[Assessment of the role of nutritional and genetic determinants in the formation of the risk of diseases associated with folate cycle disorders in the population of the Omsk region].

A number of essential nutrients are involved in the folate cycle, and its effectiveness depends on the sufficient intake of them. In addition, polymorphic variants of the methylenetetrahydrofolate reductase (MTHFR), methionine synthase reductase (MTRR) and methionine synthase (MTR) genes affect a wide range of biochemical reactions of the folate cycle and should also be considered as a risk factor for the development of a number of diseases. The purpose of this research was to study the prevalence of these risk factors. Material and methods. The prevalence of polymorphisms of the folate cycle genes: C677T polymorphism of the MTHFR gene and A66G polymorphism of the MTRR gene in a random stratified (by sex and age) sample of the adult population of the Omsk region [n=139, 51 men, 88 women, aged 18 to 75 years, median age 37 (26; 48) years] was studied. The identification of polymorphisms was carried out by the method of allele-specific polymerase chain reaction with an electrophoretic detection scheme. Using the food intake frequency questionnaire, the dietary intake of nutrients involved in the folate cycle was determined: B vitamins (B6, B2, B9, B12), methionine, choline, in a representative stratified sample of residents of the Omsk region [n=421, 177 men, 244 women, aged 18 to 83 years, median age 37 (23; 57) years]. Results. MTHFR genotypes (A222V С677T C>T) were distributed as follows: CC-type - 51.3%, CT - 41.0%, TT - 7.7%; MTRR genotypes (I22M A>G): AA type - 57.9%, AG - 30.3%, GG - 11.8%. The analysis of actual nutrition showed consumption below the recommended dietary intake of folates in 88.2% persons, vitamin B2 and choline - in 40.5%, vitamin B6 - in 29.2%, methionine - in 22.0%. Vitamin B12 intake was within the recommended range. Conclusion. The totality of the data presented indicates the combined influence and wide distribution of factors that determine the low efficiency of the folate cycle, and, as a result, a high risk of developing a characteristic pathology for the adult population of the region, which determines the need and priorities for prevention measures, including healthy nutrition.

[Characteristics of the macronutrient composition of diet and some somatometric indicators of patients with tuberculosis].

Relevance of the diet to the physiological needs of the organism is an important factor determining the incidence of tuberculosis in the world and effectiveness of its treatment. The need to study actual nutrition and nutritional status is determined by its significant changes in recent decades. Aim: to study the actual nutrition and assess somatometric indicators of the nutritional status of patients with pulmonary tuberculosis in the acute stage. Material and methods. 217 men and 83 women, the average age of 42.9±0.7 years have been examined. Design: cross-sectional (simultaneous) epidemiological study. Research period: 2018. The method of analyzing the frequency of food consumption for the month preceding hospitalization has been applied. The somatometric indicators (height, body weight, waist, hip, shoulder girth) have been analysed, body mass index (BMI) have been determined. Results and discussion. 77.7±2.4% showed non-compliance of the diet energy with the recommended values, an imbalance in diet according to the content of macronutrients was noted in 88.0%, insufficient amount of protein in the diet, taking into account the existing disease, in particular - animal protein was observed in 68.3% of the examined. Excessive intake of fats, including saturated fatty acids took place in 52.0%, cholesterol in 51.0%, as well as insufficient intake of dietary fiber was revealed in 38.7% of the examined. 19.3% had a malnutrition degree 1 (according to BMI), 11.7% had a 2nd degree, and 2% had a 3rd degree, respectively. BMI within normal limits (according to WHO criteria) was recorded in 57.7% of patients. The proportion of patients with overweight and obesity did not exceed 10% (7.3 and 2.0%, respectively). Conclusion. The assessment of the nutritional status of patients suffering from tuberculosis and the identification of the macronutrient imbalance of their diet determine the need for their correction in the organization of therapeutic nutrition.

[Provision of vitamin D in the adult population of Western Siberia: a population-based study].

The results of research in recent years indicate a widespread low intake of vitamin D, its deficiency or lack among the population of many countries around the world. It is of interest to study vitamin D status of the population living at different geographic latitudes and depending on socio-demographic characteristics. The aim of the research is to analyze vitamin D status of the adult population living in the Omsk Region over the age of 18 in different seasons of the year. Material and methods. Evaluation of vitamin D status has been carried out in 818 adult residents (325 men and 493 women) aged 18 to 92 years, the median of age - 49 (35; 63) years. Vitamin D status was determined by the level of [25 (OH) D] in serum by the method of immuno-chemiluminescent or electrochemiluminescent analysis. Design: cross-section (simultaneous) uncontrolled epidemiological study. Research period: 2017, from January to December. Results and discussion. 25.8±1.5% showed optimal vitamin D provision, insufficient vitamin content was found in 32.5±1.6% of studied participants, and deficit in 41.4±1.7%. The median level of 25(OH)D for all subjects was in the suboptimal sufficiency range and amounted to 22.17 (16.5; 30.3) ng/ml. The lowest level of the metabolite has been registered in patients over the age of 80 years - 16.5 (13.2-22.6) ng/ml, at the age of 70-79 years - 19.1 (12.9-26.9) ng/ml. In persons aged 18-60 years, the median concentrations were higher (22.2-24.8 ng/ml) and did not differ in the age groups. Deficiencies of varying degrees were most prevalent in age groups over 80, 70-79, and 50-59 years. Slightly better sufficiency of men compared with women has been revealed (p=0.052). Seasonal differences were found in the nature of vitamin D supply characterized by a deficit state from January to June [median 18.7 (13.9; 23.5) ng/ml] and a state of insufficiency from July to December [median 24.8 (17.8; 32.04) ng/ml]. The dependence of the level of vitamin D status on the number of sunshine days during the periods of 15-90 days preceding blood collection hasn't been established. Conclusion. The problem of insufficiency of vitamin D applies to all age groups of the adult population of the region of Western Siberia, especially those over 70 years of age. For the first half of the year, predominantly deficient states are characteristic, and for the period from July to December - the state of vitamin D insufficiency in the residents.

[Occupational burnout syndrome in workers of radio and television broadcasting center.]

Occupational burnout syndrome - an important health risk factor - is seen not only in social occupations, but also in "subject-object" occupation professionals. Complex study of work conditions and health used V.V. Boiko test for assessment of emotional burnout level in radio and television broadcasting center personnel. Considerable share (53,3%) of main occupations workers in radio and television broadcasting center demonstrates high level of occupational burnout (exhaustion phase has developed or is being developed). Median total points of occupational burnout syndrome equalled 123 (74,0; is5,0) that is higher than the similar parameter for many "subject-object" occupations. Emotional defence is manifested by withdrawal from emotional show at work, increased distance in communication with colleagues, at home with relatives, avoidance of work demanding emotional charge. Longer length of service is connected with less open emotions not only in occupational sphere, but outside profession with relatives, friends. The results obtained point to predisposition for lower performance and health disturbances, necessitate consideration of this factor in complex evaluation of work conditions and health of personnel engaged in radio and television communications.

[Hygienic substantiation of application of functional dairy products in the prevention of macro- and micronutrient deficiency].

Based on the study of actual nutrition and availability of macroelements there was found that adult population of the city of Omsk was established to refer to the group at risk for the development of micronutrient deficiency associated with low content of a set of essential elements (copper, zinc, calcium, selenium) in the ration, being prior for correction.There was executed the hygienic substantiation developed the fermented acid milk bioproduct of a functional purpose "Bifidin" enriched with micronutrients, prior for the population of the Omsk region. Introduction of this bio-product into the ration allows to effectively correct disorders of the mineral status, that was manifested in a decline in the proportion of patients with insufficiency of calcium (from 37.9 to 24.1%; p = 0.013), copper (from 51.7 to 25.9%; p = 0.004), selenium (from 96.6 to 84.5%; p = 0.026), zinc (from 58.6 to 48.3% of the subjects; p = 0.264). Upon the completion of the prophylactic course (intake "Bifidin" of 200 ml for 60 days), there was noted the gain in the concentration in hair: calcium (by 24.4%; p=0.441), zinc (by 8.0%; p=0.0008), copper (by 8.8%; p < 0.001), selenium (by 41.5%; p < 0.001). There was established the efficacy of the use of bio-product "Bifidin" enriched with micronutrients for the improvement of the structure of nutrition and element status of the adult population of the city of Omsk. There was justified the extensive use of dairy products enriched with micronutrients both for the reduction of the prevalence of microelementoses and the improvement of the nutritional status.

[INFLUENCE OF THE REGULAR INTAKE OF FERMENTED MILK PRODUCTS ENRICHED BY MICRONUTRIENTS ON SOME INDICES OF IRON METABOLISM IN ADOLESCENTS INVOLVED IN SPORTS].

There was performed an experimental study of the influence of regular intake offermented milk enriched by products "Bifidin" and "Prolacta" on indices of iron metabolism in adolescents of 12-17 years, involved in sports (n = 94). In all study participants there was made double blood test (every 60 days), there were determined the levels of hemoglobin, serum iron, serum ferritin, C-reactive protein. The intervention in the main group (n = 68) was in daily intake offermented milk product in a volume of 200 ml (1 Cup) in addition to the normal diet within 2 months, including 35 cases who had used the bioproduct "Bifidin" and 33 persons- bioproduct "Prolacta". The control group was consisted of 26 persons from the adolescents engaged in the same sections, but not taking additional fermented milk drinks. The average values of all studied indices in adolescent athletes of the main and control groups before and after the intervention were consistent with reference values. Latent iron deficiency was detected in 23.4 ± 4.4% of adolescents involved in sports. At the second point of the research in two months of intake of enriched dairy products in the main group there was noticed the gain in levels of serum iron, ferritin, and the decline of the concentration of C-reactive protein. The results of the study allow us to consider enriched dairy products "Bifidin" and "Prolacta" as one of the components of complex measures of prophylaxis of hypovitaminosis and microelementoses in adolescents who are actively involved in sports.

[THE EFFECTIVENESS OF EDUCATIONAL PROGRAMS FOR THE IMPROVEMENT OF POPULATION DIETARY PATTERNS AND PREVENTION OF ANEMIAS].

There was performed an experimental study of the use of educational programs as tools of the improvement of the structure of nutrition and primary prevention of anemias associated with nutrition. Educational programs were differentiated for each of the target audience (pupils of 5-7 classes, 1-4 year students of the medical school, the adult unorganized population; n = 645). Their efficacy was evaluated with the use of issues included in the educational program and analysis of the actual nutrition (only in groups of students and adults). Performance assessment were: testing on the issues included in the educational program and analysis of actual of dietary intake (only in groups of students and adults). Testing was performed at the points: before the intervention, immediately after 6 and 12 months after intervention. An analysis of the frequency of food consumption with an estimation of the actual consumption of nutrients was carried out at the initial and final points. There was noted the low level of public knowledge about the principles ofrational nutrition: the proportion ofcorrect answers, reflecting the level of awareness ofconstructing an optimal diet in the starting point of the study was 25%for schoolchildren, 45%--in adults, 35%--the students, after the intervention--75%, 90% and 85% respectively. One year after the implementation of the educational program the level ofresidual knowledge of study participants remained at a level above the original (the proportion of correct answers during testing of schoolchildren--50% (p < 0.001 to baseline), in adults--60% (p = 0.0005), students--60% (p < 0.001). There were also noted positive changes in the structure of nutrition of study participants 12 months after the intervention: in relation to the initial level there was increased consumption of ascorbic acid and calcium in students, decreased consumption of animal fats in adults and students, there was noted a trend towards increased consumption of dietary iron (p = 0.059). The obtained results testify to the effectiveness of educational programs as a means for the improvement of the structure of the nutrition in different groups of the population and primary prevention of micronutrient deficiencies and diseases with dietary risk factors, including anemia.

[COMPARATIVE ANALYSIS OF TRACE ELEMENT COMPOSITION OF HAIR IN URBAN RESIDENTS OF WESTERN SIBERIA].

There was performed a study of the element status (hair analysis) of the population of the two cities of Western Siberia: Surgut (n = 350) and Omsk (n = 385). Detection of elements was performed by atomic emission and mass spectrometry methods. The population of Surgut when compared with residents of Omsk bioelements were characterized by a more high content of B, Cu, Co, Fe, Mg, I, Zn (p < 0.001), and a lower content of Cr, Se (p < 0.001). Scarce elements for Omsk residents were 1, Se. In hair of Surgut residents in more higher concentrations there were detected toxic and potentially harmful elements such as Pb, Hg, Be, Cd, Li, Sn (p < 0.001). At the same time there were lower than in Omsk residents values of concentrations of Al, As, V In comparison groups there are established statistically significant differences of coefficients used for the evaluation of the metabolic activity, such as the Na/K, Ca/K, Na/Mg, Fe/Cu. In a sample of the city of Surgut coefficients Ca/K, Fe/Cu and "toxicity index" had the high values. The established differences in the availability of macro- and trace elements for the population of territories are determined by climatogeographic, geochemical features and the specificity of the structure of nutrition.

[HYGIENIC SUBSTANTIATION OF THE PREVENTION OF NUTRITION ASSOCIATED ANEMIA WITH THE AID OF FORTIFIED FERMENTED MILK BIOPRODUCT].

The pilot controlled study proved the effectiveness of enriched fermented milk product "Prolacta" as means of the primary prevention of nutrition-associated anemia, firstly, at the stage of latent iron deficiency. The study included 166 adult residents of the city of Omsk. Among examined patiens there were 48 (30%) men and 118 (70%) women aged from 18 to 59 years (mean age: 29.2 ± 0.84 years). Experimental group (79 persons) over two months took 1 glass (200 ml) of bioproduct "Prolacta" daily. The control group (87 people) no received this product neither used supplements or other vitamins and minerals. The groups were matched by gender and age. As criteria for the deviation from the normal settings there were accepted following values: the concentration of hemoglobin (Hb)--less than 130 g/l in men and less than 120 g/l in women; serum iron level--less than 12.5 µmol/L, serum ferritin in men less than 95 µg/l, in women--less than 30 µg/l. The proportion of persons from the main study group with latent iron deficiency decreased from 41.8% to 25.3% (p < 0.05), the proportion of subjects with normal iron supply increased significantly (from 26.6 to 41.8%; p < 0.05). Regular consumption of fermented milk enriched with bio "Prolacta" as a means of preventing the deficiency of micronutrients and nutrition-related anemia in large extent is recommended to persons from groups at-risk (athletes, children and adolescents, and women of reproductive age). Preventive effects of this product are combined with the nutritional benefits of dairy products, its use improves the structure of nutrition of the population

[HYGIENIC ASSESSMENT OF WATER-SOLUBLE VITAMINS CONTENT IN THE FOOD RATION OF ADOLESCENTS].

INTRODUCTION: Adequate, balanced nutrition is a precondition for the formation of health of the younger generation. The study of the dietary intake and peculiarities of the chemical composition offood is needed to substantiate measures aimed at the correction of the ration of adolescents. PURPOSE: Hygienic evaluation of the content of water soluble vitamins in foods and the ration of teenage population of the Omsk region. TASKS OF THE STUDY: 1. To determine levels of water-soluble vitamins content in foods forming the basis of the ration of the population the Omsk region. 2. On the base of a study of the actual nutrition of adolescents to determine the levels of water-soluble vitamins consumption. 3. To give a hygienic assessment of adolescent nutrition in the Omsk region in terms of provision with water-soluble vitamins, and to identify priority directions of the alimentary correction of the revealed disorders. METHODS: The analysis of 389 food samples for the content of water-soluble vitamins (B1, B2, B6, PP C, folic acid) was performed with the use of reversed-phase HPLC high pressure on the Shimadzu LC-20 Prominence detector. The hygienic assessment of the actual nutrition of adolescents aged 13-17 years (sample survey; n = 250; 2012-2014) in the Omsk region was performed by the method of the analysis of food consumption frequency. RESULTS: There were noted significantly lower concentrations of vitamin B1 and B2 in the studied samples of cereals, bread and vegetables in comparison with reference data. Consumption levels of vitamins B1, B2, PP folic acid in the diet of adolescents in the Omsk region are lower than recommended values. In the structure of nutrition there is not enough milk dairy products--in 82.4 ± 2.4%, fish and sea products in 90.8 ± 1.8% of adolescents. CONCLUSION: The actual nutrition of the adolescent population of the Omsk region is irrational, unbalanced in quantitative and qualitative terms, and does not provide the necessary level of consumption of most important water-soluble vitamins. Priority for the correction nutrients there are B1, B2, folic acid (B0).

[STUDY OF GLUTATHIONE AND ENZYMES OF ITS METABOLISM UNDER THE INFLUENCE OF ENRICHED DAIRY PRODUCTS FOR PROPHYLACTIC USE IN CONDITIONS OF OXIDATIVE STRESS CAUSED BY EXCESSIVE EXERCISE].

There was performed the study of the activity of the antioxidant system of glutathione under regular taking of enriched with micronutrients dairy products "Bifidin " and "Prolacta" in conditions ofsimulation of xcessive exercise loads. Target of research: white outbred male rats weighing 180-200 g (n = 68). Research methods and equipment: information retrieval, biochemical, and statistical. In the subacute experiment there was established that in conditions of excessive exercise loads (CEEL) the body of the rat meets with significant oxidative stress, causing the suppression of the activity of glutathione system: the number of reduced glutathione and the activity of selenium-dependent glutathione-peroxidase decline. Regular taking of dairy products "Bifidin" and "Prolacta" in conditions of CEEL (active training process) allows effectively to neutralize lipid peroxidation processes and normalize indices of the system of glutathione. There is established an increase in the activity ofglutathione-S-transferase in the homogenates of liver tissue in the simulation CEEL in combination with the use ofproduct "Bifidin".

[HYGIENIC ASSESSMENT OF THE LIPID COMPONENT IN THE STRUCTURE OF NUTRITION OF STUDENT YOUNG ADULTS].

The actual nutrition of the Omsk University students aged 18-27 years, was studied with the use of the method of the analysis of the frequency of food consumption. There is done quantitative assessment of nutrient consumption related to the fat component of food. There is described the qualitative composition of lipids and its effect on indices of the nutritional status assessed with the use of somatometric, bioelectric impedance and laboratory methods. The nutrition of students is established to be irrational, unbalanced on the lipid component and creates conditions for the formation of diseases with alimentary dietary risk factors. Traditional indices of nutritional status (BMI, W/HR) at this are within the boundaries of normal values, but the composition of the body under the influence of an excess of animal fats with a deficiency of essential polyunsaturated fatty acids is altering that can be diagnosed with the aid of bioimpedance measuring method. There are established correlation relations between the parameters ofconsumption of dietary lipids and indices of the nutritional status in young adults.

[Hygienic evaluation of the efficacy of the regional program of the modernization of school meals (on the example of Altai Krai)].

With the use of the method for the analysis of the frequency of food intake there was studied the actual nutrition in adolescents at the age of 12-17 years (n = 257) who were the students of the urban and rural educational institutions (EI) of Altai Krai. The analysis of the menu-layout and assessment of nutritional status was performed with the use of clinical methods. The main group consisted of 125 adolescents from the EI with upgraded technological equipment of the nutrition unit, the comparison group--132 teenagers from EI with non-upgraded equipment of the nutrition department. The program of the modernization of school meals was implemented in several ways and included the reconstruction and technical re-equipment of school nutrition units on the base of modern technologies, delivery and introduction in accordance with the requirements of the school menu, differentiated by age groups with the use of food products aimed at the prevention of diseases caused by micronutrient deficiency. This led to the enlargement of the assortment of dishes, the increase of the coverage for catering students, improvement of the structure of student nutrition, the increased in the intake of a number of nutrients. Symptoms of skin lesions associated with insufficient provision of micronutrients in a core group of students occurred less common than in the comparison group (p < 0.01).

[The Bayesian framework of detection of cariesgenic Streptoccocus in dental plaque in children with distal occlusion under orthodontic treatment].

The application of Bayes theorem in medical diagnostic includes such important step as derivation for every symptom and diagnosis data values of finite or a posteriori probability of presence of germ, for instance S. sanguis, in patients receiving orthodontic treatment. This value expresses importance of the given symptoms for detection of germ presence. In the implemented studies the Bayes theorem was applied to evaluate probability of presence of particular germ in particular concentration (degree of semination, CO) under concrete symptom group. The rates were used to calculate probability of presence of cariesgenic streptococcus S. mutans and S. sanguis in prospect patient. The rates were calculated for the group with fixed orthodontic apparatuses. The high degree of risk of development of caries in children under orthodontic treatment is conditioned by a whole complex of existing unfavorable factors present in oral cavity. Hence, a powerful negative potential to develop expressed cariesgenic situation in oral cavity is present. The analysis of medical data of patients with distal occlusion was applied using Bayes theorem from the point of view their diagnostic value. The study established 36 symptoms, factors, risk factors and background diseases common in case of distal occlusion in children. The probability to detect the mentioned characteristics and likelihood ratio under different degree of concentration of cariesgenic Streptococcus mutans and Streptococcus sanguis in dental plaque of children was considered. The establishment of character of likelihood ratio for different qualitative content of streptococcus in case of isolation from biotope of dental plaque permitted to determine the informative characteristics. The Bayesian model can be applied in clinics as a computer program to process incoming information about patients with distal occlusion under active orthodontic treatment. The developed diagnostic algorithm in a fast and simple mode of clinical detection of caries and determination of concentration of cariesgenic Streptococcus.

[Impact of drinking water calcium and magnesium levels on morbidity in the Omsk Region].

Drinking water calcium and magnesium levels were examined for impact on morbidity in a model rural area of a West Siberian region. It was ascertained that there were negative correlations between the water levels of the above elements and the incidence of respiratory, gastrointestinal, and locomotor diseases and positive correlations between the concentrations of calcium and magnesium and the incidence of nervous, urogenital, and eye diseases. It is concluded that by adjusting the findings, the medical care availability factor should be taken into account in the investigations using the health indices calculated on the data from official medical accounts. This investigation has shown the estimation of the drinking water levels of calcium and magnesium as a significant hygienic problem for a model region.

[Organization of sanitary and epidemiological measures to protect the Omsk region involved in epizootia of avian flu].

In article organizational aspects of carrying out preventive and antiepidemic actions at a regional level are considered at the bird's flu epizootia. Epizootic researches have shown, that infection of poultry has taken place as a result of contact to a wild bird. Serological inspection 521 persons on presence of antibodies to a influenza A (H5N1) has not revealed seropositive persons. The conclusion, that the forecast of development of a situation for spring of 2006 is made in view of a direction of migration of a wild waterfowl is unfavourable.

[Surveillance measures at joint-stock company "Poultry Farm Lubinskaya" during the period of avian flu epizootia in Omsk region].

The organization of sanitary-and-epidemiologic supervision of an integrated poultry farm during epizootia of avian flu is devoted. The unsuccessful situation demands acceptance of additional measures which provided performance antiepizootic, preventive and antiepidemic measures with a view of restriction and distribution of an infection on poultry-farming enterprise. The disinfection barriers of several levels are established. Are organized a sanitary filtrates for the personnel and regular medical supervision over workers of the enterprise and their families. It is carried out the serological control over presence of specific antibodies to a virus of influenza virus among the workers contacting to a bird. Monitoring research of tests of blood of birds on antibodies to the influenza virus was carried out since August, 2005.