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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">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v12i6.874</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-256</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>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE</subject></subj-group></article-categories><title-group><article-title>СКРЫТЫЕ ОПАСНОСТИ ПРИ ВВЕДЕНИИ ИСКУССТВЕННОЙ СМЕСИ В РАЦИОН РЕБЕНКА: ПУТИ МИНИМИЗАЦИИ НЕГАТИВНЫХ ВОЗДЕЙСТВИЙ</article-title><trans-title-group xml:lang="en"><trans-title>LATENT RISK OF INTRODUCTION OF ARTIFICIAL MILK FORMULAS INTO INFANTS’ DIET: THE WAYS TO MINIMIZE NEGATIVE INFLUENCE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давыдовская</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Davydovskaya</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="en"><p>Davydovskaya Anna Alekseevna, Candidate of Medical Science, Scientific Consultant for FrieslandCampina</p></bio><email xlink:type="simple">davidovskaya@anika-ru.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Грибакин</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gribakin</surname><given-names>S. G.</given-names></name></name-alternatives><email xlink:type="simple">davidovskaya@anika-ru.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаранкина</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Garankina</surname><given-names>T. I.</given-names></name></name-alternatives><email xlink:type="simple">davidovskaya@anika-ru.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>«Аника РУ» ООО , Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Anika RU» LLI , Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>07</day><month>12</month><year>2013</year></pub-date><volume>12</volume><issue>6</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>53</fpage><lpage>60</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Давыдовская А.А., Грибакин С.Г., Гаранкина Т.И., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Давыдовская А.А., Грибакин С.Г., Гаранкина Т.И.</copyright-holder><copyright-holder xml:lang="en">Davydovskaya A.A., Gribakin S.G., Garankina T.I.</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://vsp.spr-journal.ru/jour/article/view/256">https://vsp.spr-journal.ru/jour/article/view/256</self-uri><abstract><p>Грудное вскармливание оказывает протективное влияние в отношении ряда заболеваний как в кратко-, так и в долгосрочной перспективе. Напротив, искусственное вскармливание, и в особенности раннее введение детских молочных смесей (ДМС), сопряжено с повышенным риском инфекционных заболеваний, а также служит фактором риска развития в последующей жизни метаболического синдрома, сахарного диабета 1-го типа, сердечно-сосудистых заболеваний. Активно обсуждается роль непереносимости белка коровьего молока в трансформации пищевой аллергии в другие формы атопических заболеваний, что получило название «аллергического марша». В статье обсуждается защитная роль длительного исключительно естественного вскармливания, значение влияния ранней диеты на здоровье человека на популяционном уровне, а также обозначены возможные пути минимизации негативных последствий при введении ДМС. Хорошо известно, что, несмотря на близость «табличного» состава, различные ДМС переносятся детьми по-разному. Этот факт чаще всего связан с белковым компонентом смесей, поскольку он является наиболее уязвимым при технологической обработке сырья. При воздействии высоких температур и давления, которые применяются всеми производителями в процессе создания ДМС, происходит денатурация белка. Денатурированный белок приобретает ряд свойств, которые могут изменять его усвоение и переносимость. Знание этих особенностей помогает ведущим производителям выпускать ДМС с высоким качеством белкового компонента.</p></abstract><trans-abstract xml:lang="en"><p>Breast feeding has protective effect against certain diseases both in short and long-term prospects. On the contrary, artificial milk formulas (AMF) and especially when early introduced, is associated with increased risk of infectious diseases and also is a risk factor for development of metabolic syndrome, type 1 diabetes mellitus and cardiovascular disorders in further life. The role of cow milk protein intolerance in transformation of alimentary allergy into other forms of atopic disorders («atopic» or «allergic march») is actively discussed in the article. Protective role of prolonged breast feeding is a subject of wide speculation in this article; the authors also open a question of significance of early diet for human health at the population level and consider possible ways to minimize negative influence of AMF introduction. It is well-known that different AMF are tolerated by children in different ways, in spite of the adjacency of «table» compositions. This fact most often is associated to protein components of milk formulas, as it is the most susceptible during processing of raw materials. Under the influence of high temperature and pressure, which are used by all manufacturers during AMF production, proteins are denatured. Denatured protein obtains certain characteristics, which can change its assimilation and tolerability. Awareness of these characteristics allows the key manufacturers to produce AMF with protein components of a high quality.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>грудное вскармливание</kwd><kwd>искусственное вскармливание</kwd><kwd>отдаленные последствия</kwd><kwd>детское питание</kwd><kwd>переносимость</kwd><kwd>денатурация белка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breast feeding</kwd><kwd>artificial milk formulas</kwd><kwd>long-term consequences</kwd><kwd>baby food</kwd><kwd>tolerability</kwd><kwd>protein denaturation</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">World Health Organization. Global strategy for infant and young child feeding. Geneva, Switzerland: World Health Organization. 2003.</mixed-citation><mixed-citation xml:lang="en">World Health Organization. Global strategy for infant and young child feeding. 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