vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v19i3.2118vsp-2401Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCEВведение прикорма как мера профилактики избыточного веса и ожирения у детей с позиций концепции «первых 1000 дней»Supplemental Feeding as Preventive Measure for Overweight and Obesity in Children With Regard to the Concept of First 1000 Dayshttps://orcid.org/0000-0002-8717-2539БеляеваИ. А.BelyaevaIrina A.

Беляева Ирина Анатольевна, доктор медицинских наук, профессор кафедры факультетской педиатрии Педиатрического факультета, профессор РАН, руководитель неонатальной службы Морозовской ДГКБ

117997, Москва, ул. Островитянова, д. 1

Moscow

irinaneo@mail.ruhttps://orcid.org/0000-0002-2209-7531Намазова-БарановаЛ. С.Namazova-BaranovaLeyla S.

117997, Москва, ул. Островитянова, д. 1

Moscow

https://orcid.org/0000-0002-4955-0121ТуртиТ. В.TurtiTatiana V.

117997, Москва, ул. Островитянова, д. 1

Moscow

Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; Морозовская детская городская клиническая больницаРоссияPirogov Russian National Research Medical University; Morozovskaya Children’s City HospitalRussian FederationРоссийский национальный исследовательский медицинский университет им. Н.И. Пирогова; Центральная клиническая больница РАНРоссияPirogov Russian National Research Medical University; Central Clinical Hospital of the Russian Academy of SciencesRussian Federation202010072020193220227Copyright © Беляева И.А., Намазова-Баранова Л.С., Турти Т.В., 20202020Беляева И.А., Намазова-Баранова Л.С., Турти Т.В.Belyaeva I.A., Namazova-Baranova L.S., Turti T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/2401

Статья содержит анализ оптимальных схем введения прикорма младенцам с позиции концепции «первых 1000 дней» и возможности профилактики отсроченных нарушений жирового обмена. Отмечена связь раннего введения прикорма (в возрасте до 4 мес) с риском развития ожирения преимущественно в социально неблагополучных семьях при преж девременном прекращении грудного вскармливания. При введении прикорма в возрасте 5–6 мес и сохранении грудного вскармливания риск развития метаболических расстройств минимален. Обсуждаются темпы и порядок введения прикорма по формуле «питание под управлением ребенка». Особое внимание уделено избыточному содержанию сахара в дополнительном питании младенца как фактору, связанному с развитием ожирения у детей и подростков.

The article contains the analysis of optimal patterns of supplemental feeding in infants from the point of view of the concept of the First 1000 days and the possibility of fat metabolism disorders prevention. The correlation between the early supplemental feeding (before 4 months of age) with the risk of obesity is noted mainly in socially deprived families with premature termination of breastfeeding. If supplemental feeding was sustained until 5–6 months of age as well as breastfeeding, the risk of metabolic disorder development was minimal. The time and procedure for implementation of supplemental feeding according to the formula «nutrition under the control of the child» is discussed. Specific attention was paid to the excess sugar content in nutritional support for infants as the factor associated with the development of obesity in children and adolescents.

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