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Альманах клинической медицины. 2016; 44: 770-774

Микробиоценоз верхних отделов желудочно-кишечного тракта и его роль в формировании ожирения у детей

Бокова Т. А., Кошурникова А. С.

https://doi.org/10.18786/2072-0505-2016-44-6-770-774

Аннотация

Изучение качественного и количественного состава микрофлоры различных биотопов человеческого  организма  и определение их роли в развитии обменных нарушений вызывает большой  интерес  у исследователей всего мира. С обязательным  участием микрофлоры  желудочно-кишечного тракта (ЖКТ) протекают процессы синтеза, рециркуляции  и метаболизма стероидных  гормонов,   липидов,  желчных  кислот. Инфекционные агенты и их биологически активные компоненты инициируют процессы атерогенеза. Нарушения липидного обмена сопровождаются изменением соотношения энтеротипов бактерий. Колонизация ЖКТ микрофлорой начинается  с рождения,  а ее  состав  у новорожденного  зависит  от  разнообразных факторов окружающей среды и питания, состояния здоровья матери, течения беременности  и родов. Дети, рожденные  путем кесарева  сечения,  чаще страдают ожирением, что связывают с задержкой колонизации ЖКТ бифидобактериями. Если в возрасте до 12 месяцев наблюдается снижение уровня бифидобактерий  в кишечнике, у таких детей отмечается   предрасположенность  к  ожирению в последующие годы жизни. Дети, рожденные  от матерей  с ожирением, имеют достоверно  значимые различия в составе микрофлоры кишечника по сравнению с детьми, рожденными от матерей с нормальной  массой тела. В обзоре  также представлены данные о связи между заболеваниями обменного характера – ожирением, сахарным диабетом  2-го типа и персистированием инфекции  Helicobacter pylori.  Продолжение   углубленных исследований   в  данной  области  позволит повысить знания о механизмах развития  гормонально-метаболических нарушений в детском возрасте  и разработать алгоритмы эффективных лечебно-профилактических мероприятий.
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Almanac of Clinical Medicine. 2016; 44: 770-774

The microbiota of upper parts of gastrointestinal tract and its role in the development of obesity in children

Bokova T. A., Koshurnikova A. S.

https://doi.org/10.18786/2072-0505-2016-44-6-770-774

Abstract

Evaluation of qualitative and quantitative composition of microflora of different habitats of the human body and definition of their role in the development of metabolic disorders are of great interest for investigators worldwide. The gut microbiota is an obligatory contributor to the synthesis, recirculation and metabolism of steroid hormones, lipids, and bile acids. Infectious agents and their biologically active compounds initiate the atherogenesis. Disorders of lipid metabolism are associated with a change in bacterial enterotypes. Microbiotal colonization of gastrointestinal tract starts at birth. Its composition in a newborn depends on a variety of environmental and nutritional factors, maternal health, the course of pregnancy and delivery. Infants born by cesarean section have a higher incidence of obesity, which is thought to be associated with a delay of bifidobacterial colonization of gastrointestinal tract.

Reduction of bifidobacteria counts in the gut in infants below 12 months of age predisposes to obesity in later life. Children born to mothers with obesity have significant differences in the composition of the gut microflora, compared to children born to normal weight mothers. This review presents the data on the association between metabolic disorders, such as obesity and type 2 diabetes, and persistence of Helicobacter pylori infection. Further in-depth research in this area would increase the knowledge on the mechanisms of hormonal and metabolic disorders in childhood and may help to develop algorithms for effective treatment and preventive measures.

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