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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/pf.v19i2.2404</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-2908</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Отдаленное развитие и здоровье детей, зачатых с помощью вспомогательных репродуктивных технологий</article-title><trans-title-group xml:lang="en"><trans-title>Long-Term Development and Health of Children Conceived by Assisted Reproductive Technologies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8717-2539</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляева</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyaeva</surname><given-names>Irina А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беляева Ирина Анатольевна, доктор медицинских наук, профессор РАН, главный научный сотрудник НИИ педиатрии и охраны здоровья детей Научно-клинического Центра № 2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского, профессор кафедры факультетской педиатрии педиатрического факультета ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, врач-неонатолог высшей квалификационной категории ГБУЗ «Морозовская ДГКБ ДЗМ»</p><p>119333, Москва, ул. Фотиевой, д. 10, стр. 1,</p><p>тел.: +7 (499) 137-01-97</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">irinaneo@mail.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/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3987-8112</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranov</surname><given-names>Alexander A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0317-2425</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эфендиева</surname><given-names>К. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Efendieva</surname><given-names>Kamilla Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8540-3858</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каркашадзе</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Karkashadze</surname><given-names>George A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дедюкина</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Dedyukina</surname><given-names>Elena S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тюмень</p></bio><bio xml:lang="en"><p>Tyumen </p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4692-4802</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Серебрякова</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Serebryakova</surname><given-names>Elena N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Константиниди</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Konstantinidi</surname><given-names>Tatiana A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0039-943X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Молодченков</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Molodchenkov</surname><given-names>Alexey I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гогберашвили</surname><given-names>Т. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Gogberashvili</surname><given-names>Tinatin Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НИИ педиатрии и охраны здоровья детей Научно-клинического Центра № 2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; ГБУЗ «Морозовская детская городская клиническая больница ДЗМ»<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Clinical Research Centre № 2 of “Russian Research Center of Surgery named after academician B.V. Petrovsky”; Pirogov Russian National Research Medical University; Morozov Children’s City Hospital<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">НИИ педиатрии и охраны здоровья детей Научно-клинического Центра № 2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Clinical Research Centre № 2 of “Russian Research Center of Surgery named after academician B.V. Petrovsky”; Pirogov Russian National Research Medical University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">НИИ педиатрии и охраны здоровья детей Научно-клинического Центра № 2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Clinical Research Centre № 2 of “Russian Research Center of Surgery named after academician B.V. Petrovsky”<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Тюменский государственный медицинский университет<country>Россия</country></aff><aff xml:lang="en">Tyumen State Medical University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">ФГБОУ ВО «Южно-Уральский государственный медицинский университет»</aff><aff xml:lang="en">Federal State Budgetary Educational Institution of Higher Education "South-Ural State Medical University" of the Ministry of Healthcare of the Russian Federation</aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru">ФИЦ «Информатика и управление» РАН; ФГАОУ ВО «Российский университет дружбы народов»<country>Россия</country></aff><aff xml:lang="en">SIA «Technologies for systems analysis»; Peoples’ Friendship University of Russia<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>13</day><month>05</month><year>2022</year></pub-date><volume>21</volume><issue>2</issue><fpage>72</fpage><lpage>82</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Беляева И.А., Намазова-Баранова Л.С., Баранов А.А., Эфендиева К.Е., Каркашадзе Г.А., Дедюкина Е.С., Серебрякова Е.Н., Константиниди Т.А., Молодченков А.И., Гогберашвили Т.Ю., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Беляева И.А., Намазова-Баранова Л.С., Баранов А.А., Эфендиева К.Е., Каркашадзе Г.А., Дедюкина Е.С., Серебрякова Е.Н., Константиниди Т.А., Молодченков А.И., Гогберашвили Т.Ю.</copyright-holder><copyright-holder xml:lang="en">Belyaeva I.А., Namazova-Baranova L.S., Baranov A.A., Efendieva K.Y., Karkashadze G.A., Dedyukina E.S., Serebryakova E.N., Konstantinidi T.A., Molodchenkov A.I., Gogberashvili T.Y.</copyright-holder><license 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/2908">https://vsp.spr-journal.ru/jour/article/view/2908</self-uri><abstract><p>Демографическая ситуация в России требует расширения мер по борьбе с бесплодием, в том числе с использованием вспомогательных репродуктивных технологий (ВРТ). Представлен анализ связей ВРТ с особенностями здоровья и отдаленного развития «детей из пробирки». Показан высокий риск дизонтогений после экстракорпорального оплодотворения / интрацитоплазматического введения сперматозоидов, обусловленный эпигенетическими нарушениями, в том числе нарушениями метилирования ДНК. Для полноценного развития всех детей, в т.ч. зачатых с помощью ВРТ, имеют важное значение условия жизни, воспитания и медицинского сопровождения. Представлены связи отдаленного когнитивного развития «детей из пробирки» с особенностями воспитания в семье.</p></abstract><trans-abstract xml:lang="en"><p>The demographic situation in Russia requires escalation of measures to combat infertility including assisted reproductive technologies (ART). The analysis of correlations between ART and features of health and long-term development of “children from the tube” is presented. There is a high risk of dysontogeny after in vitro fertilization/intracytoplasmic sperm injection due to epigenetic disorders such as DNA methylation disorders. Living conditions, parenting, education, and health care are crucial for the healthy development of all children including those conceived by ART. The correlations between long-term cognitive development of “children from the tube” and the aspects of parenting in families are presented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вспомогательные репродуктивные технологии</kwd><kwd>демография</kwd><kwd>когнитивное развитие</kwd><kwd>метилирование ДНК</kwd><kwd>семья</kwd></kwd-group><kwd-group xml:lang="en"><kwd>assisted reproductive technologies</kwd><kwd>demography</kwd><kwd>cognitive development</kwd><kwd>DNA methylation</kwd><kwd>family</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Исследование выполнено на средства гранта РФФИ № 19-29-07381 «Технологии искусственного интеллекта в персонифицированном конструировании когнитивного потенциала детей как основы формирования человеческого капитала нации».</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>The study was funded by the RFBR № 19-29-07381 “Artificial intelligence technologies in personalized design of children's cognitive potential as the basis for the creation of national human capital”.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Нигматулин Р.И. 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