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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.v21i6.2479</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-3068</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>Мировые тренды совершенствования состава детских молочных смесей</article-title><trans-title-group xml:lang="en"><trans-title>World Trends in Infant Formulas Composition Enhancement</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 A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беляева Ирина Анатольевна, доктор медицинских наук, профессор Российской академии наук, заведующая отделом преконцепционной, антенатальной и неонатальной медицины; профессор кафедры факультетской педиатрии педиатрического факультета; врач-неонатолог.</p><p>тел.: +7 (499) 400-47-33</p><p>119333, Москва, ул. Фотиевой, д. 10, к. 1</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/0000-0002-6677-2914</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бомбардирова</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Bombardirova</surname><given-names>Elena P.</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/0000-0002-4955-0121</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Турти</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Turti</surname><given-names>Tatiana V.</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-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; РНИМУ им. Н.И. Пирогова; Морозовская ДГКБ<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University; Morozovskaya 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 НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; РНИМУ им. Н.И. Пирогова<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; 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 НКЦ №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 Petrovsky National Research Centre of Surgery<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; РНИМУ им. Н.И. Пирогова; НИИ организации здравоохранения и медицинского менеджмента<country>Россия</country></aff><aff xml:lang="en">Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University; Research Institute for Healthcare Organization and Medical Management<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>29</day><month>12</month><year>2022</year></pub-date><volume>21</volume><issue>6</issue><fpage>454</fpage><lpage>461</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Беляева И.А., Намазова-Баранова Л.С., Бомбардирова Е.П., Турти Т.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Беляева И.А., Намазова-Баранова Л.С., Бомбардирова Е.П., Турти Т.В.</copyright-holder><copyright-holder xml:lang="en">Belyaeva I.A., Namazova-Baranova L.S., Bombardirova E.P., Turti T.V.</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/3068">https://vsp.spr-journal.ru/jour/article/view/3068</self-uri><abstract><p>В статье представлен обзор основных стратегий совершенствования состава детских молочных смесей с применением современных технологий и тенденций минимизации техногенной нагрузки на окружающую среду. Определены возможные модификации количественных и качественных характеристик основных нутриентов молочных смесей, в том числе с учетом изменяющегося с возрастом состава продуктов, а также перспективы использования при создании смесей молока животных. Обсуждается целесообразность введения в состав смесей биологически активных субстанций и живых микроорганизмов – пробиотиков, их безопасность и эффективность.</p></abstract><trans-abstract xml:lang="en"><p>This article provides the overview of the major strategies for infant formulas composition enhancement via modern technologies and trends in minimizing technology-related loads on the environment. Potential modifications of quantitative and qualitative characteristics of milk formulas nutrients have been determined. We also covered product contents changing over age, as well as the perspectives of using animal milk in formulas. The relevance of adding biologically active substances and living microorganisms (probiotics), their safety, and efficacy are discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>искусственное вскармливание</kwd><kwd>молочная смесь</kwd><kwd>младенцы</kwd><kwd>окружающая среда</kwd><kwd>пребиотики</kwd><kwd>пробиотики</kwd></kwd-group><kwd-group xml:lang="en"><kwd>formula feeding</kwd><kwd>milk formula</kwd><kwd>infants</kwd><kwd>environment</kwd><kwd>prebiotics</kwd><kwd>probiotics</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Отсутствует</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>Not specified</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">Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. 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