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[糖尿病肾病患者饮食支持的优化]

[Optimization of dietary support for patients with diabetic nephropathy].

作者信息

Sharafetdinov Kh Kh, Shekhetov A A, Plotnikova O A, Vorobyeva V M, Vorobyeva I M, Kochetkova A A, Pilipenko V V, Alexeeva R I

机构信息

Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation.

Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, 123242, Moscow, Russian Federation.

出版信息

Vopr Pitan. 2021;90(1):85-93. doi: 10.33029/0042-8833-2021-90-1-85-93. Epub 2021 Jan 20.

Abstract

The article presents modern approaches to dietary support for patients with diabetic nephropathy (DN). The possibility of using the developed specialized products (SP), modified by protein, fat and carbohydrate composition, containing food ingredients with hypoglycemic, hypolipidemic and antioxidant effects is presented. - development of a formulation and technology for producing SP with modified chemical composition and energy value, intended for inclusion in a low-protein diet for patients with DN. . When developing the SP formulation, soy protein isolate, monoand polyunsaturated fatty acids, soluble dietary fiber, fat- and water-soluble vitamins, tracelements, curcumin, taurine, flavoring and aromatic additives were used. . The chemical composition and organoleptic characteristics of two SPs have been determined. A technology has been developed for producing SP in the form of instant drinks, which consists in stage-by-stage mixing of prescription ingredients, which ensures uniform distribution of minor biologically active substances. The conducted studies of the organoleptic parameters of the developed SPs showed an average overall score of 4.8 and 4.9 on a 5-point scale. . Taking into account the technological and organoleptic compatibility of the selected ingredients, formulations and technologies for preparing SP have been developed, which are powdery multicomponent mixtures for preparing drinks for use in the complex therapy of patients with DN.

摘要

本文介绍了糖尿病肾病(DN)患者饮食支持的现代方法。文中提出了使用经蛋白质、脂肪和碳水化合物成分改良的特制产品(SP)的可能性,这些产品含有具有降血糖、降血脂和抗氧化作用的食品成分。——开发一种配方和技术,用于生产化学成分和能量值经过改良的SP,旨在纳入DN患者的低蛋白饮食中。在开发SP配方时,使用了大豆分离蛋白、单不饱和脂肪酸和多不饱和脂肪酸、可溶性膳食纤维、脂溶性和水溶性维生素、微量元素、姜黄素、牛磺酸、调味剂和芳香添加剂。测定了两种SP的化学成分和感官特性。开发了一种生产速溶饮料形式的SP的技术,该技术包括逐步混合处方成分,以确保微量生物活性物质均匀分布。对所开发的SP的感官参数进行的研究表明,在5分制中平均总分分别为4.8和4.9。考虑到所选成分的工艺和感官兼容性,开发了制备SP的配方和技术,它们是用于制备饮料的粉末状多组分混合物,用于DN患者的综合治疗。

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