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Evaluation of the frequency of consumption of various groups of dairy products by students 评估学生食用各类乳制品的频率
Pub Date : 2023-07-25 DOI: 10.17816/clinutr451252
R. A. Khanferyan, I. Radysh, D. Semin, Elena Geyko, M. Korosteleva
Introduction: Milk and dairy products are an important component of a balanced diet. Deficiency of milk and dairy products contributes to the violation of the main health indicators of various age groups of the population. The purpose of the study: analysis of the frequency of consumption of various groups of dairy products by students Materials and methods: 388 full-time students of the Medical Institute of the Russian University of Peoples' Friendship RUDN University took part in the cross-sectional study, of which 185 were men and 203 were women, the average age was 20.4+2.2 and 21.9+1.7 years, respectively. . Anthropometric measurements were performed according to the standard program. The frequency of consumption of various groups of dairy products was studied using a modified questionnaire on the frequency of consumption of products. Results: analysis of the questionnaire on the frequency of consumption of products, it have been demonstrated that approximately 16% of the respondents did not consume milk over the past month, about a third - cottage cheese, 22% - natural sour-milk products and 18% - sour-milk products with various fillers; hard cheeses and pickled cheeses are not used by 9% and 26% of respondents, respectively. 11% of respondents drink milk daily, 5% consume cottage cheese daily, 4% and 1% - fermented milk products, natural and with fillers, hard cheese -4%. Gender differences in the characteristics of consumer preferences were revealed, girls are less likely to use cream, sour cream, soft cheese, milk, which is obvious. Among girls, the prevalence of persons with overweight was higher and amounted to 25% (50 students), than among boys - 19% (35 students). A modest inverse relationship was found between daily milk intake and body weight and between milk intake and BMI (r=-0.61 and r=-0.65). Conclusions: among students, insufficient consumption of milk and dairy products was revealed, the relationship between the frequency of their consumption and indicators of physical development was noted.
牛奶和奶制品是均衡饮食的重要组成部分。缺乏牛奶和奶制品导致各年龄组人口的主要健康指标不达标。研究目的:分析学生对各类乳制品的消费频率材料和方法:俄罗斯人民友谊大学医学研究所全日制学生388人参加了横断面研究,其中男性185人,女性203人,平均年龄分别为20.4+2.2岁和21.9+1.7岁。根据标准程序进行人体测量。使用修改后的产品消费频率问卷,研究了不同类别乳制品的消费频率。结果:对产品消费频率的问卷分析显示,近16%的受访者在过去一个月没有消费牛奶,约三分之一的人-白干酪,22%的人-天然酸乳产品,18%的人-含各种填料的酸乳产品;9%的受访者不吃硬奶酪,26%的受访者不吃腌制奶酪。11%的受访者每天喝牛奶,5%每天吃白软干酪,4%和1%——发酵乳制品,天然的和有填料的,硬奶酪-4%。性别差异的消费者偏好特征被揭示出来,女孩较少使用奶油、酸奶油、软奶酪、牛奶,这是很明显的。在女孩中,超重者的患病率较高,达25%(50名学生),而在男孩中为19%(35名学生)。每日牛奶摄入量与体重、牛奶摄入量与BMI呈适度负相关(r=-0.61和r=-0.65)。结论:学生中存在牛奶及乳制品消费不足的现象,并注意到其消费频率与身体发育指标的关系。
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引用次数: 0
ANTI-RAGE TARGETS IN CACHEXIA: HMGB1, S100B, S100A1 恶病质中的抗愤怒靶点:hmgb1, s100b, s100a1
Pub Date : 2023-07-24 DOI: 10.17816/clinutr492320
O. Obukhova, I. N. Mikhailova, H. Treshalina, I. Manina, I. Markina, R. A. Zukov
Cachexia mediated by the multiligand receptor RAGE (receptor for advanced glycation end products) and its ligands HMGB1, S100B, and S100A1 is a formidable multifactorial complication of the severe course of a number of somatic and malignant diseases. One of the most visualized symptoms of cachexia is a significant decrease in body weight, but the main one is the systemic shutdown of a number of regulatory centers that control the maintenance of homeostasis. Activation of these markers contributes to the launch and intensification of the destructive processes of cachexia, and blocking, in some cases, can reduce their intensity. Among known drugs from various therapeutic groups, there are blockers of one or more markers. For example, papaverine antispasmodic as well as the nootropic anxiolytic tenotene, antibacterial pentamidine and antidepressant duloxetine. The review describes in detail the significance of the listed markers in the pathogenesis of cachexia, especially in malignant pathology. An assumption was made about the possible control of cachectic progression with the help of such blockers to improve quality of the life patients.The Internet resource PubMed and the ELIBRARY database were used as primary sources. Access to the full text of the articles is carried out on the websites of the publishing houses Springer and Elsever.
由多配体受体RAGE(晚期糖基化终产物受体)及其配体HMGB1、S100B和S100A1介导的恶病质是许多躯体和恶性疾病严重病程的一种可怕的多因素并发症。恶病质最明显的症状之一是体重显著下降,但最主要的症状是一些控制体内平衡维持的调节中心的系统性关闭。这些标记物的激活有助于恶病质破坏过程的启动和加强,在某些情况下,阻断可以降低其强度。在各种治疗组的已知药物中,有一种或多种标记物的阻滞剂。例如,罂粟碱抗痉挛、促智抗焦虑的tenotene、抗菌的pentamidine和抗抑郁的度洛西汀。本文详细介绍了所列标志物在恶病质发病机制中的意义,特别是在恶性病理中的意义。假设可能控制病毒质进展的帮助下,这类阻滞剂,以提高患者的生活质量。互联网资源PubMed和ELIBRARY数据库被用作主要来源。文章全文可以在Springer和Elsever出版社的网站上访问。
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引用次数: 0
Nutritional assessment and nutritional status of centenarians 百岁老人营养评价及营养状况
Pub Date : 2023-07-21 DOI: 10.17816/clinutr383783
Alisa Gotina, K. Eruslanova, E. Ivannikova, K. Krylov, Y. Kotovskaya, O. Tkacheva
This article presents the data of the assessment of nutritional status and its impact on survival in people aged 95 years and older living independently. Malnutrition and micro- and macronutrient deficiencies are common in people 95 years of age and older. For timely detection of nutritional disorders, it is necessary to regularly examine elderly patients and, if necessary, correct an individual patient management plan. Conducting a nutrition assessment, drawing up a program for the prevention of malnutrition syndrome in the elderly will improve the quality of life and increase life expectancy.
本文介绍了95岁及以上独立生活老年人营养状况及其对生存影响的评估数据。营养不良和微量和宏量营养素缺乏在95岁及以上的人群中很常见。为了及时发现营养失调,有必要定期检查老年患者,并在必要时纠正个别患者管理计划。开展营养评估,制定老年人营养不良综合症预防方案,将提高生活质量,延长预期寿命。
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引用次数: 0
Modern aspects of infusion therapy. 输液疗法的现代方面。
Pub Date : 2023-07-21 DOI: 10.17816/clinutr334376
E. Khalikova, E. Zolotova, Zahar Shtanev
The infusion therapy (IT) is a routine procedure of the nowadays perioperative period and critical patient treatment. But there are controversial questions about the quantity, quality, start and duration of IT which are discussing. Modern IT includes intravenous administration of crystalloid solutions and more rarely colloid solutions. The type, amount and rate of infusion fluid depends on the indication for infusion therapy and the specific requirements of the patient. Nowadays colloidal solutions have limited indications. Crystalloid solutions are used for IT of patients with hypovolemia or dehydration, correction of free water deficiency, correction of electrolyte disorders, replenishment of ongoing fluid losses and replacement for patients who unable to drink water orally. All patients should be monitored with combination of clinical parameters and laboratory tests. Therapeutic endpoints should be determined. The time when this endpoints are achieved fluid therapy should be appropriately de-escalated for avoiding overhydration.
输液治疗是当今围手术期和危重病人治疗的常规程序。但在信息技术的数量、质量、开始和持续时间等问题上存在争议。现代信息技术包括晶体溶液的静脉注射,更少的是胶体溶液。输液的种类、数量和速度取决于输液治疗的适应症和患者的具体要求。目前胶体溶液的适应症有限。晶体溶液用于低血容量或脱水患者的IT,纠正游离水缺乏症,纠正电解质紊乱,补充正在发生的液体损失,并替代无法口服饮水的患者。所有患者应结合临床参数和实验室检查进行监测。应确定治疗终点。当达到这些终点时,应适当减少液体治疗的时间,以避免过度水化。
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引用次数: 0
Nutritional support in the complex therapy of clostridial infection after surgery 营养支持在手术后梭状菌感染综合治疗中的应用
Pub Date : 2023-07-18 DOI: 10.17816/clinutr347723
T. Kuzmina, O. Smirnova, A. Sergeeva, A. Baychorov
In a clinical case we can see the tactics of nutritional support in a patient with pseudomembranous colitis after repeated consecutive operations on the abdominal organs, which led to significant violations of the nutritional status. Nutritional status was assessed using traditional methods: determination of anthropometric parameters (shoulder circumference (OC), thickness of the skin-fat fold over the triceps (TSA)), assessment of clinical and biochemical blood tests. The main aim of demonstrating a clinical case is to show the significance, timeliness, and adequacy of nutritional support in the complex therapy of Clostridium difficile infection. Competent, individually selected correction of protein-energy deficiency in patients with pseudomembranous colitis allows achieving an effective treatment result, avoiding severe complications such as perforation, toxic dilatation, and bleeding. The peculiarity of this clinical case is that a patient with perforation of Meckel's diverticulum and abdominal abscess developed a complication - secondary widespread peritonitis, phlegmon, which required repeated surgical interventions. Surgical treatment and massive antibiotic therapy led to the development of Clostridium difficile infection, during the treatment the patient developed multiple loose stools and Clostridium difficile toxins A and B were detected. Severe pseudomembranous colitis was accompanied by protein-energy deficiency (hypoproteinemia, hypoalbuminemia), severe dehydration, hypokalemia, hyponatremia, and moderately severe anemia of complex genesis. When selecting nutritional support for patients with clostridial infection, it is important to take into account severe systemic inflammation, which affects the absorption and absorption of the intestinal wall, which in turn determines the route of introduction of nutrient substrates. In this case we need to choose the right method for correcting the nutritional status.
在一个临床病例中,我们可以看到一个假膜性结肠炎患者在腹部器官反复连续手术后,营养支持的策略,导致营养状况明显违反。采用传统方法评估营养状况:测定人体测量参数(肩围(OC),三头肌皮肤脂肪褶厚度(TSA)),评估临床和生化血液测试。展示一个临床病例的主要目的是表明在艰难梭菌感染的复杂治疗中营养支持的重要性、及时性和充分性。对假膜性结肠炎患者的蛋白质能量缺乏进行有能力的、单独选择的纠正,可以达到有效的治疗效果,避免穿孔、毒性扩张和出血等严重并发症。本病例的特点是一例梅克尔憩室穿孔并发腹部脓肿,并发继发性广泛腹膜炎、痰,需要反复手术治疗。手术治疗和大量抗生素治疗导致艰难梭菌感染的发展,治疗期间患者出现多次稀便,检出艰难梭菌毒素A和B。严重假膜性结肠炎伴发蛋白能量缺乏(低蛋白血症、低白蛋白血症)、严重脱水、低钾血症、低钠血症和复杂成因的中重度贫血。梭菌感染患者在选择营养支持时,必须考虑到严重的全身性炎症,这会影响肠壁的吸收和吸收,进而决定营养底物的引入途径。在这种情况下,我们需要选择正确的方法来纠正营养状况。
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引用次数: 0
Methods of selection of probiotic microorganisms with high adhesive properties 高黏附性益生菌微生物的筛选方法
Pub Date : 2023-05-16 DOI: 10.17816/clinutr321901
N. Mashentseva
The ability to adhere to the intestinal epithelium is a classic criterion for the selection of potential probiotic bacteria, which can lead to temporary colonization, which will promote immunomodulatory effects, as well as stimulate the intestinal barrier and metabolic functions. In this research paper, several methods of selection of probiotic microorganisms are considered in order to determine the most useful and proliferative strains for subsequent use in clinical practice in the correction of metabolic disorders and relief of inflammatory processes of the gastrointestinal tract.
粘附肠道上皮的能力是选择潜在益生菌的经典标准,它可以导致暂时定植,从而促进免疫调节作用,并刺激肠道屏障和代谢功能。在本研究中,考虑了几种选择益生菌微生物的方法,以确定最有用和增殖的菌株,以便在临床实践中用于纠正代谢紊乱和缓解胃肠道炎症过程。
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引用次数: 0
The choice of a enteral formula in patients in the acute period of critical ill with brain damage in the neurocritical care unit 选择肠内配方的病人在急性期重症脑损伤在神经危重监护病房
Pub Date : 2023-05-15 DOI: 10.17816/clinutr321122
K. I. Krylov, S. Sviridov, I. Vedenina, R. Yagubyan
Nutritional support is an important and integral part of the treatment process for critically ill patients. Patients after neurosurgical interventions and patients with damage to the central nervous system, for example, due to acute ischemic stroke (AIS), may be due to the severity of the condition in the intensive care unit. This is a separate category of patients and nutritional support for this category of patients has its own characteristics. Enteral nutrition, as the most physiological type of nutrition, should be an integral part of the treatment process in the intensive care unit. In patients in the acute period of a severe condition with brain damage, in addition to the metabolic response to damage, there are also factors that limit the implementation of enteral nutrition: the brain damage itself, being in intensive care, and methods of intensive therapy. The choice of an enteral formula in this category of patients is complex and fundamental to provide adequate nutritional support to cover energy and protein requirements. The purpose of this scientific review is to highlight the issues of choosing a mixture for enteral nutrition of patients in the neurocritical care unit (NICU) who are in the acute period of a critical ill.
营养支持是危重病人治疗过程中重要而不可或缺的一部分。神经外科干预后的患者和中枢神经系统受损的患者,例如,由于急性缺血性中风(AIS),可能会因病情严重而住进重症监护室。这是一个单独的患者类别,对这类患者的营养支持有其自身的特点。肠内营养作为最具生理性的营养类型,应成为重症监护病房治疗过程中不可或缺的一部分。在严重脑损伤急性期患者中,除了对损伤的代谢反应外,还有一些因素限制了肠内营养的实施:脑损伤本身,处于重症监护中,以及强化治疗的方法。在这类患者中,肠内配方的选择是复杂和基本的,以提供足够的营养支持,以满足能量和蛋白质的需求。本科学综述的目的是强调在神经重症监护病房(NICU)重症患者的急性期选择肠内营养混合物的问题。
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引用次数: 0
Semielemental mixtures and their role in the nutrition of operated children 半元素混合物及其在手术儿童营养中的作用
Pub Date : 2023-05-15 DOI: 10.17816/clinutr313070
Julia V Erpuleva
Abstract The lecture is intended for professionals dealing with issues of enteral nutrition in children. The lecture discusses the main indications for the use of mixtures based on hydrolyzed protein. The features of the gastrointestinal tract of young children are described, the advantages of using whey protein are noted. Key words: children, enteral nutrition, hydrolyzed protein, whey protein, early postoperative period
本讲座是为处理儿童肠内营养问题的专业人员准备的。讲座讨论了使用水解蛋白混合物的主要适应症。描述了幼儿胃肠道的特点,并指出了使用乳清蛋白的优点。关键词:儿童,肠内营养,水解蛋白,乳清蛋白,术后早期
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引用次数: 0
Interview with Doctor of Biological Sciences, Professor, Laureate of the State Prize of the USSR, Laureate of the Moscow Government Prize in Medicine Tamara Sergeevna Popova 采访生物科学博士,教授,苏联国家奖获得者,莫斯科政府医学奖获得者塔玛拉·谢尔盖耶夫娜·波波娃
Pub Date : 2023-04-25 DOI: 10.17816/clinutr322033
S. Sviridov
No
没有
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引用次数: 0
Russian multicenter comparative low-intervention study of the effect of perioperative high-protein nutritional support on postoperative outcomes in the treatment of primary lung cancer. 俄罗斯多中心低干预对比研究围手术期高蛋白营养支持对原发性肺癌治疗术后结局的影响。
Pub Date : 2023-04-19 DOI: 10.17816/clinutr139225
O. Obukhova, Larisa Ya. Volf
Abstract. Rationale. Nutritional support, including sips, is an integral part of anticancer treatment, including during surgical treatment of non-small cell lung cancer (NSCLC). Existing evidence for the effectiveness of nutritional support in this cohort of patients is limited. We suggest that the perioperative administration of a balanced polymeric hypercaloric high-protein enteral nutritional formula by sipping as an additional nutrition can have a positive effect on the results of surgical treatment. Material and methods. Russian multicenter comparative low-intervention study of the effect of perioperative high-protein nutritional support on postoperative outcomes in the treatment of primary lung cancer with parallel groups, 1:1 randomization. The study will include 114 patients with newly diagnosed NSCLC who are scheduled for surgery. It is expected to provide nutritional support in the perioperative period for 14 days before surgery and for 14 days after it. Discussion. The need for nutritional support in oncology is not in doubt, but its impact on the results of surgical treatment of NSCLC is not numerous. The present study may become one of the first evidence-based studies confirming the effectiveness of perioperative nutritional support with high-protein mixtures in patients with NSCLC and will allow further study of the strategy of nutritional support in this category of patients. Registration of the study. Protocol version and date: NUTRILUNC v.1.2 dated June 10, 2022. Study ID: РНИ.40.002. The study is registered in the register NARNIS (https://narnis.ru).
摘要基本原理。营养支持,包括小瓶,是抗癌治疗的一个组成部分,包括在非小细胞肺癌(NSCLC)的手术治疗期间。现有证据表明营养支持在这组患者中的有效性是有限的。我们建议围手术期服用平衡的聚合物高热量高蛋白肠内营养配方,作为一种额外的营养,可以对手术治疗结果产生积极的影响。材料和方法。俄罗斯多中心低干预对照研究,平行组,1:1随机分组,观察围手术期高蛋白营养支持对原发性肺癌术后预后的影响。该研究将包括114名新诊断的NSCLC患者,他们计划进行手术。预计术前及术后14天围手术期提供营养支持。讨论。肿瘤学对营养支持的需求是毋庸置疑的,但其对非小细胞肺癌手术治疗结果的影响并不多。本研究可能成为首个以证据为基础的研究之一,证实高蛋白混合物在非小细胞肺癌患者围手术期营养支持的有效性,并将进一步研究这类患者的营养支持策略。研究注册。协议版本和日期:2022年6月10日的NUTRILUNC v.1.2。研究ID: РНИ.40.002。该研究已在NARNIS注册(https://narnis.ru)。
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引用次数: 0
期刊
Journal of clinical nutrition and metabolism
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