[Adequate and clinically effective levels of curcumin consumption].

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.

Vitamins in diet of patients with metabolic syndrome.

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.

[Micronutrient status of population of the Russian Federation and possibility of its correction. State of the problem].

Vitamin status of the working population (about 950 subjects) from Moscow region, Samara, Nizhny Novgorod, Arkhangelsk, Yamalo-Nenetsky Avtonomny Okrug has been evaluated in 2015-2016. The lack of vitamin D assessed by means of blood serum level determination was detected in 57.5% of the adults, B vitamins - in 12.6-34.5%, vitamins A and E - in 5.3-10.8%, carotene - in 67.3%. Multivitamin insufficiency (the lack of 3 or more vitamins) was found in 22-38% of adults. Micronutrient fortification of foods of mass consumption is a promising way to improve vitamin status of the population. The needs for vitamins in medical, food industry and agriculture are satisfied only by imports. Calculation of the quantity of imported vitamins substances, carried out on the basis of databases of the Federal Customs Service of Russia, showed that import volume of vitamins increased and amounted to 9920 tons (125 980 000 dollars) in 2016. The estimated total demand of food industry in vitamins (substances) for the production of vitamin-mineral supplements (at the rate of 1-month course per person per year), the inclusion of vitamin and mineral supplements in health nutrition in hospitals and the production of fortified foodstuffs (at the rate of 24 kg of flour per year per one person and milk - 50 kg/year per person) was about 2.5 thousand tons per year. The absence of vitamin synthesis in the Russian Federation is a problem for increasing of nutritive value and quality of food products. The urgent need to revive domestic production (synthesis) of vitamin substances has appeared. The use of iodized salt instead of noniodized salt in bread and bakery production automatically converted it into enriched foods, which could improve the iodine sufficiency of the population.