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[Evaluation of quality indicators of gluten-free flour confectionery intended for dietary nutrition]. [膳食营养用无麸质面粉糖果的质量指标评价]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-03-09 DOI: 10.33029/0042-8833-2025-94-2-97-105
Z R Khodyreva, M A Vaytanis, E M Schetinina, O G Vyun, O A Vrzhesinskaya

Currently, there is an increase in gluten-associated diseases. The range of food for such patients is currently quite limited. In this regard, the development of new gluten-free products, including those popular among consumers of flour confectionery, is relevant. The purpose of the research was to develop a formulation and to evaluate the quality indicators of gluten-free biscuits intended for special dietary uses. Material and methods. To prepare prototypes of gluten-free biscuits, corn flour, green buckwheat, steamed buckwheat and rice flour were used instead of wheat flour of the highest grade, along with unsalted butter, salt, baking soda, and white sugar. The experimental products were evaluated according to organoleptic (on a five-point scale), physical and chemical (mass fraction of moisture, alkalinity, wetness) and sanitarymicrobiological parameters with calculation of nutritional and energy value. Results. When developing gluten-free biscuits for the formation of various flavor profiles, wheat flour was 100% replaced with gluten-free flour: corn, rice, steamed buckwheat and green buckwheat. According to the results of an organoleptic assessment and analysis of physical, chemical, microbiological parameters, biscuits with green buckwheat flour, as well as a mixture of corn and rice flour (1:1) were selected. The calculation of the nutritive value showed that one serving of the product (30 g) allows to cover the daily requirement for protein, fats and carbohydrates by 3.0-5.5%, dietary fiber - by about 3%. Despite the slightly increased content of micronutrients in the developed biscuits, they cannot serve as their significant source. Only biscuits with green buckwheat flour can cover the need for phosphorus, iron and vitamins B1 and PP by 5% or more in 1 serving. Conclusion. The developed biscuits with green buckwheat flour for special dietary uses for people with gluten intolerance can serve a source of such micronutrients as phosphorus, iron, vitamins B1 and PP.

目前,与谷蛋白相关的疾病有所增加。目前,这类病人的食物种类非常有限。在这方面,开发新的无麸质产品,包括那些受面粉糖果消费者欢迎的产品,是相关的。这项研究的目的是开发一种配方,并评估用于特殊饮食用途的无麸质饼干的质量指标。材料和方法。为了制作无麸质饼干的原型,使用玉米粉,绿荞麦,蒸荞麦和米粉代替最高级的小麦粉,以及无盐黄油,盐,小苏打和白糖。根据感官(五分制)、物理和化学(水分、碱度、湿度的质量分数)和卫生微生物参数对实验产品进行评估,并计算营养和能量值。结果。在开发各种口味的无麸质饼干时,小麦面粉100%被无麸质面粉取代:玉米,大米,蒸荞麦和绿荞麦。根据感官评估和物理、化学、微生物参数分析的结果,选择了绿荞麦粉饼干,以及玉米和米粉(1:1)的混合物。营养价值的计算表明,一份产品(30克)可以覆盖每日所需的蛋白质、脂肪和碳水化合物3.0-5.5%,膳食纤维约3%。尽管开发的饼干中微量营养素的含量略有增加,但它们不能作为它们的主要来源。只有含有绿荞麦粉的饼干才能在一份中满足5%或更多的磷、铁、维生素B1和PP的需求。结论。为麸质不耐症患者开发的特殊饮食用途的绿荞麦粉饼干可以作为磷、铁、维生素B1和PP等微量营养素的来源。
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引用次数: 0
[Management with micronutrient composition of entomoproducts by edible insects' feeding schedule optimisation]. [通过优化食用昆虫的取食进度对昆虫产品微量元素组成进行管理]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-02-03 DOI: 10.33029/0042-8833-2025-94-1-100-109
N V Tyshko, K A Timoshenko, S I Shestakova, V A Zotov

The trend to the modern food industry's reorientation into the manufacturing of food with increased nutritional density, enriched, among other things, with complete protein, leads to the need to expand the raw material base and search for non-traditional protein sources, among which insects are considered to be a very promising resource. The insects species composition, the food use of which is approved in countries that previously had no tradition of using such raw materials, is represented by ubiquitous synanthropic organisms that have accompanied mankind for thousands of years - the mealybug (Tenebrio molitor), house cricket (A. domesticus) and others. In particular, A. domesticus belongs to polyphagous species that feed both plant and animal substrates, producing their own complete protein. Based on the results of our own research and analysis of literature data, the chemical composition of arthropods potentially used for food purposes requires careful control due to the possible risk of excessive content of mineral components. Both regulation of feed composition and feeding schedule of insects, taking into consideration their age and species affiliation, can be considered as risk management methods. The purpose of the research was the investigation of the influence of feeding schedule on the micronutrient (mineral) composition of house cricket A. domesticus biomass. Material and methods. The A. domesticus house cricket produced by ONTO LLC was used for this research. Elemental analysis of 8 insect samples was carried out. The content of potassium, sodium, calcium, magnesium, manganese, cobalt, chromium, nickel, iron, copper, zinc, lead and cadmium in insect biomass samples was determined by atomic absorption spectroscopy. The element composition of cricket biomass (age of the 6th moult and adults) obtained under different feeding schedule was assessed from the view point of the possibility for using insects as a source of relevant mineral substances, for which the element content in biomass was compared with the norms of physiological requirements for humans. Results. In insect samples kept under conditions of stable feed supply, the content of calcium, iron, copper, zinc and manganese increased with insect growth, reaching a maximum level at the stage of the 6th moult and decreasing when the adult age was reached. At all stages of insect growth, incubation without food for 24 hours resulted in a 45% decrease in the content of copper and zinc, a 33% decrease in calcium and manganese, and a 15% decrease in iron. No effect of insect feeding schedule on the content of potassium, sodium, magnesium, and chromium, as well as lead and cadmium in biomass was revealed. Conclusion. House crickets can serve a source of minerals and trace elements in the human diet, and there is a risk of excessive intake of mineral elements when using raw materials from A. domesticus in food. In spite of the fact that the results of th

现代食品工业重新定位于生产营养密度更高、蛋白质含量更高的食品的趋势,导致需要扩大原料基础并寻找非传统蛋白质来源,其中昆虫被认为是一种非常有前途的资源。这些昆虫的种类组成,在以前没有使用这类原料传统的国家被批准用于食物用途,代表着无处不在的共生生物,它们伴随人类数千年——粉虫(tenbrio molitor)、家蟋蟀(A. domesticus)和其他。特别是,家蝇属于多食性物种,既以植物为食,也以动物为食,自己产生完整的蛋白质。根据我们自己的研究结果和对文献数据的分析,潜在食用节肢动物的化学成分需要仔细控制,因为可能存在矿物质成分含量超标的风险。考虑到昆虫的年龄和种类归属,调节饲料成分和昆虫摄食计划都可以作为风险管理方法。研究取食时间对家蟋蟀生物量微量元素(矿物质)组成的影响。材料和方法。本研究使用的是欧拓有限责任公司生产的家蟋蟀。对8份昆虫样品进行了元素分析。采用原子吸收光谱法测定了昆虫生物量样品中钾、钠、钙、镁、锰、钴、铬、镍、铁、铜、锌、铅和镉的含量。从利用昆虫作为相关矿物质来源的可能性角度,对不同取食方式下蟋蟀生物量(第6换毛年龄和成虫年龄)的元素组成进行了评价,并将生物量中的元素含量与人体生理需要量进行了比较。结果。在稳定的饲料供应条件下,随着昆虫的生长,钙、铁、铜、锌和锰的含量逐渐增加,在第6次换毛时达到最高水平,成年后逐渐下降。在昆虫生长的所有阶段,24小时不进食的孵化导致铜和锌含量下降45%,钙和锰含量下降33%,铁含量下降15%。昆虫取食时间对生物量中钾、钠、镁、铬、铅、镉含量没有影响。结论。家蟋蟀可以作为人类饮食中矿物质和微量元素的来源,当使用家蟋蟀的原料作为食物时,存在过量摄入矿物质元素的风险。尽管所进行的研究结果表明,通过改变饲料配方和喂养制度来调整蟋蟀生物量元素组成的可能性,但在为新技术法规对象制定卫生(卫生和化学)标准时-原料和来自昆虫的食物,有必要考虑矿物组成的可变性,包括锰,铜,锌和铬在受控指标清单中。
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引用次数: 0
[The effect of phycocyanins from Arthrospira platensis on the efficacy of immunization with an anti-coronavirus vaccine in vivo]. [Arthrospira platensis藻蓝蛋白对抗冠状病毒疫苗体内免疫效果的影响]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-02-05 DOI: 10.33029/0042-8833-2025-94-1-118-130
V A Shipelin, A V Kholina, A V Zamyatina, V K Mazo, D B Nikityuk

The creation of food for special dietary use designed to increase the resistance of the human immune system to viral infections is an vital section of modern nutrition science. Phycocyanins (PC) of the Arthrospira platensis food cyanobacterium possess potential immunomodulatory properties. The study of the possibility of using PC as oral immunostimulants and/or immunoadjuvants in vaccination scenarios is of significant interest. The purpose of this research was to study the ability of PC concentrate and PC complex with egg protein (Module) to influence the state of cell-mediated and humoral immunity in laboratory rodents - BALB/c mice on the developed model of attenuated vaccination with Sputnik-V. Material and methods. The experiment involved 34 male BALB/c mice with an initial body weight of 20.0±1.0 g at the age of 4-5 weeks. 5 groups were formed: "Control", "PC-200", "PC-420", "Module-200" and "Module-420". The PC concentrate and the Module were administered orally daily for 49 days at doses of 200 and 420 mg/kg body weight (in terms of PC). The Sputnik-V vaccine for the prevention of human SARS-CoV-2 coronavirus infection was administered to all animals on days 29 and 50. When studying the immunoadjuvant potential of PC concentrate and Module on days 49, 57, 64, 141 and 171, IgG levels to SARS-CoV-2 were assessed by enzyme-linked immunosorbent assay. On days 28, 31 and 51, immunostimulating properties were evaluated by cytometry by means of immunophenotyping blood lymphocytes. At the end of the experiment, integral, hematological, and biochemical (blood serum) parameters were evaluated on day 190. Results. When evaluating the immunoadjuvant properties of PC concentrate and Module on day 64, a significant increase in IgG titers to 1/115 000 and 1/128 000 was observed in Module-200 and Module-420 groups, respectively. In the Module-200 group, on day 141, the concentration of antibodies was almost 2 fold higher than the control ones. From days 141 to 171, increased antibody titers were observed in all experimental groups compared with the control. When studying the immunostimulating properties of the surveyed objects on the 31st day of the experiment, an increase in the number of cytotoxic T-cell subpopulations by 29 and 42%, respectively, was found in the Module-200 and Module- 420 groups. At the end of the experiment, minor shifts in blood biochemical parameters were revealed, there were no changes in hematological parameters; an 11.7% increase in heart mass was found in the Module-420 group. Conclusion. The experiment demonstrated the presence of immunoadjuvant properties in PC concentrate and Module, especially expressed in the Module-200 group. The Module had immunostimulating effect on cell-mediated immunity. The manifestation of the Module effects, in contrast to the PC concentrate, is apparently due to its better stability in the gastrointestinal tract environment. Further studies of the secretory activ

为了提高人体免疫系统对病毒感染的抵抗力而设计的特殊饮食用途食品的创造是现代营养科学的一个重要部分。platarthrospira food cyanobacterium的藻蓝蛋白(Phycocyanins, PC)具有潜在的免疫调节特性。研究在疫苗接种中使用PC作为口服免疫刺激剂和/或免疫佐剂的可能性具有重要意义。本研究的目的是在Sputnik-V减毒疫苗模型上,研究PC浓缩物和PC与蛋蛋白复合物(Module)对实验室啮齿动物- BALB/c小鼠细胞免疫和体液免疫状态的影响。材料和方法。实验选用4-5周龄、初始体重20.0±1.0 g的雄性BALB/c小鼠34只。分为“Control”、“PC-200”、“PC-420”、“Module-200”、“Module-420”5组。PC浓缩物和模组分别以200和420 mg/kg体重(以PC计)的剂量每天口服49天。在第29天和第50天对所有动物接种预防人类SARS-CoV-2冠状病毒感染的Sputnik-V疫苗。在第49天、第57天、第64天、第141天和第171天研究PC浓缩物和模块的免疫佐剂潜能时,采用酶联免疫吸附法检测对SARS-CoV-2的IgG水平。在第28、31和51天,通过免疫分型血淋巴细胞,用细胞术评价免疫刺激特性。试验结束时,于第190天评估积分、血液学和生化(血清)参数。结果。在第64天对PC浓缩液和Module的免疫辅助性能进行评价时,Module-200组和Module-420组的IgG滴度分别显著提高到1/115 000和1/128 000。在第141天,Module-200组的抗体浓度几乎是对照组的2倍。第141 ~ 171天,各试验组抗体滴度均较对照组升高。在实验第31天研究被调查对象的免疫刺激特性时,发现Module-200组和Module- 420组细胞毒性t细胞亚群数量分别增加了29%和42%。实验结束时,血液生化参数变化不大,血液学参数无变化;Module-420组的心脏质量增加了11.7%。结论。实验表明,PC浓缩物和Module均具有免疫佐剂的特性,特别是Module-200组的表达。该模组对细胞免疫有免疫刺激作用。与PC浓缩物相比,Module效应的表现显然是由于其在胃肠道环境中具有更好的稳定性。需要进一步研究免疫活性细胞的分泌活性,这可能会揭示PC对免疫系统关键部分影响的本质。
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引用次数: 0
[Analysis of the market of specialized foodstuffs for nutrition of athletes of child and youth age]. 儿童、青少年运动员营养专用食品市场分析
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-11-25 DOI: 10.33029/0042-8833-2025-94-6-129-150
I V Kobelkova, O A Vrzhesinskaya, I Yu Tarmayeva

The organization of optimal nutrition, including the use of specialized foodstuffs (SF) and dietary supplements, is an integral part of the medical support system for sports reserve training in the Russian Federation. The purpose of the research was to evaluate the existing market of SF intended for child athletes, analyze regulatory documents and promising components for the development of new SF formulations for young athletes, taking into account the special needs associated with growth, development and specifics of sports activities. Material and methods. The literature search was performed for the period 2000-2025 using the databases of RSCI, PubMed, ResearchGate, Google Scholar, by keywords: «specialized foodstuffs», «child athletes», «adolescent athletes», «nutrition», «food supplements», «sports nutrition market». Results. The global market for «sports nutrition» in 2024 amounted to 21.71 billion US dollars, and by 2032 growth is projected to more than double. At the same time, abroad there is no separate niche for SF intended for child athletes. In the Russian Federation, single SF and dietary supplements for children aged 11 and 14 have been developed, passed the state registration procedure and entered into the «FMBA Form» for athletes of the Olympic reserve. Due to the lack of a regulatory framework for nutritional supplements for child athletes in the Russian Federation, the requirements of the Technical Regulations of the Customs Union (EAEU) and the Unified Sanitary, Epidemiological, and Hygienic Requirements for Products (Goods) Subject to Sanitary and Epidemiological Supervision (Control), applicable to SF for baby food, should be taken into account when developing formulas. In the Russian Federation, in addition to the requirements for essential macronutrients, vitamins, minerals and trace elements, adequate levels of daily intake have been determined for several minor bioactive compounds (BAC) for children aged 7-18 years: carnitine, choline, myo-inositol, flavonoids. This allows these BAS to be introduced into SF for young athletes without additional clinical studies. The main promising components for use in SF formulations for child athletes are various types of protein, carbohydrates, as well as vitamins, minerals and trace elements, minor BAC, for release in various forms: instant drinks and ready-to-drink, bars, cookies, jelly, encapsulated and tablet dietary supplements, etc. Conclusion. Nutrition for youth athletes must address not only the needs of athletes during sports activities but also support growth and development, meeting specific, higher quality and safety requirements. The SF market for child sports nutrition is represented by single products, which determines the broad prospects for the development and release of new products for the medical and biological support in youth sports.

组织最佳营养,包括使用专用食品和膳食补充剂,是俄罗斯联邦体育后备训练医疗支持系统的一个组成部分。本研究的目的是评估针对儿童运动员的SF的现有市场,分析针对年轻运动员的新SF配方开发的监管文件和有希望的成分,同时考虑到与生长,发育和体育活动的特殊性相关的特殊需求。材料和方法。利用RSCI、PubMed、ResearchGate、谷歌Scholar等数据库检索2000-2025年的文献,检索关键词:«specialized foods»、«儿童运动员»、«青少年运动员»、«营养»、«食品补充剂»、«运动营养市场»。结果。2024年,全球“运动营养”市场总额为217.1亿美元,到2032年,预计增长将超过一倍。与此同时,在国外,SF并没有专门针对儿童运动员的细分市场。在俄罗斯联邦,为11岁和14岁的儿童开发了单一的SF和膳食补充剂,通过了国家注册程序,并进入了奥林匹克储备运动员的“FMBA表格”。由于俄罗斯联邦缺乏儿童运动员营养补充剂的监管框架,在制定配方时应考虑到关税同盟(EAEU)技术法规的要求以及适用于婴儿食品的卫生和流行病学监督(控制)的产品(商品)的统一卫生,流行病学和卫生要求。在俄罗斯联邦,除了必需的大量营养素、维生素、矿物质和微量元素外,还确定了7-18岁儿童的几种微量生物活性化合物(BAC)的每日摄入量:肉碱、胆碱、肌醇、类黄酮。这使得这些BAS在没有额外临床研究的情况下被引入年轻运动员的SF。用于儿童运动员的SF配方的主要有前途的成分是各种类型的蛋白质,碳水化合物,以及维生素,矿物质和微量元素,少量BAC,以各种形式释放:速溶饮料和即饮,棒,饼干,果冻,胶囊和片剂膳食补充剂等。结论。青少年运动员的营养不仅要满足运动员在体育活动期间的需求,还要支持他们的成长和发展,满足特定的、更高的质量和安全要求。儿童运动营养的顺丰市场以单一产品为代表,这决定了青少年运动医疗和生物支持新产品的开发和发布前景广阔。
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引用次数: 0
[The importance of chrononutrition for human metabolic health]. [时间营养对人体代谢健康的重要性]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-11-25 DOI: 10.33029/0042-8833-2025-94-6-6-14
A V Esipov, N I Gulyaev, A P Petko, A A Prokhorchik, A V Pogozheva

Biorhythms play a huge role in the self-regulation of living systems and in the regulation of their interaction with the environment. Circadian rhythms are the periodicity of internal biological mechanisms that determine the state of metabolic processes, including those related to nutrient and energy consumption (chrononutrition). Chrononutrition is a type of food intake that is based on the chronotype: morning, intermediate, or evening type. The purpose of the study was to analyze and summarize data that characterize the effectiveness of chrononutrition under different dietary regimes.

Material and methods: For the main search of sources over the past 5 years, we used the bibliographic databases of the Russian Science Citation Index, PubMed, as well as the non-commercial search engine Google Scholar.

Results: The review presents the results of studies on the chrononutrition effectiveness under various dietary regimes aimed at correcting excess body weight. A comparative assessment of the effect of low-calorie diets and intermittent fasting on anthropometric parameters and cardiometabolic risks in individuals with overweight and obesity has been conducted. No advantages of intermittent fasting over low-calorie diets have been found. The analysis of the data demonstrated the important role of a dietary pattern that is consistent with circadian rhythms in improving metabolic health.

Conclusion: The features of chrononutrition must be taken into account when prescribing any dietary interventions, including low-calorie diets and time-limited eating strategies.

生物节律在生命系统的自我调节及其与环境的相互作用的调节中发挥着巨大的作用。昼夜节律是内部生物机制的周期性,它决定代谢过程的状态,包括与营养和能量消耗(时间营养)相关的代谢过程。时间营养是一种基于时间类型的食物摄入:早晨,中间或晚上类型。该研究的目的是分析和总结不同饮食制度下时间营养有效性的特征数据。材料与方法:主要检索近5年的文献来源,我们使用了俄罗斯科学引文索引、PubMed等书目数据库,以及非商业搜索引擎谷歌Scholar。结果:本文综述了不同膳食方案下的时间营养效果的研究结果,旨在纠正体重过重。低热量饮食和间歇性禁食对超重和肥胖个体的人体测量参数和心脏代谢风险的影响进行了比较评估。没有发现间歇性禁食比低热量饮食更有优势。对数据的分析表明,与昼夜节律一致的饮食模式在改善代谢健康方面发挥着重要作用。结论:在制定任何饮食干预措施时,包括低热量饮食和限时饮食策略,都必须考虑到时间营养的特点。
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引用次数: 0
[Nutritional status in patients with visual impairment and frailty]. [视力障碍和虚弱患者的营养状况]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-09-15 DOI: 10.33029/0042-8833-2025-94-5-131-138
A A Trofimova, A M Grjibovski, V V Popov

Geriatric care for the elderly assesses the patient's status using a comprehensive geriatric assessment, including questionnaires assessing nutritional, psychological and functional status, as well as screening examinations for deficits in sensory systems, including visual deficits. Nowadays, there is pure data on how visual deficits affect the development of certain geriatric syndromes in older people. The objectives of the research was to study the relationship between nutritional status and vision organ diseases, as well as mental status indicators assessed by screening methods in elderly patients of senile age.

Material and methods: The medical records with comprehensive geriatric assessment of patients (n=479, average age 80.1±0.2 years) have been studied. The pathology of the visual organ was assessed using standard ophthalmological examination methods necessary to make a diagnosis. To study nutritional status, cognitive impairment and likelihood of depression, a Mini Nutritional Assessment, the Mini-Mental State Examination and the Geriatric Depression Scale survey were conducted respectively. The degree of frailty was determined by a geriatrician based on a set of geriatric syndromes. Associations between malnutrition and ophthalmic pathology were assessed in univariate analysis and subsequently using multiple logistic regression using odds ratios, both adjusted and unadjusted.

Results: The study included the records of 384 (80.2%) women, 95 (19.8%) men. Malnutrition was detected in 5 (1.0%) cases, the risk of malnutrition was shown in 169 (35.3%) patients without gender differences. The analysis revealed associations between the degree of frailty, age, mild cognitive impairment, depression and malnutrition. According to the results of logistic regression, nutritional problems were 82% more common in patients with glaucoma [OR 1.82, 95% CI (1.21-2.74), p=0.004], taking into account age and gender - 93% more often [OR 1.93, 95 CI (1.26-2.94), p=0.002]; 84% more likely in patients with secondary retinopathy (including diabetic) [OR 1.84, 95% CI (1.07-3.16), p=0.027], taking into account age and gender - 93% more often [OR 1.93, 95% CI (1.11-3.38), p=0.021].

Conclusion: Participants with malnutrition and visual deficits are more likely to experience cognitive impairment, depression and frailty. Secondary retinopathy and glaucoma can be used as ophthalmic pathology markers for the diagnosis of other geriatric impairments and this may serve as a basis for changing the routing of an elderly patient with visual pathology. Elderly patients with ophthalmic pathology require special attention in the construction of care management and a multidisciplinary approach to the diagnosis and correction of geriatric syndromes.

老年人的老年护理使用全面的老年评估来评估患者的状态,包括评估营养、心理和功能状况的问卷调查,以及包括视觉缺陷在内的感觉系统缺陷的筛查检查。现在,有关于视觉缺陷如何影响老年人某些老年综合症发展的纯数据。本研究旨在探讨营养状况与老年患者视觉器官疾病及筛查方法评定的精神状态指标之间的关系。材料与方法:对479例患者进行老年综合评估,平均年龄80.1±0.2岁。使用标准眼科检查方法对视觉器官的病理进行评估,以作出诊断。为了研究营养状况、认知障碍和抑郁的可能性,分别进行了迷你营养评估、迷你精神状态检查和老年抑郁量表调查。虚弱的程度是由老年病专家根据一组老年综合症确定的。通过单因素分析评估营养不良和眼科病理之间的关系,随后使用校正和未校正的比值比进行多因素logistic回归。结果:女性384例(80.2%),男性95例(19.8%)。营养不良5例(1.0%),存在营养不良风险169例(35.3%),无性别差异。分析揭示了虚弱程度、年龄、轻度认知障碍、抑郁和营养不良之间的联系。根据logistic回归的结果,考虑到年龄和性别,青光眼患者中营养问题的发生率为82% [OR 1.82, 95% CI (1.21-2.74), p=0.004],发生率为93% [OR 1.93, 95 CI (1.26-2.94), p=0.002];考虑到年龄和性别,继发性视网膜病变(包括糖尿病)患者的发生率增加84% [OR 1.84, 95% CI (1.07-3.16), p=0.027],发生率增加93% [OR 1.93, 95% CI (1.11-3.38), p=0.021]。结论:营养不良和视力缺陷的参与者更容易出现认知障碍、抑郁和虚弱。继发性视网膜病变和青光眼可以作为诊断其他老年损伤的眼科病理标志物,这可能作为改变老年视觉病理患者路线的基础。老年眼病患者需要特别注意护理管理的建设和多学科的方法来诊断和纠正老年综合征。
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引用次数: 0
[Hygienic assessment of the effectiveness of the implementation of the Federal Project «Strengthening public health» in terms of forming a commitment to healthy nutrition among the adult population of the Omsk region in 2018-2023]. [对2018-2023年鄂木斯克州成年人口健康营养承诺方面实施“加强公共卫生”联邦项目的效果进行卫生评估]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.33029/0042-8833-2025-94-1-71-81
Yu V Menshchikova, E A Vilms, D V Turchaninov, O V Kozubenko, A V Brusentsova, M S Turchaninova, T A Yunatskaya, O N Glagoleva, A D Chubarova

In the Omsk region, which since 2019 has been one of the five pilot regions of Russia for the implementation of measures to promote healthy eating within the framework of the federal project «Strengthening Public Health» of the national project «Demography», experience has been accumulated that potentially allows us to assess the effectiveness of such measures within the framework of medium-term programs at the regional level, which is an urgent task. Objective of the study: hygienic assessment of the effectiveness of measures to form commitment to healthy nutrition among the population of the Omsk region during the implementation of the federal project «Strengthening Public Health». Material and methods. In 2018, a representative sample of the adult population aged 18-85 years (n=241) was formed, quota-based by gender, age, and area of residence; in 2023, a similar sample (n=506) was formed. All subjects were interviewed using a single questionnaire containing socio-demographic data, forms for studying the frequency of food consumption and 24-hour food reproduction, a block of questions concerning the assessment of knowledge and practices in the field of healthy eating and the construction of a daily diet. Results. In 2023, compared to 2018, the proportion of the population with energy consumption above the physiological requirement decreased from 42.7 to 37.2% (p<0.01). The median consumption of saturated fatty acids, cholesterol, phospholipids, transisomers of fatty acids decreased significantly, while the consumption of polyunsaturated fatty acids and dietary fiber increased (p≤0.0003). There was a significant increase in the consumption of vitamins B1, C, magnesium, potassium, while the amount of vitamins D, В2, biotin, choline, calcium, and zinc in the diet decreased. An improvement in the level of knowledge and practices of the adult population of the region in the field of healthy nutrition was revealed. Conclusion. The results indicate the successful implementation of measures to form a commitment to healthy nutrition among the adult population of the region within the framework of the federal project «Strengthening Public Health» of the national project «Demography» in certain areas. Priority problems of population nutrition for correction in the near future have been identified. The proposed model for assessing the effectiveness of measures to form commitment to healthy nutrition among the population can be used to improve preventive activities at the regional level.

自2019年以来,鄂木斯克州一直是俄罗斯在国家“人口”项目的“加强公共卫生”联邦项目框架内实施促进健康饮食措施的五个试点地区之一,在这方面积累的经验可能使我们能够在地区一级中期方案框架内评估这些措施的有效性,这是一项紧迫的任务。研究目的:在实施“加强公共卫生”联邦项目期间,对鄂木斯克州居民健康营养承诺措施的有效性进行卫生评估。材料和方法。2018年,根据性别、年龄和居住地区,形成了18-85岁成年人口的代表性样本(n=241);在2023年,形成了一个类似的样本(n=506)。所有研究对象都使用单一问卷进行访谈,其中包含社会人口统计数据、研究食物消费频率和24小时食物生产的表格、关于评估健康饮食领域的知识和做法以及构建日常饮食的一系列问题。结果。2023年,与2018年相比,能量消耗高于生理需求的人口比例从42.7%下降到37.2% (pConclusion)。结果表明,在某些地区,在“加强公共卫生”联邦项目和“人口”国家项目的框架内,成功地实施了在该地区成年人口中形成健康营养承诺的措施。已经确定了在不久的将来需要纠正的人口营养方面的优先问题。拟议的评估在人口中形成健康营养承诺的措施有效性的模式可用于改进区域一级的预防活动。
{"title":"[Hygienic assessment of the effectiveness of the implementation of the Federal Project «Strengthening public health» in terms of forming a commitment to healthy nutrition among the adult population of the Omsk region in 2018-2023].","authors":"Yu V Menshchikova, E A Vilms, D V Turchaninov, O V Kozubenko, A V Brusentsova, M S Turchaninova, T A Yunatskaya, O N Glagoleva, A D Chubarova","doi":"10.33029/0042-8833-2025-94-1-71-81","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-1-71-81","url":null,"abstract":"<p><p>In the Omsk region, which since 2019 has been one of the five pilot regions of Russia for the implementation of measures to promote healthy eating within the framework of the federal project «Strengthening Public Health» of the national project «Demography», experience has been accumulated that potentially allows us to assess the effectiveness of such measures within the framework of medium-term programs at the regional level, which is an urgent task. <b>Objective</b> of the study: hygienic assessment of the effectiveness of measures to form commitment to healthy nutrition among the population of the Omsk region during the implementation of the federal project «Strengthening Public Health». <b>Material and methods</b>. In 2018, a representative sample of the adult population aged 18-85 years (n=241) was formed, quota-based by gender, age, and area of residence; in 2023, a similar sample (n=506) was formed. All subjects were interviewed using a single questionnaire containing socio-demographic data, forms for studying the frequency of food consumption and 24-hour food reproduction, a block of questions concerning the assessment of knowledge and practices in the field of healthy eating and the construction of a daily diet. <b>Results</b>. In 2023, compared to 2018, the proportion of the population with energy consumption above the physiological requirement decreased from 42.7 to 37.2% (p<0.01). The median consumption of saturated fatty acids, cholesterol, phospholipids, transisomers of fatty acids decreased significantly, while the consumption of polyunsaturated fatty acids and dietary fiber increased (p≤0.0003). There was a significant increase in the consumption of vitamins B1, C, magnesium, potassium, while the amount of vitamins D, В2, biotin, choline, calcium, and zinc in the diet decreased. An improvement in the level of knowledge and practices of the adult population of the region in the field of healthy nutrition was revealed. <b>Conclusion</b>. The results indicate the successful implementation of measures to form a commitment to healthy nutrition among the adult population of the region within the framework of the federal project «Strengthening Public Health» of the national project «Demography» in certain areas. Priority problems of population nutrition for correction in the near future have been identified. The proposed model for assessing the effectiveness of measures to form commitment to healthy nutrition among the population can be used to improve preventive activities at the regional level.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 1","pages":"71-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014302","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
[Modification of the method for detection of bacteria of the genus Cronobacter in dry products for infant nutrition]. [婴儿营养品中克罗诺杆菌属细菌检测方法的修改]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-04-29 DOI: 10.33029/0042-8833-2025-94-3-41-47
A S Polyanina, Yu M Markova, N R Efimochkina, S A Sheveleva

Recently, there has been growing concern about contamination of dry foods for infants with the bacteria of the Cronobacter genus (formerly Enterobacter sakazakii), since its ingestion during feeding can lead to severe health problems, including disability in certain categories of this age group. The development of methods for Cronobacter spp. detection with high sensitivity and resolution is an urgent task due to the growing need for foods for infant artificial feeding. The aim of the study was to compare methodological approaches to the detection of Cronobacter spp. in dry foods for the nutrition of infants and to propose an optimized scheme for the isolation and identification of the pathogen. Material and methods. A comparative analysis of the literature and current methods (international and regional) for the detection of Cronobacter spp. (and in particular C. sakazakii) in dry foods for infants was carried out. The search was performed using the following databases: Russian Science Citation Index, PubMed, ScienceDirect, Google Scholar, the "TekhExpert" Russian information system, as well as on the websites of the International Organization for Standardization (ISO), U.S. Food and Drug Administration (FDA), and European Food Safety Authority (EFSA) using the keywords: Cronobacter spp., Enterobacter sakazakii. Results. Methodological approaches have been substantiated that make it possible to conduct studies of dry foods for infant nutrition (including formulas) with a greater degree of efficiency and reliability for the presence of Cronobacter spp.: an increase in cultivation time at the stage of non-selective enrichment by 33%; the use of two differential diagnostic media and two temperature cultivation modes at the stage of culture isolation. Conclusion. It is suggested that the use of the only one nutrient medium at the stages of selective cultivation and isolation, and incubation at elevated temperatures can lead to the loss of isolation of fastidious microorganisms that are present in the product in low concentrations. An optimized scheme for the microbiological testing of dry foods for infant nutrition for the presence of the Cronobacter genus bacteria based on a combination of cultural and/or PCR techniques has been proposed.

最近,人们越来越关注婴儿干粮受到克罗诺杆菌属细菌(原阪崎肠杆菌)污染的问题,因为在喂养期间摄入克罗诺杆菌可导致严重的健康问题,包括该年龄组某些类别的残疾。由于对婴幼儿人工喂养食品的需求日益增长,开发高灵敏度和高分辨率的克罗诺杆菌检测方法是一项紧迫的任务。本研究的目的是比较婴儿营养干粮中克罗诺杆菌的检测方法,并提出一种分离和鉴定病原菌的优化方案。材料和方法。对国内外有关婴幼儿干粮中克罗诺杆菌(特别是阪崎梭菌)检测的文献和现有方法进行比较分析。检索数据库包括:Russian Science Citation Index、PubMed、ScienceDirect、谷歌Scholar、俄罗斯“TekhExpert”信息系统,以及国际标准化组织(ISO)、美国食品药品监督管理局(FDA)和欧洲食品安全局(EFSA)的网站,检索关键词为:Cronobacter spp.、Enterobacter sakazaki。结果。已证实的方法学方法使对婴儿营养干粮(包括配方食品)进行研究成为可能,对克罗诺杆菌的存在具有更高的效率和可靠性:在非选择性富集阶段的培养时间增加了33%;在培养分离阶段使用两种鉴别诊断培养基和两种温度培养模式。结论。据建议,在选择性培养和分离阶段只使用一种营养培养基,并在高温下孵育,可能导致对产品中低浓度存在的挑剔微生物的分离丧失。提出了一种基于培养和/或PCR技术组合的婴儿营养干粮微生物学检测克罗诺杆菌属细菌存在的优化方案。
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引用次数: 0
[Evaluation of the effect of dietary soluble corn fiber on metabolic activity and colonic microbiota composition in patients with dysbiosis and obesity]. [评价膳食可溶性玉米纤维对生态失调和肥胖患者代谢活性和结肠微生物群组成的影响]。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-04-29 DOI: 10.33029/0042-8833-2025-94-3-91-100
T S Zaletova, T B Feofanova, Z M Zainudinov, T Yu Zavistyaeva, T N Korotkova, S Yu Solovyeva
<p><p>The gut microbiome is critically important for human health. Intestinal bacteria are involved in nutrient metabolism, immune modulation, maintaining intestinal barrier integrity, and protecting against pathogenic bacteria. Soluble corn fiber (SCF) has been shown to possess prebiotic properties, improve intestinal peristalsis, affect blood glucose and insulin levels, improve calcium absorption and reabsorption in bone tissue. <b>The aim</b> of the research was to evaluate the effectiveness of incorporating soluble corn fiber into a low-calorie diet (LCD) in obese patients with dysbiosis, and its effect on the metabolic activity and composition of the colonic microbiota. <b>Material and methods</b>. 48 patients with reduced amounts of Bifidobacterium and/ or Lactobacillus in their stool, who were included in the study, were divided into 2 groups - the main group and the control group. They followed LCD for 28 days. Patients in the main group, in addition to the LCD, received soluble corn fiber (1.8%) at the dose 7 g 3 times daily (dissolved in 200 ml of liquid). Drug therapy was administered according to standard regimens for therapeutic diseases and was not adjusted during the study. The groups were compared using clinical and functional methods (assessment of actual nutrition, determination of body composition, a stool change assessment scale, a scale for assessing the organoleptic properties of dishes), and laboratory methods (biochemical blood serum analysis, microbiological stool diagnostics by cultural method). <b>Results</b>. After the course of diet therapy, all patients showed a statistically significant decrease in body weight, but in patients of the main group it occurred due to skeletal muscles and lean mass decrease (p<0.005), while against the background of the SCF intake, a statistically significant decrease in body fat mass (p=0.015) was noted with a tendency to decrease skeletal muscle mass and lean mass (p<0.10). After the course of diet therapy, the number of Bifidobacterium in the feces of patients in the main group statistically significantly increased from 8.75±0.61 to 9.04±0.20 lg CFU/g (p=0.035), while in patients from the control group, on the contrary, the number of these bacteria was significantly lower upon repeated examination (7.96±1.12 versus 8.46±0.78 lg CFU/g, p=0.046). The inclusion of SCF in the LCD was accompanied by a significant decrease in the number of individuals with reduced levels of Bifidobacterium and Lactobacillus, a positive effect on the populations of commensal and transient (opportunistic) representatives of the microbiota and an improvement in stool characteristics. Upon repeated examination, patients in both groups showed a statistically significant decrease in the levels of total cholesterol, low- and high-density lipoprotein cholesterol. <b>Conclusion</b>. Therefore, SCF can be used in dietary therapeutic and preventive nutrition as a source of soluble dietary fiber. It can be used as part
肠道微生物群对人类健康至关重要。肠道细菌参与营养代谢、免疫调节、维持肠道屏障完整性和防止致病菌。可溶性玉米纤维(SCF)已被证明具有益生元特性,改善肠道蠕动,影响血糖和胰岛素水平,改善骨组织钙的吸收和再吸收。本研究的目的是评估可溶性玉米纤维加入低热量饮食(LCD)对患有生态失调的肥胖患者的有效性,以及其对代谢活性和结肠微生物群组成的影响。材料和方法。将48例粪便中双歧杆菌和/或乳酸菌数量减少的患者分为两组,即主要组和对照组。随访28天。主组患者除LCD外,给予可溶性玉米纤维(1.8%)7 g,每日3次(溶解于200 ml液体中)。药物治疗按照治疗性疾病的标准方案进行,在研究期间不进行调整。采用临床和功能方法(实际营养评估、体成分测定、粪便变化评估量表、菜肴感官特性评估量表)和实验室方法(生化血清分析、培养法粪便微生物诊断)对各组进行比较。结果。饮食治疗过程结束后,所有患者的体重均有统计学意义的下降,但主要组患者的体重下降是由于骨骼肌和瘦肉质量的减少(p结论。因此,SCF可作为可溶性膳食纤维的来源,用于膳食治疗和预防营养。它可以在水、果汁或发酵乳饮料中预溶后作为饮食的一部分直接食用,也可以作为富含可溶性膳食纤维的食品的生产成分。
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引用次数: 0
[Hygienic assessment of salt intake by the adult population of the Omsk region: epidemiological monitoring data (2006-2023)]. 鄂木斯克州成人盐摄入量卫生评价:流行病学监测数据(2006-2023年)。
Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-05-16 DOI: 10.33029/0042-8833-2025-94-3-18-28
O N Glagoleva, E A Vilms, D V Turchaninov, M S Turchaninova, Yu V Menshchikova, A V Brusentsova
<p><p>An analysis of the nutrition structure of the Russian population shows that the diet of the majority of citizens contains an excessive amount of dietary salt. According to the official statistics, the average daily salt intake is 10-11 g, which is twice the WHO recommended level (no more than 5 g/day) and makes it one of the main risk factors for chronic non-communicable diseases. Excessive salt intake, first of all, leads to an increase in blood pressure, as a result of which diseases of the cardiovascular system and kidneys can develop. Studying the regional characteristics of the nutrition structure allows timely adjustment of preventive measures, which is also important in the context of evaluating the effectiveness of the federal project "Strengthening public Health" of the national project "Demography" implemented in 2018-2023. <b>The purpose</b> of the study was to provide a hygienic assessment of the level, structure, and dynamics of salt consumption of the adult population of the Omsk region in 2006-2023. <b>Material and methods</b>. A descriptive observational epidemiological study of the actual nutrition, eating habits and dietary preferences of the adult population of the Omsk region in dynamics for 2006-2023 was conducted (four observation points: 2006, 2013, 2018 and 2023, the sample at each stage included from 228 to 241, in 2023 - 506 adult residents aged 18 to 85 years). The values of the actual consumption of dietary salt were estimated by analyzing the frequency of food intake. The calculation of the amount of salt consumed was carried out in accordance with WHO recommendations based on the calculation of sodium intake. The collection of the information about eating habits and preferences was carried out by means of an active questionnaire. <b>Results</b>. The median daily intake of dietary salt in the population of the Omsk region in 2006 was 10.67 [7.66; 13.50] g, in 2023 - 8.61 [6.55; 10.82] g, which significantly exceeded the level recommended by WHO. The proportion of the adult population of the Omsk region with adequate salt intake in 2023 was 11.5%. The intake of dietary salt in men was higher than in women (8.63 [7.10; 11.34] vs 8.42 [6.31; 10.46] g/day, respectively; p=0.0247), as well as in the age group 65 years and older (8.72 [7.11; 11.72] g/day; p=0.0059). The main sources of salt were dishes and products that were consumed most frequently: bread (11.2%) and various soups (9.9%), as well as processed meat products (12.8%) and canned food (5.7%). Residents of the region showed a positive trend in changing their own eating habits towards a healthy lifestyle: 49.9±2.1% tried to use less salt in their diet in 2023 (compared to 33.0±3.0% in 2006; p<0.001). <b>Conclusion</b>. Although a significant decrease in dietary salt consumption has been established over the period from 2006 to 2023, exceeding the recommended levels is still typical for 88.5% of the adult population of the region, which creates an increased
对俄罗斯人口营养结构的分析表明,大多数公民的饮食中含有过量的膳食盐。根据官方统计,平均每日盐摄入量为10-11克,是世卫组织建议水平(每天不超过5克)的两倍,使其成为慢性非传染性疾病的主要风险因素之一。首先,过量的盐摄入会导致血压升高,从而导致心血管系统和肾脏疾病的发展。研究营养结构的区域特征有助于及时调整预防措施,这在评估2018-2023年实施的国家项目“人口”的联邦项目“加强公共卫生”的有效性方面也很重要。该研究的目的是对2006-2023年鄂木斯克地区成年人口的盐消费水平、结构和动态进行卫生评估。材料和方法。对2006-2023年鄂木斯克州成年人口的实际营养、饮食习惯和饮食偏好进行了描述性观察流行病学动态研究(2006年、2013年、2018年和2023年四个观察点,每个阶段的样本包括228至241人,2023年至506名18至85岁的成年居民)。通过分析食物摄入的频率来估计实际膳食盐的摄入量。根据世界卫生组织的建议,在计算钠摄入量的基础上,计算了盐的摄入量。有关饮食习惯和偏好的信息收集是通过主动问卷调查的方式进行的。结果。2006年鄂木斯克地区人口每日食盐摄取量中位数为10.67 [7.66;13.50] g, 2023 - 8.61 [6.55;10.82] g,大大超过了世卫组织建议的水平。2023年鄂木斯克州成年人口中盐摄入量充足的比例为11.5%。男性膳食盐摄入量高于女性(分别为8.63[7.10;11.34]和8.42 [6.31;10.46]g/d, p=0.0247), 65岁及以上年龄组(8.72 [7.11;11.72]g/d, p=0.0059)。盐的主要来源是最常食用的菜肴和产品:面包(11.2%)和各种汤(9.9%),以及加工肉制品(12.8%)和罐头食品(5.7%)。该地区居民改变自己的饮食习惯,向健康生活方式转变的趋势呈积极趋势:2023年49.9±2.1%的居民试图在饮食中减少盐的使用(2006年为33.0±3.0%);虽然在2006年至2023年期间,膳食盐摄入量大幅减少,但该区域88.5%的成年人口仍然普遍超过建议水平,这增加了患慢性非传染性疾病的风险。尽管饮食习惯发生了一些积极变化,但2018-2023年的盐消费量有所增加。根据饮食中盐的既定来源和饮食习惯变化的趋势,有可能集中采取预防措施,包括纠正由联邦消费者权利保护和人类福利监督局执行的该地区健康营养领域的教育方案。
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