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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2021-40-25-27</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-2426</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРАКТИЧЕСКАЯ ГАСТРОЭНТЕРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL GASTROENTEROLOGY</subject></subj-group></article-categories><title-group><article-title>Питание без глютена: что необходимо учитывать?</article-title><trans-title-group xml:lang="en"><trans-title>Gluten-free meals: What to consider?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5245-7190</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гавриленко</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gavrilenko</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гавриленко Дарья Александровна, студентка V курса лечебного факультета</p><p>г. Омск</p></bio><bio xml:lang="en"><p>Gavrilenko Darya A., 5th year student of Faculty of Medicine</p><p>Omsk</p></bio><email xlink:type="simple">gavrilenko.darigav@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2202-8146</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попелло</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Popello</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Попелло Дарья Владимировна, студентка VI курса лечебного факультета</p><p>г. Омск</p></bio><bio xml:lang="en"><p>Popello Daria V., 6th year student of Faculty of Medicine</p><p>Omsk</p></bio><email xlink:type="simple">dvpopello@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6581-7017</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ливзан</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Livzan</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ливзан Мария Анатольевна, доктор медицинских наук, проф., зав. кафедрой факультетской терапии и гастроэнтерологии, ректор</p><p>Scopus: 24341682600</p><p>г. Омск</p></bio><bio xml:lang="en"><p>Livzan Maria A., DM Sci (habil.), head of Dept of Faculty Therapy and Gastroenterology, rector</p><p>Scopus: 24341682600</p><p>Omsk</p></bio><email xlink:type="simple">mlivzan@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9370-4768</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаус</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gaus</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гаус Ольга Владимировна, кандидат медицинских наук, доцент кафедры факультетской терапии и гастроэнтерологии</p><p>Scopus: 56598554900</p><p>г. Омск</p></bio><bio xml:lang="en"><p>Gaus Olga V., PhD Med., associate professor at Dept of of Faculty Therapy and Gastroenterology</p><p>Scopus: 56598554900.</p><p>Omsk</p></bio><email xlink:type="simple">gaus_olga@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Omsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>17</day><month>01</month><year>2022</year></pub-date><volume>0</volume><issue>40</issue><issue-title>Практическая гастроэнтерология (4)</issue-title><fpage>25</fpage><lpage>27</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гавриленко Д.А., Попелло Д.В., Ливзан М.А., Гаус О.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Гавриленко Д.А., Попелло Д.В., Ливзан М.А., Гаус О.В.</copyright-holder><copyright-holder xml:lang="en">Gavrilenko D.A., Popello D.V., Livzan M.A., Gaus O.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/2426">https://www.med-alphabet.com/jour/article/view/2426</self-uri><abstract><p>Распространенность глютен-ассоциированных заболеваний неуклонно растет в последние десятилетия. На сегодняшний день безглютеновая диета (БГД) является основным методом лечения данных заболеваний. Но ее соблюдение сопряжено с рисками дефицита необходимых питательных веществ, витаминов и нарушения микробиоты кишечника, поэтому пациенты с глютен-ассоциированными заболеваниями находятся под постоянным контролем гастроэнтеролога и диетолога для оперативной коррекции рациона питания в случае возникновения осложнений. Однако популярность БГД стремительно набирает обороты среди лиц, которые не имеют объективных медицинских показаний к ограничению глютена. Это прежде всего связано с веянием моды на соблюдение различных диет, широким освещением данной темы в интернете, СМИ и научно-популярной литературе. Но, к сожалению, не вся предоставляемая информация имеет доказательную базу, а многие не обращаются за помощью к специалистам для консультации по поводу БГД. Тем самым большое количество людей не осведомлены о показаниях и влияния на организм данной диеты. Цель публикации – систематизировать имеющиеся данные о рисках, ассоциированных с приверженностью БГД.</p></abstract><trans-abstract xml:lang="en"><p>The prevalence of gluten-associated diseases has been steadily increasing in recent decades. Today, the gluten-free diet (GFD) is the main treatment for these diseases. But compliance with it is associated with the risks of a deficiency of essential nutrients, vitamins and a violation of the intestinal microbiota, therefore, patients with gluten-associated diseases are under the constant supervision of a gastroenterologist and nutritionist for prompt correction of the diet in case of complications. However, the popularity of GFD is rapidly gaining momentum among individuals who do not have an objective medical indication for restricting gluten. This is primarily due to the fashion trend for observing various diets, wide coverage of this topic on the Internet, the media and popular science literature. But, unfortunately, not all of the information provided has an evidence base, and many do not seek help from specialists for advice about GFD. Thus, a large number of people are not aware of the indications and effects of this diet on the body. The purpose of the publication is to systematize the available data on the risks associated with adherence to GFD.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>безглютеновая диета</kwd><kwd>глютен-ассоциированные заболевания</kwd><kwd>диетотерапия</kwd><kwd>дефицит макро и микронутриентов</kwd><kwd>модуляция микробиоты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gluten-free diet</kwd><kwd>gluten-associated diseases</kwd><kwd>diet therapy</kwd><kwd>macroand micronutrient deficiencies</kwd><kwd>microbiota modulation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Niland B., Cash B. D. 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