Pub Date : 2024-01-01Epub Date: 2024-01-19DOI: 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。
{"title":"[Sweet protein brazzein as a promising sweetener].","authors":"E V Markova, E I Leonova, Ju V Sopova","doi":"10.33029/0042-8833-2024-93-1-61-71","DOIUrl":"10.33029/0042-8833-2024-93-1-61-71","url":null,"abstract":"<p><p>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. <b>The purpose</b> 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. <b>Material and methods</b>. Google Scholar, Scopus, Web of Science, PubMed, RSCI and eLibrary.ru databases were used for collecting and analyzing literature. Search depth - 30 years. <b>Results</b>. 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. <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 1","pages":"61-71"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332076","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 : 2024-01-01Epub Date: 2024-09-16DOI: 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.
{"title":"[Dairy kitchens in besieged Leningrad (1941-1944)].","authors":"E D Tverdyukova","doi":"10.33029/0042-8833-2024-93-5-104-113","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-5-104-113","url":null,"abstract":"<p><p>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. <b>The aim</b> 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. <b>Material and methods</b>. 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. <b>Results</b>. 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. <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 5","pages":"104-113"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677107","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 : 2024-01-01Epub Date: 2024-07-15DOI: 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.
{"title":"[Biochemical disorders in mild protein-energy deficiency in children: gender peculiarities].","authors":"I V Gorbacheva, O Yu Kuznetsova, F N Gilmiyarova, A O Gusyakova, D V Pechkurov","doi":"10.33029/0042-8833-2024-93-4-22-30","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-4-22-30","url":null,"abstract":"<p><p>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. <b>The aim</b> 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. <b>Material and methods</b>. 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). <b>Results</b>. 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). <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476041","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 : 2024-01-01Epub Date: 2024-03-25DOI: 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
{"title":"[Specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity].","authors":"A V Tabakaev, O V Tabakaeva","doi":"10.33029/0042-8833-2024-93-2-83-94","DOIUrl":"10.33029/0042-8833-2024-93-2-83-94","url":null,"abstract":"<p><p>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. <b>The aim</b> 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. <b>Material and methods</b>. 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. <b>Results</b>. 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. <b>Conclusion</b>. Specialized fat-and-oil emulsion food systems for the prevention of hyperlipidemia and obesity (mayon","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 2","pages":"83-94"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175717","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 : 2024-01-01Epub Date: 2024-04-22DOI: 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。
{"title":"[Eating patterns and risk of eating disorders in adolescents].","authors":"A V Pogodina, T A Astakhova, L N Lebedeva, L V Rychkova","doi":"10.33029/0042-8833-2024-93-3-31-40","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-3-31-40","url":null,"abstract":"<p><p>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. <b>The objective</b> of the research was to characterize the relationship between the risk of eating disorders and dietary patterns in a sample of Russian schoolchildren. <b>Material and methods</b>. 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. <b>Results</b>. 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. <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 3","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724524","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 : 2024-01-01Epub Date: 2024-09-16DOI: 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
{"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":"<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","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}
Pub Date : 2024-01-01Epub Date: 2024-09-16DOI: 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.
{"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}
Pub Date : 2024-01-01Epub Date: 2024-04-22DOI: 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.
{"title":"[Anthocyanins as an element of nutritional support for athletes: effects and molecular mechanisms of action].","authors":"A G Krasutsky, I V Aksenov","doi":"10.33029/0042-8833-2024-93-3-5-13","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-3-5-13","url":null,"abstract":"<p><p>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). <b>The purpose</b> 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. <b>Material and methods</b>. 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. <b>Results</b>. 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. <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 3","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724521","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 : 2024-01-01Epub Date: 2024-07-15DOI: 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。
{"title":"[Vitamin D and childhood disability: diseases of the musculoskeletal system and connective tissue in the Khanty-Mansi Autonomous Okrug - Ugra].","authors":"V V Krivosheev, I V Kozlovsky, A V Fedorov","doi":"10.33029/0042-8833-2024-93-4-84-91","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-4-84-91","url":null,"abstract":"<p><p>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. <b>The aim</b> 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. <b>Material and methods</b>. 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. <b>Results</b>. 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. <b>Conclusion</b>. 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.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"84-91"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476062","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 : 2024-01-01Epub Date: 2024-07-15DOI: 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。
{"title":"[Comparative analysis of dietary patterns in patients with non-alcoholic fatty liver disease with and without type 2 diabetes mellitus].","authors":"A N Sasunova, A A Goncharov, V A Isakov","doi":"10.33029/0042-8833-2024-93-4-92-103","DOIUrl":"https://doi.org/10.33029/0042-8833-2024-93-4-92-103","url":null,"abstract":"<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 ","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"92-103"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476055","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}