Недостаточная обеспеченность витаминами относится к факторам риска многих алиментарно-зависимых заболеваний, которые могут быть скорректированы питанием. Недостаточное потребление витаминов приводит к снижению неспецифической резистентности организма к физическим, химическим и биологическим факторам окружающей среды, снижению адаптационного потенциала человека. Результаты массовых обследований, выполненных НИИ питания совместно с региональными научными организациями медицинского профиля и органами здравоохранения на местах в 80-90-е годы XX века, продемонстрировали существенный дефицит микронутриентов в питании значительной части детского и взрослого населения разных регионов России [1]. В последующие годы ситуация несколько улучшилась, однако недостаток витаминов по-прежнему имеет широкое распространение [2, 3].
The expert consensus of the Russian communities discusses the issues of comprehensive medical rehabilitation of patients with coronavirus disease 2019 (COVID-19). COVID-19 is a contagious infectious disease that can cause pulmonary, cardiac, motor, metabolic, neurocognitive and mental disorders, that is, multiple organ dysfunction. COVID-19 survivors, especially after a severe clinical course, face serious psychological and physical problems, posttraumatic stress, cognitive dysfunction, nutritional deficiencies and exacerbation of concomitant chronic diseases. Some patients, regardless of the COVID-19 severity, have a long clinical course of the disease (“chronic-COVID”, “long COVID”). There is evidence of post-acute COVID-19 syndrome. In this regard, patients after COVID-19 will need rehabilitation measures. The expert consensus of the Russian communities presents general principles, stages and aspects of medical rehabilitation after COVID-19, indications and contraindications for rehabilitation interventions. The paper includes recommendations on comprehensive cardiac and pulmonary rehabilitation, as well as specifics of rehabilitation care for different COVID-19 courses within the national three-stage rehabilitation system.
The concept of healthy nutrition as a key factor shaping human health in all periods of life, as well as its fundamental principles based on the basic laws on nutrition, is considered. Special attention is paid to the issues of food safety, ensuring the physiological needs for energy, food and biologically active substances, the importance of diversity and balance of the diet. The main violations of the nutrition structure of the population of the Russian Federation are reflected and effective tools for its improvement, prevention of alimentary-dependent non-communicable diseases and health-saving of the nation are proposed.
This document is a clinical guideline on malnutrition in elderly and senile patients, developed by experts from the Russian Association of Gerontologists and Geriatricians, the National Association of Clinical Nutrition and Metabolism, the Union of Nutritionists, Nutritionists, and Food Industry Specialists. The Scientific and Practical Council of the Ministry of Health of the Russian Federation approved the document in December 2020. Clinical recommendations are aimed at geriatricians who provide assistance in outpatient and inpatient conditions, general practitioners, general practitioners, nutritionists, anesthesiologists-resuscitators, clinical pharmacologists, and rehabilitologists.The document outlines the principles of screening, diagnosis of malnutrition syndrome, approaches to managing, preventing, and rehabilitating patients with malnutrition, and organizing medical care for this category of persons and criteria for quality control of its provision.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.