[Breast milk proteins as a focus for the improvement of recipes for infant adapted milk formulae].

After a long evolutionary development starting at the appearance of the first mammals about 200 million years ago, breast milk (BM) was formed into a unique functional nutrition system with an individual composition that promotes normal growth and development of the newborn, and determines the prospects for health throughout life. The review describes the properties and functions of BM in order to objectify the physiological effects of breastfeeding and justify the composition of formulae for artificial feeding (AF). It discusses modern ideas about the protein composition of BM and its significance for the growth and development of the infant, the problems of adapting the protein component of AF formulae, and the prospects for their optimization on the basis of modern production technologies. The conclusion is that BM is a complex dynamic matrix, and therefore extensive research, including on the main protein components and their interrelationships, is needed to fully understand and scientifically substantiate approaches to its adaptation.

[Development of the infant formula industry].

The creation of the first prototypes of modern breastmilk substitutes at the end of the nineteen century brought in a new era in feeding infants in the first year of life. Currently, artificial feeding of newborns consists of adapted milk formulae made with the latest production technologies. This review briefly discusses the history of the development and classification of breastmilk substitutes, the main local and international documents regulating their composition, as well as the basic principles of approximation (adaptation) of formulae to breast milk. Obviously, these issues are key in understanding the specifics and correct definition of the prospects and directions for the development of the breastmilk substitute industry.

[The study of rs11801197 polymorphism of the calcitonin receptor gene (CALCR) in Moscow women and children with different level of bone strength].

The frequency of the polymorphism rs11801197 of calcitonin receptor gene (CALCR) was studied by real-time PCR in 422 Moscow women and children, including pregnant women (n=96), lactating (n=29) and non-pregnant women (n=28) and children (n=269) of preschool (2-6 years, n=76) and school age (7-16 years, n=193) with different levels of bone strength (BS) as determined by ultrasound densitometry. It was found that the decrease in the value of the BS (Z-score<-1) was observed in 60% of women, 54% of preschool children and 48% of school children. In the cohort studied the predominant genotype of rs11801197 polymorphism of CALCR gene was CT (38%), the frequency of the genotypes CC and TT - 31%, C and T allele - 50%. There was statistically significant association of BS reduction risk with a C allele of rs11801197 polymorphism of CALCR gene in all examined women (QR=2.034, p=0.02). A positive but not statistically significant association of BS reduction risk with C allele of polymorphism in non-pregnant and pregnant women was found (OR=6.905, p=0.09 and OR=1.902, p=0.09 respectively). The same tendency was observed in preschool children (OR=1.880, p=0.104). In school-aged children C allele was not associated with the risk of BS reduction (OR=0.866, p=0.595). Thus, the allele C is the risk allele of BS reduction. The frequency of CC genotype in Moscow women is much higher than that in women in Europe and in women of North-West region of Russian Federation. Women in the Moscow region - the carriers of rs11801197 polymorphism of CALR - gene need in personalized support of their bone health.

[The prevalence of overweight and obesity in moscow pregnant women and principles of alimentary correction of these conditions].

The aim was to study the prevalence of overweight and obesity in Moscow pregnant women, as well as to conduct a comparative study of normal and excessive women`s body weight influence on the course and outcome of pregnancy and delivery, anthropometric indices and state of newborn`s health, to assess women's dietary intake and to develop approaches to nutritional correction of overweight and obesity in pregnant women. The prevalence of overweight and obesity among pregnant women in Moscow in 2009-2011 was 8.3% of the total number of pregnant women observed. The average weight gain during pregnancy in women with overweight and obesity amounted to 13.8±5.2 kg, that was higher then the weight gain in women with normal body weight (11.7±4.5 kg). In women with overweight and obesity there was an increased risk of complications during pregnancy (preeclampsia, anemia), delivery (more frequent operational, premature and delayed delivery), as well as 2-3 times more frequent birth of children with significantly enhanced birthweight, including macrosomia. A study of dietary intake of women surveyed showed a deviation of diets of pregnant women with overweight and obesity from the physiological standards, which is the increase of fat and saturated fatty acids by 25%, reduced carbohydrate content up to 30%, and the reduction in the diet of women of some micronutrients (folic acid, vitamin A, ß-carotene). The main principles of nutritional correction of diets of pregnant women who are overweight and obese have been presented as well as recommended set of products and exemplary diet for this category of women.

[The system of the quality control and the safety of baby food, the prospects of its development].

In the article there is considered the substantiation of raise demands to the chemical composition of children's food and indices of their safety, with taking into account the immaturity of metabolic and physiological processes and limitations of "depot" of nutrients in babies. Based on research results of leading experts in the field of children's nutritiology and according to the recommendations of the Codex Alimentarius of the Commission of FAO/WHO, ESPGHAN Committee on Nutrition, the EFSA recommendations and EUDirectives there were specified requirements for the ingredient composition, content of essential components and indices of the nutritional value of substitutes for human milk and functional products for the nutrition of infants of the first year of life. There are shown stages of the development of the Russian system of hygienic requirements for baby food, and the direction of its harmonization with international and European standards, particularly for substitutes for human milk and products of dietary therapeutic and dietary preventive nutrition for babies. There are considered aspects of the introduction ofproducts and weaning food dishes into the food ration of infants. There is presented the classification ofproducts of children's food and the assortment of each group of weaning foods. There is provided the modern legislative framework in the field of the quality and safety for infant nutrition. There was shown the difference between domestic legislation and regulatory framework of the EurAsEC Customs Union of the European countries in the field offood products safety for children older three years. There are presented proposals on the creation of the single regulatory base within the framework of the EurAsEC Customs Union for control the quality and safety of all the baby foods.

[The study of rs1800012 polymorphism of the alphal-chain collagen type 1 gene in Moscow women and children with different level of bone strength].

The frequency of rs1800012 polymorphism of alpha1-chains of type 1 collagen gene (COL1A1) was studied by real-time PCR in 422 Moscow women and children, including pregnant women (n=96), lactating (n=29) and non-pregnant women (n=28) and preschool children (2-6 years, n=76) and school children (7-16 years, n=193) with different levels of bone strength (BS) as determined by ultrasound densitometry. It was found that the decrease in the value of the BS (Z-score < -1) was observed in 60% of women, 54% of preschool children and 48% of school-aged children. In the surveyed cohort the predominant genotype of rs1800012 polymorphism CO1A1 geneI gene was GG (55.1%), the frequency of the genotype TT--7.6%, of T-allele--26.2%. There were no statistically significant relationships of BS with a particular genotype of rs1800012 polymorphism 1f1COLIAI gene in all examined women. A positive but not statistically significant association of T allele with a risk BS reduction was found in non-pregnant and pregnant women (OR=2.143, p=0.31 and OR=1.227, p=0.55, respectively). For preschool and school-aged children T allele was not associated with the risk of BS reduction. In school-age children a statistically significant inverse association of T allele with the risk of BS reduction was shown (OR=0.621 wth

[Bone mineral density in pregnant women from Moscow: possible effects of pregnancy dynamics and nutrient intake].

Supporting of bone health is one of the main approaches to provide health in pregnant women considering intensive calcium and other mineral mobilization from mass bone that is necessary forforming fetus bone. This mobilization may lead to decrease of bone mineral density and development of osteopenia and osteoporosis. The important factors of development of bone impairment in pregnancy are nutrition and particular deficient consumption of protein, Ca, vitamin D. The possible role of reduced intake of pregnant women other nutrients remains unexplored. The aim of the research was estimating the prevalence of bone mineral density decrease in regard to the particular course of pregnancy and studying possible effects of key nutrients on bone mineral density in pregnant women. 131 women at different stages of pregnancy were involved in the survey. The bone density assessment was conducted using Bone Densitometer Omnisense 7000. As a criterion for bone density decrease in women used a Z-score, which was considered as normal to -1.0, as reduced from -1.0 to -2,0, and as significantly reduced when Z-score was less than -2,0. Analysis of the actual nutrition was performed by a 24-hour recording of 58 pregnant women. Normal bone mineral density was detected in 54 women or 41% of the total number of women surveyed. In 51 (39%) pregnant women reduced bone mineral density was discovered, and in 26 (20%) patients--significantly reduced bone density. There was a considerable deviation in pregnant patients' diet from the nutrition guidelines, which include, in particular, the high content of fat and saturated fatty acid, reduced intake of some micronutrients such as calcium, zinc, folic acid, ß-carotene, vitamins A, B1, E. However, differences in the actual consumption of nutrients in women with varying bone mineral density have been identified only in case of consumption of fat and energy value of diets, also Mn and I. So, it may be suggested that the differences in bone mineral density between women in our study are caused by genetic polymorphism, which leads to differences in the actual demand for nutrients, sufficient for prevention of bone decrease, in individuals.

[Issues of the support of the quality and safety of baby food].

In article there are presented data on hypersensibility of children to the action of contaminants and caused by it the increased requirements to hygienic safety of products of baby food. Data on the main indices of safety, of such products, regulated by hygiene legislative requirements are provided. The system of hygienic expertise of baby food products, including the offered screening methods of studying of indices of quality and safety is considered.

Accumulation of eicosapentaenoic acid in membranes of erythrocytes and leukocytes during alterative-exudative and allergic inflammation.

Children patients with alterative-exudative (gastrointestinal diseases) and allergic inflammation (bronchial asthma) exhibited similar changes in fatty acid composition of erythrocyte and leukocyte membranes. They included accumulation of considerable amounts of eicosapentaenoic acid and decrease in the content of docosahexaenoic acid (long-chain derivative of eicosapentaenoic acid). The accumulation of eicosapentaenoic acid and decrease in the content of docosahexaenoic acid in cell membranes probably play a role in the pathogenesis of chronic inflammatory diseases. It is related to a possible decrease in the formation of anti-inflammatory eicosanoids (series-5 leukotrienes) and protective compounds (resolvins and protectins) from fatty acids and changes in the physicochemical properties of cell membranes.

Antioxidant spectrum of blood serum and its peculiarities in children.

We compared the contribution of high- and low-molecular-weight antioxidants into total antioxidant activity of blood serum in children and adults. Ten serum samples from children aged from 3 months to 12 years and 6 serum samples from adults were fractionated by chromatography and antioxidant activity and the contents of transferrin and ceruloplasmin were measured in total serum and individual chromatographic fractions. It was found that total antioxidant activity of the serum from children measured in the system of yolk lipoproteins considerably surpassed that in adults. Moreover, in adults the major part in serum antioxidant activity is played by a fist identified high-molecular-weight fraction (600 kDa) and a 67 kDa fraction containing ceruloplasmin and transferrin. Serum antioxidant activity in children was determined only by the high-molecular-weight peak not containing ceruloplasmin and transferrin, which was probably due to significantly lower serum transferrin content in children compared to adults.