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Undifferentiated connective tissue dysplasia and skin: what to do? Dietitian’s position

https://doi.org/10.33667/2078-5631-2025-19-60-70

Abstract

Undifferentiated connective tissue dysplasia (UCTD) is a common hidden diagnosis at a cosmetologist and dermatologist appointment, which can affect the prognosis, choice of procedure and patient management tactics. Being a genetically determined disorder of connective tissue formation and manifested by polymorphic changes in the skin, joints, blood vessels and internal organs, UCTD has no clear diagnostic criteria, which complicates timely diagnostics. A particular problem is premature aging, which in patients with UCTD is ahead of biological age by an average of 8 years, and impaired full tissue reparation against the background of UCTD. These changes are due to impaired synthesis of collagen, elastin and glycosaminoglycans. Since UCTD is a genetic pathology, it cannot be completely eliminated, but an integrated approach, including diet therapy and correction of micronutrient deficiencies, can slow down the progression of dysplastic changes and improve reparative processes after hardware-based and injectable cosmetology procedures. This review examines key nutrients that affect connective tissue metabolism, as well as current data on the effectiveness of diet therapy and dietary supplements for UCTD.

About the Authors

E. A. Nikitina
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы» ; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава России
Russian Federation

Nikitina Elena A., PhD Med, associate professor at Dept of Dietetics and Clinical Nutrition, research fellow2, expert of Methodological Accreditation and Simulation Center



S. V. Orlova
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»
Russian Federation

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



T. T. Batysheva
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»
Russian Federation

Batysheva Tatyana T., DM Sci (habil.), professor, Honored Doctor of the Russian Federation, head of Dept of Neurology, Physical, Rehabilitation Medicine and Childhood Psychology, director, chief freelance pediatric neurologist of the Moscow Health Department, chief freelance pediatric specialist in medical rehabilitation of the Russian Ministry of Health



N. V. Balashova
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ МО «Московский областной научно-исследовательский клинический институт имени М.Ф. Владимирского»
Russian Federation

Balashova Natalya V., PhD Bio, assistant professor at Dept of Dietetics and Clinical Nutritiology, assistant professor at Dept of Clinical Laboratory Diagnostics of the Faculty of Advanced Training of Doctors

Author ID: 832745



M. V. Alekseeva
ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»
Russian Federation

Alekseeva Marina.V., Ph.D., Deputy Director for Organizational and Methodological Work



References

1. Clinical guidelines of the Russian Scientific Medical Society of Internal Medicine on the diagnosis, treatment and rehabilitation of patients with the connective tissue dysplasia (first edition) approved by the XII National Congress of Internists on 22–24 November 2017. Medical news of North Caucasus. 2018; 13 (1.2): 137–209. (In Russ.). https://www.rnmot.ru/public/uploads/RNMOT/Other/dst/2_%D0%9A%D0%A0%20%D0%A0%D0%9D%D0%9C%D0%9E%D0%A2_%D0%94%D0%A1%D0%A2_%D0%BF%D0%B5%D1%80%D0%B2%D1%8B%D0%B9%20%D0%BF%D0%B5%D1%80%D0%B5%D1%81%D0%BC%D0%BE%D1%82%D1%80_2018%20%D0%B3%D0%BE%D0%B4.pdf

2. Abdukadirova N.B., Rabbimova D.Т., Khayatova Z.B. The role of connective tissue dysplasias in pathology of various body systems. Journal of Siberian Medical Sciences. 2020; 3: 126–135. (In Russ.). https://cyberleninka.ru/article/n/rol-displaziy-soedinitelnoy-tkani-v-razvitii-patologii-razlichnyh-sistem-organizma/viewer

3. Kononova N. Yu., Chernyshova T.E., Pimenov L.T., Zagrtdinova R.M., Smetanin M. Yu. Evaluation of quality of life parameters among patients with undefined close tissue dysplasia. Therapy-journal. 2019; 7 (33): 50–53. (In Russ.). https://doi.org/10.18565/therapy.2019.7.50-53

4. Ouyang Z, Dong L, Yao F, Wang K, Chen Y, Li S, Zhou R, Zhao Y, Hu W. Cartilage-Related Collagens in Osteoarthritis and Rheumatoid Arthritis: From Pathogenesis to Therapeutics. Int J Mol Sci. 2023 Jun 7; 24 (12): 9841. DOI: 10.3390/ijms24129841

5. Campos LD, Santos Junior VA, Pimentel JD, Carregã GLF, Cazarin CBB. Collagen supplementation in skin and orthopedic diseases: A review of the literature. Heliyon. 2023 Mar 28; 9 (4): e14961. DOI: 10.1016/j.heliyon.2023.e14961

6. Marcos-Garcés V, Molina Aguilar P, Bea Serrano C, García Bustos V, Benavent Seguí J, Ferrández Izquierdo A, Ruiz-Saurí A. Age-related dermal collagen changes during development, maturation and ageing – a morphometric and comparative study. J Anat. 2014 Jul; 225 (1): 98–108. DOI: 10.1111/joa.12186

7. Zagrtdinova R.M., Samatova A.T., Kononova N. Yu., Chernushova T.E., Sigal Z.M. Transillumination pulsography as a method for evaluating the effectiveness of procedures for correcting premature aging in patients with undifferentiated connective tissue dysplasia. Russian Journal of Clinical Dermatology and Venereology = Klinicheskaya dermatologiya i venerologiya. 2021; 20 (4): 39–44. (In Russ.). https://doi.org/10.17116/klinderma20212004139

8. Kononova N. Y., Zagrtdinova R. M. Klinicheskie markery prezhdevremennogo stareniya u zhenshchin S nedifferentsirovannoy displaziey soedinitel’noy tkani. Russian Journal of Skin and Venereal Diseases. 2017; 20 (2): 96–97. (In Russ.). DOI: 10.17816/dv37285

9. Guedry SE, Langley BO, Schaefer K, Hanes DA. Integrative medicine for hypermobility spectrum disorders (HSD) and Ehlers-Danlos syndromes (EDS): a feasibility study. Disabil Rehabil. 2024 Dec; 46 (24): 5854–5867. DOI: 10.1080/09638288.2024.2314713

10. Dembure PP, Janko AR, Priest JH, Elsas LJ. Ascorbate regulation of collagen biosynthesis in Ehlers-Danlos syndrome, type VI. Metabolism. 1987 Jul; 36 (7): 687–91. DOI: 10.1016/0026-0495(87)90155‑7

11. Mantle D, Wilkins RM, Preedy V. A novel therapeutic strategy for Ehlers-Danlos syndrome based on nutritional supplements. Med Hypotheses. 2005; 64 (2): 279–83. DOI: 10.1016/j.mehy.2004.07.023

12. Sood V, Kaul A, El-Chammas KI, Mukkada VA, Sun Q, Fei L, Santucci NR. High prevalence of gastrointestinal disorders in a large cohort of patients with joint hypermobility. J Pediatr Gastroenterol Nutr. 2024 Jul; 79 (1): 42–47. DOI: 10.1002/jpn3.12245

13. Thwaites PA, Gibson PR, Burgell RE. Hypermobile Ehlers-Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know. J Gastroenterol Hepatol. 2022 Sep; 37 (9): 1693–1709. DOI: 10.1111/jgh.15927

14. Nikitina E.A., Orlova S.V., Karushina L.l.. Nutritional support during plastic surgery // Plastic Surgery and Cosmetology. 2012; 2: 231–240. https://repository.rudn.ru/ru/records/article/record/127711/

15. Berrazaga I, Micard V, Gueugneau M, Walrand S. The Role of the Anabolic Properties of Plant- versus Animal-Based Protein Sources in Supporting Muscle Mass Maintenance: A Critical Review. Nutrients. 2019 Aug 7; 11 (8): 1825. DOI: 10.3390/nu11081825

16. Paul C, Leser S, Oesser S. Significant Amounts of Functional Collagen Peptides Can Be Incorporated in the Diet While Maintaining Indispensable Amino Acid Balance. Nutrients. 2019 May 15; 11 (5): 1079. DOI: 10.3390/nu11051079

17. Xu R, Wu J, Zheng L, Zhao M. Undenatured type II collagen and its role in improving osteoarthritis. Ageing Res Rev. 2023 Nov; 91: 102080. DOI: 10.1016/j.arr.2023.102080

18. Kumar P, Bansal P, Rajnish RK, Sharma S, Dhillon MS, Patel S, Kumar V. Efficacy of undenatured collagen in knee osteoarthritis: review of the literature with limited meta-analysis. Am J Transl Res. 2023 Sep 15; 15 (9): 5545–5555. PMID: 37854210; PMCID: PMC10579002. https://pmc.ncbi.nlm.nih.gov/articles/PMC10579002/

19. Schön C, Knaub K, Alt W, Durkee S, Saiyed Z, Juturu V. UC–II Undenatured Type II Collagen for Knee Joint Flexibility: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Study. J Integr Complement Med. 2022 Jun; 28 (6): 540–548. DOI: 10.1089/jicm.2021.0365

20. Postlethwaite AE, Wong WK, Clements P, Chatterjee S, Fessler BJ, Kang AH, Korn J, Mayes M, Merkel PA, Molitor JA, Moreland L, Rothfield N, Simms RW, Smith EA, Spiera R, Steen V, Warrington K, White B, Wigley F, Furst DE. A multicenter, randomized, double-blind, placebo-controlled trial of oral type I collagen treatment in patients with diffuse cutaneous systemic sclerosis: I. oral type I collagen does not improve skin in all patients, but may improve skin in late-phase disease. Arthritis Rheum. 2008 Jun; 58 (6): 1810–22. DOI: 10.1002/art.23501

21. Castori M, Morlino S, Pascolini G, Blundo C, Grammatico P. Gastrointestinal and nutritional issues in joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type. Am J Med Genet C Semin Med Genet. 2015 Mar; 169C (1): 54–75. DOI: 10.1002/ajmg.c.31431

22. Alcock RD, Shaw GC, Tee N, Burke LM. Plasma Amino Acid Concentrations After the Ingestion of Dairy and Collagen Proteins, in Healthy Active Males. Front Nutr. 2019 Oct 15; 6: 163. DOI: 10.3389/fnut.2019.00163

23. Iwai K, Hasegawa T, Taguchi Y, Morimatsu F, Sato K, Nakamura Y, Higashi A, Kido Y, Nakabo Y, Ohtsuki K. Identification of food-derived collagen peptides in human blood after oral ingestion of gelatin hydrolysates. J Agric Food Chem. 2005 Aug 10; 53 (16): 6531–6. DOI: 10.1021/jf050206p

24. Inacio PAQ, Chaluppe FA, Aguiar GF, Coelho CF, Vieira RP. Effects of Hydrolyzed Collagen as a Dietary Supplement on Fibroblast Activation: A Systematic Review. Nutrients. 2024 May 21; 16 (11): 1543. DOI: 10.3390/nu16111543

25. Sato K. The presence of food-derived collagen peptides in human body-structure and biological activity. Food Funct. 2017 Dec 13; 8 (12): 4325–4330. DOI: 10.1039/c7fo01275f

26. Dewi DAR, Arimuko A, Norawati L, Yenny SW, Setiasih NL, Perdiyana A, Arkania N, Nadhira F, Wiliantari N. Exploring the Impact of Hydrolyzed Collagen Oral Supplementation on Skin Rejuvenation: A Systematic Review and Meta-Analysis. Cureus. 2023 Dec 9; 15 (12): e50231. DOI: 10.7759/cureus.50231

27. König D, Oesser S, Scharla S, Zdzieblik D, Gollhofer A. Specific Collagen Peptides Improve Bone Mineral Density and Bone Markers in Postmenopausal Women-A Randomized Controlled Study. Nutrients. 2018 Jan 16; 10 (1): 97. DOI: 10.3390/nu10010097

28. Khatri M, Naughton RJ, Clifford T, Harper LD, Corr L. The effects of collagen peptide supplementation on body composition, collagen synthesis, and recovery from joint injury and exercise: a systematic review. Amino Acids. 2021 Oct; 53 (10): 1493–1506. DOI: 10.1007/s00726-021-03072-x

29. Reilly DM, Kynaston L, Naseem S, Proudman E, Laceby D. A Clinical Trial Shows Improvement in Skin Collagen, Hydration, Elasticity, Wrinkles, Scalp, and Hair Condition following 12-Week Oral Intake of a Supplement Containing Hydrolysed Collagen. Dermatol Res Pract. 2024 Jul 10; 2024: 8752787. DOI: 10.1155/2024/8752787

30. Hexsel D, Zague V, Schunck M, Siega C, Camozzato FO, Oesser S. Oral supplementation with specific bioactive collagen peptides improves nail growth and reduces symptoms of brittle nails. J Cosmet Dermatol. 2017 Dec; 16 (4): 520–526. DOI: 10.1111/jocd.12393

31. Bischof K, Moitzi AM, Stafilidis S, König D. Impact of Collagen Peptide Supplementation in Combination with Long-Term Physical Training on Strength, Musculotendinous Remodeling, Functional Recovery, and Body Composition in Healthy Adults: A Systematic Review with Meta-analysis. Sports Med. 2024 Nov; 54 (11): 2865–2888. DOI: 10.1007/s40279‑024‑02079‑0

32. Clark KL, Sebastianelli W, Flechsenhar KR, Aukermann DF, Meza F, Millard RL, Deitch JR, Sherbondy PS, Albert A. 24-Week study on the use of collagen hydrolysate as a dietary supplement in athletes with activity-related joint pain. Curr Med Res Opin. 2008 May; 24 (5): 1485–96. DOI: 10.1185/030079908x291967

33. de Miranda RB, Weimer P, Rossi RC. Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis. Int J Dermatol. 2021 Dec; 60 (12): 1449–1461. DOI: 10.1111/ijd.15518

34. Pu SY, Huang YL, Pu CM, Kang YN, Hoang KD, Chen KH, Chen C. Effects of Oral Collagen for Skin Anti-Aging: A Systematic Review and Meta-Analysis. Nutrients. 2023 Apr 26; 15 (9): 2080. DOI: 10.3390/nu15092080

35. Rocha M. S., Aquino L. L. de, Barbosa L. L., Souza I. L. de, Carvalho E. M. de, Brítez L. E.O., Gonçalves G. de O., Lopes V.B., Silva J.N.F. Clinical Studies and Meta-Analysis on the Effects of Collagen, Vitamin, and Nutrient Supplementation for the Rejuvenation of Collagenic Fibers: A Systematic Review. International Journal of Nutrology. 2024; 17. DOI:10.54448/ijn24102

36. Hajj J, Sizemore B, Singh K. Impact of Epigenetics, Diet, and Nutrition-Related Pathologies on Wound Healing. Int J Mol Sci. 2024 Sep 28; 25 (19): 10474. DOI: 10.3390/ijms251910474

37. Ju M, Kim Y, Seo KW. Role of nutrition in wound healing and nutritional recommendations for promotion of wound healing: a narrative review. Ann Clin Nutr Metab. 2023; 15 (3): 67–71. DOI: https://doi.org/10.15747/ACNM.2023.15.3.67

38. Stechmiller JK, Childress B, Cowan L. Arginine supplementation and wound healing. Nutr Clin Pract. 2005 Feb; 20 (1): 52–61. DOI: 10.1177/011542650502000152

39. Arribas-López E, Zand N, Ojo O, Snowden MJ, Kochhar T. The Effect of Amino Acids on Wound Healing: A Systematic Review and Meta-Analysis on Arginine and Glutamine. Nutrients. 2021 Jul 22; 13 (8): 2498. DOI: 10.3390/nu13082498

40. Oomen CM, van Erk MJ, Feskens EJ, Kok FJ, Kromhout D. Arginine intake and risk of coronary heart disease mortality in elderly men. Arterioscler Thromb Vasc Biol. 2000; 20: 2134–9.

41. King DE, Mainous AG 3rd, Geesey ME. Variation in L-arginine intake follow demographics and lifestyle factors that may impact cardiovascular disease risk. Nutr Res. 2008 Jan; 28 (1): 21–4. DOI: 10.1016/j.nutres.2007.11.003

42. Ellinger S. Micronutrients, Arginine, and Glutamine: Does Supplementation Provide an Efficient Tool for Prevention and Treatment of Different Kinds of Wounds? Adv Wound Care (New Rochelle). 2014 Nov 1; 3 (11): 691–707. DOI: 10.1089/wound.2013.0482

43. Wilmore DW. The effect of glutamine supplementation in patients following elective surgery and accidental injury. J Nutr. 2001 Sep; 131 (9 Suppl): 2543S‑9S; discussion 2550S‑1S. DOI: 10.1093/jn/131.9.2543S

44. MacKay D, Miller AL. Nutritional support for wound healing. Altern Med Rev. 2003 Nov; 8 (4): 359–77. https://pubmed.ncbi.nlm.nih.gov/14653765/

45. Wischmeyer PE. The glutamine debate in surgery and critical care. Curr Opin Crit Care. 2019 Aug;25 (4): 322–328. DOI: 10.1097/MCC.0000000000000633

46. Souba WW. Glutamine, fibroblasts, and wounds. In: Glutamine Physiology, Biochemistry, and Nutrition in Critical Illness. Austin, TX: R.G. Landes Company. 1992: 67–69. https://archive.org/details/glutaminephysiol0000soub

47. Singer P, Blaser AR, Berger MM, Calder PC, Casaer M, Hiesmayr M, Mayer K, Montejo-Gonzalez JC, Pichard C, Preiser JC, Szczeklik W, van Zanten ARH, Bischoff SC. ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit. Clin Nutr. 2023 Sep; 42 (9): 1671–1689. DOI: 10.1016/j.clnu.2023.07.011

48. McCarty MF. Glucosamine for wound healing. Med Hypotheses. 1996 Oct; 47 (4): 273–5. DOI: 10.1016/s0306-9877 (96) 90066‑3

49. Zupanets IA, Bezdetko NV, Dedukh NV, Otrishko IA. Experimental study of the effect of glucosamine hydrochloride on metabolic and repair processes in connective tissue structures. Eksp Klin Farmakol 2002; 65: 67–69. [Article in Russian.]

50. Kytko O.V., Dydykina I.S., Sankova M.V., Kryuchko P.V., Chilikov V.V. Pathogenetic aspects of magnesium deficiency in connective tissue dysplasia syndrome. Voprosy pitaniia [Problems of Nutrition]. 2020; 89 (5): 35–43. (In Russ.). DOI: 10.24411/0042‑8833‑2020‑10064

51. Castori M, Bruschini M, Blundo C. Nutritional Supplementation in Ehlers-Danlos Syndrome. In: Bioactive Nutraceuticals and Dietary Supplements in Neurological and Brain Disease [Internet]. Elsevier; 2015 [cited 2023 Nov 21]. P. 161–70. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780124114623000175

52. Beckers AB, Keszthelyi D, Fikree A, Vork L, Masclee A, Farmer AD, Aziz Q. Gastrointestinal disorders in joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type: A review for the gastroenterologist. Neurogastroenterol Motil. 2017 Aug; 29 (8). DOI: 10.1111/nmo.13013

53. Nicosia RF, Belser P, Bonanno E, Diven J. Regulation of angiogenesis in vitro by collagen metabolism. In Vitro Cell Dev Biol. 1991 Dec; 27A (12): 961–6. DOI: 10.1007/BF02631124

54. Bhoot HR, Zamwar UM, Chakole S, Anjankar A. Dietary Sources, Bioavailability, and Functions of Ascorbic Acid (Vitamin C) and Its Role in the Common Cold, Tissue Healing, and Iron Metabolism. Cureus. 2023 Nov 23; 15 (11): e49308. DOI: 10.7759/cureus.49308

55. Goetzl EJ, Wasserman SI, Gigli I, Austen KF. Enhancement of random migration and chemotactic response of human leukocytes by ascorbic acid. J Clin Invest. 1974 Mar; 53 (3): 813–8. DOI: 10.1172/JCI107620

56. Frei B, Stocker R, Ames BN. Antioxidant defenses and lipid peroxidation in human blood plasma. Proc Natl Acad Sci U S A. 1988 Dec; 85 (24): 9748–52. DOI: 10.1073/pnas.85.24.9748

57. Shukla A, Rasik AM, Patnaik GK. Depletion of reduced glutathione, ascorbic acid, vitamin E and antioxidant defence enzymes in a healing cutaneous wound. Free Radic Res. 1997 Feb; 26 (2): 93–101. DOI: 10.3109/10715769709097788

58. Hujoel PP, Hujoel MLA. Vitamin C and scar strength: analysis of a historical trial and implications for collagen-related pathologies. Am J Clin Nutr. 2022 Jan 11; 115 (1): 8–17. DOI: 10.1093/ajcn/nqab262

59. Yeowell HN, Walker LC, Marshall MK, Murad S, Pinnell SR. The mRNA and the activity of lysyl hydroxylase are up-regulated by the administration of ascorbate and hydralazine to human skin fibroblasts from a patient with Ehlers-Danlos syndrome type VI. Arch Biochem Biophys. 1995 Aug 20; 321 (2): 510–6. DOI: 10.1006/abbi.1995.1424

60. Elsas LJ 2nd, Miller RL, Pinnell SR. Inherited human collagen lysyl hydroxylase deficiency: ascorbic acid response. J Pediatr. 1978 Mar; 92 (3): 378–84. DOI: 10.1016/s0022-3476(78)80423‑5

61. Shashikiran U, Rastogi A, Gupta RP, Sabir M. Ehler-Danlos syndrome type VI variant presenting with recurrent respiratory infections and responding to high dose vitamin C. J Assoc Physicians India. 1999 May; 47 (5): 554–5. PMID: 10778573. https://pubmed.ncbi.nlm.nih.gov/10778573/

62. Methodical recommendations MR2.3.1.0253–21 “Norms of physiological requirements in energy and nutrients of various groups of the population of the Russian Federation”, approved by the Head of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Chief State Sanitary Physician of the Russian Federation 22.07.2021. (In Russ.). https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=18979

63. Pisalsitsakul N, Pinnoi C, Sutanthavibul N, Kamolratanakul P. Taking 200 mg Vitamin C Three Times per Day Improved Extraction Socket Wound Healing Parameters: A Randomized Clinical Trial. Int J Dent. 2022 Mar 10; 2022: 6437200. DOI: 10.1155/2022/6437200

64. Shibuya N, Humphers JM, Agarwal MR, Jupiter DC. Efficacy and safety of high-dose vitamin C on complex regional pain syndrome in extremity trauma and surgery – systematic review and meta-analysis. J Foot Ankle Surg. 2013 Jan-Feb; 52 (1): 62–6. DOI: 10.1053/j.jfas.2012.08.003

65. Berger MM, Shenkin A, Schweinlin A, Amrein K, Augsburger M, Biesalski HK, Bischoff SC, Casaer MP, Gundogan K, Lepp HL, de Man AME, Muscogiuri G, Pietka M, Pironi L, Rezzi S, Cuerda C. ESPEN micronutrient guideline. Clin Nutr. 2022 Jun; 41 (6): 1357–1424. DOI: 10.1016/j.clnu.2022.02.015. Epub 2022 Feb 26. Erratum in: Clin Nutr. 2024 Apr; 43 (4): 1024. DOI: 10.1016/j.clnu.2024.03.004

66. Berger MM, Shenkin A, Dizdar OS, Amrein K, Augsburger M, Biesalski HK, Bischoff SC, Casaer MP, Gundogan K, Lepp HL, de Man AME, Muscogiuri G, Pietka M, Pironi L, Rezzi S, Schweinlin A, Cuerda C. ESPEN practical short micronutrient guideline. Clin Nutr. 2024 Mar; 43 (3): 825–857. DOI: 10.1016/j.clnu.2024.01.030. Epub 2024 Jan 30. Erratum in: Clin Nutr. 2025 Jul; 50: 75. DOI: 10.1016/j.clnu.2025.04.020

67. Malfait F, Symoens S, Syx D. Classic Ehlers-Danlos Syndrome. 2007 May 29 [Updated 2024 Feb 1]. In: Adam MP, Feldman J, Mirzaa GM. et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1244/

68. Uniform Sanitary Epidemiological and Hygienic Requirements for the Goods Subject to Sanitary and Epidemiological Supervision (Control) (approved by the Decision of the Customs Union Commission No. 299 dd. May 28, 2010). (In Russ.). http://www.eurasiancommission.org/en/act/texnreg/depsanmer/sanmeri/Pages/P2_299.aspx

69. Jiang K, Tang K, Liu H, Xu H, Ye Z, Chen Z. Ascorbic Acid Supplements and Kidney Stones Incidence Among Men and Women: A systematic review and meta-analysis. Urol J. 2019 May 5; 16 (2): 115–120. DOI: 10.22037/uj.v0i0.4275

70. Ferraro PM, Curhan GC, Gambaro G, Taylor EN. Total, Dietary, and Supplemental Vitamin C Intake and Risk of Incident Kidney Stones. Am J Kidney Dis. 2016 Mar; 67 (3): 400–7. DOI: 10.1053/j.ajkd.2015.09.005

71. Calder PC, Kreider RB, McKay DL. Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults. Nutrients. 2025 Jan 14; 17 (2): 279. DOI: 10.3390/nu17020279

72. Kodentsova V.M., Beketova N.A., Nikityuk D.B., Tutelyan V.A. Characteristics of vitamin provision in the adult population of the Russian Federation. Russian Journal of Preventive Medicine. 2018; 21 (4): 32–37. (In Russ.). https://doi.org/10.17116/profmed201821432

73. Alvarez OM, Gilbreath RL. Effect of dietary thiamine on intermolecular collagen cross-linking during wound repair: a mechanical and biochemical assessment. J Trauma. 1982 Jan; 22 (1): 20–4. DOI: 10.1097/00005373‑198201000‑00005

74. Hom DB, Davis ME. Reducing Risks for Poor Surgical Wound Healing. Facial Plast Surg Clin North Am. 2023 May; 31 (2): 171–181. DOI: 10.1016/j.fsc.2023.01.002

75. Aljaadi AM, Devlin AM, Green TJ. Riboflavin intake and status and relationship to anemia. Nutr Rev. 2022 Dec 6; 81 (1): 114–132. DOI: 10.1093/nutrit/nuac043

76. McNulty H, Pentieva K, Ward M. Causes and Clinical Sequelae of Riboflavin Deficiency. Annu Rev Nutr. 2023 Aug 21; 43: 101–122. DOI: 10.1146/annurev-nutr‑061121-084407.

77. Trackman PC. Enzymatic and non-enzymatic functions of the lysyl oxidase family in bone. Matrix Biol. 2016 May-Jul; 52–54: 7–18. DOI: 10.1016/j.matbio.2016.01.001

78. Tane N, Takeda T, Shioji T, Ohyama H, Itoh H. Effect of vitamin B6 deficiency on collagen metabolism in rats. J Nutr Sci Vitaminol (Tokyo). 1976; 22 (2): 105–14. DOI: 10.3177/jnsv.22.105

79. Inubushi T, Takasawa T, Tuboi Y, Watanabe N, Aki K, Katunuma N. Changes of glucose metabolism and skin-collagen neogenesis in vitamin B6 deficiency. Biofactors. 2005; 23 (2): 59–67. DOI: 10.1002/biof.5520230201

80. Aprahamian M, Dentinger A, Stock-Damgé C, Kouassi JC, Grenier JF. Effects of supplemental pantothenic acid on wound healing: experimental study in rabbit. Am J Clin Nutr. 1985 Mar; 41 (3): 578–89. DOI: 10.1093/ajcn/41.3.578

81. Vaxman F, Olender S, Lambert A, Nisand G, Aprahamian M, Bruch JF, Didier E, Volkmar P, Grenier JF. Effect of pantothenic acid and ascorbic acid supplementation on human skin wound healing process. A double-blind, prospective and randomized trial. Eur Surg Res. 1995; 27 (3): 158–66. DOI: 10.1159/000129395. PMID: 7781653.

82. Zinder R, Cooley R, Vlad LG, Molnar JA. Vitamin A and Wound Healing. Nutr Clin Pract. 2019 Dec; 34 (6): 839–849. DOI: 10.1002/ncp.10420

83. Polcz ME, Barbul A. The Role of Vitamin A in Wound Healing. Nutr Clin Pract. 2019 Oct; 34 (5): 695–700. DOI: 10.1002/ncp.10376

84. Williams JZ, Barbul A. Nutrition and wound healing. Surg Clin North Am. 2003 Jun; 83 (3): 571–96. DOI: 10.1016/S0039-6109(02)00193‑7

85. Langemo D, Anderson J, Hanson D, Hunter S, Thompson P, Posthauer ME. Nutritional considerations in wound care. Adv Skin Wound Care. 2006 Jul-Aug; 19 (6): 297–8, 300, 303. DOI: 10.1097/00129334‑200607000‑00007

86. Winsey K, Simon RJ, Levenson SM, Seifter E, Demetriou AA. Effect of supplemental vitamin A on colon anastomotic healing in rats given preoperative irradiation. Am J Surg. 1987 Feb; 153 (2): 153–6. DOI: 10.1016/0002-9610 (87) 90806‑3

87. Haws M, Brown RE, Suchy H, Roth A. Vitamin A-soaked gelfoam sponges and wound healing in steroid-treated animals. Ann Plast Surg. 1994 Apr; 32 (4): 418–22. DOI: 10.1097/00000637‑199404000‑00017

88. Phillips JD, Kim CS, Fonkalsrud EW, Zeng H, Dindar H. Effects of chronic corticosteroids and vitamin A on the healing of intestinal anastomoses. Am J Surg. 1992 Jan; 163 (1): 71–7. DOI: 10.1016/0002-9610(92)90255-p

89. Talas DU, Nayci A, Atis S, Comelekoglu U, Polat A, Bagdatoglu C, Renda N. The effects of corticosteroids and vitamin A on the healing of tracheal anastomoses. Int J Pediatr Otorhinolaryngol. 2003 Feb; 67 (2): 109–16. DOI: 10.1016/s0165-5876 (02) 00347-6

90. Saeg F, Orazi R, Bowers GM, Janis JE. Evidence-Based Nutritional Interventions in Wound Care. Plast Reconstr Surg. 2021 Jul 1; 148 (1): 226–238. DOI: 10.1097/PRS.0000000000008061

91. Do T, Diamond S, Green C, Warren M. Nutritional Implications of Patients with Dysautonomia and Hypermobility Syndromes. Curr Nutr Rep. 2021 Dec; 10 (4): 324–333. DOI: 10.1007/s13668‑021‑00373‑1

92. Saito M. [Elevated plasma concentration of homocysteine, low level of vitamin B6, pyridoxal, and vitamin D insufficiency in patients with hip fracture: a possible explanation for detrimental cross-link pattern in bone collagen]. Clin Calcium. 2006 Dec; 16 (12): 1974–84. Japanese. https://pubmed.ncbi.nlm.nih.gov/17142927/

93. Nawabi DH, Chin KF, Keen RW, Haddad FS. Vitamin D deficiency in patients with osteoarthritis undergoing total hip replacement: a cause for concern? J Bone Joint Surg Br. 2010 Apr; 92 (4): 496–9. DOI: 10.1302/0301-620X.92B3.23535

94. Doetsch AM, Faber J, Lynnerup N, Wätjen I, Bliddal H, Danneskiold-Samsøe B. The effect of calcium and vitamin D3 supplementation on the healing of the proximal humerus fracture: a randomized placebo-controlled study. Calcif Tissue Int. 2004 Sep; 75 (3): 183–8. DOI: 10.1007/s00223‑004‑0167‑0

95. Di Monaco M, Vallero F, Di Monaco R, Mautino F, Cavanna A. Serum levels of 25-hydroxyvitamin D and functional recovery after hip fracture. Arch Phys Med Rehabil. 2005 Jan; 86 (1): 64–8. DOI: 10.1016/j.apmr.2004.02.013

96. Ramesh KV, Mahindrakar MB, Bhat EP. A new role for vitamin D: cholecalciferol promotes dermal wound strength and re-epithelization. Indian J Exp Biol. 1993 Sep; 31 (9): 778–9. https://pubmed.ncbi.nlm.nih.gov/8276449/

97. Gamady A, Koren R, Ron D, Liberman UA, Ravid A. Vitamin D enhances mitogenesis mediated by keratinocyte growth factor receptor in keratinocytes. J Cell Biochem. 2003 Jun 1; 89 (3): 440–9. DOI: 10.1002/jcb.10508

98. Karonova T. L., Golovatyuk K. A., Mikhaylova A. A., Suplotova L. A., Troshina E. A., Rozhinskaya L. Ya. The first Russian multicenter non-interventional registry Phase III Study of vitamin D deficiency and insufficiency prevalence among adults in Russian Federation. Osteoporosis and Bone Diseases. 2023; 26 (1): 13–23. (In Russ.) DOI: 10.14341/osteo12964

99. Demay MB, Pittas AG, Bikle DD, Diab DL, Kiely ME, Lazaretti-Castro M, Lips P, Mitchell DM, Murad MH, Powers S, Rao SD, Scragg R, Tayek JA, Valent AM, Walsh JME, McCartney CR. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2024 Jul 12; 109 (8): 1907–1947. DOI: 10.1210/clinem/dgae290

100. Wang JJ, Quak GS, Lee HB, Foo LX, Tay P, Mah SM, Tong C, Koh FH. The Role of Vitamin D Supplementation in Enhancing Muscle Strength Post-Surgery: A Systemic Review. Nutrients. 2025 Apr 29; 17 (9): 1512. DOI: 10.3390/nu17091512

101. Kinesya E, Santoso D, Gde Arya N, Putri Cintya E, Seriari Ambarini P, Kinesya B, Stephanie Kartjito M, Mannagalli Y. Vitamin D as adjuvant therapy for diabetic foot ulcers: Systematic review and meta-analysis approach. Clin Nutr ESPEN. 2023 Apr; 54: 137–143. DOI: 10.1016/j.clnesp.2023.01.011

102. Malfait F, Castori M, Francomano CA, Giunta C, Kosho T, Byers PH. The Ehlers-Danlos syndromes. Nat Rev Dis Primers. 2020 Jul 30; 6 (1): 64. DOI: 10.1038/s41572‑020‑0194‑9

103. Tang S, Ruan Z, Ma A, Wang D, Kou J. Effect of vitamin K on wound healing: A systematic review and meta-analysis based on preclinical studies. Front Pharmacol. 2022 Dec 2; 13: 1063349. DOI: 10.3389/fphar.2022.1063349

104. Toxqui L, Vaquero MP. Chronic iron deficiency as an emerging risk factor for osteoporosis: a hypothesis. Nutrients. 2015 Apr 2; 7 (4): 2324–44. DOI: 10.3390/nu7042324

105. Edmonds J. Nutrition and wound healing: putting theory into practice. Br J Community Nurs. 2007 Dec; 12 (12): S31–4. https://pubmed.ncbi.nlm.nih.gov/18361172/

106. United Nations Children’s Fund, United Nations University, World Health Organization. Iron deficiency anemia: assessment, prevention and control. A guide for programme managers. Geneva: World Health Organization, 2011. P. 114.

107. Fischer JAJ, Cherian AM, Bone JN, Karakochuk CD. The effects of oral ferrous bisglycinate supplementation on hemoglobin and ferritin concentrations in adults and children: a systematic review and meta-analysis of randomized controlled trials. Nutr Rev. 2023 Jul 10; 81 (8): 904–920. DOI: 10.1093/nutrit/nuac106

108. Bagna R, Spada E, Mazzone R, Saracco P, Boetti T, Cester EA, Bertino E, Coscia A. Efficacy of Supplementation with Iron Sulfate Compared to Iron Bisglycinate Chelate in Preterm Infants. Curr Pediatr Rev. 2018; 14 (2): 123–129. DOI: 10.2174/1573396314666180124101059

109. Catalano A, Bellone F, Chilà D, Loddo S, Corica F. Magnesium disorders: Myth or facts? Eur J Intern Med. 2019 Dec; 70: e22–e24. DOI: 10.1016/j.ejim.2019.10.013

110. Torshin I. Ju., Gromova O.A. Dysplasia of connective tissue, cellular biology and molecular mechanisms of magnesium exposure. RMZh. 2008; 4: 230–238. (In Russ.). https://www.rmj.ru/articles/fundamentalnaya_meditsina/Displaziya_soedinitelynoy_tkani_kletochnaya_biologiya_i_molekulyarnye_mehanizmy_vozdeystviya_magniya/

111. Gromova O. A., Kalacheva A. G., Torshin I. Ju., Judina N. V., Egorova E. Ju., Grishina T. R. and Semenov V.A., Prozorova N.V., Suhanova T. Ju., Belinskaja A. Ju. On the diagnosis of magnesium deficiency. Part 2. Arhiv’ vnutrennej mediciny. 2014; 3: 6–11. (In Russ.).

112. Ismail AAA, Ismail Y, Ismail AA. Chronic magnesium deficiency and human disease; time for reappraisal? QJM. 2018 Nov 1; 111 (11): 759–763. DOI: 10.1093/qjmed/hcx186

113. Kononova N. Yu., Butolin E.G., Ivanov V.G., Maximova M.V. Evaluation of magnesium level in oral liquid of women with undifferentiated connective tissue dysplasia. Bulletin of Udmurt University. Series «Biology. Earth Sciences». 2017; 27 (3): 362–367. (In Russ.). URL: https://cyberleninka.ru/article/n/otsenka-urovnya-magniya-v-rotovoy-zhidkosti-u-zhenschin-snedifferentsirovannoy-displaziey-soedinitelnoy-tkani (дата обращения: 05.07.2025).

114. Kononova N. Yu., Chernyshova T.E., Pimenov L.T., Sterkhova E.V., Smetanin M. Yu. Study of the correlation between the number of undifferentiated connective tissue dysplasia phenes and the level of magnesium in the oral fl uid. Terapiya [Therapy]. 2018; 6 (24): 97–102. (In Russ.). DOI: https://doi.org/10.18565/therapy.2018.6.97-102

115. Bolze MS, Reeves RD, Lindbeck FE, Kemp SF, Elders MJ. Influence of manganese on growth, somatomedin and glycosaminoglycan metabolism. J Nutr. 1985 Mar; 115 (3): 352–8. DOI: 10.1093/jn/115.3.352

116. Muszyńska A, Pałka J, Gorodkiewicz E. The mechanism of daunorubicin-induced inhibition of prolidase activity in human skin fibroblasts and its implication to impaired collagen biosynthesis. Exp Toxicol Pathol. 2000 May; 52 (2): 149–55. DOI: 10.1016/S0940-2993(00)80108‑6

117. Shetlar MR, Shetlar CL. The role of manganese in wound healing. In: Klimis-Tavantzis DL, ed. Manganese in health and disease. Boca Raton: CRC Press, Inc.; 1994: 145–157. https://books.google.ru/books/about/Manganese_in_Health_and_Disease.html?id=vhni0jStgWYC&redir_esc=y

118. Danish Food Composition Data version 7. http://www.foodcomp.dk/v7/fcdb_foodnutrlist.asp?CompId=0065

119. Vairo FPE, Chwal BC, Perini S, Ferreira MAP, de Freitas Lopes AC, Saute JAM. A systematic review and evidence-based guideline for diagnosis and treatment of Menkes disease. Mol Genet Metab. 2019 Jan; 126 (1): 6–13. DOI: 10.1016/j.ymgme.2018.12.005

120. Santos HO, Teixeira FJ, Schoenfeld BJ. Dietary vs. pharmacological doses of zinc: A clinical review. Clin Nutr. 2020 May; 39 (5): 1345–1353. DOI: 10.1016/j.clnu.2019.06.024

121. Demling RH. Nutrition, anabolism, and the wound healing process: an overview. Eplasty. 2009; 9: e9. https://pmc.ncbi.nlm.nih.gov/articles/PMC2642618/

122. Rebrov V. G., Gromova O. A. Vitamins, macro- and microelements. Moscow: GEOTAR-MED, 2008. 957 p.

123. Lansdown AB, Sampson B, Rowe A. Sequential changes in trace metal, metallothionein and calmodulin concentrations in healing skin wounds. J Anat. 1999 Oct; 195 (Pt 3): 375–86. DOI: 10.1046/j.1469-7580.1999.19530375.x

124. Rudman D, Abbasi AA, Isaacson K, Karpiuk E. Observations on the nutrient intakes of eating-dependent nursing home residents: underutilization of micronutrient supplements. J Am Coll Nutr. 1995 Dec; 14 (6): 604–13. DOI: 10.1080/07315724

125. Orlova S.V., Nikitina E.A. Optimization of nutrition as a means of increasing the effectiveness of drug therapy. XIV Russian National Congress «Man and Medicine», Moscow, April 16–20, 2007. Collection of lectures for practicing physicians. Moscow, 2008. Vol. 1. P. 252–267.

126. Lown D. Wound healing. In: Matarese LE, Gottschlich MM, eds. Contemporary Nutrition Support Practice: A Clinical Guide. Philadelphia, PA: WB Saunders. 1998: 583–9.

127. Pizzorno L. Nothing Boring About Boron. Integr Med (Encinitas). 2015 Aug; 14 (4): 35–48. https://pmc.ncbi.nlm.nih.gov/articles/PMC4712861/

128. Sedighi-Pirsaraei N, Tamimi A, Sadeghi Khamaneh F, Dadras-Jeddi S, Javaheri N. Boron in wound healing: a comprehensive investigation of its diverse mechanisms. Front Bioeng Biotechnol. 2024 Oct 30; 12: 1475584. DOI: 10.3389/fbioe.2024.1475584

129. Şahin F, Farshbaf-Khalili A, Alihosseini S, Sarbakhsh P, Pirouzpanah MS, Ayşan E, Doğan A, Gharekhani A, Khoshbaten M, Pirouzpanah MB. The efficacy of topical sodium pentaborate formulation on hemorrhoid disease: A randomized, double-blind, placebo-controlled trial. Heliyon. 2024 Feb 29; 10 (5): e27215. DOI: 10.1016/j.heliyon.2024.e27215

130. Konca M., Korkmaz M. Comparison of effects of administration of oral or topical boron on wound healing and oxidative stress in rats. Kocatepe Veterinary J. 2020; 13 (1): 11–18. DOI: 10.30607/kvj.646939

131. Rondanelli M, Faliva MA, Peroni G, Infantino V, Gasparri C, Iannello G, Perna S, Riva A, Petrangolini G, Tartara A. Pivotal role of boron supplementation on bone health: A narrative review. J Trace Elem Med Biol. 2020 Dec; 62: 126577. DOI: 10.1016/j.jtemb.2020.126577

132. Devirian TA, Volpe SL. The physiological effects of dietary boron. Crit Rev Food Sci Nutr. 2003; 43 (2): 219–31. DOI: 10.1080/10408690390826491

133. Samman S, Naghii MR, Lyons Wall PM, Verus AP. The nutritional and metabolic effects of boron in humans and animals. Biol Trace Elem Res. 1998 Winter; 66 (1–3): 227–35. DOI: 10.1007/BF02783140

134. Miljkovic D, Miljkovic N, McCarty MF. Up-regulatory impact of boron on vitamin D function – does it reflect inhibition of 24-hydroxylase? Med Hypotheses. 2004; 63 (6): 1054–6. DOI: 10.1016/j.mehy.2003.12.053

135. Rondanelli M, Faliva MA, Barrile GC, Cavioni A, Mansueto F, Mazzola G, Oberto L, Patelli Z, Pirola M, Tartara A, Riva A, Petrangolini G, Peroni G. Nutrition, Physical Activity, and Dietary Supplementation to Prevent Bone Mineral Density Loss: A Food Pyramid. Nutrients. 2021 Dec 24; 14 (1): 74. DOI: 10.3390/nu14010074

136. Seaborn CD, Nielsen FH. Silicon deprivation and arginine and cystine supplementation affect bone collagen and bone and plasma trace mineral concentrations in rats. J Trace Elem Exp Med. 2002; 15: 113–122. https://doi.org/10.1002/jtra.10011

137. Nielsen FH, Poellot R. Dietary silicon affects bone turnover differently in ovariectomized and sham-operated growing rats. J Trace Elements Exper Med. 2004; 17 (3): 137–149. https://doi.org/10.1002/jtra.20004

138. Spector TD, Calomme MR, Anderson S, Swaminathan R, Jugdaohsingh R, Berghe DAV et al. Effect on bone turnover and BMD of low dose oral silicon as an adjunct to calcium/vitamin D3 in a randomized, placebo-controlled trial. Journal of Bone and Mineral Research. 2005; 20 (9): S172–S172. https://onderzoekmetmensen.nl/en/trial/20097

139. Singh H, Kamal YT, Pandohee J, Mishra AK, Biswas A, Mohanto S, Kumar A, Nag S, Mishra A, Singh M, Gupta H, Chopra H. Dietary phytochemicals alleviate the premature skin aging: A comprehensive review. Exp Gerontol. 2025 Jan; 199: 112660. DOI: 10.1016/j.exger.2024.112660

140. Pogačnik T, Žmitek J, Hristov H. et al. The effect of a 12-week dietary intake of food supplements containing collagen and MSM on dermis density and other skin parameters: a double-blind, placebo-controlled, randomised four-way study comparing the efficacy of three test products. J Funct Foods. 2023; 110: 105838–51. https://doi.org/10.1016/j.jff.2023.105838


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Nikitina E.A., Orlova S.V., Batysheva T.T., Balashova N.V., Alekseeva M.V. Undifferentiated connective tissue dysplasia and skin: what to do? Dietitian’s position. Medical alphabet. 2025;1(19):60-71. (In Russ.) https://doi.org/10.33667/2078-5631-2025-19-60-70

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