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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">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-230-10-98-106</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-3005</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>ПРАКТИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Оптимальный выбор диеты и продуктов питания при НАЖБП</article-title><trans-title-group xml:lang="en"><trans-title>Optimal choice of diet and food for NAFLD</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4160-8154</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шавкута</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shavkuta</surname><given-names>G. V.</given-names></name></name-alternatives><email xlink:type="simple">semmed@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/0000-0001-8736-5851</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лазебник</surname><given-names>Л. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Lazebnik</surname><given-names>L. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет» МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education “Rostov State Medical University” of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский университет медицины» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow State University of Medicine and Dentistry</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>10</day><month>12</month><year>2024</year></pub-date><volume>0</volume><issue>10</issue><fpage>98</fpage><lpage>106</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шавкута Г.В., Лазебник Л.Б., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Шавкута Г.В., Лазебник Л.Б.</copyright-holder><copyright-holder xml:lang="en">Shavkuta G.V., Lazebnik L.B.</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://www.nogr.org/jour/article/view/3005">https://www.nogr.org/jour/article/view/3005</self-uri><abstract><p>НАЖБП представляет собой спектр прогрессирующих фенотипов заболевания печени от стеатоза печени до неалкогольного стеатогепатита (НАСГ), фиброза и цирроза печени. В настоящие время НАЖБП является одним из самых распространенных заболеваний печени как в мире, так и в Российской Федерации, затрагивая 20-40% населения. В ближайшие годы ожидается тенденция к неуклонному росту продвинутых стадий заболевания, что связано с ростом числа лиц с ожирением и сахарным диабетом 2 типа. Медикаментозные методы коррекции НАЖБП, основанные на повышении чувствительности тканей к инсулину, и, уменьшении степени повреждения печени, доказывают свою эффективность только в сочетании с мероприятиями по модификации образа жизни. Изменение качественного и количественного состава рациона питания, снижение массы тела и увеличение физической активности лежат в основе немедикаментозных методов коррекции при НАЖБП. Выбор диеты осуществляется согласно имеющимся в России стандартам питания и зависит от стадии заболевания и коморбидности пациента. В свою очередь, эффективность нефармакологических методов лечения в долгосрочной перспективе зависит от мотивации и приверженности пациентов.</p></abstract><trans-abstract xml:lang="en"><p>NAFLD is a spectrum of progressive phenotypes of liver disease from liver steatosis to non-alcoholic steatohepatitis (NASH), fibrosis and cirrhosis of the liver. Currently, NAFLD is one of the most common liver diseases both in the world and in the Russian Federation, affecting 20-40% of the population. In the coming years, a steady increase in advanced stages of the disease is expected, which is associated with an increase in the number of people with obesity and type 2 diabetes mellitus. Drug-based methods of NAFLD correction based on increasing tissue sensitivity to insulin and reducing the degree of liver damage prove their effectiveness only in combination with lifestyle modification measures. Changes in the qualitative and quantitative composition of the diet, weight loss and increased physical activity are the basis of non-drug correction methods for NAFLD. The choice of diet is carried out according to the nutrition standards available in Russia, and depends on the stage of the disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>НАЖБП</kwd><kwd>ожирение</kwd><kwd>стандартная диета</kwd><kwd>стандарты питания гипокалорийная диета</kwd><kwd>средиземноморская диета</kwd><kwd>кетогенная диета</kwd><kwd>интервальное голодание</kwd><kwd>калорийность продуктов</kwd><kwd>низкокалорийные продукты питания</kwd><kwd>высококалорийные продукты питания</kwd></kwd-group><kwd-group xml:lang="en"><kwd>NAFLD</kwd><kwd>obesity</kwd><kwd>standard diet</kwd><kwd>nutrition standards hypocaloric diet</kwd><kwd>Mediterranean diet</kwd><kwd>ketogenic diet</kwd><kwd>intermittent fasting</kwd><kwd>calorie content of foods</kwd><kwd>low-calorie foods</kwd><kwd>high-calorie foods</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">Kwanten W.J. Diet and non-alcoholic fatty liver disease, a short narrative review. Acta Gastro-Enterologica Belgica. 2023;86(2):306-310. doi: 10.51821/86.2.11547</mixed-citation><mixed-citation xml:lang="en">Kwanten W.J. Diet and non-alcoholic fatty liver disease, a short narrative review. Acta Gastro-Enterologica Belgica. 2023;86(2):306-310. doi: 10.51821/86.2.11547</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). Obes Facts. 2024;17(4):374-444. doi: 10.1159/000539371.</mixed-citation><mixed-citation xml:lang="en">EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). Obes Facts. 2024;17(4):374-444. doi: 10.1159/000539371.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Younossi Z.M., Golabi P., Paik J.M. et al. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology. 2023 Apr 1;77(4):1335-1347. doi: 10.1097/HEP.0000000000000004.</mixed-citation><mixed-citation xml:lang="en">Younossi Z.M., Golabi P., Paik J.M. et al. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology. 2023 Apr 1;77(4):1335-1347. doi: 10.1097/HEP.0000000000000004.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Maevskaya M.V., Kotovskaya Y.V., Ivashkin V.T. et al. The National Consensus statement on the management of adult patients with non-alcoholic fatty liver disease and main comorbidities. Terapevticheskii arkhiv. 2022;94(2):216-253. (in Russ.) doi: 10.26442/00403660. 2022.02.201363.@@ Маевская М.В., Котовская Ю.В., Ивашкин В.Т. и др. Национальный Консенсус для врачей по ведению взрослых пациентов с неалкогольной жировой болезнью печени и ее основными коморбидными состояниями. Терапевтический архив. 2022;94(2):216-253. doi: 10.26442/00403660.2022.02.201363.</mixed-citation><mixed-citation xml:lang="en">Maevskaya M.V., Kotovskaya Y.V., Ivashkin V.T. et al. The National Consensus statement on the management of adult patients with non-alcoholic fatty liver disease and main comorbidities. Terapevticheskii arkhiv. 2022;94(2):216-253. (in Russ.) doi: 10.26442/00403660. 2022.02.201363.@@ Маевская М.В., Котовская Ю.В., Ивашкин В.Т. и др. Национальный Консенсус для врачей по ведению взрослых пациентов с неалкогольной жировой болезнью печени и ее основными коморбидными состояниями. Терапевтический архив. 2022;94(2):216-253. doi: 10.26442/00403660.2022.02.201363.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Semmler G., Datz Ch., Trauner M. Eating, diet, and nutrition for the treatment of non-alcoholic fatty liver disease. Clin Mol Hepatol. 2023;29:244-S260. doi: 10.3350/cmh.2022.0364.</mixed-citation><mixed-citation xml:lang="en">Semmler G., Datz Ch., Trauner M. Eating, diet, and nutrition for the treatment of non-alcoholic fatty liver disease. Clin Mol Hepatol. 2023;29:244-S260. doi: 10.3350/cmh.2022.0364.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Montemayor S., García S., Monserrat-Mesquida M., Tur J.A., Bouzas C. Dietary Patterns, Foods and Nutrients to Ameliorate Non-Alcoholic Fatty Liver Disease: A Scoping Review. Nutrients. 2023 Sep 14;15(18):3987. doi: 10.3390/nu15183987.</mixed-citation><mixed-citation xml:lang="en">Montemayor S., García S., Monserrat-Mesquida M., Tur J.A., Bouzas C. Dietary Patterns, Foods and Nutrients to Ameliorate Non-Alcoholic Fatty Liver Disease: A Scoping Review. Nutrients. 2023 Sep 14;15(18):3987. doi: 10.3390/nu15183987.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Katsiki N., Stoian A.P., Rizzo M. Dietary patterns in non-alcoholic fatty liver disease (NAFLD): Stay on the straight and narrow path! Clin Investig Arterioscler. 2022 Jun;34 Suppl 1: S24-S31. English, Spanish. doi: 10.1016/j.arteri.2021.10.001.</mixed-citation><mixed-citation xml:lang="en">Katsiki N., Stoian A.P., Rizzo M. Dietary patterns in non-alcoholic fatty liver disease (NAFLD): Stay on the straight and narrow path! Clin Investig Arterioscler. 2022 Jun;34 Suppl 1: S24-S31. English, Spanish. doi: 10.1016/j.arteri.2021.10.001.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Bakhshimoghaddam F., Baez D., Dolatkhah N. et al. Which dietary patterns fend off nonalcoholic fatty liver disease? A systematic review of observational and interventional studies. BMC Nutr. 2024 Nov 28;10(1):153. doi: 10.1186/s40795-024-00961-8.</mixed-citation><mixed-citation xml:lang="en">Bakhshimoghaddam F., Baez D., Dolatkhah N. et al. Which dietary patterns fend off nonalcoholic fatty liver disease? A systematic review of observational and interventional studies. BMC Nutr. 2024 Nov 28;10(1):153. doi: 10.1186/s40795-024-00961-8.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Sun J., Xiuli J., Li Y. Current strategies for nonalcoholic fatty liver disease treatment (Review).Int J Mol Med. 2024 Oct;54(4):88. doi: 10.3892/ijmm.2024.5412.</mixed-citation><mixed-citation xml:lang="en">Sun J., Xiuli J., Li Y. Current strategies for nonalcoholic fatty liver disease treatment (Review).Int J Mol Med. 2024 Oct;54(4):88. doi: 10.3892/ijmm.2024.5412.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Semmler G., Datz C., Trauner M. Eating, diet, and nutrition for the treatment of non-alcoholic fatty liver disease. Clin Mol Hepatol. 2023 Feb;29(Suppl): S244-S260. doi: 10.3350/cmh.2022.0364.</mixed-citation><mixed-citation xml:lang="en">Semmler G., Datz C., Trauner M. Eating, diet, and nutrition for the treatment of non-alcoholic fatty liver disease. Clin Mol Hepatol. 2023 Feb;29(Suppl): S244-S260. doi: 10.3350/cmh.2022.0364.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ko E., Yoon E.L., Jun D.W. Risk factors in nonalcoholic fatty liver disease. Clin Mol Hepatol. 2023 Feb;29(Suppl): S79-S85. doi: 10.3350/cmh.2022.0398.</mixed-citation><mixed-citation xml:lang="en">Ko E., Yoon E.L., Jun D.W. Risk factors in nonalcoholic fatty liver disease. Clin Mol Hepatol. 2023 Feb;29(Suppl): S79-S85. doi: 10.3350/cmh.2022.0398.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Notarnicola M., Osella A.R., Caruso M.G. et al. Nonalcoholic Fatty Liver Disease: Focus on New Biomarkers and Lifestyle Interventions.Int J Mol Sci. 2021 Apr 9;22(8):3899. doi: 10.3390/ijms22083899.</mixed-citation><mixed-citation xml:lang="en">Notarnicola M., Osella A.R., Caruso M.G. et al. Nonalcoholic Fatty Liver Disease: Focus on New Biomarkers and Lifestyle Interventions.Int J Mol Sci. 2021 Apr 9;22(8):3899. doi: 10.3390/ijms22083899.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Rong L., Zou J., Ran W., Qi X., Chen Y., Cui H., Guo J. Advancements in the treatment of non-alcoholic fatty liver disease (NAFLD). Front Endocrinol (Lausanne). 2023 Jan 16;13:1087260. doi: 10.3389/fendo.2022.1087260.</mixed-citation><mixed-citation xml:lang="en">Rong L., Zou J., Ran W., Qi X., Chen Y., Cui H., Guo J. Advancements in the treatment of non-alcoholic fatty liver disease (NAFLD). Front Endocrinol (Lausanne). 2023 Jan 16;13:1087260. doi: 10.3389/fendo.2022.1087260.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Sripongpun P., Churuangsuk C., Bunchorntavakul C. Current Evidence Concerning Effects of Ketogenic Diet and Intermittent Fasting in Patients with Nonalcoholic Fatty Liver. J Clin Transl Hepatol. 2022 Aug 28;10(4):730-739. doi: 10.14218/JCTH.2021.00494.</mixed-citation><mixed-citation xml:lang="en">Sripongpun P., Churuangsuk C., Bunchorntavakul C. Current Evidence Concerning Effects of Ketogenic Diet and Intermittent Fasting in Patients with Nonalcoholic Fatty Liver. J Clin Transl Hepatol. 2022 Aug 28;10(4):730-739. doi: 10.14218/JCTH.2021.00494.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Churuangsuk C., Griffiths D., Lean M.E.J., Combet E. Impacts of carbohydraterestricted diets on micronutrient intakes and status: A systematic review. Obes Rev. 2019;20(8):1132-1147. doi:10.1111/obr.12857.</mixed-citation><mixed-citation xml:lang="en">Churuangsuk C., Griffiths D., Lean M.E.J., Combet E. Impacts of carbohydraterestricted diets on micronutrient intakes and status: A systematic review. Obes Rev. 2019;20(8):1132-1147. doi:10.1111/obr.12857.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">McKenna L.A., Drummond R.S., Drummond S., Talwar D., Lean M.E. Seeing double: the low carb diet. BMJ. 2013;346: f2563. doi:10.1136/bmj.f2563.</mixed-citation><mixed-citation xml:lang="en">McKenna L.A., Drummond R.S., Drummond S., Talwar D., Lean M.E. Seeing double: the low carb diet. BMJ. 2013;346: f2563. doi:10.1136/bmj.f2563.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Hoyt C.S., Billson F.A. Optic neuropathy in ketogenic diet. Br J Ophthalmol. 1979;63(3):191-194. doi: 10.1136/bjo.63.3.191.</mixed-citation><mixed-citation xml:lang="en">Hoyt C.S., Billson F.A. Optic neuropathy in ketogenic diet. Br J Ophthalmol. 1979;63(3):191-194. doi: 10.1136/bjo.63.3.191.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Chiu S., Williams P.T., Krauss R.M. Effects of a very high saturated fat diet on LDL particles in adults with atherogenic dyslipidemia: A randomized controlled trial. PLoS One. 2017;12(2): e0170664. doi: 10.1371/journal.pone.0170664.</mixed-citation><mixed-citation xml:lang="en">Chiu S., Williams P.T., Krauss R.M. Effects of a very high saturated fat diet on LDL particles in adults with atherogenic dyslipidemia: A randomized controlled trial. PLoS One. 2017;12(2): e0170664. doi: 10.1371/journal.pone.0170664.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Von Frankenberg A.D., Marina A., Song X., Callahan H.S., Kratz M., Utzschneider K.M. A high-fat, high-saturated fat diet decreases insulin sensitivity without changing intra-abdominal fat in weight-stable overweight and obese adults. Eur J Nutr. 2017;56(1):431-443. doi:10.1007/s00394-015-1108-6.</mixed-citation><mixed-citation xml:lang="en">Von Frankenberg A.D., Marina A., Song X., Callahan H.S., Kratz M., Utzschneider K.M. A high-fat, high-saturated fat diet decreases insulin sensitivity without changing intra-abdominal fat in weight-stable overweight and obese adults. Eur J Nutr. 2017;56(1):431-443. doi:10.1007/s00394-015-1108-6.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Morales-Suarez-Varela M., Collado Sánchez E., Peraita-Costa I., Llopis-Morales A., Soriano J.M.Intermittent Fasting and the Possible Benefits in Obesity, Diabetes, and Multiple Sclerosis: A Systematic Review of Randomized Clinical Trials. Nutrients. 2021;13(9):3179. doi:10.3390/nu13093179.</mixed-citation><mixed-citation xml:lang="en">Morales-Suarez-Varela M., Collado Sánchez E., Peraita-Costa I., Llopis-Morales A., Soriano J.M.Intermittent Fasting and the Possible Benefits in Obesity, Diabetes, and Multiple Sclerosis: A Systematic Review of Randomized Clinical Trials. Nutrients. 2021;13(9):3179. doi:10.3390/nu13093179.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Parra-Vargas M., Rodriguez-Echevarria R., Jimenez-Chillaron J.C. Nutritional Approaches for the Management of Nonalcoholic Fatty Liver Disease: An Evidence-Based Review. Nutrients. 2020;12(12): E3860. doi:10.3390/nu12123860.</mixed-citation><mixed-citation xml:lang="en">Parra-Vargas M., Rodriguez-Echevarria R., Jimenez-Chillaron J.C. Nutritional Approaches for the Management of Nonalcoholic Fatty Liver Disease: An Evidence-Based Review. Nutrients. 2020;12(12): E3860. doi:10.3390/nu12123860.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Statsenko M.E., Turkina S.V., Ustinova M.N., Tumarenko A.V. Topical issues of diet therapy in the treatment of non-alcoholic fatty liver disease. Journal Volgograd State Medical University. 2022;19(1):3-8. (in Russ.) doi: 10.19163/1994-9480-2022-19-1-3-8.@@ Стаценко М.Е., Туркина С.В., Устинова М.Н., Тумаренко А.В. Актуальные вопросы диетотерапии в лечении неалкогольной жировой болезни печени. Вестник Волгоградского медицинского университета. 2022;19(1):3-8. doi: 10.19163/1994-9480-2022-19-1-3-8.</mixed-citation><mixed-citation xml:lang="en">Statsenko M.E., Turkina S.V., Ustinova M.N., Tumarenko A.V. Topical issues of diet therapy in the treatment of non-alcoholic fatty liver disease. Journal Volgograd State Medical University. 2022;19(1):3-8. (in Russ.) doi: 10.19163/1994-9480-2022-19-1-3-8.@@ Стаценко М.Е., Туркина С.В., Устинова М.Н., Тумаренко А.В. Актуальные вопросы диетотерапии в лечении неалкогольной жировой болезни печени. Вестник Волгоградского медицинского университета. 2022;19(1):3-8. doi: 10.19163/1994-9480-2022-19-1-3-8.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Andreev K.A., Skirdenko Yu.P., Nikolaev N.A., Livzan M.A., Gorbenko A.V., Fedorin M.M., Krolevets T.S. Adherence to lifestyle modification in patients with nonalcoholic fatty liver disease. Bulletin of Siberian Medicine. 2021;20(4):112-122. (in Russ.) doi: 10.20538/1682-0363-2021-4-112-122.@@ Андреев К.А., Скирденко Ю.П., Николаев Н.А., Ливзан М.А., Горбенко А.В., Федорин М.М., Кролевец Т.С. Приверженность модификации образа жизни при неалкогольной жировой болезни печени. Бюллетень сибирской медицины. 2021;20(4):112-122. doi: 10.20538/1682-0363-2021-4-112-122.</mixed-citation><mixed-citation xml:lang="en">Andreev K.A., Skirdenko Yu.P., Nikolaev N.A., Livzan M.A., Gorbenko A.V., Fedorin M.M., Krolevets T.S. Adherence to lifestyle modification in patients with nonalcoholic fatty liver disease. Bulletin of Siberian Medicine. 2021;20(4):112-122. (in Russ.) doi: 10.20538/1682-0363-2021-4-112-122.@@ Андреев К.А., Скирденко Ю.П., Николаев Н.А., Ливзан М.А., Горбенко А.В., Федорин М.М., Кролевец Т.С. Приверженность модификации образа жизни при неалкогольной жировой болезни печени. Бюллетень сибирской медицины. 2021;20(4):112-122. doi: 10.20538/1682-0363-2021-4-112-122.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Snetselaar L.G., de Jesus J.M., DeSilva D.M., Stoody E.E, Dietary Guidelines for Americans, 2020-2025: Understanding the Scientific Process, Guidelines, and Key Recommendations. Nutr Today. 2021;56(6):287-295. doi: 10.1097/NT.0000000000000512.</mixed-citation><mixed-citation xml:lang="en">Snetselaar L.G., de Jesus J.M., DeSilva D.M., Stoody E.E, Dietary Guidelines for Americans, 2020-2025: Understanding the Scientific Process, Guidelines, and Key Recommendations. Nutr Today. 2021;56(6):287-295. doi: 10.1097/NT.0000000000000512.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Order of the Ministry of Health of the Russian Federation dated 19.02.2024 N 70n [On Amendments to the Instructions for the Organization of Medical Nutrition in Medical and Preventive Institutions]. Approved by the Order of the Ministry of Health of the Russian Federation dated August 5, 2003 N 330, and the Norms of Medical Nutrition. Approved by the Ministry of Health of the Russian Federation: June 21, 2013 N 395n. Registered with the Ministry of Justice of the Russian Federation: 21.03.2024 N 77586. (in Russ.)@@ Приказ Минздрава РФ от 19.02.2024 N 70н «О внесении изменений в инструкцию по организации лечебного питания в лечебно - профилактических учреждениях, утвержденную приказом Министерства здравоохранения Российской Федерации от 5 августа 2003 г. N 330, и нормы лечебного питания, утвержденные Министерства здравоохранения Российской Федерации от 21 июня 2013 г. N 395н» (Зарегистрировано в Минюсте РФ 21.03.2024 N 77586).</mixed-citation><mixed-citation xml:lang="en">Order of the Ministry of Health of the Russian Federation dated 19.02.2024 N 70n [On Amendments to the Instructions for the Organization of Medical Nutrition in Medical and Preventive Institutions]. Approved by the Order of the Ministry of Health of the Russian Federation dated August 5, 2003 N 330, and the Norms of Medical Nutrition. Approved by the Ministry of Health of the Russian Federation: June 21, 2013 N 395n. Registered with the Ministry of Justice of the Russian Federation: 21.03.2024 N 77586. (in Russ.)@@ Приказ Минздрава РФ от 19.02.2024 N 70н «О внесении изменений в инструкцию по организации лечебного питания в лечебно - профилактических учреждениях, утвержденную приказом Министерства здравоохранения Российской Федерации от 5 августа 2003 г. N 330, и нормы лечебного питания, утвержденные Министерства здравоохранения Российской Федерации от 21 июня 2013 г. N 395н» (Зарегистрировано в Минюсте РФ 21.03.2024 N 77586).</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">[Standards of therapeutic nutrition]. Approved by the Ministry of Health of the Russian Federation. 2017. (in Russ.)@@ Стандарты лечебного питания. 2017 г. Утверждены МЗ РФ.</mixed-citation><mixed-citation xml:lang="en">[Standards of therapeutic nutrition]. Approved by the Ministry of Health of the Russian Federation. 2017. (in Russ.)@@ Стандарты лечебного питания. 2017 г. Утверждены МЗ РФ.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">[On the Fundamentals of Health Protection of Citizens in the Russian Federation]. Federal Law No 323. Dated: 21.11.2011. (in Russ.)@@ Федеральный закон «Об основах охраны здоровья граждан в Российской Федерации» от 21.11.2011 г. № 323.</mixed-citation><mixed-citation xml:lang="en">[On the Fundamentals of Health Protection of Citizens in the Russian Federation]. Federal Law No 323. Dated: 21.11.2011. (in Russ.)@@ Федеральный закон «Об основах охраны здоровья граждан в Российской Федерации» от 21.11.2011 г. № 323.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Tutelyan V.A., Nikityuk D.B., Zhilinskaya N.V. et al. [Card index of dishes of dietary therapeutic nutrition of optimized composition with the inclusion of specialized food products of dietary therapeutic and dietary preventive nutrition]. Methodical recommendations under the guidance of academician [edd.] V.A. Tutelyan. Moscow, 2021. 52 p. (in Russ.)@@ Картотека блюд диетического лечебного питания оптимизированного состава с включением специализированных пищевых продуктов диетического лечебного и диетического профилактического питания. Методические рекомендации под руководством акад. Тутельяна В.А. - Москва, 2021. - 52с.</mixed-citation><mixed-citation xml:lang="en">Tutelyan V.A., Nikityuk D.B., Zhilinskaya N.V. et al. [Card index of dishes of dietary therapeutic nutrition of optimized composition with the inclusion of specialized food products of dietary therapeutic and dietary preventive nutrition]. Methodical recommendations under the guidance of academician [edd.] V.A. Tutelyan. Moscow, 2021. 52 p. (in Russ.)@@ Картотека блюд диетического лечебного питания оптимизированного состава с включением специализированных пищевых продуктов диетического лечебного и диетического профилактического питания. Методические рекомендации под руководством акад. Тутельяна В.А. - Москва, 2021. - 52с.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Calorie calculator from Rospotrebnadzor. Rospotrebnadzor website. (in Russ.) Available at: https://здоровое-питание.рф/services/calculators/rasschitayte-kaloriynost-blyuda/(Accssed: 05.09.2024.)@@ Калькулятор калорийности от Роспотребнадзора. Сайт Роспотребнадзора.</mixed-citation><mixed-citation xml:lang="en">Calorie calculator from Rospotrebnadzor. Rospotrebnadzor website. (in Russ.) Available at: https://здоровое-питание.рф/services/calculators/rasschitayte-kaloriynost-blyuda/(Accssed: 05.09.2024.)@@ Калькулятор калорийности от Роспотребнадзора. Сайт Роспотребнадзора.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
