[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.

[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.

[NUTRITION AS A POSSIBLE RISK FACTOR FOR BREAST CANCER].

UNLABELLED: Nutrition is an important biological factor, which affects largely on the development of the all functions of the human body. There is known association of the appearance of breast cancer with alimentary factors: inadequate consumption of fruits, vegetables, dairy products, excessive consumption of coffee, tea, sugar, salt, bread, fatty foods, overweight, early age of onset and frequent alcohol consumption. AIM OF THE STUDY: To study the prevalence of risk factors for breast cancer related to nutrition in the female population of the Omsk region. METHODS: An epidemiological (observational analytical) study of "case-control", which was participated by 1002 women (797 women without breast cancer; 205--with breast cancer). In the study there were used epidemiological, hygienic, sociological, statistical methods. RESULTS: Out of 13 risk factors for the development of breast cancer related to nutrition, for female residents of the Omsk region there were confirmed their importance: a significant consumption of black tea (OR: 5,182, CI: 95% 3,721 ÷ 7,218), an early age of onset of alcohol consumption (OR: 4,832, CI: 95% 3,477 ÷ 6,715), overweight (OR: 1,440, CI 95% 1,005 ÷ 2,062). Such factors as low consumption of fruit and dairy products, increased consumption of fats with high content of cholesterin, salt and coffee failed to confirm their relevance. CONCLUSION: In the female population of the Omsk region the leading risk factors for development of breast cancer related to diet, are: excessive consumption of black tea, early age of onset of alcohol use, high body mass index.

[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 SUBSTANTIATION OF NUTRITIONAL PREVENTION OF HYPOVITAMINOSIS B9 AND B12 IN THE POPULATION OF THE OMSK REGION].

The aim of the study--the assessment of the prevalence of hypovitaminoses B9 (folic acid) and B12 in the population of the city of Omsk and the determination of the possibility of their nutritional prevention. The subject of study--the adult population (18-59 years). The actual nutrition was studied by method of analysis of the frequency of food consumption. Prevalence of hypovitaminoses B9 and B12 was estimated upon the results of laboratory tests of blood by immunochemiluminiscent methods. Established prevalence of hypovitaminoses B (folic acid) and B12 in the population of the city of Omsk accounted for 63.2 ± 5.8% and 13.2 ± 4.1%, respectively. There was shown the possibility of correction of supply with vitamins by means of regular taking offermented dairy product "Prolacta". The serum content of vitamin B12 after a 2-month course of daily use of the product was increased by 17.8%, and the serum folate content--by 29.1%. The proportion of cases with insufficient content ofvitamin B9 in the experimental group decreased from 80.0 ± 6.8% to 38.7 ± 8.7%.

[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).