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1.
Vopr Pitan ; 93(1): 72-79, 2024.
Artigo em Russo | MEDLINE | ID: mdl-38555611

RESUMO

Despite the widespread use of oat ß-glucans as ingredient of foods and dietary supplements, there is insufficient data on their effect on the metabolism of vitamins and minerals. The purpose of the study was to evaluate the effect of including oat bran with a high content of ß-glucans (ß-glucan) in the diet on the absorption of micronutrients and lipid metabolism in growing rats deficient in vitamins D, group B and trace elements (iron, copper, zinc). Material and methods. After the development of micronutrient deficiency (for 23 days), in order to assess the effect of oat bran (5%) with a high content of ß-glucans on the correction of the micronutrient status of growing male Wistar rats (with initial body weight of 70.7±0.7 g), the missing micronutrients were introduced in the semi-synthetic diet deficient in vitamins D, group B, iron, copper and zinc within 7 days either along with ß-glucan (1.47%) or without its addition. Indicators of micronutrient sufficiency (riboflavin serum concentration, daily urinary excretion of thiamine, riboflavin and 4-pyridoxic acid, measured by fluorometric methods; serum concentration and urinary excretion of calcium, magnesium, iron, zinc, copper, phosphorus, measured by the atomic absorption method or using standard methods on a biochemical analyzer) and the biochemical parameters of blood serum were compared with the parameters of rats adequately provided with all micronutrients throughout the experiment. Results. Replenishment of missing micronutrients in the diet of rats with deficiency in vitamins D and group B, iron, copper and zinc for 7 days led to the elimination of deficiency of vitamins B1, B2 and B6, regardless of the presence of ß-glucans in the diet. At the same time, against the background of the presence of ß-glucans in the feed, an increase in the absorption of iron was observed, as evidenced by an increase by 1.73 times in iron blood plasma level (р<0.05) and a tendency towards its urinary excretion decrease by 1.60 fold (р<0.10) compared to animals from the control group. Adding oat bran with ß-glucans to the feed did not lead to a decrease in blood plasma level of total cholesterol and low-density lipoproteins cholesterol. The levels of high-density lipoprotein cholesterol and triglycerides in rats of all three groups did not have statistically significant differences. Conclusion. The presence of ß-glucans in the diet had virtually no effect on the absorption of B vitamins and improved the absorption of iron.


Assuntos
Oligoelementos , Complexo Vitamínico B , beta-Glucanas , Masculino , Ratos , Animais , Avena , Cobre , Metabolismo dos Lipídeos , Ratos Wistar , Minerais , Tiamina , Dieta , Riboflavina , Micronutrientes , Ferro , Zinco , Colesterol
2.
Vopr Pitan ; 91(5): 6-15, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36394925

RESUMO

Despite the existence of sufficiently effective drug therapy, interest in additional dietary interventions that improve the clinical condition of patients with the most common alimentary diseases is constantly growing; as well as the inclusion of biologically active compounds (BAC) of plant origin as functional ingredients in foods for special dietary uses (FSDU) and dietary supplements is intensively developing. The purpose of the review is comparison of curcumin doses allowed for use in dietary supplements and FSDU with doses that provide a clinical effect, as well as an analysis of ways to increase curcumin bioavailability. Material and methods. A review of the existing literature on the problem in recent years was carried out using the databases of the Russian Science Citation Index, PubMed, ResearchGate. Results. The amount of BAC added to the FSDU in the daily portion has been established by domestic regulatory documents. The allowed maximum level in FSDU for curcumin is 150 mg per day. Literature analysis has shown that effective doses of turmeric are 320- 1670 mg per day when consumed for 10-12 weeks. The main barriers for using curcumin at lower doses are its low water solubility, rapid metabolism and elimination from the body, and therefore poor bioavailability. Curcumin bioavailability can be increased by including it in liposomes, phospholipid complexes, emulsions, oleogels, hydrogels, etc. Conclusion. Curcumin content in FSDU in an amount that does not reach doses with efficacy proven in a certain pathology, and the inclusion of such FSDU in the diet for a short period does not allow to achieve the expected result. A promising approach to achieve a clinical effect at lower doses of curcumin is the use of new technological methods to increase bioavailability.


Assuntos
Curcumina , Humanos , Curcumina/uso terapêutico , Curcuma/metabolismo , Disponibilidade Biológica , Suplementos Nutricionais/análise , Federação Russa
3.
Vopr Pitan ; 91(5): 29-42, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36394927

RESUMO

Due to the versatility of its functions and participation in all types of metabolism, magnesium can be considered the main cation in the human organism. Equally important is the role of the main intracellular ion - potassium, which is a synergist of magnesium, especially with regard to the effect on cardiovascular system function. In Russia, there is insufficient consumption of magnesium and potassium by the population. The purpose of the work was to assess the role of magnesium and potassium in ensuring public health. Material and methods. Literature search was carried out using PubMed, Google Scholar, ResearchGate, RISC systems mainly over the past 10 years, with the exception of works of fundamental importance, according to the keywords "magnesium", "bioavailability", "potassium", "efficiency". Results. Chronic hypomagnesemia and hypokalemia are involved in the pathogenesis of various metabolic disorders (metabolic syndrome, insulin resistance and type 2 diabetes mellitus, hypertension, hyperlipidemia and sluggish inflammation). Magnesium deficiency increases the risk of cardiovascular (arrhythmia, hypertension, heart failure), neurological diseases (stroke) and depression, as well as diseases of the respiratory system (bronchial asthma, chronic obstructive pulmonary disease). Potassium deficiency is also associated with pathology of the cardiovascular system. Adequate intake of magnesium and potassium with food and/or dietary supplements prevents the development of chronic metabolic complications. Various magnesium compounds used to correct its deficiency, have different bioavailability. Conclusion. The expediency of compensating for magnesium and potassium deficiency in nutrition has been proven both for preventive purposes in a healthy person and as part of diet therapy in a patient. Enrichment of the diet with magnesium and potassium is a reliable non-drug, economical and safe prevention of chronic deficiency and associated metabolic disorders.


Assuntos
Diabetes Mellitus Tipo 2 , Hipertensão , Deficiência de Potássio , Humanos , Magnésio/uso terapêutico , Potássio , Hipertensão/prevenção & controle
4.
Vopr Pitan ; 91(2): 58-71, 2022.
Artigo em Russo | MEDLINE | ID: mdl-35596636

RESUMO

Insufficient vitamin content in the diet is a risk factor for the development of various diseases and their progression, and drug therapy can also contribute to the development of a deficiency of these micronutrients. Data on vitamin sufficiency of patients with type 2 diabetes mellitus (T2DM) and diabetic nephropathy (DN) are needed to develop measures to improve it. The aim of the research was to compare vitamin status of patients with T2DM without DN and those with T2DM complicated by nephropathy by assessing vitamin blood level and urinary excretion. Material and methods. In a single-stage research, 57 patients with T2DM and concomitant obesity (14 men, 43 women aged 42-75 years) have been examined. The 1st group included 26 patients with T2DM (7 men and 19 women, BMI 41.5±1.7 kg/m2) with glycated hemoglobin (HbA1c) - 8.0±1.4%, blood serum glucose level 8.1±0.6 mmol/l, glomerular filtration rate (GFR) - 86.7±3.0 ml/min per 1.73 m2, microalbuminuria - 18.0±2.0 mg/day. The 2nd group included 31 patients with T2DM complicated by DN (7 men and 24 women, BMI 42.5±1.3 kg/m2), with an HbA1c level of 6.4±0.2%, blood serum glucose level 6.8±0.3 mmol/l, GFR - 62.8±2.7 ml/min per 1.73 m2, microalbuminuria - 59.5±22.5 mg/day. The determination of vitamins С (ascorbic acid), A (retinol), E (α- and γ-tocopherols), D [25(OH)D], B2 (riboflavin) and ß-carotene in blood serum and vitamins C (ascorbic acid), B1 (thiamine), B2 (riboflavin) and B6 (4-pyridoxic acid) in the morning portion of urine collected on an empty stomach within 40-120 min was carried out. The vitamin status was assessed based on the concentration of vitamins in blood serum and urinary excretion relative to the lower limit of the norm, as well as using the criteria for the optimal supply and 2 molar ratios. Results. Compared to patients with T2DM without nephropathy, patients with DN were better provided with vitamins B2, A and ß-carotene: vitamin B2 deficiency was found 3.2 fold less often (in 9.7%), ß-carotene - 1.8 fold less often (in 35.5%), nonoptimal retinol level occurred twice less often (in 41.9%). At the same time, serum α-tocopherol level below the optimal level was found in 67.7% of individuals versus 50% among patients with T2DM without nephropathy, with a significantly reduced urinary excretion of vitamins B1 and B2. With the exception of one man, the rest of the DN patients had a deficiency or lack of vitamin D. The characteristic features of the vitamin status of patients in both groups were the complete absence of individuals who were simultaneously optimally provided with all the studied vitamins and ß-carotene (when assessing the vitamin status using both the absolute serum vitamer levels and 2 additional molar ratios), and a high frequency of detection of several simultaneously non-optimal vitamin status indicators. A negative correlation was found between blood serum level of ß-carotene and glycemia (ρ=-0.359, p=0.006), as well as GFR (ρ=-0.289, р=0.029) and positive with high-density lipoprotein cholesterol (ρ=0.423, р=0.001), that indicated the need to increase this antioxidant blood level in patients with T2DM. The presence of a negative correlation between the concentration ratio of vitamins C and E and glucosuria (ρ=-0.288, p=0.033) and postprandial glycemia (ρ=-0.313, p=0.031) indicated the need to maintain it at an optimal level. Conclusion. For patients with T2DM and concomitant obesity, vitamin D and ß-carotene turned out to be the most problematic, since their reduced levels are detected more often than other vitamins. In addition to the optimal blood level of vitamins C and E, it is extremely important for them to maintain the blood molar ratio of ascorbic acid and α-tocopherol at an optimal level. The purposefully development of specialized vitamin complexes containing effective doses is necessary for patients with DN.


Assuntos
Diabetes Mellitus Tipo 2 , Nefropatias Diabéticas , Vitaminas , Adulto , Idoso , Ácido Ascórbico , Glicemia , Diabetes Mellitus Tipo 2/complicações , Nefropatias Diabéticas/complicações , Feminino , Hemoglobinas Glicadas , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade , Riboflavina , Tiamina , Vitamina A , Vitamina D , alfa-Tocoferol , beta Caroteno
5.
Vopr Pitan ; 91(1): 65-75, 2022.
Artigo em Russo | MEDLINE | ID: mdl-35298105

RESUMO

Calcium as an essential mineral is involved in many processes in the body, being the main one in the mineral matrix of bones and teeth. It is necessary for conducting nerve impulses, blood coagulation, muscle contraction, regulation of the transport of various ions through the cell membrane, glycogenolysis and gluconeogenesis, and the activity of many enzymes. In Russia, insufficient calcium intake is noted. The purpose of the work was to assess the role of calcium of various origins in meeting the needs and health of the population. Material and methods. Literature search was carried out using the PubMed, Google Scholar, ResearchGate, RSCI, CyberLeninka systems, mainly for the last 10 years, with the exception of research of fundamental importance, using the keywords "calcium", "milk", "bioavailability". Results. Dairy consumption is associated with an overall reduction in the risk of noncommunicable diseases, including cardiovascular disease, type 2 diabetes mellitus, and some types of cancer. Calcium in natural milk and dairy products, as well as calcium of milk origin, has a higher bioavailability and absorption than from other sources of synthetic or natural mineral origin. The recommendation to reduce dairy consumption may be counterproductive to health and therefore may increase health care costs. Conclusion. Milk and dairy products are the optimal source of calcium. The high bioavailability of calcium of milk origin justifies the expediency of its preferred use in dietary nutrition, both as part of therapeutic diets in hospitals and nutrition in social service institutions, and in outpatient practice. Additional studies, including randomized controlled trials, may be needed to explore in more detail the optimal consumption of milk and dairy products, as well as the use of calcium-containing pharmaceutical products and dietary supplements.


Assuntos
Diabetes Mellitus Tipo 2 , Doenças não Transmissíveis , Animais , Cálcio , Cálcio da Dieta , Laticínios , Humanos , Leite , Minerais , Doenças não Transmissíveis/epidemiologia , Doenças não Transmissíveis/prevenção & controle
6.
Vopr Pitan ; 91(6): 6-16, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36648178

RESUMO

Monitoring the actual nutrition of various groups of the population of the Russian Federation indicates the presence of pronounced deficiencies of essential micronutrients, and above all vitamins and biologically active compounds. Deficiency of many micronutrients is a risk factor for the development of a number of conditions (anxiety, depression, etc.) and non-communicable diseases (cardiovascular, cognitive and neuromuscular disorders). It reduces the effectiveness of the treatment of injuries and wounds, and also leads to a negative effect on the antioxidant protection of the body and a more pronounced response to stress. To prevent long-term consequences, the population is primarily provided with psychological assistance, not always paying due attention to healthy nutrition. The aim of the research was to substantiate and develop vitamin-mineral supplements (VMS) for special purposes to restore impaired functions in various population groups in extreme situations, including those located in the zones of a special military operation. Material and methods. A review of the literature on the problem in recent years was carried out using the databases of the RSCI, Google Scholar, ResearchGate, PubMed by the keywords "B vitamins", "vitamin-mineral supplement", "military personnel", "mood", "efficiency", "depression", "refugees", «multivitamin¼, «conflict¼, "efficiency". Results. In an emergency situation, under conditions of high physiological (physical and neuropsychiatric) stress, the requirements in micronutrients increase. An inverse association between micronutrient status and the development of symptoms of depression, sleep disturbance has been found. The analysis of the data on the administration of VMS with different composition in the nutrition of the population and law enforcement officers showed the effectiveness of its intake for all persons in the zone of military conflicts. At the same time, VMS should contain a complete set of vitamins, in doses for B vitamins 200-300% of the recommended daily intake (RDI), vitamin D and other vitamins in a dose of 100%, magnesium, zinc, iodine, iron - in doses up to 50% of RDI. The administration of such VMS for 1-6 months provides an increase in blood serum vitamin level and antioxidant activity, leads to an improvement in functional adaptation and military professional performance, increases self-esteem of health, reduces symptoms of stress and anxiety, improves the mood. Conclusion. The expediency of including VMS for special purposes in the nutrition of both military personnel and the entire population in the zone of military conflict has been proved. Enrichment of the diet with micronutrients is a reliable non-drug prevention of health disorders caused by stress in emergency.


Assuntos
Suplementos Nutricionais , Minerais , Humanos , Vitaminas , Micronutrientes , Antioxidantes , Vitamina A , Vitamina K
7.
Vopr Pitan ; 91(6): 37-49, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36648181

RESUMO

The lack of vitamins D, B group, calcium and magnesium is common for the diet of the Russian population. It has been previously demonstrated that that the elimination of B vitamin deficiency is a necessary condition for the implementation of vitamin D biological functions. The aim of the research was to assess the effect of a combined deficiency of vitamins D and B group, calcium and magnesium in the diet of rats on biomarkers of micronutrient sufficiency and plasma biochemical indicators. Material amd methods. Male Wistar rats with an initial body weight of 66±1 g were randomly assigned to one of five groups. The rats of the 1st group (Control) were fed a standard semi-synthetic diet (SD) for 28 days. The combined deficit of vitamins D and B group, calcium and magnesium in rats of four experimental groups was caused by a 5-fold decrease in their content in the vitamin mixture and 2-fold decrease in their content in mineral mixture of the SD for 23 days. Over the next 5 days, the rats of 2nd group (+В+D+Ca+Mg) were fed a diet replenished for all missing vitamins and minerals, the rats of 3rd group (-В+D+Ca+Mg) were fed a diet with continued deficiency of B group vitamins, the rats of the 4th group (+В+D-Ca-Mg) were fed a diet with continued lack of calcium and magnesium, the diet of the 5th group (-B-D-Ca-Mg) was not replenished. Vitamins B1 and B2 in lyophilized liver and brain and urine, riboflavin in plasma and 4-pyridoxic acid in urine were determined by fluorimetric methods, 25(OH)D in plasma was determined by ELISA, the level of vitamins A and E in blood plasma and lyophilized liver, of vitamin E in whole brain - by HPLC. Biochemical parameters of blood plasma were determined using a biochemical analyzer. Results. In rats of the 5th group (-B-D-Ca-Mg), there were 3.4-fold increase (p<0.05) in iron plasma level, 1.7-fold elevation (p<0.10) in alkaline phosphatase activity, and 1.8-fold decrease (p<0.05) in alanine aminotransferase (ALT) activity on the background of the increase in α-tocopherol blood plasma level by 26.7% (p<0.05) and liver content by 2.0 fold (p<0.05) relative to the indicators in animals who hadn't passed the deficiency of micronutrients (Control) and / or from the 2nd group (+B+D+Ca+Mg). The lack of B group vitamins in the diet, which persisted during the correction of vitamin D, calcium and magnesium deficiency in rats of the 3rd group (-B+D+Ca+Mg), inhibited the recovery of diagnostically significant biochemical parameters of blood plasma (namely, an increased level of glucose, iron, triglycerides, cholesterol, α-tocopherol, increased alkaline phosphatase activity and reduced ALT activity) to the level in animals of the control group and/or rats fed the diet replenished for all missing micronutrients (+B+D+Ca+Mg). Conclusion. Combined deficiency of several micronutrients led to changes in biochemical blood parameters. Reduced intake of calcium and magnesium during the correction of the lack of vitamins D and B group in the diet can have a negative impact on vitamin B2 status. Even under normal dietary vitamin E intake the combined deficiency of several other micronutrients affected the metabolism of this vitamin (increased levels of vitamin E in the liver and blood plasma of animals). Chronic combined alimentary deficit of B vitamins, calcium and magnesium, which is characteristic in the diet of the Russian population, reduces vitamin D bioavailability, which justifies the expediency of using vitamin-mineral complexes.


Assuntos
Oligoelementos , Complexo Vitamínico B , Ratos , Masculino , Animais , Magnésio , Cálcio , alfa-Tocoferol , Vitamina D , Micronutrientes , Fosfatase Alcalina , Ratos Wistar , Riboflavina , Cálcio da Dieta , Minerais , Dieta , Vitamina A , Colecalciferol , Vitamina E , Plasma , Ferro
8.
Vopr Pitan ; 90(4): 64-73, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34538036

RESUMO

The composition of the lipid component of consumed foods affects the consumers' health. Fats are not only a source of essential fatty acids, but also participate in the formation of the organoleptic and rheological properties of foodstuffs. At the same time, fats are sources of saturated and trans-isomeric fatty acids, which excessive consumption is associated with the risk of cardiovascular diseases, and therefore, it is relevant to search for promising ways to replace such fats. The aim of this review is to summarize data from studies of oleogels as an alternative to such fats. Results. It has been shown that the prevalence of obesity in many countries, including Russia, remains an acute problem. At the same time, as a rule, in persons with obesity and cardiovascular diseases, the consumption of fat including saturated and trans-isomeric fatty acids is excessive. To reduce the content of saturated and trans-isomeric fatty acids in foodstuffs, such systems as oleogels have recently been considered. The interest in these systems is related to the fact that they can act not only as substitutes for solid fats - sources of trans- and saturated fats but also as carriers of biologically active substances. Conclusion. The results of the analytical study indicate that active research is currently underway concerning the properties of oleogels, their use in foodstuffs, and modeling the effect of consumption of oleogels and containing them foodstuffs on the general metabolic health of humans. These studies are currently in their initial stages, but their results already indicate the great potential of oleogels as a food ingredient.


Assuntos
Ácidos Graxos trans , Gorduras na Dieta , Ácidos Graxos , Humanos , Compostos Orgânicos , Estudos Prospectivos
9.
Vopr Pitan ; 90(2): 91-99, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34019352

RESUMO

Despite the presence of combined deficiency of vitamins D and group B among the population of Russia, the intake of cholecalciferol is often recommended without correcting the supply with B group vitamins, which are involved in ensuring the biological functions of vitamin D. The aim of the study was to compare the effectiveness of vitamin D deficit correction by replenishing its content in the diet to an adequate level without eliminating the deficit of B vitamins and by restoring vitamin D level in combination with B vitamins. Material and methods. The experiment was carried out on male Wistar rats (n=33) with an initial body weight of 69.5±0.8 g. Combined deficit of vitamins D and B group in rats (n=24) was caused by a 5-fold decrease in their content in the vitamin mixture of a semi-synthetic diet for 23 days. Over the next 7 days, in order to correct vitamin deficiency, 12 rats (group «-B+D¼) were fed a diet, replenished up to 100% for vitamin D with continued deficiency of B group vitamins, and 12 rats (group «+B+D¼) were fed a diet replenished for all missing vitamins. Animals of the control group (n=9) received a full semi-synthetic diet during the entire experiment. The concentration of vitamins A and E in blood plasma and lyophilized liver and whole brain was determined by HPLC, vitamins B1 and B2 in the liver, brain and urine, riboflavin in plasma and 4-pyridoxic acid in urine - by fluorimetric methods, 25(OH)D in blood plasma was determined by ELISA. The content of calcium, magnesium, iron, manganese, zinc and copper in freeze-dried liver and brain was determined by atomic absorption method, biochemical parameters of blood and urine were determined using a biochemical analyzer. Results. The only vitamin D addition to the feed with a persisting deficiency of B vitamins did not restore the concentration of 25(OH)D and osteocalcin to the level in control animals sufficiently provided with all vitamins. In animals of the "-B+D" group, 25(OH)D plasma level was reduced by 17.3% (p<0.10), osteocalcin - by 11.7% (p<0.05), the activity of aspartate aminotransferase was 1.5 fold less, alanine aminotransferase - 2.3 fold (p<0.05), lactate dehydrogenase - by 14.9% (p<0.10), while the concentration of iron exceeded 2.7 times, glucose - by 15.0%, calcium - by 8.0%, creatinine - by 8.7% (p<0.05), urea - by 32.1%, direct bilirubin - by 24.2% (p<0.10 ) compared with corresponding indicator in rats of the control group. The level of cholesterol and HDL cholesterol was 14.7% and 15.9% higher (p<0.10) than in animals of the «+B+D¼ group. Conclusions. Deficiency of B vitamins inhibits the restoration of adequate supply with vitamin D. In the presence of a lack of B vitamins in rats, vitamin D deficit and its consequences cannot be completely eliminated. Adequate supply with vitamins D and B group are synergistic factors in maintaining the level of glucose, cholesterol in blood plasma and other diagnostically significant parameters.


Assuntos
Deficiência de Vitaminas , Complexo Vitamínico B , Animais , Deficiência de Vitaminas/tratamento farmacológico , Masculino , Ratos , Ratos Wistar , Tiamina , Vitamina D
10.
Vopr Pitan ; 89(4): 24-34, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32986318

RESUMO

One of the essential parts of fundamental research in Nutrition Science is the determination of the physiological requirements of humans for energy and food substances. Research that has been carried out in this area over the past 90 years, consistently develops and improves the norms of physiological requirements for energy and nutrients for various groups of the population of the Russian Federation. In the 50 years of the last century in this research field, determining the values of daily intake for macronutrients (proteins, lipids and carbohydrates), was in the first place. Then the Era of micronutrients (vitamins, minerals, trace elements) was started, and, finally, now there is the Era of minor food biologically active substances. More and more facts are accumulating about their leading role in regulating metabolism. They can be recognized as endogenous regulators, the primary vital components involved in the formation of human health. In recent years, the new definition of Nutriome is introduced into Nutrition Science. It is considered as a set of essential nutritional factors to maintain a dynamic equilibrium between human being and the environment, aimed to ensure viability, the preservation and reproduction of the species, keeping the adaptive capacity, the system of antioxidant defence, apoptosis, metabolism, and immune system function. The Nutriome is a formula for optimal nutrition, which is continually being improved and supplemented. Knowledge of this formula is the key to forming an optimal diet for a person, and, therefore, to save their health. It is evident that at the population level, the Nutriome has its characteristics, its structure for each age period of human life. The need to develop a formula for optimal nutrition and, consequently, updating nutrient-based dietary guidelines is induced by socio-economic and demographic changes in population, changes in anthropometric characteristics of children and adults, increasing prevalence of socially significant non-communicable diseases, developing studies of the significance of particular food substances and establishing the relationship between nutrition and health.


Assuntos
Dietoterapia/história , Dieta/história , Ingestão de Energia , Micronutrientes , Política Nutricional/história , Ciências da Nutrição/história , História do Século XX , História do Século XXI , Humanos , Federação Russa
11.
Vopr Pitan ; 89(4): 89-99, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32986324

RESUMO

A statistical analysis of the data on the sufficiency with vitamins of certain groups of the Russian adults and children from 1987 to 2017 revealed certain patterns. At first, the presence of multiple micronutrient deficiency (vitamins D, B group, as well as a number of minerals) is still a characteristic feature. At second, vitamin D deficit is the most common. At third, the decrease in the frequency of detection of B vitamin deficiency was inhibited and it still persists in a significant number of examined individuals (median detection frequency is 41%). Vitamin C, A and E deficiency is rarely found among healthy adults. The literature analysis and rat model studies show that the performance of each vitamin depends on the saturation of the organism with other vitamins. Sufficient provision of the body with all vitamins is a necessary condition for the implementation of many functions of vitamin D, the functions of B vitamins are inextricably linked. A diet composed of traditional products does not allow reaching the optimal supply of the body with vitamins and minerals. Everyday using of fortified foods or vitamin-mineral supplements (VMS) is an effective way to eliminate the micronutrient deficiency in the nutrition of the population. The theoretical basis for the development of VMS, intended for different groups of the population, includes the study of the initial vitamin-mineral status, features of work and physical activity, taking into account the role of the lack of individual vitamins in the development of the pathological process and the drug therapy used, individual characteristics of metabolism, in particular due to gene polymorphism. VMS with optimal composition should include vitamin D and all vitamins of B group. The doses of vitamins should be significant, comparable with the recommended daily intake. Additional biomedical requirements for the composition of VMS are formed taking into account the characteristics of the diet. The dose of the antioxidant vitamins and mineral substances should be increased in order to mitigate the effect of dietary fiber with adsorbing properties or polyunsaturated fatty acids that are susceptible to peroxidation and reduce antioxidant status of the organism. VMS with increased doses of all vitamins are intended for the quick and effective elimination of micronutrient deficiency. The total daily intake of micronutrients should not be excessive.


Assuntos
Suplementos Nutricionais , Minerais/uso terapêutico , Estado Nutricional , Vitaminas/uso terapêutico , Adulto , Animais , Deficiência de Vitaminas/epidemiologia , Deficiência de Vitaminas/prevenção & controle , Criança , Humanos , Masculino , Ratos
12.
Vopr Pitan ; 89(4): 220-232, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32986335

RESUMO

Fruits and berries are the most important sources of a wide range of biologically active substances, including vitamin C, carotenoids, flavonoids, anthocyanins. In order to replenish and update data on the content of food and biologically active substances in the tables of the chemical composition of food products, a study of the content of mono- and disaccharides, dietary fiber was carried out; vitamins C, B1, B2 and E, minerals and trace elements; flavonoids (in terms of rutin), anthocyanins; organic and hydroxycinnamic acids, stilbenoids in various varieties of 16 fruit and berry crops. Material and methods. The material for the study was the fruits of promising varieties and selected forms of pome fruit (apple, pear), stone fruit (cherry, plum, apricot), berry (garden strawberry, raspberry, black currant, red currant, gooseberry), non-traditional crops (actinidia, honeysuckle, cornelian cherry, viburnum, sea buckthorn, rosehip) - a total of 208 samples grown at the I.V. Michurin Federal Scientific Center. The B vitamins were determined by the fluorometric method, and vitamin E, organic and hydroxycinnamic acids, carbohydrates, and stilbenoids were determined by HPLC. The amount of anthocyanin pigments was determined by pH differential spectrophotometry, dietary fiber - by enzymatic-gravimetric method, flavonoids - spectrophotometrically. Results and discussion. The main carbohydrate of apricot is sucrose, black currants, cherries, raspberries and honeysuckle contain mainly fructose and glucose. Raspberries and currants are high in fiber. Comparison of the obtained data on the content of vitamins B1, B2, E, flavonoids and anthocyanins in the studied population of varieties in comparison with the published data of tables of the chemical composition of food products in the USA and Russia was carried out. By the content of vitamin C in descending order, the fruits are arranged in a row: black currant > sea buckthorn > honeysuckle > strawberry > red currant > viburnum > gooseberry > raspberry > apple. Berries, making a significant contribution to providing the body with vitamin C, are not an essential source of vitamins B and E. The inclusion of 100 g of fresh fruit in the diet provides about 10% of the recommended dietary intake for potassium (apricot, gooseberry, cherry and black currant), magnesium (apple, cherry, strawberry) and dietary fiber. Honeysuckle and black currant are high in anthocyanins; consumption of 100 g of these berries will ensure adequate intake of these micronutrients. Some varieties of strawberries, apples and pears are rich in hydroxycinnamic acids. The data obtained can be used to refine the indicators in the existing tables of the chemical composition of food products. Conclusion. The obtained data on the composition of fruit and berry products will make it possible to more correctly calculate the nutritional value of rations using questionnaire-survey methods. Combined analysis of the composition of biologically active substances in berries and fruits makes it possible to more reasonably make the choice of a particular product in the dietary correction of the ration of healthy and sick people.


Assuntos
Antocianinas/análise , Fibras na Dieta/análise , Frutas/química , Minerais/análise , Valor Nutritivo , Análise de Alimentos , Humanos , Federação Russa
13.
Vopr Pitan ; 88(4): 66-74, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31722143

RESUMO

Inadequate intake of vitamins, noted in children with obesity, reduces the immune system activity, contributes to the metabolic disorders aggravation and may result in comorbidity. The aim of the work was to study sufficiency with vitamins and carotenoids of children with obesity. Material and methods. Examination of vitamin D, B2, C, A, E and ß-carotene status in 50 children (male 36.0%) aged 11-17 years [median (Me) - 14 years] with obesity [Z-score body mass index (BMI) >=2.0, Ме=2.86] by determining serum biomarkers has been conducted. Results and discussion. All of the children had an adequate supply with vitamin C (ascorbic acid level >0.4 mg/dL). Low vitamin A status (retinol <30 µg/dl) was revealed in 8% children. Deficiency of vitamin D [25(OH)D<20 ng/ml], vitamin B2 (riboflavin <5 ng/ml) and ß-carotene (<10 µg/dl) was detected in 62.0, 38.8 and 74.0% of obese children. The percentage of persons with reduced vitamin E serum level (<0.8 mg/dl) was amounted 54.0%. A severe vitamin D deficit (<10 ng/ml) has been detected in 24.0% of children with Z-score BMI >=2.86 (median value) and has not been observed in children with lower body weight, whose serum ß-carotene median was 1.5 fold higher (p<0.05). No one was adequately supplied with all 5 studied vitamins and ß-carotene. The combined deficiency of 3 or more vitamins took place in 54.0% of obese children. Synchronously suboptimal serum level of ascorbic acid (<50 µmol/l), ß-carotene (<0.4 µmol/l) and α-tocopherol/cholesterol ratio (<5.0 µmol/mmol) which is a cardiovascular disease risk factor, has been found in 28.0% of children. BMI was inversely associated with 25(OH)D serum concentration (ρ=-0.313, р=0.027). There was a pronounced negative correlation between serum level of ß-carotene and atherogenic LDL cholesterol (ρ=-0.514, p<0.001). Conclusion. The prevalence of combined vitamin D, tocopherol and carotenoids' inadequacy in obese children indicates the importance of vitamin status correction to reduce the risk of metabolic syndrome.


Assuntos
Índice de Massa Corporal , LDL-Colesterol/sangue , Estado Nutricional , Obesidade Infantil/sangue , Vitaminas/sangue , Adolescente , Biomarcadores/sangue , Criança , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Fatores de Risco
14.
Ter Arkh ; 91(2): 118-125, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-31094182

RESUMO

Aim - analysis of data on the role of vitamin and carotenoid deficiency in the development of metabolic syndrome (MS), the consumption of individual vitamins and vitamin supplements, as well as estimation of the effectiveness of the use of vitamins in patients with MS. A review of the existing literature has been carried out in the databases of RINC, CyberLeninka, Google Scholar, Pubmed. The lack of vitamins is a risk factor for MS and its components. The diet of people with MS is characterized by excessive caloric content and at the same time contains an inadequate amount of most vitamins. The most frequent in patients with MS is the deficiency (blood level) of vitamin D, E, B vitamins, carotenoids. Among patients with MS, individuals with a reduced concentration of vitamins in the blood plasma are often found. In turn, among those with a deficiency of vitamins, MS is more often found. Low concentrations of 25(OH)D in the serum are associated with an increased risk of MS. An inverse association between the concentration of the hormonal form of vitamin 1.25(OH)2D3 in the serum and the development of MC has been found. In patients with MS, the α-tocopherol concentration associated with lipids is lower than in healthy individuals, and γ-tocopherol, on the contrary, is higher. Taking high doses of one of the vitamin E homologues shifts the balance between tocopherols in the blood plasma. Sufficient supply of the body with all vitamins involved in the formation of metabolically active forms of vitamins (D, B6, PP) is a necessary condition for the exercise of these biological functions by these vitamins. The lack of vitamins is a risk factor for MS and its components. Enrichment of the diet of patients with MS should be considered as a necessary favorable background for its treatment. Since the body has functional connections between vitamins, it is advisable to use not individual vitamins, but their complexes.


Assuntos
Dieta , Síndrome Metabólica/sangue , Tocoferóis/administração & dosagem , Complexo Vitamínico B/administração & dosagem , Vitamina E/administração & dosagem , Carotenoides , Suplementos Nutricionais , Humanos , Síndrome Metabólica/complicações , Deficiência de Vitamina A/complicações , Vitamina E/sangue , Deficiência de Vitamina E/complicações
15.
Vopr Pitan ; 87(1): 51-62, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30592842

RESUMO

Consumption of diets that are inadequate in energy value to the actual energy expenditure can lead to the development of metabolic syndrome (MS), which has consequences such as type 2 diabetes mellitus, non-alcoholic steatohepatosis, atherosclerosis, gout, allergic diseases. Experimental models of MS are needed to develop new approaches to its dietary and drug correction. The aim of the work was a comparative analysis of functional, biochemical and vitamin markers characterizing the effect of a diet with a high content of fructose (F) on males and females of various rat lines and the selection on this basis of an optimal in vivo MS model. Male and female rats of the outbred Wistar line (W) and the inbred Dark Agouti line (DA) were used in the work number of 16 individuals of each sex and line. The animals of the 1st (control) groups of each sex and line received a balanced semi-synthetic diet according to AIN93, and the animals of the 2nd (experimental) groups - the same diet and 30% solution of F instead of water in the regime of free access. Within 121 days, energy value of diets consumed, the increase in body weight and blood pressure were determined; relative mass of internal organs, biochemical parameters of blood plasma, content of fat-soluble vitamins A and E in blood plasma and liver were determined at withdrawal of animals from experiment. It was shown that, in spite of the increased energy value of the diet in the experimental groups throughout experiment, DA males and females practically did not respond to this by an increase in body weight gain, in contrast to W rats (in particular, females). Consumption of diets with F led to an increase in glucose level irrespective of gender and line, whereas triglyceride level (TG) significantly increased only in the case of W female. Addition of F caused in DA rats of both sexes an increase in the mass of the kidneys, as well as more pronounced, in comparison with W rats manifestation of markers of toxic effects on the liver (increases alanine aminotransferase and γ-glutamyltransferase activity, elevated urea and bilirubin level in blood plasma). In rats of both lines intake of F suppressed the accumulation of retinol palmitate in the liver in terms of its specific content. The total content of α-tocopherol in liver was significantly higher in W compared with DA. At the same time, α-tocopherol levels in blood plasma correlated with TG, and the α-tocopherol/TG ratio significantly decreased in female W receiving F, which were characterized by hyperlipidemia. Thus, the effect of F on W males and, in particular, females, basically corresponded to the classical picture of MS with body weight increasing, elevated blood pressure, glycemia and TG increase, whereas the toxic effect of F prevailed in DA liver and, possibly, kidneys without development of marked dyslipidemia and obesity.


Assuntos
Frutose/efeitos adversos , Síndrome Metabólica/sangue , Triglicerídeos/sangue , Vitaminas/sangue , alfa-Tocoferol/sangue , Animais , Biomarcadores/sangue , Modelos Animais de Doenças , Feminino , Frutose/farmacologia , Masculino , Síndrome Metabólica/induzido quimicamente , Ratos , Ratos Wistar
16.
Vopr Pitan ; 87(3): 5-11, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30592875

RESUMO

The molecular docking method was used to study the structural characteristics determining the competitive transport in the blood, and also the subsequent binding with enzymes of tocopherols and their metabolites to yield a specific biological activity. The target proteins were α-tocopherol-transport protein (α-TTP), tocopherol-associated protein 1 (TAP1), cyclooxygenase-2 (COX-2), protein phosphatase 2A (PP2A) and 3-hydroxy- 3-methylglutaryl-Coenzyme A (HMG-CoA) reductase. RRR-tocopherol (α-, ß-, γ- and δ-forms), RRR-13'-carboxychromanol (α-, ß-, γ- and δ-forms) and carboxyethyl hydroxychromanol (α-, ß-, γ- and δ-forms) were used as ligands in this research. The conducted studies confirmed that among all homologues the α-tocopherol had the greatest affinity for the transport proteins α-TTP and TAP1 (ΔG=-11.40 and ΔG=-10.28 kcal/mol, respectively). It was shown that in all cases carboxyethyl hydroxychromanol metabolites had the greatest free binding energy (ΔG>-8 kcal/mol), that was why it has been concluded that they were not effective ligands for the proteins under study. In contrast, the metabolites of 13'-carboxychromanol, when bound to both α-TTP and TAP1 proteins, preferentially formed more stable complexes than their precursors. It was shown for the first time that γ-13'-carboxychromanol with TAP1 has less free binding energy (ΔG=-10.64 kcal/mol) in comparison to the α-tocopherol complex (ΔG=-10.28 kcal/mol). It has also been shown that 13'-carboxychromanole metabolites were more efficiently bound to COX-2 enzymes (ΔG=-9.56 kcal/mol for α-13'-carboxychromanol complex) and HMG-CoA reductase (ΔG=-9.46 kcal/mol for the complex with δ-13'-carboxychromanol). In relation to the PP2A protein, 13'-carboxychromanol metabolites had similar affinities as their precursors. The results of the work indicate the possibility of 13'-carboxychromanols to competitively bind to α-tocopherol transporters and act as effective ligands of COX-2 and HMG-CoA, that can be used to correct nutritional status in conditions accompanied by deficiency of tocopherols.


Assuntos
Antioxidantes/química , Proteínas de Transporte/química , Modelos Químicos , Tocoferóis/química , Vitaminas/química
17.
Vopr Pitan ; 87(5): 43-51, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30592889

RESUMO

The aim of the work was a comparative assessment of the vitamin status of athletes specializing in different kinds of sport (bobsleigh, dispersing and pilots, biathlon, bullet shooting) by means of assessment of the content of vitamins in the diet and blood serum. 159 professional athletes of both sexes were examined in the pre-competition period of the sport activity. The average age of the surveyed 92 men was 21.7±0.8 years, 67 women - 23.1±1.5 years. The actual data on the intake of some vitamins with the main and supplementary diet and blood serum have been presented. The basic diet of athletes didn't provide adequate intake of vitamins. The most pronounced deficiency of B vitamins and vitamin C in the basic diet was noted in female athletes specializing in bobsleigh. Only enrichment of the basic diet with specialized products for athletes and dietary supplements allowed sportsmen to increase their vitamin intake to the recommended level. At the same time, the intake of vitamins В1 and В2 with supplements in a number of athletes exceeded the upper permissible level of their consumption as a part of dietary supplements and specialized food products. The concentration of vitamins C and A in the blood serum exceeded the lower limit of the physiological norm in all athletes. At the same time, in 15.6 and 35.9% of the people, the concentration of these vitamins exceeded the upper limit of the norm. In 17.4% of the examined, a lack of vitamin E was identified, while an increased tocopherol concentration was found in 22.3% of athletes. Comparison of data on the vitamin consumption and their blood level made it possible to conclude that, in order to maintain the optimal vitamin status of the athlete's organism, it was inappropriate to use excessive doses of vitamins C (>200-300 mg/day), E (>50 mg TE/day) and A (>1500 µg RE/day). The unreasonableness of using in the diet of athletes excessively high doses of antioxidant vitamins, the increased demand for B vitamins and the appropriateness of correlating the need for B vitamins with the energy value of the diet have been discussed.


Assuntos
Suplementos Nutricionais , Ingestão de Energia , Estado Nutricional , Valor Nutritivo , Resistência Física , Vitaminas , Adulto , Atletas , Feminino , Humanos , Masculino , Vitaminas/administração & dosagem , Vitaminas/farmacocinética
18.
Vopr Pitan ; 87(4): 14-24, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30570953

RESUMO

Biochemical, vitamin, trace element and immunological changes were searched for the combined nutritional deficiency of vitamins B1, B2, B6 on in vivo models in rats and mice. Female rats of Wistar (W) strain and hybrids of the 1st generation of Dark Aguti and Wistar (DA x W) strains, female mice of BALB/c strain and DBCB tetrahybrids were used in experiment. Animals received for 35 days a balanced diet (control) according to AIN-93 or a similar diet with the exception of vitamins B1, B2, B6 (experimental groups). The content of vitamins B1, B2 in liver, riboflavin blood plasma level and urinary excretion of thiamine, riboflavin and 4-pyridoxic acid were determined, as well as in rats: blood and liver content of α-tocopherol and retinol, blood biochemical indices of lipid and nitrogen metabolism, activity of cytochrome P isoforms-450 (CYP) in liver; in mice: the circulating levels of pro- and anti-inflammatory cytokines of blood plasma, in animals of both species - the content of essential and toxic elements in the kidneys. DAxW rats compared to W and DBCB mice compared to BALB/c were more sensitive to the development of B-vitamin deficiency judging by the B-vitamin status indicators. In the rats of the experimental groups, there were signs of a deterioration in blood and liver levels of vitamin E, multidirectional shifts in vitamin A sufficiency, increased activity of the CYP3A isoform (6ß-TG), a decrease in triglycerides, total protein and albumin fraction levels with an increase in urea level. Manifestation degree of these effects depended on the choice of the animal's line. In mice, the B-vitamin deficiency was characterized by an increase in the levels of proinflammatory cytokines TNF-α, IL-10, IL-Ιß, IL-6 and a decrease in IFN-γ and IL-17A. The content of magnesium, copper, zinc, chromium and silver was lowered, of cesium - was increased in the kidneys of the rats of the experimental groups. In mice, B-vitamin deficiency resulted in diminishment of magnesium, copper, zinc, chromium, selenium, cadmium and lead content, excess accumulation of cobalt and cesium. Some of these biomarkers are supposed to be used in pre-clinical evaluation of the effectiveness of new vitamin complexes, specialized foods and dietary supplements, as well as studies of interactions of various vitamins.


Assuntos
Deficiência de Vitaminas/imunologia , Oligoelementos/imunologia , Complexo Vitamínico B , Animais , Deficiência de Vitaminas/sangue , Biomarcadores/sangue , Sistema Enzimático do Citocromo P-450/sangue , Sistema Enzimático do Citocromo P-450/imunologia , Citocinas/imunologia , Feminino , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Ratos Wistar , Especificidade da Espécie , Oligoelementos/sangue
19.
Vopr Pitan ; 87(4): 62-68, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30570959

RESUMO

In a review in order to characterize the dynamics of vitamin status for the period from 1987 to the present, the results of 16 surveys (conducted in 2015-2017) of the sufficiency with vitamins C, A, E, B2 and B6 of adult men and women of working age (about 1200 people) living in different regions of the Russian Federation, were compared with the frequency of vitamin insufficiency among the population in the previous period. The statistically significant improvement in the population's supply with vitamin C in the previous decade continued in 2015-2017. The deficit of this vitamin practically ceased to occur. Reduced blood serum levels of vitamin A were rare (except for patients with tuberculosis, the indigenous inhabitants of an inaccessible village beyond the Arctic region, and pregnant women, especially in the third trimester). In comparison with the previous period, a fairly rare occurrence of vitamin E deficiency persisted. Vitamin B2 deficiency was still detected in a significant number of subjects (25-75th percentile was at the level of 30-50%) and was encountered approximately at the same frequency as in the previous period. The lack of B vitamins in the adult population was still much more common than the deficiency of vitamins A, E and C. The incidence of the combined deficiency of three or more vitamins (including, in addition to vitamins C, A, E, B2 and ß-carotene, vitamins D, В6, В12, folates) currently ranged from 5 to 39%. In this same range was the frequency of observation of persons sufficiently supplied with all studied vitamins. To improve the vitamin supply of the population, the urgent need for legislative consolidation and/or adoption of normative acts regulating compulsory enrichment of food products of mass consumption (bread and milk) with vitamins D and B group has arisen.


Assuntos
Vitaminas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Federação Russa , Vitaminas/administração & dosagem , Vitaminas/farmacocinética
20.
Vopr Pitan ; 86(6): 42-55, 2017.
Artigo em Russo | MEDLINE | ID: mdl-30592853

RESUMO

Metabolic syndrome (MS) is one of the leading causes of non-infectious pathology among the population of developed countries. It is necessary to have experimental in vivo models of MS for pre-clinical testing of new approaches to its dietary therapy. The purpose of the study was a comparative analysis of functional, biochemical and vitamin markers that characterize the effect of diets with different composition of simple carbohydrates (sugars) on female Wistar rats and female C57Black/6J mice. Animals of each species (n=80) were divided into 5 groups of equal numbers. The animals of the 1st (control) group received a balanced semi-synthetic diet, and the animals of groups from the 2nd to the 5th - the same diet and 30% solutions of sugars - glucose (Gl), fructose (Fr), equimolar mixture Gl and Fr and sucrose instead of water, in the regime of free access for up to 133 days. Measured values included blood pressure, mass of internals, biochemical parameters of blood plasma, the activity of CYP1A1, CYP1A2, CYP2B1, CYP3A and glutathione transferase (GT) in liver, glutathione peroxidase (GP) in erythrocytes, the content of vitamins A and E in blood plasma and in liver, the level of vitamins B1 and B2 and nicotinamide coenzymes in liver. Interspecific differences in the response to sugars manifested in a decrease in the solid diet consumption in mice (in contrast to rats), so that the total consumed energy value in experimental groups of mice did not differ systematically from control, and the weight gain was reduced. Liver was the most sensitive organ to addition of sugars in both rats and mice with mass significantly increasing by the 2nd and the 4th months of the experiment. Hyperglycemia and triglyceridemia were the most noticeable in rats receiving Fr. The concentration of phosphorus increased significantly in blood plasma of all rats groups that received sugars. In rats there was a decrease in the activity of CYP1A1 and CYP1A2 in groups 3 and 5, the activity of CYP2B1 in groups 2 and 5, the increase in HT activity in groups 2, 4 and 5, and GP in group 3 at 56th day of experiment. There was a significant decrease in this index in group 3 at the 56th and the 133rd days of the experiment, and in groups 4 and 5 - at the 56th day. Plasma tocopherol to triglycerides ratio decreased in rats of group 3 at the 56th and 133rd days, groups 4 и 5 - at 56th day, which indicated the decrease of vitamin E safety. Sugars consumption suppressed retinol palmitate accumulation in the liver of rats and mice, and alpha-tocopherol in mice. It was concluded that Fr had the greatest effect on the studied indicators of the organism, and the rats showed the most significant similarity with the clinical picture of MS.

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