References

medalphabet

Медицинский алфавит

Medical alphabet

2078-56312949-2807

ООО «Альфмед»

10.33667/2078-5631-2023-8-36-47

medalphabet-3119

Research Article

Статьи

Роль отдельных нейронутриентов в оптимизации алиментарной терапии неврологических пациентов

The role of individual neuronutrients in optimizing nutritional therapy for neurological patients

https://orcid.org/0000-0002-4689-3591

Орлова

С. В.

Orlova

S. V.

Орлова Светлана Владимировна, д. м. н., проф., зав. кафедрой диетологии и клинической нутрициологии, главный научный сотрудник

Москва

Orlova Svetlana V., DM Sci (habil.), professor, head of Dept of Dietetics and Clinical Nutritiology, Chief Researcher

Moscow

orlova-sv@rudn.ru

https://orcid.org/0000-0003-3220-0333

Никитина

Е. А.

Nikitina

E. A.

Никитина Елена Александровна, к. м. н., доцент кафедры диетологии и клинической нутрициологии научный сотрудник

Москва

Nikitina Elena A., PhD Med, assistant professor of Dept of Dietetics and Clinical Nutritiology, Researcher

Moscow

nikitina-ea1@rudn.ru

https://orcid.org/0000-0002-0548-3414

Балашова

Н. В.

Balashova

N. V.

Балашова Наталья Валерьевна, к. б. н., доцент кафедры диетологии и клинической нутрициологии

Москва

Balashova Natalya V., PhD Bio Sci, assistant professor of Dept of Dietetics and Clinical Nutritiology

Moscow

balashovaN77@mail.ru

https://orcid.org/0000-0002-3738-3792

Грибакин

С. Г.

Gribakin

S. G.

Грибакин Сергей Германович, д. м. н., профессор кафедры диетологии и нутрициологии

Москва

Gribakin Sergey G., DM Sci (habil.), professor of the Dept of Dietology and Nutrition

Moscow

serg.gribakin2016@yandex.ru

https://orcid.org/0000-0002-3811-9459

Прокопенко

Е. В.

Prokopenko

E. V.

Прокопенко Елена Валерьевна, врач-эндокринолог, диетолог, ведущий менеджер проектов медицинского департамента

Москва

Prokopenko Elena V., endocrinologist, dietitian, Project Manager of Medical Department

Moscow

elvprokopenko@gmail.com

https://orcid.org/0000-0002-5203-1082

Водолазкая

А. Н.

Vodolazkaya

A. N.

Водолазкая Ангелина Николаевна, врач-диетолог

Москва

Vodolazkaya Angelina N., dietitian

Moscow

drvodolazkaya@gmail.com

https://orcid.org/0000-0003-4749-731X

Пигарева

Ю. А.

Pigareva

Yu. A.

Пигарева Юлия Анатольевна, к. м. н., зав. отделением клинической диетологии

Москва

Pigareva Yulia A., PhD Med, head of Dept of Clinical Dietetics

Moscow

yupigareva@yandex.ru

ФГАОУ ВО «Российский университет дружбы народов» (РУДН); ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения Москвы»РоссияPeoples’ Friendship University of Russia; Scientific and Practical Center for Child Psychoneurology, Moscow Department of HealthRussian Federation

ФГАОУ ВО «Российский университет дружбы народов» (РУДН)РоссияPeoples’ Friendship University of RussiaRussian Federation

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continious Professional EducationRussian Federation

ООО «ИНВИТРО»РоссияINVITRO” Limited Liability CompanyRussian Federation

Австрийская клиника микронутриентной терапии BiogenaРоссияAustrian clinic for micronutrient therapy BiogenaRussian Federation

ГБУЗ «Городская клиническая больница имени В. В. Виноградова Департамента здравоохранения Москвы»РоссияCity Clinical Hospital n. a. V. V. VinogradovRussian Federation

2023

14062023

«Диетология и нутрициология» (1)

3647

2023

Орлова С.В., Никитина Е.А., Балашова Н.В., Грибакин С.Г., Прокопенко Е.В., Водолазкая А.Н., Пигарева Ю.А.

Orlova S.V., Nikitina E.A., Balashova N.V., Gribakin S.G., Prokopenko E.V., Vodolazkaya A.N., Pigareva Y.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-alphabet.com/jour/article/view/3119

Нейродиетология – мультидисциплинарная наука, основанная на знаниях нейронауки и диетологии и имеющая своей целью оптимизацию терапии психоневрологических заболеваний посредством качественного и количественного модулирования составом рационов питания, алиментарную профилактику болезней нервной системы, когда последняя возможна, а также оптимизацию психомоторных и интеллектуальных функций. Следует отметить, что нейродиетология и подходы к выбору лечебного питания с каждым годом занимают все более прочное положение в мировой клинической медицине. Вариабельность нутритивных подходов к практическому лечению неврологической патологии у пациентов отражает многогранность современной нейродиетологии. Поэтому не случайно нейродиетология детского возраста получила в России широкое применение, чего нельзя сказать о нутритивных подходах в лечении взрослых пациентов этого профиля. Кроме того, нарушения нутритивного статуса и отсутствие своевременной его коррекции снижают эффективность реабилитационных мероприятий – важнейшего звена в комплексном лечении неврологических пациентов, профилактике инвалидизации и повышении социальной адаптации. При невозможности обеспечить адекватный уровень потребления пищевых веществ и энергии стандартным путем необходимо своевременно назначить нутритивную поддержку с использованием специализированных пищевых продуктов, включая биологически активные добавки к пище.

Neurodietology is a multidisciplinary science based on knowledge of neuroscience and dietology and aiming to optimize the treatment of neuropsychiatric diseases through qualitative and quantitative modulation of the composition of diets, alimentary prevention of diseases of the nervous system, when the latter is possible, as well as optimization of psychomotor and intellectual functions. It should be noted that neurodietology and approaches to the choice of therapeutic nutrition every year occupy an increasingly strong position in world clinical medicine. The variability of nutritional approaches to the practical treatment of neurological pathology in patients reflects the versatility of modern neurodietology. Therefore, it is no coincidence that childhood neurodietology has been widely used in Russia, which cannot be said about nutritional approaches in the treatment of adult patients of this profile. In addition, violations of the nutritional status and the lack of its timely correction reduce the effectiveness of rehabilitation measures – the most important link in the complex treatment of neurological patients, prevention of disability and increasing social adaptation. If it is impossible to provide an adequate level of intake of nutrients and energy in the standard way, it is necessary to prescribe nutritional support in a timely manner using specialized food products, including biologically active food supplements.

минеральные веществавитаминымикроэлементыкогнитивные нарушениямакро- и микронутриентынейропротекторынейронутриентытирозинхолинГАМКглицинмагнийпиридоксинпиридоксальнейродиетологияпрофилактикакоррекция

mineralsvitaminstrace elementscognitive impairmentmacro-micronutrientsneuroprotectorsneuronutrientstyrosinecholineGABAglycinemagnesiumpyridoxinepyridoxalneurodietologypreventioncorrection

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