Pub Date : 2025-01-01Epub Date: 2025-03-29DOI: 10.33029/0042-8833-2025-94-3-69-82
A A Goncharov, V I Pilipenko, V A Isakov
Dietary characteristics are the most significant factor in the development and dynamics of non-alcoholic fatty liver disease (NAFLD). The aim of the research was to study the nutritional characteristics of patients with NAFLD compared with the control group without NAFLD. Material and methods. An analysis of a patient database (n=613) generated from 2021 to 2023 was conducted. A case-control study was carried out on 77 pairs of patients (NAFLD group and control group) matched by gender, age and body mass index. The assessment of the stage of liver steatosis and fibrosis was carried out using vibrationcontrolled liver elastometry. The nutrition of the patients was assessed by the frequency of food intake for the previous 1 mon. To analyze the diet of a particular person, the actual level of consumption was compared with the optimal level of the main food group consumption calculated in accordance with the calorie content of his diet according to the recommendations of the healthy eating pyramid, as well as with consumption according to dietary patterns associated with a reduced risk of NAFLD Results. When comparing the consumption of basic macronutrients and energy between the studied groups, a higher consumption of total fat, including saturated (SFA), monounsaturated (MUFA), polyunsaturated fatty acids (PUFA) was found in patients with NAFLD. Patients with NAFLD consume more often foods from the «oils and fats» (1.5 [1.1; 2.3] vs 1.1 [0.9; 1.9] times per day; p=0.003) and the «vegetables and mushrooms» group (3.6 [2.6; 4.3] vs 3.0 [2.0; 4.0] times per day; p=0.046). Within the food groups, it was found that patients with NAFLD consume more sausages (0.8 [0; 6.7] vs 3.3 [0.4; 14.3] g/day, p=0.03), smoked meats (0 [0; 3.3] vs 2 [0; 7.1] g/day; p=0.03), hard cheeses (12.8 [4.3; 17.1] vs 17.1 [4.3; 30.0] g/day; p=0.02), eggs (25.7 [12 .8; 51.4] vs 25.7 [17.1; 51.4] g/day; p=0.03), greens (6.4 [2.9; 10.0] vs 10.0 [4.3; 20.0] g/day; p=0.03), onion (15.0 [4.3; 30.0] vs 25.7 [8.6; 50.0] g/day; p=0.04), dumplings (6.7 [1.2; 16.7] vs 13.3 [5.0; 28.5] g/day; p=0.01). At the same time, they consumed less dried fruits (3.6 [0.4; 21.4] vs 3.3 [0; 10.7] g/day; p=0.03), fermented dairy products (13.3 [0; 85.6] vs 0 [0; 28.5] g/day p=0.02). Both groups demonstrated eating habits that differed from those recommended by the healthy eating pyramid: consumption of fish and seafood, nuts and seeds amounted to 80%, milk and dairy products - 40%, legumes and vegetable oils - 20% of the optimal values. Conclusion. The dietary pattern of patients with NAFLD is characterized by reduced consumption of food groups that are protective against the development of NAFLD: nuts, fish, vegetable oils, milk and fermented milk products.
饮食特征是非酒精性脂肪性肝病(NAFLD)发展和动态的最重要因素。本研究的目的是研究NAFLD患者与非NAFLD对照组的营养特征。材料和方法。对2021年至2023年生成的患者数据库(n=613)进行了分析。选取性别、年龄、体重指数相匹配的77对NAFLD患者(NAFLD组和对照组)进行病例对照研究。采用振动控制肝弹性测量法评估肝脂肪变性和肝纤维化的分期。病人的营养评估以前的食物摄入频率1 mon。分析一个特定的人的饮食,实际消费水平与最优水平的主要食品集团消费按照计算热量的饮食健康饮食金字塔的建议,以及消费根据饮食模式与非酒精性脂肪肝的风险降低的结果。当比较各组之间基本常量营养素和能量的消耗时,发现NAFLD患者的总脂肪消耗较高,包括饱和(SFA),单不饱和(MUFA),多不饱和脂肪酸(PUFA)。NAFLD患者更常食用“油和脂肪”类食物(每天1.5[1.1;2.3]次vs 1.1[0.9; 1.9]次;p=0.003)和“蔬菜和蘑菇”组(每天3.6[2.6;4.3]次vs 3.0[2.0; 4.0]次;p=0.046)。食品集团内发现NAFLD患者消耗更多的香肠(0.8(0;6.7)和3.3(0.4,14.3)克/天,p = 0.03),熏肉(0(0;3.3)和2(0;7.1)克/天;p = 0.03),硬奶酪(12.8 [4.3,17.1]vs 17.1 [4.3, 30.0] g /天;p = 0.02),鸡蛋(25.7 vs 25.7[12。8,51.4][17.1,51.4]g /天;p = 0.03),绿色(6.4 [2.9,10.0]vs 10.0 [4.3, 20.0] g /天;p = 0.03),洋葱(15.0 [4.3,30.0]vs 25.7 [8.6, 50.0] g /天;p = 0.04),饺子(6.7 [1.2,16.7]vs 13.3 [5.0, 28.5] g /天;p = 0.01)。与此同时,他们消耗较少的干果(3.6[0.4;21.4]比3.3[0;10.7]克/天,p=0.03),发酵乳制品(13.3[0;85.6]比0[0;28.5]克/天p=0.02)。两组人的饮食习惯都与健康饮食金字塔推荐的饮食习惯不同:鱼和海鲜、坚果和种子的摄入量占最佳摄入量的80%,牛奶和乳制品占40%,豆类和植物油占20%。结论。NAFLD患者的饮食模式的特点是减少对NAFLD发展有保护作用的食物组的消费:坚果、鱼、植物油、牛奶和发酵乳制品。
{"title":"[Analysis of dietary pattern in patients with non-alcoholic fatty liver disease].","authors":"A A Goncharov, V I Pilipenko, V A Isakov","doi":"10.33029/0042-8833-2025-94-3-69-82","DOIUrl":"10.33029/0042-8833-2025-94-3-69-82","url":null,"abstract":"<p><p>Dietary characteristics are the most significant factor in the development and dynamics of non-alcoholic fatty liver disease (NAFLD). <b>The aim</b> of the research was to study the nutritional characteristics of patients with NAFLD compared with the control group without NAFLD. <b>Material and methods</b>. An analysis of a patient database (n=613) generated from 2021 to 2023 was conducted. A case-control study was carried out on 77 pairs of patients (NAFLD group and control group) matched by gender, age and body mass index. The assessment of the stage of liver steatosis and fibrosis was carried out using vibrationcontrolled liver elastometry. The nutrition of the patients was assessed by the frequency of food intake for the previous 1 mon. To analyze the diet of a particular person, the actual level of consumption was compared with the optimal level of the main food group consumption calculated in accordance with the calorie content of his diet according to the recommendations of the healthy eating pyramid, as well as with consumption according to dietary patterns associated with a reduced risk of NAFLD <b>Results</b>. When comparing the consumption of basic macronutrients and energy between the studied groups, a higher consumption of total fat, including saturated (SFA), monounsaturated (MUFA), polyunsaturated fatty acids (PUFA) was found in patients with NAFLD. Patients with NAFLD consume more often foods from the «oils and fats» (1.5 [1.1; 2.3] vs 1.1 [0.9; 1.9] times per day; p=0.003) and the «vegetables and mushrooms» group (3.6 [2.6; 4.3] vs 3.0 [2.0; 4.0] times per day; p=0.046). Within the food groups, it was found that patients with NAFLD consume more sausages (0.8 [0; 6.7] vs 3.3 [0.4; 14.3] g/day, p=0.03), smoked meats (0 [0; 3.3] vs 2 [0; 7.1] g/day; p=0.03), hard cheeses (12.8 [4.3; 17.1] vs 17.1 [4.3; 30.0] g/day; p=0.02), eggs (25.7 [12 .8; 51.4] vs 25.7 [17.1; 51.4] g/day; p=0.03), greens (6.4 [2.9; 10.0] vs 10.0 [4.3; 20.0] g/day; p=0.03), onion (15.0 [4.3; 30.0] vs 25.7 [8.6; 50.0] g/day; p=0.04), dumplings (6.7 [1.2; 16.7] vs 13.3 [5.0; 28.5] g/day; p=0.01). At the same time, they consumed less dried fruits (3.6 [0.4; 21.4] vs 3.3 [0; 10.7] g/day; p=0.03), fermented dairy products (13.3 [0; 85.6] vs 0 [0; 28.5] g/day p=0.02). Both groups demonstrated eating habits that differed from those recommended by the healthy eating pyramid: consumption of fish and seafood, nuts and seeds amounted to 80%, milk and dairy products - 40%, legumes and vegetable oils - 20% of the optimal values. <b>Conclusion</b>. The dietary pattern of patients with NAFLD is characterized by reduced consumption of food groups that are protective against the development of NAFLD: nuts, fish, vegetable oils, milk and fermented milk products.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 3","pages":"69-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-05-16DOI: 10.33029/0042-8833-2025-94-3-59-68
M A Darenskaya, N A Yuzvak, L V Rychkova, S I Kolesnikov, N V Semenova, Zh V Prokhorova, L I Kolesnikova
Overweight and obesity in children and adolescents create serious risks of metabolic disorders in adulthood. Exogenous-constitutional form of obesity (ECO) is associated often with chronic inflammation, accompanied by endogenous intoxication and oxidative stress. Identification of ethnic differences of metabolic reactions in adolescents with ECO will contribute to the development of personalized approaches to the treatment and prevention of this pathology. The aim of the study was to identify ethnic characteristics of the manifestation of ECO in adolescents. Material and methods. The objects of the study were 203 adolescents aged 11-17 years, residents of the cities of Irkutsk and Ulan-Ude. The main group consisted of 86 children with ECO: 52 Caucasians (28 boys, 24 girls), 34 Mongoloids (18 boys, 16 girls). The control group included 117 adolescents without ECO: 62 Caucasians (29 boys, 33 girls), 55 Mongoloids (19 boys, 36 girls). The study employed spectrophotometric, enzyme immunoassay, and statistical research methods. Results. In Caucasian girls with ECO, an increase in the level of endogenous intoxication markers - medium molecular weight peptides (MMP) 280 (p=0.002), MMP 238 (p<0.001), as well as in the DNA oxidation index [8-Hydroxyguanosine (8-OHdG) level] (p=0.001) compared to the control has been noted. In Mongoloid girls there was an increase in MMP 280 (p=0.002) values compared to the control. Ethnic differences included lower values of MMP 238 (p<0.0001), MMP 254 (p<0.001), MMP 280 (p=0.013), glutathione-S-transferase (G-S-T) level (p=0.025), elevated levels of 8-OHdG (p<0.0001) and glutathione peroxidase (GPO) (p<0.0001) in Mongoloid girls with ECO relative to Caucasians. Caucasian boys with ECO had higher 8-OHdG level (p=0.025), advanced oxidation protein parameter (AOPP) (p=0.006), and lower GPO level (p=0.044) compared to the control. In Mongoloid young men with ECO, there were reduced values of AOPP (p=0.023) and higher GPO level (p=0.041) compared to the control. Ethnic differences among young men with ECO were represented by higher 8-OHdG level (p<0.0001) and reduced values of G-S-T (p<0.001), MMP 238 (p=0.002) and MMP 254 (p<0.001) in Mongoloid compared to Caucasians. Conclusion. The study revealed higher values of endogenous intoxication indicators, imbalance in the glutathione enzyme system, and an increase in the level of DNA damage marker in adolescents with ECO regardless of gender and ethnicity. Ethnic differences in adolescents with ECO consisted of lower parameters of endogenous intoxication, increased values of DNA destruction indicator and activity of thiol-disulfide system enzymes in Mongoloid adolescents compared to Caucasians. The data obtained will allow us to expand our understanding of the etiopathogenesis of obesity and develop approaches to personalized correction of this condition in adolescence, taking into account the patient's ethnicity.
{"title":"[Ethnic aspects of obesity in adolescents: endogenous intoxication, activity of antioxidant enzymes, proteins' and DNA oxidative damage].","authors":"M A Darenskaya, N A Yuzvak, L V Rychkova, S I Kolesnikov, N V Semenova, Zh V Prokhorova, L I Kolesnikova","doi":"10.33029/0042-8833-2025-94-3-59-68","DOIUrl":"10.33029/0042-8833-2025-94-3-59-68","url":null,"abstract":"<p><p>Overweight and obesity in children and adolescents create serious risks of metabolic disorders in adulthood. Exogenous-constitutional form of obesity (ECO) is associated often with chronic inflammation, accompanied by endogenous intoxication and oxidative stress. Identification of ethnic differences of metabolic reactions in adolescents with ECO will contribute to the development of personalized approaches to the treatment and prevention of this pathology. <b>The aim</b> of the study was to identify ethnic characteristics of the manifestation of ECO in adolescents. <b>Material and methods</b>. The objects of the study were 203 adolescents aged 11-17 years, residents of the cities of Irkutsk and Ulan-Ude. The main group consisted of 86 children with ECO: 52 Caucasians (28 boys, 24 girls), 34 Mongoloids (18 boys, 16 girls). The control group included 117 adolescents without ECO: 62 Caucasians (29 boys, 33 girls), 55 Mongoloids (19 boys, 36 girls). The study employed spectrophotometric, enzyme immunoassay, and statistical research methods. <b>Results</b>. In Caucasian girls with ECO, an increase in the level of endogenous intoxication markers - medium molecular weight peptides (MMP) 280 (p=0.002), MMP 238 (p<0.001), as well as in the DNA oxidation index [8-Hydroxyguanosine (8-OHdG) level] (p=0.001) compared to the control has been noted. In Mongoloid girls there was an increase in MMP 280 (p=0.002) values compared to the control. Ethnic differences included lower values of MMP 238 (p<0.0001), MMP 254 (p<0.001), MMP 280 (p=0.013), glutathione-S-transferase (G-S-T) level (p=0.025), elevated levels of 8-OHdG (p<0.0001) and glutathione peroxidase (GPO) (p<0.0001) in Mongoloid girls with ECO relative to Caucasians. Caucasian boys with ECO had higher 8-OHdG level (p=0.025), advanced oxidation protein parameter (AOPP) (p=0.006), and lower GPO level (p=0.044) compared to the control. In Mongoloid young men with ECO, there were reduced values of AOPP (p=0.023) and higher GPO level (p=0.041) compared to the control. Ethnic differences among young men with ECO were represented by higher 8-OHdG level (p<0.0001) and reduced values of G-S-T (p<0.001), MMP 238 (p=0.002) and MMP 254 (p<0.001) in Mongoloid compared to Caucasians. <b>Conclusion</b>. The study revealed higher values of endogenous intoxication indicators, imbalance in the glutathione enzyme system, and an increase in the level of DNA damage marker in adolescents with ECO regardless of gender and ethnicity. Ethnic differences in adolescents with ECO consisted of lower parameters of endogenous intoxication, increased values of DNA destruction indicator and activity of thiol-disulfide system enzymes in Mongoloid adolescents compared to Caucasians. The data obtained will allow us to expand our understanding of the etiopathogenesis of obesity and develop approaches to personalized correction of this condition in adolescence, taking into account the patient's ethnicity.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 3","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-06-27DOI: 10.33029/0042-8833-2025-94-4-39-50
V M Kodentsova, N V Zhilinskaya
The effectiveness of micronutrient-enriched foods depends on the preservation of the micronutrients introduced into the product and the food matrix into which the micronutrient is introduced over the entire shelf life. Microencapsulation of micronutrients, i.e. enclosing them in a polymer coating layer (shell), protects sensitive to oxidation and photodegradation molecules when exposed to high temperatures, light or oxygen, increases stability, masks taste and ensures micronutrient controlled release, especially from matrices in which these substances could not otherwise be included. The purpose of the study was to evaluate the effectiveness of using encapsulated (liposomal) forms of vitamins and minerals to improve its preservation during food fortification and correct micronutrient deficiencies.
Material and methods: The literature review in recent years was carried out using the RSCI, PubMed databases, as well as Google Scholar systems.
Results: The development of liposomal micronutrient forms is a complex multi-stage technology that requires special equipment, control over the size and properties, which increases the cost and complicates scaling up production. Microencapsulation improves the preservation of vitamins in fortified foods. Most studies are devoted to assessing the effect of liposomal application on the effectiveness of vitamin D and iron to correct deficiency. Comparison of pharmacokinetic parameters showed that liposomal forms of vitamin D, calcium and sodium ascorbates are absorbed faster than in conventional forms. Intake of liposomal vitamin-mineral formulations affects individual pharmacokinetic profiles of micronutrients. Intake of individual liposomal vitamins (C, D) by healthy volunteers on an empty stomach resulted in higher maximum blood plasma level and total area under the concentration-time curve. However, the interpretation of these results is ambiguous. Higher plasma levels may indicate that the micronutrient is not absorbed into tissues as quickly, while lower levels may indicate that redistribution into tissues occurs more quickly. In clinical studies, the effectiveness of iron status correction over 4-12 weeks in terms of hemoglobin levels with liposomal iron forms was comparable to the effectiveness of other forms of this trace element.
Conclusion: Micronutrient microencapsulation technology is in demand in the food industry to improve the safety of fortifying additives. Additional research is needed to confirm the benefits of liposomal forms of micronutrients in eliminating vitamin and mineral deficiencies.
{"title":"[Microencapsulated (liposomal) forms of micronutrients: stability and effectiveness for eliminating deficiency].","authors":"V M Kodentsova, N V Zhilinskaya","doi":"10.33029/0042-8833-2025-94-4-39-50","DOIUrl":"10.33029/0042-8833-2025-94-4-39-50","url":null,"abstract":"<p><p>The effectiveness of micronutrient-enriched foods depends on the preservation of the micronutrients introduced into the product and the food matrix into which the micronutrient is introduced over the entire shelf life. Microencapsulation of micronutrients, i.e. enclosing them in a polymer coating layer (shell), protects sensitive to oxidation and photodegradation molecules when exposed to high temperatures, light or oxygen, increases stability, masks taste and ensures micronutrient controlled release, especially from matrices in which these substances could not otherwise be included. The purpose of the study was to evaluate the effectiveness of using encapsulated (liposomal) forms of vitamins and minerals to improve its preservation during food fortification and correct micronutrient deficiencies.</p><p><strong>Material and methods: </strong>The literature review in recent years was carried out using the RSCI, PubMed databases, as well as Google Scholar systems.</p><p><strong>Results: </strong>The development of liposomal micronutrient forms is a complex multi-stage technology that requires special equipment, control over the size and properties, which increases the cost and complicates scaling up production. Microencapsulation improves the preservation of vitamins in fortified foods. Most studies are devoted to assessing the effect of liposomal application on the effectiveness of vitamin D and iron to correct deficiency. Comparison of pharmacokinetic parameters showed that liposomal forms of vitamin D, calcium and sodium ascorbates are absorbed faster than in conventional forms. Intake of liposomal vitamin-mineral formulations affects individual pharmacokinetic profiles of micronutrients. Intake of individual liposomal vitamins (C, D) by healthy volunteers on an empty stomach resulted in higher maximum blood plasma level and total area under the concentration-time curve. However, the interpretation of these results is ambiguous. Higher plasma levels may indicate that the micronutrient is not absorbed into tissues as quickly, while lower levels may indicate that redistribution into tissues occurs more quickly. In clinical studies, the effectiveness of iron status correction over 4-12 weeks in terms of hemoglobin levels with liposomal iron forms was comparable to the effectiveness of other forms of this trace element.</p><p><strong>Conclusion: </strong>Micronutrient microencapsulation technology is in demand in the food industry to improve the safety of fortifying additives. Additional research is needed to confirm the benefits of liposomal forms of micronutrients in eliminating vitamin and mineral deficiencies.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 4","pages":"39-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-15DOI: 10.33029/0042-8833-2025-94-5-75-84
E N Usmanova, D O Karimov, Ya V Valova, D A Smolyankin, R A Daukaev, G R Allayarova, G F Adieva, S R Afonkina
<p><p>The widespread use of aluminum in industry, medicine and everyday life is associated with the risk of its bioaccumulation and toxic effects, including neurotoxicity, trace element metabolism disorders and osteopathy. Cooking and storing food in aluminum cookware, especially with acidic products, promotes metal migration into food matrices. Despite the proven role of aluminum in the induction of oxidative stress and cellular damage, the mechanisms of its influence on the expression of metal transporter genes and subclinical effects remain poorly understood. The aim of the research was to study the effect of oral administration of various doses of aluminum hydroxide on biochemical parameters, gene expression and homeostasis of essential elements in experimental animals.</p><p><strong>Material and methods: </strong>A prospective study was conducted on 40 white outbred rats with an initial body weight of 180-200 g, which received aluminum hydroxide orally at doses of 0, 0.015, 0.15, 1.5, and 15 mg per 1 kg of body weight for 120 days. The content of elements in the kidneys, liver, brain, and blood was determined using atomic absorption spectrometry. Gene expression was analyzed by real-time polymerase chain reaction. The activity of aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), and alkaline phosphatase in blood serum was measured using test kits on a semi-automated biochemical analyzer.</p><p><strong>Results: </strong>The study revealed a dose-dependent effect of oral administration of aluminum hydroxide on the rats' organism, simulating alimentary intake. Aluminum accumulation was found mainly in the brain and blood, which confirms its neurotropic properties. Violation of element homeostasis was characterized by a two-phase change in calcium levels: its increase in the liver and kidneys under the influence of low doses and a decrease in blood under the influence of high doses. In addition, an imbalance of magnesium (increased level in the brain) and iron (increased concentration in the blood) was observed. The expression of metal transporter genes (ZIP8, Mt1a, Mt2a) was activated even at minimal doses of aluminum hydroxide, which indicates their role in adaptation to toxic effects. Traditional biochemical markers (AST, ALT) did not show significant changes, in contrast to LDH, the activity of which increased at high oral doses of aluminum hydroxide.</p><p><strong>Conclusion: </strong>Regular intake of aluminum with food can lead to its bioaccumulation, especially in the nervous tissue, and provoke subclinical disturbances in the homeostasis of minerals and trace elements, oxidative stress and cellular adaptive responses. The identified changes in gene expression (ZIP8, Mt1a, Mt2a) are proposed as early biomarkers of toxic effects. The findings highlight the need for stricter control over the use of aluminum-containing materials in the food industry and the development of preventive strategies fo
{"title":"[The role of dietary aluminum exposure in disturbances of micronutrient metabolism and expression of metal transporter genes].","authors":"E N Usmanova, D O Karimov, Ya V Valova, D A Smolyankin, R A Daukaev, G R Allayarova, G F Adieva, S R Afonkina","doi":"10.33029/0042-8833-2025-94-5-75-84","DOIUrl":"https://doi.org/10.33029/0042-8833-2025-94-5-75-84","url":null,"abstract":"<p><p>The widespread use of aluminum in industry, medicine and everyday life is associated with the risk of its bioaccumulation and toxic effects, including neurotoxicity, trace element metabolism disorders and osteopathy. Cooking and storing food in aluminum cookware, especially with acidic products, promotes metal migration into food matrices. Despite the proven role of aluminum in the induction of oxidative stress and cellular damage, the mechanisms of its influence on the expression of metal transporter genes and subclinical effects remain poorly understood. The aim of the research was to study the effect of oral administration of various doses of aluminum hydroxide on biochemical parameters, gene expression and homeostasis of essential elements in experimental animals.</p><p><strong>Material and methods: </strong>A prospective study was conducted on 40 white outbred rats with an initial body weight of 180-200 g, which received aluminum hydroxide orally at doses of 0, 0.015, 0.15, 1.5, and 15 mg per 1 kg of body weight for 120 days. The content of elements in the kidneys, liver, brain, and blood was determined using atomic absorption spectrometry. Gene expression was analyzed by real-time polymerase chain reaction. The activity of aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), and alkaline phosphatase in blood serum was measured using test kits on a semi-automated biochemical analyzer.</p><p><strong>Results: </strong>The study revealed a dose-dependent effect of oral administration of aluminum hydroxide on the rats' organism, simulating alimentary intake. Aluminum accumulation was found mainly in the brain and blood, which confirms its neurotropic properties. Violation of element homeostasis was characterized by a two-phase change in calcium levels: its increase in the liver and kidneys under the influence of low doses and a decrease in blood under the influence of high doses. In addition, an imbalance of magnesium (increased level in the brain) and iron (increased concentration in the blood) was observed. The expression of metal transporter genes (ZIP8, Mt1a, Mt2a) was activated even at minimal doses of aluminum hydroxide, which indicates their role in adaptation to toxic effects. Traditional biochemical markers (AST, ALT) did not show significant changes, in contrast to LDH, the activity of which increased at high oral doses of aluminum hydroxide.</p><p><strong>Conclusion: </strong>Regular intake of aluminum with food can lead to its bioaccumulation, especially in the nervous tissue, and provoke subclinical disturbances in the homeostasis of minerals and trace elements, oxidative stress and cellular adaptive responses. The identified changes in gene expression (ZIP8, Mt1a, Mt2a) are proposed as early biomarkers of toxic effects. The findings highlight the need for stricter control over the use of aluminum-containing materials in the food industry and the development of preventive strategies fo","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 5","pages":"75-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-04-02DOI: 10.33029/0042-8833-2025-94-2-38-51
E V Kovalenko, E O Vergasova, O O Shoshina, M S Sheludchenko, I V Popov, A A Kim, N A Plotnikov, A S Rakitko, O I Volokh
The ability to digest lactose in adulthood is caused by a genetic mutation that emerged following the domestication of cattle approximately 10 000 years ago. However, many adults retain primary lactase deficiency - the ancestral phenotype characterized by a decline in lactase enzyme activity after weaning. While the global prevalence of this condition is well-documented, reliable large-scale population data for Russia have been lacking so far. Microarray genotyping of genetic markers now enables high-quality, up-to-date research covering representative samples from diverse ethnic groups across Russia's regions. The purpose of the research was to compare the frequency of GG genotype in rs4988235 (13910 C/T) in the regulatory region (MCM6) of the lactase enzyme gene LCT, which determines the genetic risk of lactase insufficiency manifestation, in populations living in Russia and evaluate the differences between Russian regions. Methods. The largest multi-ethnic genetic study on lactase deficiency in Russia was conducted on a sample of 24,439 individuals in 56 populations. The percentage of an individual belonging to each ethnic group was estimated by calculating the ancestral contribution to an individual's genetic makeup. In addition, we calculated the frequency of the rs4988235 GG genotype in regions of Russia using information on the individual's current location and place of birth. Results. The prevalence of lactase deficiency by GG genotype rs4988235 in the Russian population was 45.2 and 42.8% (95% confidence interval 42.1-43.4) in the East Slavs group. The study revealed a significant variability (22.8-83.2%) in the regional prevalence of lactase deficiency by GG rs4988235 genotype. The dependence of the regional prevalence of lactase deficiency on the current place of residence is supported by the geographical features of the Russian territory and the history of pastoralism in different regions. Conclusion. The findings may be useful for developing regional nutrition recommendations and optimising the Russian market for lactose-free and low-lactose products, and justify the importance of genetic testing for diagnosis, highlighting the interdisciplinary relevance of the study.
{"title":"[Genetics of lactase deficiency in Russia].","authors":"E V Kovalenko, E O Vergasova, O O Shoshina, M S Sheludchenko, I V Popov, A A Kim, N A Plotnikov, A S Rakitko, O I Volokh","doi":"10.33029/0042-8833-2025-94-2-38-51","DOIUrl":"10.33029/0042-8833-2025-94-2-38-51","url":null,"abstract":"<p><p>The ability to digest lactose in adulthood is caused by a genetic mutation that emerged following the domestication of cattle approximately 10 000 years ago. However, many adults retain primary lactase deficiency - the ancestral phenotype characterized by a decline in lactase enzyme activity after weaning. While the global prevalence of this condition is well-documented, reliable large-scale population data for Russia have been lacking so far. Microarray genotyping of genetic markers now enables high-quality, up-to-date research covering representative samples from diverse ethnic groups across Russia's regions. <b>The purpose</b> of the research was to compare the frequency of GG genotype in rs4988235 (13910 C/T) in the regulatory region (MCM6) of the lactase enzyme gene LCT, which determines the genetic risk of lactase insufficiency manifestation, in populations living in Russia and evaluate the differences between Russian regions. <b>Methods</b>. The largest multi-ethnic genetic study on lactase deficiency in Russia was conducted on a sample of 24,439 individuals in 56 populations. The percentage of an individual belonging to each ethnic group was estimated by calculating the ancestral contribution to an individual's genetic makeup. In addition, we calculated the frequency of the rs4988235 GG genotype in regions of Russia using information on the individual's current location and place of birth. <b>Results</b>. The prevalence of lactase deficiency by GG genotype rs4988235 in the Russian population was 45.2 and 42.8% (95% confidence interval 42.1-43.4) in the East Slavs group. The study revealed a significant variability (22.8-83.2%) in the regional prevalence of lactase deficiency by GG rs4988235 genotype. The dependence of the regional prevalence of lactase deficiency on the current place of residence is supported by the geographical features of the Russian territory and the history of pastoralism in different regions. <b>Conclusion</b>. The findings may be useful for developing regional nutrition recommendations and optimising the Russian market for lactose-free and low-lactose products, and justify the importance of genetic testing for diagnosis, highlighting the interdisciplinary relevance of the study.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 2","pages":"38-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-05-16DOI: 10.33029/0042-8833-2025-94-3-6-17
V A Tutelyan
This year, the Federal Research Centre of Nutrition, Biotechnology and Food Safety (formerly the Institute of Nutrition) celebrates its 95th anniversary. All these years, its main focus has been on the quality and safety of food, which affects our health to the greatest extent of all environmental factors. Nutrition was of great importance during the Great Patriotic War. The Institute of Nutrition contributed to its development and organization at the front and in the rear. Currently, the Federal Research Centre of Nutrition, Biotechnology and Food Safety continues to deal with nutrition aspects for special contingents (military personnel, astronauts, etc.), as well as the search for noval food sources, nutrition epidemiology, the development of foods for special dietary uses for various population groups, etc.
{"title":"[Everything for the front, everything for Victory: food at the front and in the rear (dedicated to the 80th anniversary of the Great Victory and the 95th anniversary of the Federal Research Centre of Nutrition, Biotechnology and Food Safety)].","authors":"V A Tutelyan","doi":"10.33029/0042-8833-2025-94-3-6-17","DOIUrl":"10.33029/0042-8833-2025-94-3-6-17","url":null,"abstract":"<p><p>This year, the Federal Research Centre of Nutrition, Biotechnology and Food Safety (formerly the Institute of Nutrition) celebrates its 95th anniversary. All these years, its main focus has been on the quality and safety of food, which affects our health to the greatest extent of all environmental factors. Nutrition was of great importance during the Great Patriotic War. The Institute of Nutrition contributed to its development and organization at the front and in the rear. Currently, the Federal Research Centre of Nutrition, Biotechnology and Food Safety continues to deal with nutrition aspects for special contingents (military personnel, astronauts, etc.), as well as the search for noval food sources, nutrition epidemiology, the development of foods for special dietary uses for various population groups, etc.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 3","pages":"6-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-04-29DOI: 10.33029/0042-8833-2025-94-3-48-58
N V Tyshko, S I Shestakova, N S Nikitin, M D Trebukh, E O Sadykova, A A Stankevich, O K Mustafina
<p><p>The trend towards the use of non-traditional sources of food raw materials, in particular edible insects, which has been gaining momentum in recent years, predetermines the need to develop a methodology for research on such products. Analysis of publications devoted to the problem of insect research reflects the accumulation of a very significant evidence base for their safety. Currently, 7 types of insect-derived products have been approved for food use in the European Union, and the results summarized in the materials of the European Food Safety Authority for each of them also indicate the safety of such products. Based on the considerable experience of the Russian Federation in the field of safety assessment of novel food, the design of complex toxicological studies was developed, including the study of reproductive function, pre- and postnatal development of offspring, to assess the safety of larvae of the Black soldier fly (Hermetia Illucens), included in the list of agricultural products by the decree of the Government of the Russian Federation dated 10.10.2023 No. 2761-r. <b>The purpose</b> of the research was to assess the safety of Black soldier fly (Hermetia Illucens) larvae dry biomass in toxicological and reprotoxicological studies on 4 generations of rats. <b>Material and methods</b>. Comprehensive studies of Black soldier fly larvae dry biomass were conducted on 4 generations of Wistar rats (generations F0, F1, F2, F3). A total of 650 adult animals, 1975 pups and 1146 fetuses were used, the experiment duration was 485 days. Throughout the experiment animals of the control group F0-F3 received semi-synthetic casein diet (SCD), rats of the test group received SCD with dry biomass of Black soldier fly larvae. The biomass dose was 11 000-40 000 mg/kg body weight per day depending on age and sex. Ingredients of the diet of the test group were replaced taking into consideration the content of proteins, fats and carbohydrates in the administered product while observing the principle of isocalorie content. Reproductive function was evaluated by fertility of males and females F0, F1, F2, and by prenatal and postnatal development of offspring F1, F2, F3. Material for toxicological studies was taken on the 225th, 347th and 485th days of the experiment from males of F1, F2, F3 generations (age 143, 135 and 130 days, respectively), which received the investigated product throughout the whole period of ontogenetic development. Hematological, biochemical, morphological studies were carried out, indicators characterizing antioxidant status and apoptosis activity were studied. <b>Results</b>. The general condition of F0-F3 rats was satisfactory, the animals of the test group did not differ from the control in appearance, quality of hair coat and behavior. The efficiency of mating, physiological course of pregnancy, blood level of sex hormones in the pregnant females F0-F2 of both groups were within normal limits, indicating normal generative a
{"title":"[Safety assessment of novel food raw materials derived from insects <i>(Hermetia illucens)</i>: results of complex biomedical research].","authors":"N V Tyshko, S I Shestakova, N S Nikitin, M D Trebukh, E O Sadykova, A A Stankevich, O K Mustafina","doi":"10.33029/0042-8833-2025-94-3-48-58","DOIUrl":"10.33029/0042-8833-2025-94-3-48-58","url":null,"abstract":"<p><p>The trend towards the use of non-traditional sources of food raw materials, in particular edible insects, which has been gaining momentum in recent years, predetermines the need to develop a methodology for research on such products. Analysis of publications devoted to the problem of insect research reflects the accumulation of a very significant evidence base for their safety. Currently, 7 types of insect-derived products have been approved for food use in the European Union, and the results summarized in the materials of the European Food Safety Authority for each of them also indicate the safety of such products. Based on the considerable experience of the Russian Federation in the field of safety assessment of novel food, the design of complex toxicological studies was developed, including the study of reproductive function, pre- and postnatal development of offspring, to assess the safety of larvae of the Black soldier fly (Hermetia Illucens), included in the list of agricultural products by the decree of the Government of the Russian Federation dated 10.10.2023 No. 2761-r. <b>The purpose</b> of the research was to assess the safety of Black soldier fly (Hermetia Illucens) larvae dry biomass in toxicological and reprotoxicological studies on 4 generations of rats. <b>Material and methods</b>. Comprehensive studies of Black soldier fly larvae dry biomass were conducted on 4 generations of Wistar rats (generations F0, F1, F2, F3). A total of 650 adult animals, 1975 pups and 1146 fetuses were used, the experiment duration was 485 days. Throughout the experiment animals of the control group F0-F3 received semi-synthetic casein diet (SCD), rats of the test group received SCD with dry biomass of Black soldier fly larvae. The biomass dose was 11 000-40 000 mg/kg body weight per day depending on age and sex. Ingredients of the diet of the test group were replaced taking into consideration the content of proteins, fats and carbohydrates in the administered product while observing the principle of isocalorie content. Reproductive function was evaluated by fertility of males and females F0, F1, F2, and by prenatal and postnatal development of offspring F1, F2, F3. Material for toxicological studies was taken on the 225th, 347th and 485th days of the experiment from males of F1, F2, F3 generations (age 143, 135 and 130 days, respectively), which received the investigated product throughout the whole period of ontogenetic development. Hematological, biochemical, morphological studies were carried out, indicators characterizing antioxidant status and apoptosis activity were studied. <b>Results</b>. The general condition of F0-F3 rats was satisfactory, the animals of the test group did not differ from the control in appearance, quality of hair coat and behavior. The efficiency of mating, physiological course of pregnancy, blood level of sex hormones in the pregnant females F0-F2 of both groups were within normal limits, indicating normal generative a","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 3","pages":"48-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-06-27DOI: 10.33029/0042-8833-2025-94-4-68-75
V A Revyakina, V A Mukhortykh, T N Korotkova, I A Larkova, I V Vorozhko, E D Kuvshinova
<p><p>The digestive tract performs an important barrier function, protecting the internal environment of the organism from excessive intake of various macromolecules, especially of food origin. Despite numerous works devoted to the study of the mechanisms of development of food allergy (FA), many aspects of its pathogenesis require further interpretation and research. This is necessary for the introduction of effective diagnostic methods and new therapies. The purpose of the research was to determine the diagnostic and pathogenetic significance of markers of increased intestinal permeability and inflammation in children with FA.</p><p><strong>Material and methods: </strong>The criteria for inclusion in the research were the age of children from 3 to 7 years old; patients with a diagnosis of FA. 45 children with FA were examined, the clinical marker of which was atopic dermatitis (AtD) associated with underlying disease (AtD + FA). The control group consisted of 20 practically healthy children. The levels of zonulin, calprotectin, eosinophilic neurotoxin and secretory immunoglobulin A (sIgA) in coprofiltrates, total immunoglobulin E (IgE), specific IgE antibodies to food allergens and eosinophilic cationic protein in the blood serum were determined for all children.</p><p><strong>Results: </strong>The examined children with AtD + FA showed high levels of blood total IgE 273.89 [157.2; 597.2] IU/L, hypersensitivity to a number of foods (cow's milk, egg, fish, wheat), eosinophilia (6.90±1.15%). Zonulin levels were increased (p<0.05) in patients with moderate FA compared with mild FA and amounted to 84.3 [67.8; 93.5] and 26.5 [17.5; 62.3] ng/ml, respectively, versus 21.5 [13.2; 30.9] ng/ml in healthy children. The amount of calprotectin in the stool was within the normal range. The sIgA content in feces was reduced in all patients, amounting to 32.3 [1.66; 50.7] μg/g versus 61.4±3.2 μg/g in children from the control group (p<0.05). The amount of eosinophilic neurotoxin in feces (1025.65 [327.96; 1739.54] ng/g) and eosinophilic cationic protein in blood serum (35.23 [30.12; 39.78] ng/ml) was increased, unlike in children of the control group (610.4 [300.25; 1101.97] ng/g and 29.67 [25.43; 32.75] ng/ml respectively, p<0.05).</p><p><strong>Conclusion: </strong>The study revealed the signs of increased intestinal permeability, eosinophilic inflammation, and impaired mucosal immunity in children with AtD + FA. Patients with moderate disease severity showed increased intestinal barrier permeability, as evidenced by high levels of zonulin in coprofiltrates, as well as activation of eosinophilic inflammation, as indicated by elevated levels of eosinophilic neurotoxin and cationic protein. In addition, a decrease in mucosal immunity was detected, as evidenced by low values of secretory IgA, which indicates a disruption of the barrier function of the gastrointestinal mucosa. These findings suggest an important role of intestinal permeability and eosinophilic i
{"title":"[Evaluation of biomarkers of intestinal permeability and inflammation in food allergies].","authors":"V A Revyakina, V A Mukhortykh, T N Korotkova, I A Larkova, I V Vorozhko, E D Kuvshinova","doi":"10.33029/0042-8833-2025-94-4-68-75","DOIUrl":"10.33029/0042-8833-2025-94-4-68-75","url":null,"abstract":"<p><p>The digestive tract performs an important barrier function, protecting the internal environment of the organism from excessive intake of various macromolecules, especially of food origin. Despite numerous works devoted to the study of the mechanisms of development of food allergy (FA), many aspects of its pathogenesis require further interpretation and research. This is necessary for the introduction of effective diagnostic methods and new therapies. The purpose of the research was to determine the diagnostic and pathogenetic significance of markers of increased intestinal permeability and inflammation in children with FA.</p><p><strong>Material and methods: </strong>The criteria for inclusion in the research were the age of children from 3 to 7 years old; patients with a diagnosis of FA. 45 children with FA were examined, the clinical marker of which was atopic dermatitis (AtD) associated with underlying disease (AtD + FA). The control group consisted of 20 practically healthy children. The levels of zonulin, calprotectin, eosinophilic neurotoxin and secretory immunoglobulin A (sIgA) in coprofiltrates, total immunoglobulin E (IgE), specific IgE antibodies to food allergens and eosinophilic cationic protein in the blood serum were determined for all children.</p><p><strong>Results: </strong>The examined children with AtD + FA showed high levels of blood total IgE 273.89 [157.2; 597.2] IU/L, hypersensitivity to a number of foods (cow's milk, egg, fish, wheat), eosinophilia (6.90±1.15%). Zonulin levels were increased (p<0.05) in patients with moderate FA compared with mild FA and amounted to 84.3 [67.8; 93.5] and 26.5 [17.5; 62.3] ng/ml, respectively, versus 21.5 [13.2; 30.9] ng/ml in healthy children. The amount of calprotectin in the stool was within the normal range. The sIgA content in feces was reduced in all patients, amounting to 32.3 [1.66; 50.7] μg/g versus 61.4±3.2 μg/g in children from the control group (p<0.05). The amount of eosinophilic neurotoxin in feces (1025.65 [327.96; 1739.54] ng/g) and eosinophilic cationic protein in blood serum (35.23 [30.12; 39.78] ng/ml) was increased, unlike in children of the control group (610.4 [300.25; 1101.97] ng/g and 29.67 [25.43; 32.75] ng/ml respectively, p<0.05).</p><p><strong>Conclusion: </strong>The study revealed the signs of increased intestinal permeability, eosinophilic inflammation, and impaired mucosal immunity in children with AtD + FA. Patients with moderate disease severity showed increased intestinal barrier permeability, as evidenced by high levels of zonulin in coprofiltrates, as well as activation of eosinophilic inflammation, as indicated by elevated levels of eosinophilic neurotoxin and cationic protein. In addition, a decrease in mucosal immunity was detected, as evidenced by low values of secretory IgA, which indicates a disruption of the barrier function of the gastrointestinal mucosa. These findings suggest an important role of intestinal permeability and eosinophilic i","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 4","pages":"68-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-07-21DOI: 10.33029/0042-8833-2025-94-4-76-85
O V Sazonova, M Yu Gavryushin, R V Hamtsova, S S Manakhova
<p><p>The prevalence of carbohydrate metabolism disorders, such as type 2 diabetes mellitus and insulin resistance, associated with the global obesity pandemic, makes modern healthcare necessary to improve diagnostic tools aimed at early detection and further evaluation of the effectiveness of therapeutic measures. Bioimpedance is a modern diagnostic tool in dietetics and endocrinology. Differences in body composition, as well as the accumulation of fat mass in patients with impaired carbohydrate metabolism, become an urgent issue to study. The purpose of the study was to conduct a comparative analysis of the body composition of patients with type 2 diabetes mellitus (DM2) and insulin resistance (IR).</p><p><strong>Material and methods: </strong>The analysis of medical records of 1003 patients who received individual consultations from a dietitian and an endocrinologist at the bases of medical, preventive and diagnostic organizations in Samara has been carried out. The patients were divided into three groups depending on the disease history: with diagnosed DM2 (288 people); with clinically established IR (319 people) and without carbohydrate metabolism disorders (396 people). The data of the morbidity history and the results of bioimpedance have been analyzed.</p><p><strong>Results: </strong>A significant difference in the component composition between patients with DM2, insulin resistance and without impaired carbohydrate metabolism was revealed in all parameters, except for active cellular and musculo-skeletal mass in kilograms and basal metabolism in women and except for the percentage of fat mass in men. DM2 patients were found to have the highest median values of body weight and body mass index (BMI), fat mass, total body water, and the lowest values of active cellular and skeletal muscle mass relative to lean body mass, as well as the current metabolic rate (specific basal metabolic rate and phase angle). The results of the component composition in patients of different sexes had a statistically significant difference (p<0.001) in patients with IR and DM2 for all indicators except body fat mass in kilograms and BMI. At the same time, in the group of patients without carbohydrate metabolism disorders, statistically significant differences were not found for any of the indicators, except for the phase angle and fat mass in kilograms, which may indicate the presence of certain gender-specific characteristics of the influence of carbohydrate metabolism disorders on the component composition of the body. Significant differences in fat mass and proportion of fat mass were found for patients with and without carbohydrate metabolism disorders depending on the body mass index. There were also significant differences in fat mass and the fat mass available for patients with and without impaired carbohydrate metabolism, depending on BMI.</p><p><strong>Conclusion: </strong>Bioelectrical impedance analysis as a method of analyzing the body structure and
{"title":"[Analysis of the body composition of patients with impaired carbohydrate metabolism].","authors":"O V Sazonova, M Yu Gavryushin, R V Hamtsova, S S Manakhova","doi":"10.33029/0042-8833-2025-94-4-76-85","DOIUrl":"10.33029/0042-8833-2025-94-4-76-85","url":null,"abstract":"<p><p>The prevalence of carbohydrate metabolism disorders, such as type 2 diabetes mellitus and insulin resistance, associated with the global obesity pandemic, makes modern healthcare necessary to improve diagnostic tools aimed at early detection and further evaluation of the effectiveness of therapeutic measures. Bioimpedance is a modern diagnostic tool in dietetics and endocrinology. Differences in body composition, as well as the accumulation of fat mass in patients with impaired carbohydrate metabolism, become an urgent issue to study. The purpose of the study was to conduct a comparative analysis of the body composition of patients with type 2 diabetes mellitus (DM2) and insulin resistance (IR).</p><p><strong>Material and methods: </strong>The analysis of medical records of 1003 patients who received individual consultations from a dietitian and an endocrinologist at the bases of medical, preventive and diagnostic organizations in Samara has been carried out. The patients were divided into three groups depending on the disease history: with diagnosed DM2 (288 people); with clinically established IR (319 people) and without carbohydrate metabolism disorders (396 people). The data of the morbidity history and the results of bioimpedance have been analyzed.</p><p><strong>Results: </strong>A significant difference in the component composition between patients with DM2, insulin resistance and without impaired carbohydrate metabolism was revealed in all parameters, except for active cellular and musculo-skeletal mass in kilograms and basal metabolism in women and except for the percentage of fat mass in men. DM2 patients were found to have the highest median values of body weight and body mass index (BMI), fat mass, total body water, and the lowest values of active cellular and skeletal muscle mass relative to lean body mass, as well as the current metabolic rate (specific basal metabolic rate and phase angle). The results of the component composition in patients of different sexes had a statistically significant difference (p<0.001) in patients with IR and DM2 for all indicators except body fat mass in kilograms and BMI. At the same time, in the group of patients without carbohydrate metabolism disorders, statistically significant differences were not found for any of the indicators, except for the phase angle and fat mass in kilograms, which may indicate the presence of certain gender-specific characteristics of the influence of carbohydrate metabolism disorders on the component composition of the body. Significant differences in fat mass and proportion of fat mass were found for patients with and without carbohydrate metabolism disorders depending on the body mass index. There were also significant differences in fat mass and the fat mass available for patients with and without impaired carbohydrate metabolism, depending on BMI.</p><p><strong>Conclusion: </strong>Bioelectrical impedance analysis as a method of analyzing the body structure and ","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"94 4","pages":"76-85"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070687","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: 10.33029/0042-8833-2024-93-4-31-38
I V Averyanova, O O Alyoshina
Omega-3 polyunsaturated fatty acids (PUFA) are known for being one of the most important classes of bioactive lipids; of them, the long-chain ones, namely eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids, have many positive effects on the human body. The aim of this study was to assess the carbohydrate metabolism in northern men living in the Magadan Region before and after the administration of a dietary supplement with PUFA. Material and methods. The study included 45 men (mean age 40.0±0.8 years), of whom 2 groups comparable in age and analyzed parameters were formed by random sampling. The participants of the main group (n=30) consumed PUFA (2 capsules containing 1200 mg, including 660 mg EPA and 440 mg DHA), and the control group (n=15) had no impact on the diet. Fasting venous blood was collected using a vacuum system to determine glycated hemoglobin (HbA1c) using the turbidimetric immunoinhibition, glucose by the hexokinase method, insulin by the immune chemiluminescence using paramagnetic particles at the beginning (late October, 2023) and the end (mid-December, 2023) of the study, and HOMA-IR index was calculated. The daily diet was assessed using the ASPON-nutrition program (St. Petersburg) based on the results of the food diary keeping for 3 days (weekdays). Results. In men of the main group, positive changes in the carbohydrate profile were noted, associated with the intake of ω-3 PUFAs, manifested in HbA1c decrease (from 5.5±0.1 to 5.2±0.1%, p<0.05) while maintaining blood concentration of glucose and insulin and HOMA-IR at the same level. Unlike the main group, the control group experienced disadaptation in their carbohydrate metabolism as they exhibited the signs of hyperinsulinemia (increased basal fasting insulin level from 8.8±1.2 to 11.4±1.1 mIU/l, p<0.05) and insulin resistance (the increase in the HOMA-IR from 2.0±0.2 to 2.6±0.3, p<0.05), which was apparently due to the autumn-winter period of the study. Conclusion. Resulting from the data obtained, this study showed the presence of a leveling function and even an optimizing role of additional ω-3 PUFAs intake with respect to seasonal changes in the biochemical parameters of the northern residents during the crucial period of the year with its temperature curve transition through 0 °C.
{"title":"[The effect of ω-3 polyunsaturated fatty acids on carbohydrate metabolism in northern men].","authors":"I V Averyanova, O O Alyoshina","doi":"10.33029/0042-8833-2024-93-4-31-38","DOIUrl":"10.33029/0042-8833-2024-93-4-31-38","url":null,"abstract":"<p><p>Omega-3 polyunsaturated fatty acids (PUFA) are known for being one of the most important classes of bioactive lipids; of them, the long-chain ones, namely eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids, have many positive effects on the human body. <b>The aim</b> of this study was to assess the carbohydrate metabolism in northern men living in the Magadan Region before and after the administration of a dietary supplement with PUFA. <b>Material and methods</b>. The study included 45 men (mean age 40.0±0.8 years), of whom 2 groups comparable in age and analyzed parameters were formed by random sampling. The participants of the main group (n=30) consumed PUFA (2 capsules containing 1200 mg, including 660 mg EPA and 440 mg DHA), and the control group (n=15) had no impact on the diet. Fasting venous blood was collected using a vacuum system to determine glycated hemoglobin (HbA1c) using the turbidimetric immunoinhibition, glucose by the hexokinase method, insulin by the immune chemiluminescence using paramagnetic particles at the beginning (late October, 2023) and the end (mid-December, 2023) of the study, and HOMA-IR index was calculated. The daily diet was assessed using the ASPON-nutrition program (St. Petersburg) based on the results of the food diary keeping for 3 days (weekdays). <b>Results</b>. In men of the main group, positive changes in the carbohydrate profile were noted, associated with the intake of ω-3 PUFAs, manifested in HbA1c decrease (from 5.5±0.1 to 5.2±0.1%, p<0.05) while maintaining blood concentration of glucose and insulin and HOMA-IR at the same level. Unlike the main group, the control group experienced disadaptation in their carbohydrate metabolism as they exhibited the signs of hyperinsulinemia (increased basal fasting insulin level from 8.8±1.2 to 11.4±1.1 mIU/l, p<0.05) and insulin resistance (the increase in the HOMA-IR from 2.0±0.2 to 2.6±0.3, p<0.05), which was apparently due to the autumn-winter period of the study. <b>Conclusion</b>. Resulting from the data obtained, this study showed the presence of a leveling function and even an optimizing role of additional ω-3 PUFAs intake with respect to seasonal changes in the biochemical parameters of the northern residents during the crucial period of the year with its temperature curve transition through 0 °C.</p>","PeriodicalId":23652,"journal":{"name":"Voprosy pitaniia","volume":"93 4","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476060","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}