[Actual nutrition in adults with familial hypercholesterolemia].

Familial hypercholesterolemia (FH) is a highly atherogenic, genetically based lipid disorder. For patients with FH, dietary modification is the cornerstone of complex lipidlowering therapy. The aim of the research was to assess the actual nutrition in adults with familial hypercholesterolemia. Material and methods. The study included 100 patients over 18 years old (including 46% men) with "probable" or "definite" FH according to the Dutch Lipid Clinic Network or Simon Broome criteria from the GENMOTIV-FH study (ClinicalTrials: NCT04656028) in 2019-2021. Actual nutrition was assessed using the 24-hour dietary recall method. The frequency of the main meal groups' consumption and food-related behavior were assessed using a questionnaire method. The data are presented as the median [Q25; Q75]. Results. The study showed the excess consumption of protein (19.3 [16.7; 24.0] in men and 18.6% [13.6; 24.3] in women, p=0.592), total fat (35.1 [29.4; 41.0] in men vs 39.2% [33.2; 47.5] in women, p=0.018), including saturated fatty acids (9.6 [4.7; 13.0] vs 10.4% [7.5; 14.2], respectively, p=0.151), and cholesterol (265.8 [188.8; 521.9] mg/day in men vs 282.1 [147.2; 542.8] mg/day in women, p=0.936). Consumption of total carbohydrates (44.3 [37.2; 50.0] vs 39.6% [30.1; 48.8], respectively, p=0.100) and fiber (10.7 [7.3; 13.3] g/day in men vs 11.5 [7.9; 13.9] g/day in women, p=0.372) was insufficient. Only 47.9% of patients consumed vegetables daily, 39.1% - fruits and berries. The majority (64.5%) of patients with FH preferred high-fat cheese (>=25%). Cottage cheese of >=5% fat content preferred 52.7% of patients. The daily poultry consumption was more than red meat (19.3 vs 4.3% respectively, p=0.003). Regularly included fish in their meal 53.8% of patients. Conclusion. The actual nutrition in adults with FH does not match international guidelines. The results highlight the importance of dietary interventions for patients with FH.

[Diet therapy program for weight loss and assessment of its effectiveness in overweight and obese persons].

The basic method of obesity treatment is diet therapy aimed at long-term maintenance of negative energy balance by restricting the caloric intake of the diet. The aim - to evaluate the effectiveness of the diet therapy program for weight loss with the use of a complex of amino acids and glucomannan. Material and methods. To conduct the study, in accordance with the inclusion and exclusion criteria, a sample of 33 overweight or obese people was formed, of which 30 people (16 men and 14 women) took part in the study. The age of the persons included in the study ranged from 20 to 59 years (average 41.0±1.73 years), body mass index- from 26.4 to 45.5 kg/m2 (average 35.5±0.8 kg/m2), waist circumference as a criterion for abdominal obesity - 110.4±2.4 cm. Participants three times a day (7.00-9.00, 12.00-14.00 and 16.00-18.00) received within 14 days 15 g of powder dissolved in 200 ml of water containing whey protein concentrate, potassium (618 mg in the form of citrate), glucomannan, taurine (290 mg), zinc (2.5 mg in the form of sulfate), vitamins B6 (1.4 mg) and B12 (3 mcg), and 2 capsules containing L-isoleucine (340 mg), L-ornithine-alpha-ketoglutarate (290 mg), L-citrulline-DL-malate (290 mg) and L-tryptophan (80 mg). In the evening, the main meal was dinner, which included a protein dish with vegetables and herbs. The energy value of the evening meal was 400 kcal (1675 kJ), the proportion of protein, fat and carbohydrates was 40, 30 and 30%, respectively, of the calorie content of the evening meal. Results. It was shown that the use of a 14-day course of the diet therapy program to reduce body weight was accompanied by a statistically significant decrease in body weight on average 6.3% of the initial level, an improvement in body composition indicators (a rather pronounced decrease in body fat mass by 9.2%, p<0.001, with a smaller decrease in lean body mass and skeletal muscle mass, respectively by 3.9 and 4.1%, p<0.001) and metabolic blood parameters (a decrease in serum glucose concentration, total cholesterol, triglycerides, total bilirubin and gamma-glutamyltransferase by 12.5, 15.0, 35.0, 22.8 and 34.6% respectively). Conclusion. Application of the diet therapy program for weight loss «Non-invasive liposuction¼ allows us to recommend its use in obese patients in order to increase the effectiveness of therapeutic and prophylactic measures in correcting excess body weight, improving the parameters of carbohydrate and lipid metabolism, and the functional state of the biliary system.

[Cardiovascular nutrition: disease management and prevention as major public health problem nowadays].

Cardiovascular disease (CVD) is the leading cause of death in many developed countries. At the same time, nutrition is the basis of preventive cardiology. Earlier researches were focused on the importance of individual nutrients, including saturated fats, sodium, and dietary fiber, or certain foods, such as fruits, vegetables, fish, and olive oil, in the development of СVD. Recently, however, an analysis of nutritional patterns has been preferred to take into account the heterogeneity of the diet and the interaction of foods and nutrients. Besides, studies of the cardioprotective potential of bioactive compounds, e.g. polyphenols, peptides, oligosaccharides, vitamins, mono- and polyunsaturated fatty acids, are of particular interest. This paper covers dietary patterns that are associated with improved cardiovascular outcomes, including the Mediterranean diet. The use of a pattern-based approach will help practitioners make optimal and meaningful changes to the patients' diet. Personalized diet therapy is also very important, which implies flexibility and tailoring guidelines to patient needs and comorbidities.

[Low calorie diet influence optimization on body composition at obese patients with secondary diastolic heart failure].

In open prospective monocentric study in 3 parallel groups we studied the effectiveness of correction of body composition using low calorie diet therapy with inclusion of specialized food products (SFP)--sources of polyphenols and iridoids made on the basis of the juice of Morinda citrifolia L. fruits. We studied 90 patients aged from 30 to 50 years old with grade III obesity and clinically expressed secondary diastolic heart failure. The duration of diet therapy was 42 days. It was shown that low-calorie diet has non-optimal effect on the body composition in morbidly obese patients with secondary diastolic heart failure, namely leading to the expressed loss of body fatless (7.2%, p=0.00008) and muscle mass (by 16.6%, p=0.00004); at the same time the reduction of total body weight is noted only by 2.3% (p=0.053), reduction of waist measurement by 1.3% (p=0.028) and reduction of hips measurement by 1.3% (p=0.09), accompanied by the reduction of body fat by 8.5% (p=0.000017) and of liquid by 7.3% (p=0.0018). The introduction of the SFP into the diet optimizes the effect of low calorie diet therapy on the anthropometric parameters and body composition. The most important effect of the SFP is the ability to prevent the excess loss of muscle mass in patients, and this effect is being dose-dependent. The loss of muscle mass in two groups of patients was 3.1-4.1% after 6 weeks of diet therapy, while in the control group it was 8.5% (p=0.0051). We have concluded that the inclusion of the SFP, manufactured on the basis Morinda citrifolia L. (noni) juice to the low calorie diet allows to initiate mainly the loss of the body fat with the simultaneous protection of active cellular mass, which is without doubt can be considered as the advantage compared to the standard low calorie diet.

[Evaluating the effectiveness of dietary management of patients with varying degrees of obesity].

The purpose of the research is to study the efficiency of a low-calorie diet in treatment of patients with various degree of expressiveness of obesity. 605 patients (188 men and 417 women) with a body mass index > 25 kg/m2 at age 18-79 years have been examined. All patients underwent a complex clinical and instrumental and laboratory examination on the "Nutritest IP-2" system, including studying of clinical status dynamics, anthopometrical indicators, composite structure of a body, parameters of a power exchange and the laboratory indicators characterizing a condition of lipid, carbohydrate and protein metabolism. It has been revealed that low-calorie diet in combination with traditional curative measures ("Nutrikor IP-2") in obese patients significantly improved clinical status, central hemodynamics (blood pressure and heart rate), anthropometric parameters and body composition, lipid profile and parameters of metabolic status. In particular, systolic arterial pressure decreased authentically by 18- 19% (p < 0.00I), diastolic arterial pressure--was reliable for 16-17% (p < 0.001), heart rate authentically decreased by 7-12% (p < 0.001). Concentration of blood glucose authentically decreased at patients with obesity of I and II degrees--by 6% (p < 0.01), at patients with obesity of the III degrees--for 8% (p < 0.001). The reduction of fatty body weight in patients without obesity was 2.3%, in patients with I degree of obesity--3.1% (p < 0.001), in patients with II degree of obesity--3.4% (p < 0.001), and in patients with III degree of obesity--4% (p < 0.001). It has been shown that the effectiveness of therapeutic interventions reduced according to the severity of obesity, that requires changes in the approach to the treatment of these patients, the search for new methods of drug and dietary management of this pathology.

[Influence of dietotherapy enriched with conjugated linoleic acid on anthropometrical indicators and body composite structure in patients with an overweight].

The clinical efficiency of dietotherapy enriched with conjugated linoleic acid (3 g per day) in patients, suffering from the excess mass of a body and obesity of I and II degrees has been investigated. Dynamics of anthropometrical indicators and body composite structure before and after the treatment of patients from the main (n = 20) and control groups were estimated. Studied parameters were fixed in day 0, 14 and 28. Statistically significant reduction of the weight, body mass index (BMI), anthropometrical parameters (volumes of a waist, hips, a shoulder), indicators of body composite structure (fatty weight, area of splanchnic fat, muscular weight) has been revealed as a result of the carried-out course of treatment, and they were more expressed in patients of the main group. In particular, the waist size authentically decreased by 6.5% in patients from the main group, while in patients from the group of comparison the decrease reached only 4.2%. Average change of waist volume was--7.0 cm in the main group and--4.5 cm in the control group. The grasp of hips in the main group decreased by 4.2%, in the group of comparison for 2.8%. Absolute change of hips volume in the main group 1.67 fold exceeded that in the group of comparison (p < 0.005). The shin grasp in the main group decreased by 9.7%, while in the control group remained invariable. BMI decreased by 7.2% and 5%, respectively. Thus, the reduction of body fatty weight was 10% in patients from the main group and 4% in patients from the group of comparison. The body total liquid decreased by 1.4 l in the main group, and only by 0.3 l in the group of comparison. The received intergroup distinctions are statistically reliable (p < 0.05).

[Effect of diet enriched with selenium on the psycho-emotional and adaptive capacity of patients with cardiovascular diseases and obesity].

It was studied the effect of diet enriched with selenium on the clinical and biochemical status, psycho-emotional and adaptive capacity of the organism in patients with diseases of the cardiovascular system. We examined 59 patients with cardiovascular disease and obesity, treated for 3 weeks antiatherogenic reduced calorie diet. Of these 36 patients from the index group took on the back of ground diet selenium containing diet product (part of alimentotherapy). Patients underwent clinical examination, biochemical parameters and the availability of selenium were measured. To assess the adaptive capacity of the organism we used Program Apparatus Complex. Quality of life of patients, overall health, level of anxiety and the dynamics of mental processes were assessed using SAS procedures, Spielberger-Hanin anxiety test, Serdyuk Quality of Life Questionnaire, Kraepelin's counting test. The results indicate positive changes in clinical and biochemical status, availability of selenium, adaptive capacity, psycho-emotional state of patients with cardiovascular disease and obesity because of the diet enriched with organic form of selenium. We revealed increase in activity, improvement of overall health and cognitive functions, mood stabilization, reduction of anxiety and emotional lability. The main differences observed between the groups identified in the leveling of the anxiety radical in psycho-emotional status of patients.

[Functional performance of the cardiovascular system in patients with overweight and obesity].

Was investigated 471 patients with obesity and cardiovascular diseases. Direct dependence between degree of expressiveness of obesity and the clinical status, severity of infringement of a functional condition of cardiovascular system, frequency of development of complications is revealed.

[Dietary fiber influence on vitamins assimilation in patients suffering from cardiovascular diseases and adiposity].

Dietary fiber influence on vitamins C, E, B2 and beta-carotene assimilation from dishes enriched with protein, vitamins and fiber which were included in low-caloric diet of patients suffering from cardiovascular diseases and adiposity has been studied. It has been shown that high content of fiber in the supplement decreased vitamins E, B2 and beta-carotene assimilation while didn't effect on vitamin C availability.

[The system of multilevel diagnostics and corrections of nutrition status disorders in the patients with cardiovascular diseases].

As is known, the pathology of cardiovascular systems depends on nutrition and occupies leading positions in structure general morbidity and mortality of the population of Russian Federation. The system of nutritional and medical aids--"Nutritest" and "Nutricor", represent the technology of diagnostics of infringements the status of nutrition, estimations of risk of development of cardiovascular diseases, and ways of their high-grade correction.

[Clinical efficiency of using laminaria jam enriched with selenium].

Effectivity was studied of a new dietary product enriched with organic form of selenium--laminaria gel in patients with ischemic heart disease and hypertonia. Functional condition of nervous and cardiovascular systems improved after intake of testing product. There were no any adverse changes in biochemical indices of patients receiving studied product. Intake of the product gave reliable increase in the selenium levels of blood serum only in patients with low content of this trace element.

[Experience of phytosterols' application in dietetic cardiovascular diseases].

The investigation of influent of antiatherosclerotic diets with phytosterols on clinical and metabolic parameters in patients with cardiovascular diseases. Results of the study show that enrichment of a diets with phytosterols in patients with ischemic heart disease and hypertension improved clinic status, antropometric levels and lipid spectrum of blood. The research has shown, that the use in the treat-preventive purposes phytosterols is rather perspective.

[Efficacy of the use of a sour milk product enriched with phytosterols in diet therapy of patients with cardiovascular diseases].

We studied effect of antiatherogenic diet with inclusion of a sour milk product Danacor enriched with phytosterols on clinical and biochemical parameters of patients with cardiovascular diseases. Results of the study showed that antiatherogenic diet with phytosterols facilitated improvement of clinical status, anthropometric parameters, and lipid spectrum of blood.

[Evaluation of dietary therapy efficiency, based on clinical and biochemical parameters in patients with cardiovascular disease and osteopenia].

Aim of investigation was to analysis of dietary intake in patients with cardiovascular diseases (CVD) and osteopenia. We studied 13 patients with CDV and osteopenia and 117 control subjects with CDV. Analysis of dietary intake in all patients showed high level consumption of fat, excessive consumption of phosphorus and deficiency in consumption of vitamins A, B1, B2. It was shown that diet-therapy has promoted the most positive changes of the clinical, biochemical and immunological parameters of patients had osteopenia less then control group.

[Antioxidant level and lipid metabolism in patients with cardiovascular disease].

Studies of fat- and water-soluble antioxidants sufficiency (retinol, alfa- and gamma-tocopherols, alfa- and beta-carotene, lycopene, lutein and zeaxanthin, cryptoxanthin, ascorbic and uric acids) and lipid spectrum in patients with cardiovascular disease revealed that blood levels of some carotenoids are directly related to blood levels of vitamin C and to levels of cholesterol of high-density lipoproteins. As total carotenoids content in blood decreased lower than 80 microg/dl, the significant raise of average concentration of urates (p=0.012) and significant decrease of ascorbic acid (p=0.007) content in blood of the patients were observed.

[The clinical and experimental research of metabolic effects of shark liver oil].

The investigation of influent of antiatherosclerotic diets with shark liver oil on clinical and metabolic parameters in patients with cardiovascular diseases. Results of the study show that enrichment of a diets with shark liver oil in patients with ischemic heart disease and hypertension improved clinic status, antropometric levels, lipid spectrum of blood and immunology status. The mechanism of shark liver oil was investigated in rats.

[Efficiecy of application assessment of grain bread in diettherapy of patients of elderly ages with cardiovascular diseases].

It was investigated the influence of a diet supplemented with grain bread on dynamic and of lipid profile metabolism in patients with ischemic heart disease, hypertension and hyperlipoproteidemia. It was shown that antiaterosclerotic diet with including bread has promoted the most positive changes of the hypertension and serum cholesterol.

[The investigation of influent of antiatherosclerotic diets with inulin on clinical and metabolic parameters in patients with cardiovascular diseases].

The investigation of influent of antiatherosclerotic diets with inulin on clinical and metabolic parameters in patients with cardiovascular diseases. Results of the study show that enrichment of a diets with inulin in patients with ishemic heart disease and hypertension improved clinic status, antropometric levels, lipid spectrum of blood and immune status. The research has shown, that the use in the treat-preventive purposes inulin is rather perspective.

[The influence of a diet with including amaranth oil on antioxidant and immune status in patients with ischemic heart disease and hyperlipoproteidemia].

It was investigated the influence of a diet supplemented with amaranth oil on dynamic of antioxidant and immune status in 125 patients with ischemic heart disease and hyper-lipoproteidemia. The efficacy of diets with different contents of squalene (100, 200, 400, 600 mg per day) was compared. It was shown that antiatherosclerotic diet with inclusion 600 mg squalene has promoted the most positive changes of immune status. The consumption of 200-400 mg of squalene per day produced the more significant antioxidant effect.

[The study of influence of chitosan on clinical, metabolic and immune parameters in patients with cardiovascular diseases].

The investigation of influent of antiatherosclerotic diets with chitosan on clinical and metabolic parameters in patients with cardiovascular diseases. Results of the study show that enrichment of a diet with chitosan in patients with ishemic heart disease and hypertension improved clinic, immune status, antropometric levels and lipid spectrum of blood. The research has shown, that the use in the treat-preventive purposes chitosan is rather perspective.