mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2026-1-106-112mrj-1913Research ArticleОБЗОРЫREVIEWSПатогенетические и метаболические основы лечебного питания при ревматических заболеванияхPathogenetic and metabolic basis of therapeutic nutrition in rheumatic diseaseshttps://orcid.org/0000-0001-9134-931XБарановскийА. Ю.BaranovskyA. Yu.

Андрей Юрьевич Барановский

Россия, 199034, Санкт-Петербург, Университетская наб., 7–9

 

Andrey Yuryevich Baranovsky 

7–9, Universitetskaya Embankment, Saint Petersburg 199034, Russia 

baranovsky46@mail.ruhttps://orcid.org/0000-0003-2427-4148МаслянскийА. Л.MaslyanskiyA. L.

Россия, 199034, Санкт-Петербург, Университетская наб., 7–9;

Россия, 197341, Санкт-Петербург, ул. Аккуратова, 2;

Россия, 115522, Москва, Каширское шоссе, 34А

7–9, Universitetskaya Embankment, Saint Petersburg 199034, Russia;

2, Akkuratova Street, Saint Petersburg 197341, Russia;

34A, Kashirskoe Shosse, Moscow 115522, Russia 

Медицинский институт ФГБОУ ВО «Санкт-Петербургский государственный университет»РоссияSaint Petersburg State UniversityRussian FederationМедицинский институт ФГБОУ ВО «Санкт-Петербургский государственный университет»; ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России; ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияSaint Petersburg State University; V.A. Almazov National Medical Research Center, Ministry of Health of Russia; V.A. Nasonova Research Institute of RheumatologyRussian Federation202619022026201106112Copyright © Барановский А.Ю., Маслянский А.Л., 20262026Барановский А.Ю., Маслянский А.Л.Baranovsky A.Y., Maslyanskiy A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1913

Лечебно-профилактическое питание является не только средством обеспечения больных необходимыми питательными веществами для покрытия метаболических расходов организма, но и важным нелекарственным методом коррекции многих патогенетических механизмов заболеваний, усиления действия фармакотерапии, нормализации адаптационно-компенсаторных и регуляторных блоков саногенеза. На основе современных данных литературы и собственных материалов авторы анализируют лечебное воздействие компонентов диеты на важнейшие механизмы развития ревматических заболеваний (РЗ). Представлены алгоритмы индивидуализации программ лечебного питания для больных с основными РЗ. Рассмотрены принципы современной клинической диетологии, которые могут представлять интерес для практических врачей.

Therapeutic and preventive nutrition is not only a means of providing patients with essential nutrients to meet the metabolic demands of the body, but also an important non-pharmacological method for correcting multiple pathogenetic mechanisms of disease, enhancing the effects of pharmacotherapy, and normalizing adaptive-compensatory and regulatory components of sanogenesis. Based on contemporary literature data and own data, the authors analyze the therapeutic effects of dietary components on key mechanisms involved in the development of rheumatic diseases (RDs). Algorithms for individualizing therapeutic nutrition programs for patients with major RDs are presented. Principles of modern clinical dietetics that may be of interest to practicing physicians are also discussed.

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The authors declare that there are no conflicts of interest present.