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The problem of developing special food with targeted medical and biological properties is a pressing issue not only for sports medicine, but also for nutrition science. The aim of the research was to provide a medical and biological justification for the development and to evaluate the effectiveness of using new sport food (SF) in the form of a bar. Material and methods . The milk-fruit bar was developed on the basis of dry goat milk, dry whey, fruit and berry and grain raw materials, hydrolysate and isolate of plant and animal proteins, vitamin premix, as well as dry cultures of lacto- and bifidobacteria Bifidobacterium bifidum BB79, Streptococcus lactis SL215, Lactobacillus acidophilus LA72 (in a 1:1:1 ratio). The assessment of the effectiveness of a SF was carried out on 2 groups of professional athletes involved in martial arts (MMA), Greco-Roman wrestling, triathlons and pentathlon. 42 athletes were included in the control group and 46 athletes were included in the main group. Athletes in the main group consumed 4 milk-fruit bars (120 g) daily in addition to their basic diet, while athletes in the control group received placebo bars equivalent in calorie value (150 g). The complex examination before and after a 21-day training cycle, in combination with SF intake, included the study of body composition, hematological (red blood cells, hemoglobin, leukocytes, lymphocytes, erythrocyte sedimentation rate, hematocrit) and biochemical studies (plasma total protein, albumin, cholesterol, lactate) as well as studying the antioxidant status of athletes [malondialdehyde (MDA) and diene conjugates (DC) in blood serum]. Results . On the 21st day of SF intake, the cholesterol level decreased by 14.5-18.9% (p<0.05) in individuals involved in Greco-Roman wrestling, MMA and triathlon, in athletes involved in pentathlon - by 11.3% (p>0.05) compared to the initial level in blood plasma. Lactate level also lowered in athletes involved in Greco-Roman wrestling and triathlon by 14.2-28.3% (p<0.05), in other sports - by 12.2-17.6% (p>0.05). At the same time, these indicators did not change significantly in athletes from the control group. In addition, the lactate level in triathletes at the end of the study was 23.2% lower compared to the level in athletes from the control group (p<0.05). SF intake led to the decrease (p<0.05) in blood serum of athletes involved in the presented sports of MDA level by 20.0-27.9% (except for triathletes) and of DC - by 14.3-48.5% (except for athletes involved in Greco-Roman wrestling). In athletes of the control group after taking a placebo bar, the level of MDA significantly decreased by 20.0% only in individuals involved in MMA. Conclusion . The developed SF can be recommended for nutrition of athletes involved in various sports., Competing Interests: The authors declare no conflict of interest., (Copyright© GEOTAR-Media Publishing Group.)

According to studies, the prevalence of constipation in the population can reach 27% due to the low intake of dietary fiber. Increasing dietary fiber intake can improve bowel movements. The aim of the study was to assess the efficacy of a non-alcoholic fermented pasteurized kombucha drink enriched with inulin and vitamins in patients with constipation-predominant irritable bowel syndrome (IBS). Material and methods . The study (NCT05164861) was approved by Local Ethics Committee and enrolled subjects with IBS (according to ROME IV). The subjects were randomized to receive either 220 ml of a non-alcoholic drink, based on pasteurized kombucha (KG), enriched with inulin (1.15 g/100 ml) or 220 ml water (control group, CG), for 10 days. Standard examination included evaluation of stool frequency (bowel movements per day), stool form (with the Bristol stool scale) and evaluation of concomitant symptoms (abdominal pain/discomfort, abdominal fullness, bloating, and feeling of incomplete bowel emptying) with the use of 5-point Likert scale before (BL) and 10 days after the start of intervention (EOT). Using visual analog scales (VAS), the palatability of the studied food was assessed at the beginning and end of the observation period. Results . Significant increase of stool frequency was found at the EOT compared to BL in KG (n=20), Mean±SD: 0.60±0.31 to 0.85±0.19 times/day; p=0.004, while there was no change in CG (n=20): 0.63±0.33 vs 0.72±0.28, p=0.6. Mean values of stool scale form increased in KG (3.0±1.2 to 4.4±1.0, p=0.001), while remained unchanged in CG (2.9±1.2 vs 3.4±1.2, p=0.6). Mean values of the Bristol stool scale in KG and CG differed significantly at EOT (p=0.018). Significant decrease in mean values of incomplete bowel emptying feeling was found in KG (1.88±0.78 at BL vs 1.41±0.56 points at EOT, p=0.015), but not in the control group. There were no statistically significant differences between patient's reports of the studied groups for other symptoms (bitterness and dryness in the mouth, heartburn, nausea, abdominal pain and heaviness in the stomach after eating). Conclusion . The effectiveness of a pasteurized fermented non-alcoholic drink based on kombucha enriched with inulin has been proven by reducing the intensity of complaints significant for constipation, normalizing the frequency and consistency of stools., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

Reducing the manifestations of food allergy by the inclusion of specialized foods in the nutrition of children and adults suffering from this disease is an important problem. The aim was to obtain and characterize in vitro food protein hydrolysates to evaluate their use in specialized foods with reduced potential allergenicity., Material and Methods: Whey protein concentrate (WPC) and chicken egg protein (CEP) and enzymes such as pancreatin and alkalase have been used. Proteolysis of proteins was carried out in an FA-10 fermenter for 3 hours at an enzyme : substrate ratio of 1:50 in dry matter, at optimal pH and temperature for pancreatin and alkalase. Enzymes were inactivated at +75 °C and fermentolizate was ultrafiltered. The solutions were concentrated by reverse osmosis and freeze-dried. The molecular weight distribution of the peptide fractions was evaluated by HPLC. Residual antigenicity was determined by the method of indirect enzyme-linked immunosorbent assay and expressed as the fold of antigenicity reduction relative to the original protein., Results and Discussion: During WPC proteolysis with pancreatin the hydrolyzate was obtained with a fold reduction of antigenicity of 2.3×10 3 relative to the initial WPC. A decrease in antigenicity of 4.7×10 4 times was achieved with proteolysis of WPC by alkalase. The combination of WPC fermentolysis with pancreatin or alkalase followed by ultrafiltration reduced the content of high molecular weight peptides with a mass more than 8.7 kDa. The multiplicity of decrease in antigenicity with respect to the starting protein was 1.64×10 5 and 1.90×10 5 , respectively. After repeated ultrafiltration the reduction in antigenicity of the obtained WPC alkalase or pancreatin hydrolysate was more than 1.0×10 6 and more than 5.0×10 5 , respectively. The decrease in antigenicity of the CEP hydrolyzate obtained with proteolysis by alkalase and ultrafiltration compared to the initial CEP was 1.0×10 5 times, and 5.0×10 5 times when we used repeated ultrafiltration., Conclusion: A significant decrease in the content of high molecular weight peptides and a decrease in the antigenicity of peptide mixtures based on WPC and CEP to the values that permit their use in hypoallergenic products is achieved by combining proteolysis and double ultrafiltration through a UF10 membrane., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

The development and implementation of effective means to improve performance, endurance, rapid recovery of the body after physical exertion and, ultimately, improve athletic performance are still relevant. The aim of the work was to develop a new specialized product based on dry mare's milk, as well as to evaluate its effectiveness on an experimental model of physical activity. Material and methods . A specialized product has been developed, including powdered mare's milk, skimmed cow's milk, vegetable cream, crushed sea buckthorn fruits, wheat germ, vitamins A, E, C, PP, folic acid, mineral substances (selenium, magnesium, zinc, iron), inulin, dry bacterial starter culture (Lactobacillus acidophilus, Streptococcus lactis, Bifidobacterium bifidum in a 1:1:1 ratio) and fucoidan. Experimental studies were carried out on 70 white male Wistar rats with an initial body weight of 207-226 g. Animals were fed complete semi-synthetic diet with free access to food and water. Animals of the experimental group additionally received 10 g of a specialized product daily. The control group of animals additionally received glucose in an amount corresponding to the calorie content of 10 g of the specialized product (45 kcal). The animals were subjected to physical exertion - forced swimming until they were completely tired. The swimming test was carried out every seven days during the 21-day experimental period with a load of 10% of the animal's body weight. In hemolysates of erythrocytes, liver microsomes, and in the mitochondrial fraction of the femoral muscle, the activity of catalase and superoxide dismutase was assessed using kits, the concentration of malondialdehyde (MDA) and diene conjugates was determined by spectrophotometry. The level of lactic and pyruvic acids in the blood serum and femoral muscle of rats was assessed by spectrophotometry. The liver and heart were histologically examined. Results . Feeding animals the specialized protein product for 21 days resulted in a statistically significant increase in endurance, as evidenced by data on the time of swimming with a load. So, in the experimental group, in comparison with the initial data, the swimming time increased by 223%. In the control group, the time of swimming with a load increased in comparison with the initial data by only 71.4%, which was 3.1 fold lower than the values in the experimental group. The time of swimming with a load of animals from both groups did not change statistically significantly in the next 7 days of feeding exclusively semi-synthetic diet. The consumption of the specialized product was accompanied by a positive trend in the change in the antioxidant status indicators. Thus, in the membranes of erythrocytes, there was a decrease in the concentration of malondialdehyde by 55.2% and an increase in the activity of catalase and superoxide dismutase by 19.6 and 37.9%, respectively, compared with data in the control group. In the microsomal fraction of the liver, the level of MDA decreased by 40.0% and catalase activity increased by 59.6%. In the mitochondrial fraction of the femoral muscle, a decrease in the level of MDA and diene conjugates was noted, respectively, by 46.8 and 40.8%. In rats of the experimental group, the concentration of lactic acid in the blood serum was reduced by 40.6%, and in the femoral muscle - by 24.7% compared with animals of the control group. Histological studies of the hepatic and cardiac tissues confirmed positive changes in the structure of the studied organs. Conclusion . The results obtained indicate a favorable effect of the protein mixture on the state of the antioxidant system, the general physiological state of rats, their endurance in relation to physical activity, which is largely associated with the set of food ingredients included in the composition, and, first of all, complete protein, vitamins-antioxidants (A, E, C), as well as energy sources, pre- and probiotics, minerals and trace elements, immune defense factors that favorably affect the state of the membranes of erythrocytes, myocytes and hepatocytes and increase not only the body's endurance, but also its metabolic functions, which is confirmed by the data of biochemical and morphological studies., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

Dynamically changing global trends in the field of innovative foods in recent years are aimed at the development of technologies that ensure the formation of segments of new types of products, positioned as healthy products. Scientific directions of research and development in this area, retrospectively related to the development of nutrition science, are focused on solving an interdisciplinary set of tasks to create new types of foods, the distinctive features of which are the specified compositions and properties that determine the health benefits (functional foods) and directed physiological effectiveness (specialized foods for preventive and therapeutic nutrition). Characteristics of the composition of a specific specialized food are formed in connection with its intended purpose on the basis of medico-biological requirements taking into account specific features of nutrition of the population in total, and its separate groups or individual. Depending on the mentioned specifics, the development of specialized foods provides for different levels of determining human needs: from energy consumption to the metabolome. Taking into account these features, the development tasks, methods of proving the effectiveness and conditions for using specialized foods in order to achieve maximum effect are determined. In studies of prophylactic or therapeutic foods, the subject of evaluating the effectiveness of a specialized product is the clinical effect, so innovative research in this category of products is associated with the creation of a universal approach to the development, use and evaluation of the effectiveness of biologically active substances and containing them specialized foods for the correction of metabolic disorders. The vector of innovative development of technologies for the production of specialized foods is focused today on the direction of personalized nutrition. The basis of scientific justification of the distinctive features of the compositions and properties, as well as technological know-how of the production of personalized foods, is the information about the metabolome directly related to the biological functions of the body., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

The review considers some issues of obtaining, as well as physic-chemical, organoleptic, immunochemical (residual antigenicity) characteristics of enzymatic hydrolysates from food proteins (EHFP) that are widely used in food products for various purposes, as well as assessing their biological activity. The results of experimental works and patents, which describe the most widely used approaches to the production of EHFP with desired properties (hydrolysates for therapeutic and prophylactic products), as well as assessments of biological activity and immunochemical properties are given. The use of various enzyme preparations (of bacterial, fungal and animal origin), as well as one- and two-stage hydrolysis schemes and options for instrumentation of fermentolysis processes are considered. It is concluded that in order to achieve the required reduction in antigenicity for hydrolysates used as part of therapeutic (hypoallergenic) foods (to values not higher than 10 -5 relative to the antigenicity of the original protein) membrane ultrafiltration stages are necessary. The main disadvantage of such hydrolysates is their unsatisfactory organoleptic properties (bitterness and high osmolarity) that can be improved using a number of additional technological approaches. The use of partial hydrolysates (or hydrolysates with an average degree of hydrolysis, with a residual antigenicity of 10 -4 to 10 -5 ) with significantly better organoleptic properties compared with deep hydrolysates in therapeutic foods is considered. Of considerable interest are the issues of immunomodulatory, antioxidant and hypoallergenic properties of EHFP. It has been suggested that soybean and chicken egg hydrolysates may be promising as functional ingredients with antimicrobial, antihypertensive and immunomodulatory effects in various specialized foods, as well as in cases of food intolerance only to cow milk proteins., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

The prevalence of type 2 diabetes mellitus (DM2) determines the need to develop evidence-based methods for preventing this disease, including personalized approaches to the dietary correction of metabolic disorders in DM2, including the use of specialized foods. Aim. To evaluate the effect of a low-calorie diet with the inclusion of a specialized product (SP) with a modified carbohydrate profile (dry instant mixture) on the glycemic and metabolic control indicators in patients with DM2. Material and methods. The study included 30 patients with DM2 with concomitant obesity, grade I-III, who were on oral sugar-lowering therapy. Within 2 weeks, patients of the main group received a low- calorie diet (1550 kcal/day) with the inclusion of SP with a modified carbohydrate profile (based on maltitol and with sweeteners) with strawberry flavor in the form of a drink (30 g dry mix per 150 ml of water) for the second breakfast instead of a carbohydrate-containing dish, which provided the intake of 7.8 g of protein, 6.1 g of fat, 1.8 g of carbohydrates, 5.6 g of maltitol. The comparison group received a low-calorie diet (1550 kcal/day) without the inclusion of SP. In all patients, on the background of complex therapy, anthropometric indices, body composition, parameters of carbohydrate, lipid and protein metabolism, liver function, and lipid peroxidation were assessed. Results and discussion. It was shown that SP inclusion into the hypocaloric diet was accompanied by a significant decrease in the level of basal glycemia by an average of 17.4% from the initial level (p<0.05), serum total cholesterol (TC) and low density lipoproteins cholesterol (LDL-C) on average by 26.9 and 36.2% of baseline, respectively, p<0.05, while in patients of the comparison group, the change in fasting blood glucose was not statistically significant (a decrease of 8.1%), and the decrease in TC and LDL-C was on average 22.1 and 21.0%, respectively (p<0.05). At the same time, against the background of complex therapy, positive dynamic in lipid peroxidation in the main group was observed: the level of blood serum malondialdehyde decreased on average by 25.3% from the baseline values (p<0.05). Conclusion. The inclusion of SP with a modified carbohydrate profile in a low-calorie diet is accompanied by an improvement in glycemic control, lipid metabolism and antioxidant status of patients with DM2, helping to reduce the risk of developing systemic vascular complications in this disease., Competing Interests: The authors declare no overt and potential conflict of interest related to the publication of this article., (Copyright© GEOTAR-Media Publishing Group.)

Specialized sports nutrition is one of the most important factors in the extension of the functional potential of athletes, providing adaptive resistance to physical stress, which determines the high physical performance and prolongs athletic longevity of the athletes. The study involved 30 skiers-racers (the average age of 19.5±1.8 years). 12 skiers of the main group within 21 days consumed a specialized food product, obtained on the basis of fermented milk whey containing amino acids, several vitamins, minerals and trace elements, live culture of lactic acid bacteria: L. lactis, L. thermophilus, L. bulgaricus (1.2×10 8 CFU/cm 3 ). The control group consisted of 18 skiers, those taking the placebo (food starch of the same consistency). After a course of product intake, blood level of hemoglobin increased by 6%, of leukocytes - by 10% due to an increase in the number of granulocytes by 32%, and segmented neutrophils by 16% (p<0.05), there was a tendency to increase the number of red blood cells by 7% with a significant decrease in lymphocyte count by 19%. Erythrocyte sedimentation rate in blood of the skiers from the comparison group increased by 41% (p<0.05), while in the athletes of the main group it decreased by 16% (p>0.05). After product intake it has been established by the method of laser Doppler flowmetry that there was a tendency to increase blood perfusion by 15%, a statistically reliable increase in the flux by 53%, which is based on the improvement of the internal mechanisms of microcirculation regulation. According to the mathematical analysis of cardiac rhythm, centralization of regulation decreased while the activity of an autonomous mechanism for controlling the work of the heart increased. The revealed functional changes ensured an increase of absolute (by 31%, p<0.05) and relative (by 33%, p<0.05) physical performance and aerobic endurance of skiers, contributed to the improvement of short-term memory. The conclusion is made about the expediency of the intake of the specialized food product to enhance the adaptive capacity of athletes under the influence of systematic physical loads., (Copyright© GEOTAR-Media Publishing Group.)

The research was conducted with participation of the perlite production workers with professional eczema (165 people in the main group and 152 from the control group without skin pathology). The effectiveness of the use of a specialized prophylactic food in the diet of workers was assessed on the basis of the study of the dynamics of the indicators of nutritional and clinical status. Inclusion of kissel, containing pectin, vitamin A (300% from RDA), vitamin E and zinc (40% from RDA), biologically active substances of plant origin in the diet of the examined against the background of the course of complex therapy, has resulted in a positive influence on individual laboratory values, demonstrating the optimization of metabolic processes, which characterize the pathogenesis of skin inflammation. Thus, the concentration of ascorbic acid in blood serum statistically significant (p<0.05) increased by 30.0%, tocopherol - by 36.3%, carotenoids - by 27.3%, phosphorus - by 28.9%, calcium level elevated by 16.3% (p<0.10). There was a decrease in the level of MDA in blood serum by 12.3% (p<0.05) and an increase in catalase activity by 12.2% (p>0.05). There was a tendency to reduce itching, infiltration, erythematous and eczematous manifestations of the disease. The data obtained make it possible to consider the use of a specialized food product of dietary preventive nutrition by workers in pearlite production as a mean to enhance the body's adaptive reserves and to prevent the occurrence, progression and development of occupational skin diseases (eczema) in the workplace., (Copyright© GEOTAR-Media Publishing Group.)

In recent years the protocols of Enhanced Recovery After Surgery (E.R.A.S.) have been introduced into clinical practice and actively used. The goal of E.R.A.S. is to increase recovery, decrease complications and reduce length of stay after surgery through optimization of perioperative management. One of the key elements of E.R.A.S. is Metabolic Optimized Fast Track Concept (MOFA). It is aimed at the reduction of the period of preoperative fasting and at the activation of glucose transport inside the cell. It involves the administration of combined carbohydrate-protein-glutamine drinks which results into decreased insulin resistance in the early postoperative period. The implementation of MOFA within the structure of perioperative nutrition and metabolic support in abdominal surgery may actually be beneficial by reducing postoperative complications, length of hospital stay and mortality rate.

Objective - To evaluate the effect of diet therapy with the inclusion of specialized food product with a modified carbohydrate profile (fruit jelly) on glycemic and metabolic parameters in patients with type 2 diabetes mellitus. The study included 45 patients (aged 35 to 69 years) with type 2 diabetes with concomitant obesity I-III degree. The study was conducted in two stages. The first phase evaluated the effect of jelly intake on postprandial glycemia with determination of blood glucose levels on an empty stomach and 30, 60, 120 and 180 minutes after consumption of fruit jelly with maltitol, pectin and sublimated raspberry juice and traditional marmalade with fructose (control), containing 25 g of digestible carbohydrates. In the second phase the effectiveness of combination therapy during 2 weeks of the inclusion of fruit jelly with a modified carbohydrate profile in a standard hypocaloric diet (1550 kcal/day) has been assessed. It has been shown that the dynamics of postprandial glycemia in patients with type 2 diabetes after the consumption of fruit jelly with a modified carbohydrate profile was comparable to the dynamics of blood glucose after eating traditional marmalade with fructose. Inclusion of fruit jelly with a modified carbohydrate profile in the standard diet therapy of patients with type 2 diabetes during 2 weeks was accompanied by positive dynamics of carbohydrate and lipid metabolism, as well as a decrease in the content of lipid peroxidation products in blood plasma: reducing the level of conjugated dienes and malondialdehyde averaged 15.2 and 17.4% from baseline (p<0.05), respectively, while content of lipid peroxidation products in blood plasma did not changed in patients from the control group.

The medical and biological rationale for the use of food ingredients in the development of specialized food products with optimized composition for patients with type 2 diabetes is given in the review. It is shown that the key aspects of the development of specialized foods for patients with type 2 diabetes are meeting the physiological needs of the patient in nutrients and biologically active substances, providing favorable metabolic effects of functional ingredients included in the product, maintaining the traditional quality of the enriched product, adjustment of the product composition in order to mitigate the possible changes caused by the introduction of functional ingredients.

The study of the nutrition and the nutritional status children of the first year age and children earliest age were conducted on nationally representative surveys (2500 children, 2-24 months) the Institute of Nutrition, Russian Academy of Medical Sciences with the Institute of Sociology Russian of Academy of Sciences, Gerber Product Company and Nestle Company in 2006. The level the frequency of breast feeding had among children 1 m.--80%, 2-4 m.--70%, 4-6 m.--60%. The lowest body mass Z-scores were registered 0.5-5.0% among of children, the tendency of obesity increase in the age were registered from 1.6 to 13% of children. Calculations of chemical composition and energy value of actual nutrition have show according to the values requirements.

Author studied 64 patients with chronic biliary pancreatitis and obesity. In most cases the observed patients had also a diagnosis of non-alcoholic steatohepatitis. It was shown that in combined pathology there were revealed atherogenic blood lipid profile, disorders of liver functional state, sonographic changes of pancreas, liver, and gallbladder. Inclusion of multinutrient functional complexes "Grinization" in complex therapy improved sonography results, blood lipid levels, and eliminated biochemical manifestations of hepatocytes' cytolysis and cholestasis.

The aim of research is influence dispersant food on morphological peculiarities of white rat's mucosa colon. It is determined morphological peculiarities animal's colon mucosa under the influence dispersant food in particularly reduction mucous thickness and mitotic index crypt, decreasing of goblet cells in the epithelial layer.