (at home and at school) during the week, the variety of dishes, and the frequency of consumption of foods and dishes. Anthropometric measurements were carried out to calculate body mass index (BMI), waist circumference (WC)/height index. Results. The eating patterns of schoolchildren were significantly disrupted, more so in girls. They were statistically significantly less likely than boys to consume meat, milk, nuts, and butter, and were more likely to skip breakfast. Significant correlations were shown between BMI Z-score and WC/height index in girls with body dissatisfaction (R=0.19 and 0.18, respectively, p<0.01), desire to lose weight (R=0.26 and 0.25, respectively, p<0.01) and bulimic tendencies (R=0.13, p<0.05 for WC/height). In boys, the drive for thinness was significantly associated only with abdominal fat deposition (R=0.26, p<0.01). Body dissatisfaction and desire for thinness in boys were associated with statistically significantly lower consumption of candies, chocolate, ice cream, cookies and potatoes; in girls - with rare consumption of candies, ice cream, sweet carbonated drinks, juices, fast food, as well as bread, meat and sausages, butter, skipping breakfast and dinner. Conclusion. The tendency to develop eating disorder in adolescence is more common in girls and is associated with dietary restrictions affecting important components of the diet necessary for normal growth and development.

青春期是饮食失调症发病的关键时期,饮食失调症会影响青少年的饮食,并可能对其健康造成长期不利影响。关于饮食失调的风险与俄罗斯青少年饮食之间的关系的研究很少。本研究的目的是以俄罗斯在校学生为样本,描述饮食失调风险与饮食模式之间的关系。材料和方法这项连续性横断面研究包括中学十年级学生(人数=379,女生占 63.1%),年龄为 16.0±0.5 岁。饮食失调量表俄文版用于评估饮食失调的风险。饮食信息是从青少年填写的调查问卷中获得的,包括一周内(在家里和学校)进餐的频率、菜肴的种类以及食用食物和菜肴的频率。人体测量用于计算体重指数(BMI)、腰围(WC)/身高指数。结果显示学龄儿童的饮食模式明显紊乱,女孩的情况更为严重。据统计,女生食用肉类、牛奶、坚果和黄油的可能性明显低于男生,而且不吃早餐的可能性更大。在身体不满意的女孩中,体重指数 Z 值和加权平均体重/身高指数之间存在明显的相关性(R 值分别为 0.19 和 0.18,p)。青春期饮食失调的倾向在女孩中更为常见,这与饮食限制影响正常生长发育所需的重要饮食成分有关。
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引用次数: 0
[Rats' reproductive function under toxic load against the background of protein deficiency]. [蛋白质缺乏背景下毒性负荷下的大鼠生殖功能]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-09-16 DOI: 10.33029/0042-8833-2024-93-5-85-93
S I Shestakova, A A Stankevich, D S Kotova, M D Trebukh, N S Nikitin, E O Sadykova, N V Tyshko
<p><p>Safety assessment approaches of novel food, currently adopted in the Russian Federation, imply mandatory in vivo reproductive toxicity tests with the study of reproductive function and offspring development in order to obtain comprehensive evidence of the absence of distant adverse effects that may manifest only in the next generation. Comprehensive study of reproductive function, pre- and postnatal offspring development, as a rule, includes the research of a large number of parameters, all of which has a wide range of physiological fluctuations, and the heterogeneous distribution of some parameters' values complicates the interpretation of the results. <b>The purpose</b> of the study was to investigate the efficiency of a reduced adaptive potential model in rats, based on decreased diet protein intake, for the use in reproductive toxicity experiments. <b>Material and methods</b>. The research lasting 155 days was carried out on rats of F0 (180 females and 90 males) and F1 (773 pups, 456 fetuses) generations. Animals of parental generation F0 were divided into 3 groups - control, the 1st and the 2nd test groups, 30 males and 60 females in each. The initial age of F0 rats was 28-35 days. Animals of all groups during growth and sexual maturation (25-90 days of life) received a diet with reduced protein content (9.4 g per 100 g of diet, which is 9% in calorie value). After reaching the age of physiological maturity (100 days) rats were transferred to a diet with lower protein content (6.1 g per 100 g of diet, 6% in calorie value), and received this diet during mating, pregnancy and feeding of F1 offspring. The rats of the test groups received with feed the model herbicide glyphosate (isopropylamine salt, concentration 360 g/l) at a dose of 0.3 g/kg body weight (6% of LD50): the 1st test group - from day 70 of life, the 2nd test group - from day 30 of life throughout the duration of the experiment. Reproductive function was evaluated by the fertility of F0 animals and by the character of prenatal and postnatal development of F1 offspring. <b>Results</b>. The toxic factor's influence on the background of reduced protein supply did not lead to complex changes in the reproductive function of rats, the test groups differed from the control group only by the post-implantation loss and the mean litter size in the postnatal period: post-implantation loss in the 1st and the 2nd test groups was higher than normal, exceeding the value of this indicator in the control group (4.7±1.6%) by 3.1 (p<0.05) и 2.2 (р>0.05) times; the mean litter size in the 1st and the 2nd test groups was by 15.8 and 21.3% (р<0.05) lower than in the control group. Survival rate of offspring during the 1st month of life in all groups was at least 72%, which corresponds to the lower limit of the norm characteristic for Wistar rats. <b>Conclusion</b>. The use of the alimentary model of adaptation potential reduction based on diet protein deficiency does not consider appropriate in r
俄罗斯联邦目前采用的新型食品安全评估方法意味着必须进行体内生殖毒性试验,研究生 殖功能和后代发育情况,以获得全面证据,证明不存在只在下一代中才可能出现的远期不良影 响。对生殖功能、产前和产后后代发育的综合研究通常包括对大量参数的研究,所有这些参数的生理波动范围都很大,而且某些参数值的异质性分布也使结果的解释变得复杂。本研究的目的是在减少饮食蛋白质摄入量的基础上,研究大鼠适应潜能降低模型在生殖毒性实验中的应用效率。材料和方法这项为期 155 天的研究以 F0 代(180 只雌性和 90 只雄性)和 F1 代(773 只幼鼠和 456 只胎儿)大鼠为对象。亲代 F0 大鼠分为 3 组--对照组、第一试验组和第二试验组,每组 30 只雌雄大鼠。F0 大鼠的初始年龄为 28-35 天。各组动物在生长和性成熟期间(25-90 天)均食用蛋白质含量较低的食物(每 100 克食物中含 9.4 克蛋白质,热量值为 9%)。大鼠达到生理成熟年龄(100 天)后,转而食用蛋白质含量较低的食物(每 100 克食物中含 6.1 克蛋白质,热量值为 6%),并在交配、怀孕和喂养 F1 后代期间食用这种食物。试验组大鼠在饲料中添加了除草剂草甘膦(异丙胺盐,浓度为 360 克/升),剂量为 0.3 克/千克体重(相当于半数致死剂量的 6%):第一试验组大鼠从出生后第 70 天开始,第二试验组大鼠从出生后第 30 天开始,在整个试验过程中一直服用草甘膦。生殖功能通过 F0 动物的生育能力以及 F1 后代的产前和产后发育特征进行评估。实验结果在蛋白质供应减少的背景下,毒性因素的影响并未导致大鼠生殖功能的复杂变化,试验组与对照组的区别仅在于植入后损失和产后平均窝产仔数:第 1 和第 2 试验组的植入后损失高于正常值,比对照组的该指标值(4.7±1.6%)的3.1倍(P0.05);第1和第2试验组的平均窝产仔数分别为15.8%和21.3%(р结论。在生殖毒性研究中,使用基于日粮蛋白质缺乏的消化道适应潜能下降模型并不合适,因为它既不会增加毒性反应的严重性,也不会提高所获结果的可靠性。在对低毒性物体进行亚急性毒理学研究时,尤其是在评估新型食品的安全性时,可以推荐使用这种模式。
{"title":"[Rats' reproductive function under toxic load against the background of protein deficiency].","authors":"S I Shestakova, A A Stankevich, D S Kotova, M D Trebukh, N S Nikitin, E O Sadykova, N V Tyshko","doi":"10.33029/0042-8833-2024-93-5-85-93","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-5-85-93","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Safety assessment approaches of novel food, currently adopted in the Russian Federation, imply mandatory in vivo reproductive toxicity tests with the study of reproductive function and offspring development in order to obtain comprehensive evidence of the absence of distant adverse effects that may manifest only in the next generation. Comprehensive study of reproductive function, pre- and postnatal offspring development, as a rule, includes the research of a large number of parameters, all of which has a wide range of physiological fluctuations, and the heterogeneous distribution of some parameters' values complicates the interpretation of the results. &lt;b&gt;The purpose&lt;/b&gt; of the study was to investigate the efficiency of a reduced adaptive potential model in rats, based on decreased diet protein intake, for the use in reproductive toxicity experiments. &lt;b&gt;Material and methods&lt;/b&gt;. The research lasting 155 days was carried out on rats of F0 (180 females and 90 males) and F1 (773 pups, 456 fetuses) generations. Animals of parental generation F0 were divided into 3 groups - control, the 1st and the 2nd test groups, 30 males and 60 females in each. The initial age of F0 rats was 28-35 days. Animals of all groups during growth and sexual maturation (25-90 days of life) received a diet with reduced protein content (9.4 g per 100 g of diet, which is 9% in calorie value). After reaching the age of physiological maturity (100 days) rats were transferred to a diet with lower protein content (6.1 g per 100 g of diet, 6% in calorie value), and received this diet during mating, pregnancy and feeding of F1 offspring. The rats of the test groups received with feed the model herbicide glyphosate (isopropylamine salt, concentration 360 g/l) at a dose of 0.3 g/kg body weight (6% of LD50): the 1st test group - from day 70 of life, the 2nd test group - from day 30 of life throughout the duration of the experiment. Reproductive function was evaluated by the fertility of F0 animals and by the character of prenatal and postnatal development of F1 offspring. &lt;b&gt;Results&lt;/b&gt;. The toxic factor's influence on the background of reduced protein supply did not lead to complex changes in the reproductive function of rats, the test groups differed from the control group only by the post-implantation loss and the mean litter size in the postnatal period: post-implantation loss in the 1st and the 2nd test groups was higher than normal, exceeding the value of this indicator in the control group (4.7±1.6%) by 3.1 (p&lt;0.05) и 2.2 (р&gt;0.05) times; the mean litter size in the 1st and the 2nd test groups was by 15.8 and 21.3% (р&lt;0.05) lower than in the control group. Survival rate of offspring during the 1st month of life in all groups was at least 72%, which corresponds to the lower limit of the norm characteristic for Wistar rats. &lt;b&gt;Conclusion&lt;/b&gt;. The use of the alimentary model of adaptation potential reduction based on diet protein deficiency does not consider appropriate in r","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 5","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677120","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}
引用次数: 0
[Unprocessed red meat consumption in the general working-age population: sociodemographic, behavioral and health-related determinants]. [一般工龄人口食用未经加工的红肉:社会人口、行为和健康相关决定因素]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-09-16 DOI: 10.33029/0042-8833-2024-93-5-65-72
V S Kaveshnikov, I A Trubacheva, V N Serebryakova

Anunbalanced diet, specifically excessive unprocessed red meat (RM) consumption, plays significant role in development of chronic non-communicable diseases. Modern research indicates excessive consumption of unprocessed red meat (RM) in the Russian population. There are reports of relationships between RM consumption and some factors, but it hasn't been sufficiently studied. The aim of the research was to study unprocessed RM intake and its relationship to socio-demographic, behavioral and medical factors in general population. Material and methods. In the ESSE-RF cross-sectional study, data from 1.600 participants randomly sampled from unorganized population of 25-64 years old (59% women), average age 45.0±0.5 and 47.2±0.4 years for men and women, respectively, were studied. Standard questionnaire was used. Frequency of RM consumption was presented in 4 ranked categories from "do not use/rarely" to "daily/almost daily". Associative analysis included socio-demographic, behavioral and health-related variables. Descriptive statistics, single- and multivariable ordinal regression were used. Results. 52.1% of men and 41.9% of women consumed RM daily (p<0.001), one third of all - 1-2 times a week (p=0.737), 11.5% of men and 22.5% of women - 1-2 times a month or less (p<0.001). Odds for higher RM consumption were higher in men (OR=1.67; p<0.001). In men RM intake didn't vary with age (p=0.796). Highest RM intake in women was observed at the age of 35-44 years, comparatively lower at 25-34 (OR=0.70; p=0.076), 45-54 (OR=0.63; p=0.012) and 55-64 years old (OR=0.42; p<0.001), respectively. In multivariable analysis, prosperity level (women), physically active work, marital status, living in own housing showed a direct, whereas presence of carotid atherosclerotic plaques (women) and walking >=45 min - inverse association with RM consumption, accordingly. Conclusion. With age, the frequency of RM consumption was relatively constant in men and decreased in women after 45 years. The frequency of RM consumption was directly correlated with male gender, physical activity during work, marital status (married/common-law marriage), residence in one's own house, income level (for women) and inversely correlated with walking >=45 min during free time. Less frequent RM consumption in women was associated with the presence of carotid atherosclerotic plaques. No independent associations with chronic alimentary diseases and other risk factors for cardiovascular diseases has been found. The data obtained indicate the need to increase public awareness concerning the role of RM in the development of chronic non-communicable diseases, and to develop tools reducing RM intake and increasing share of other protein sources in the diet.

不均衡的饮食,特别是过量食用未经加工的红肉(RM),在慢性非传染性疾病的发病中起着重要作用。现代研究表明,俄罗斯人过量食用未经加工的红肉(RM)。有报告称,红肉消费与某些因素之间存在关系,但尚未对此进行充分研究。本研究的目的是研究普通人群中未加工红肉的摄入量及其与社会人口、行为和医疗因素之间的关系。材料和方法。在 ESSE-RF 横断面研究中,研究人员从 25-64 岁(59% 为女性)的非组织人口中随机抽取了 1600 名参与者的数据,男性和女性的平均年龄分别为(45.0±0.5)岁和(47.2±0.4)岁。调查使用了标准问卷。马铃薯的食用频率分为四个等级,从 "不食用/很少食用 "到 "每天食用/几乎每天食用"。关联分析包括社会人口、行为和健康相关变量。使用了描述性统计、单变量和多变量序数回归。结果显示52.1%的男性和 41.9%的女性每天食用马铃薯(p=45 min - 与马铃薯消费量呈反向关系)。结论随着年龄的增长,男性食用马铃薯的频率相对稳定,而女性在 45 岁以后则有所下降。食用马铃薯泥的频率与男性性别、工作期间的体力活动、婚姻状况(已婚/习惯法婚姻)、居住在自己家中、收入水平(女性)直接相关,与空闲时间步行 >=45 分钟成反比。女性较少食用 RM 与颈动脉粥样硬化斑块的存在有关。没有发现与慢性消化系统疾病和其他心血管疾病风险因素的独立关联。所获得的数据表明,有必要提高公众对马铃薯泥在慢性非传染性疾病发展中的作用的认识,并开发减少马铃薯泥摄入量和增加饮食中其他蛋白质来源比例的工具。
{"title":"[Unprocessed red meat consumption in the general working-age population: sociodemographic, behavioral and health-related determinants].","authors":"V S Kaveshnikov, I A Trubacheva, V N Serebryakova","doi":"10.33029/0042-8833-2024-93-5-65-72","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-5-65-72","url":null,"abstract":"<p><p>Anunbalanced diet, specifically excessive unprocessed red meat (RM) consumption, plays significant role in development of chronic non-communicable diseases. Modern research indicates excessive consumption of unprocessed red meat (RM) in the Russian population. There are reports of relationships between RM consumption and some factors, but it hasn't been sufficiently studied. <b>The aim</b> of the research was to study unprocessed RM intake and its relationship to socio-demographic, behavioral and medical factors in general population. <b>Material and methods</b>. In the ESSE-RF cross-sectional study, data from 1.600 participants randomly sampled from unorganized population of 25-64 years old (59% women), average age 45.0±0.5 and 47.2±0.4 years for men and women, respectively, were studied. Standard questionnaire was used. Frequency of RM consumption was presented in 4 ranked categories from \"do not use/rarely\" to \"daily/almost daily\". Associative analysis included socio-demographic, behavioral and health-related variables. Descriptive statistics, single- and multivariable ordinal regression were used. <b>Results</b>. 52.1% of men and 41.9% of women consumed RM daily (p<0.001), one third of all - 1-2 times a week (p=0.737), 11.5% of men and 22.5% of women - 1-2 times a month or less (p<0.001). Odds for higher RM consumption were higher in men (OR=1.67; p<0.001). In men RM intake didn't vary with age (p=0.796). Highest RM intake in women was observed at the age of 35-44 years, comparatively lower at 25-34 (OR=0.70; p=0.076), 45-54 (OR=0.63; p=0.012) and 55-64 years old (OR=0.42; p<0.001), respectively. In multivariable analysis, prosperity level (women), physically active work, marital status, living in own housing showed a direct, whereas presence of carotid atherosclerotic plaques (women) and walking >=45 min - inverse association with RM consumption, accordingly. <b>Conclusion</b>. With age, the frequency of RM consumption was relatively constant in men and decreased in women after 45 years. The frequency of RM consumption was directly correlated with male gender, physical activity during work, marital status (married/common-law marriage), residence in one's own house, income level (for women) and inversely correlated with walking >=45 min during free time. Less frequent RM consumption in women was associated with the presence of carotid atherosclerotic plaques. No independent associations with chronic alimentary diseases and other risk factors for cardiovascular diseases has been found. The data obtained indicate the need to increase public awareness concerning the role of RM in the development of chronic non-communicable diseases, and to develop tools reducing RM intake and increasing share of other protein sources in the diet.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 5","pages":"65-72"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677139","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}
引用次数: 0
[Anthocyanins as an element of nutritional support for athletes: effects and molecular mechanisms of action]. [作为运动员营养支持元素的花青素:效果和分子作用机制]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-04-22 DOI: 10.33029/0042-8833-2024-93-3-5-13
A G Krasutsky, I V Aksenov

Antioxidants are among the common components of sports nutrition designed to counteract oxidative stress that develops during intense physical activity. One of the promising antioxidants are anthocyanins which belong to polyphenolic compounds of plant origin (class of flavonoids). The purpose of the research was to analyze the results of prospective controlled studies on the effect of anthocyanins on physical performance, and to consider the possible molecular mechanisms of their action. Material and methods. Sources were searched in PubMed, Google Scholar, and CyberLeninka databases of peer-reviewed scientific literature without restrictions on the year of publication using the following keywords: anthocyanins, physical performance, recovery, sport and exercise nutrition, oxidative stress, inflammation. Results. The main data set on the effects of anthocyanins in athletes was obtained using extracts of blackcurrant and Montmorency tart cherry. Volunteers received anthocyanins at a dose of 86-547 mg per day for 1 to 10 days with subsequent evaluation of their performance in cycling, running and fitness activities. The possibility of favorable effect of anthocyanins on physical performance and acceleration of its recovery after exertion has been shown. The source, dose and duration of intake did not significantly influence the established effects of anthocyanins. Acting as exogenous regulators of metabolism, anthocyanins can activate several mechanisms of performance enhancement, including influence on antioxidant and immune status and apoptosis intensity. Anthocyanins prevent the formation of reactive oxygen species, neutralize electrophilic compounds by direct interaction or through activation of Nrf2 factor, which regulates the transcription of antioxidant enzyme genes. The basis of the anti-inflammatory action of anthocyanins is their ability to inhibit MARK and NF-κB mediated signal transduction. Inclusion of bilberry and blackcurrant extract in the diet prevented the intensification of myocyte apoptosis and suppression of cellular immunity induced by exhausting exercise. An additional mechanism of anthocyanin action on physical performance may be an increase in blood supply of organs and tissues due to vascular dilation caused by activation of endothelial nitric oxide synthase. Conclusion. The intake of plant extracts with a high anthocyanin content can increase physical performance and improve recovery after physical exertion, which may be due to the antioxidant and anti-inflammatory effects of anthocyanins, their ability to regulate apoptosis processes and improve blood supply to organs and tissues.

抗氧化剂是运动营养品的常见成分之一,旨在对抗激烈运动时产生的氧化应激。花青素属于植物多酚类化合物(类黄酮),是很有前途的抗氧化剂之一。研究的目的是分析花青素对体能影响的前瞻性对照研究结果,并考虑其可能的分子作用机制。材料和方法使用以下关键词在 PubMed、Google Scholar 和 CyberLeninka 等同行评审科学文献数据库中进行检索,不限制发表年份:花青素、体能、恢复、运动和锻炼营养、氧化应激、炎症。研究结果有关花青素对运动员影响的主要数据集是通过黑加仑和蒙特莫朗西酸樱桃提取物获得的。志愿者每天摄入 86-547 毫克花青素,持续 1-10 天,随后对他们在骑自行车、跑步和健身活动中的表现进行评估。结果表明,花青素可能会对体能表现产生有利影响,并加速体能消耗后的恢复。花青素的来源、剂量和摄入时间对其既定效果没有明显影响。作为新陈代谢的外源调节剂,花青素可以激活多种提高运动表现的机制,包括影响抗氧化和免疫状态以及细胞凋亡的强度。花青素能防止活性氧的形成,通过直接相互作用或激活 Nrf2 因子中和亲电化合物,从而调节抗氧化酶基因的转录。花青素抗炎作用的基础是其抑制 MARK 和 NF-κB 介导的信号转导的能力。在膳食中加入山桑子和黑加仑提取物,可防止疲惫运动引起的肌细胞凋亡加剧和细胞免疫功能抑制。花青素对体能表现的另一个作用机制可能是通过激活内皮一氧化氮合酶导致血管扩张,从而增加器官和组织的血液供应。结论摄入花青素含量高的植物提取物可以提高体能,改善体力消耗后的恢复情况,这可能是由于花青素具有抗氧化和抗炎作用,能够调节细胞凋亡过程,改善器官和组织的血液供应。
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引用次数: 0
[Vitamin D and childhood disability: diseases of the musculoskeletal system and connective tissue in the Khanty-Mansi Autonomous Okrug - Ugra]. [维生素 D 与儿童残疾:汉特-曼西民族自治区-尤格拉的肌肉骨骼系统和结缔组织疾病]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-07-15 DOI: 10.33029/0042-8833-2024-93-4-84-91
V V Krivosheev, I V Kozlovsky, A V Fedorov

Vitamin D deficiency is more prevalent among children with musculoskeletal and connective tissue disorders (MSCTD), which plays a significant role in childhood disability, which ranks sixth in the structure of childhood disability in the Russian Federation. The aim of the research was to study of the relationship between the incidence of childhood disability associated with MSCTD and the state of vitamin D status of the population living in the territory of the Khanty-Mansiysk Autonomous Okrug - Ugra. Material and methods. A correlation analysis was carried out between the level of childhood disability (that arose in connection with MSCTD in children aged 0-17 years in the Khanty-Mansi Autonomous Okrug - Ugra in 2021) and the prevalence of severe vitamin D deficit [serum 25(OH)D <10 ng/ml] among the population (12 city and 5 district municipalities), using the INVITRO-Ural LLC database (31 595 anonymized measurements of vitamin D level in Ugra residents). In addition, a correlation analysis was conducted between the total incidence of certain types of MSCTD in the constituent entities of the Russian Federation and the geographical latitude of the administrative center of the subjects of the Federation. Results. In the Khanty-Mansi Autonomous Okrug - Ugra, the frequency of childhood disability resulting from MSCTD is associated with a statistically stable (p=0.01) directly proportional relationship with the prevalence of severe vitamin D deficit in the residents of the municipality territory. In the Russian Federation, the dependence of the general morbidity of MSCTD in children (arthropathy, juvenile arthritis, and damage to the tendon synovial membranes) is very stable (p<0.0001) directly proportional associated with the geographical latitude of the territory. This indicates the impact of reduced levels of ultraviolet radiation and, accordingly, the average blood level of vitamin D in the population high in latitudes, along with other reasons, on human health. Conclusion. Low levels of vitamin D have a negative impact on the activity of MSCTD in children and the associated disability. To justify the recommended daily dose and duration of vitamin D intake, which in some cases can reduce the activity of MSCTD, it is necessary to measure its initial level in the blood serum of patients at risk.

维生素 D 缺乏症在患有肌肉骨骼和结缔组织疾病(MSCTD)的儿童中更为普遍,它在儿童残疾中起着重要作用,在俄罗斯联邦儿童残疾结构中排名第六。研究的目的是了解与肌肉骨骼和结缔组织疾病相关的儿童残疾发病率与汉蒂-曼西民族自治区-尤格拉地区居民维生素 D 状态之间的关系。材料和方法对儿童残疾程度(2021年汉特-曼西民族自治区-尤格拉地区0-17岁儿童的多发性硬化症残疾程度)和维生素D严重缺乏率[血清25(OH)D结果]进行了相关性分析。在汉特-曼西民族自治区-尤格拉地区,MSCTD导致的儿童残疾发生率与该市居民维生素D严重缺乏的发生率成正比关系,在统计上保持稳定(P=0.01)。在俄罗斯联邦,儿童 MSCTD 一般发病率(关节病、幼年关节炎和肌腱滑膜损伤)的依赖性非常稳定(p 结论。维生素 D 水平低对儿童 MSCTD 的活动和相关残疾有负面影响。在某些情况下,维生素 D 可以降低 MSCTD 的活性,为了证明建议的维生素 D 每日摄入剂量和持续时间是合理的,有必要测量高危患者血清中维生素 D 的初始水平。
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引用次数: 0
[Comparative analysis of dietary patterns in patients with non-alcoholic fatty liver disease with and without type 2 diabetes mellitus]. [非酒精性脂肪肝患者饮食模式的比较分析]。
Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-07-15 DOI: 10.33029/0042-8833-2024-93-4-92-103
A N Sasunova, A A Goncharov, V A Isakov
<p><p>Non-alcoholic fatty liver disease (NAFLD) is considered to be metabolically determined and alimentary condition, one of the components of metabolic syndrome. Therefore, dietary patterns of patients with different clinical types of the disease are worth to be studied . <b>The aim</b> of the research was to study the dietary patterns in patients with NAFLD and with type 2 diabetes mellitus (T2DM) (group T2DM+) compared to the control group without T2DM (T2DM-). <b>Material and methods</b>. A retrospective analysis of the database (n=316) of patients with NA FLD, formed in the period from 202 1 to 2023, was carried out. A total of 79 sex- and agem atched pairs of T2D+ and T2D- pat ients were selected for the case-control study. Hepatic steatosis and fibrosis stage assessment was performed using vibration-controlled transient elastography (VCTE) with controlled attenuation parameter (CAP). Actual nutrition was evaluated using a semi-quantitative method of assessing consumption frequency during a personal interview. Consumption of 100 grouped food items was assessed. Blood parameters characterizing lipid and carbohydrate metabolism were assessed. <b>Results</b>. Among patients with T2DM+, patients with NASH (24.1 vs 8.9%, p=0.005) and patients with severe liver fibrosis F3-F4 (32.9 vs 10.1%, p<0.0001) were significantly more common. There were no differences between the T2DM+ and T2DM- groups in energy consumption (1969 [1492; 3098] vs 1870 [1380; 2593] kcal/day; p=0.4), proteins (90.5 [71.5; 130.3] vs 81.0 [59.4; 116.0] g/day; p=0.1), fats (83.0 [66.7; 144.9] vs 78.8 [59.2; 116.4] g/day; p=0.3), carbohydrates (220 [156; 312] vs 209 [155; 282] g/day; p=0.9). The study of dietary patterns revealed greater consumption of meat and meat products (1.23 [0.84; 1.73] vs 0.96 [0.71; 1.37] times a day, p=0.03), fish and seafood (0.37 [0.17; 0.89] vs 0.27 [0.13; 0.51] times a day, p=0.01) in T2DM+ group. It was found that in patients with T2DM the intake of calories and the following nutrients from meat and meat products was more, then without: energy (289.6 [174.9; 420.3] vs 191.9 [148.2; 336.5] kcal/day, p=0.006), proteins (25.8 [17.2; 36.5] vs 18.6 [12.6; 29.6] g/day, p=0.008) and fats (18.9 [10.8; 31.4] g/day vs 13.7 [10.3; 23.6] g/day, p=0.01). Similar data was obtained for fish and seafood, with energy (59.7 [28.3; 117.3] vs 45.2 [20.5; 70.1] kcal/day, p=0.03), proteins (8.1 [6.9; 16.8] vs 6.3 [6.7; 10.2] g/day, p=0.02) and fats (3.0 [1.5; 6.4] vs 1.9 [0.9; 3.8] g/day, p=0.01) consumed more in T2DM+ group. <b>Conclusion</b>. In the traditional analysis of actual nutrition in NAFLD patients with and without T2DM, no significant differences were found. However, the structure of the patients' diet differs significantly due to meat and meat products, fish and seafood. The identified differences may indicate the need to change dietary recommendations for patients with T2DM, and may also become the basis for the development of innovative food for special
非酒精性脂肪肝(NAFLD)被认为是由代谢决定的消化系统疾病,是代谢综合征的组成部分之一。因此,不同临床类型的非酒精性脂肪肝患者的饮食模式值得研究。本研究旨在研究非酒精性脂肪肝和 2 型糖尿病(T2DM)患者(T2DM+ 组)与无 T2DM 的对照组(T2DM- 组)相比的饮食模式。材料和方法对202年1月至2023年期间建立的NA FLD患者数据库(n=316)进行了回顾性分析。病例对照研究共选择了79对T2D+和T2D-患者进行性别和年龄配对。肝脏脂肪变性和纤维化分期评估采用振动控制瞬态弹性成像(VCTE)和控制衰减参数(CAP)进行。在个人访谈中,采用半定量方法评估消费频率,对实际营养状况进行评估。对 100 种分组食品的消耗量进行了评估。评估了反映脂质和碳水化合物代谢特征的血液参数。结果显示在T2DM+患者中,NASH患者(24.1% vs 8.9%,P=0.005)和严重肝纤维化F3-F4患者(32.9% vs 10.1%,P=0.005)的营养状况较差。在对有 T2DM 和无 T2DM 的非酒精性脂肪肝患者的实际营养状况进行传统分析时,未发现明显差异。然而,由于肉类和肉制品、鱼类和海鲜的不同,患者的饮食结构也有很大差异。已发现的差异可能表明有必要改变对 T2DM 患者的饮食建议,也可能成为开发创新型特殊膳食食品的基础,旨在改善患者的营养质量,从而缓解潜在疾病。
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