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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">ppharm</journal-id><journal-title-group><journal-title xml:lang="ru">Педиатрическая фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pediatric pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-5776</issn><issn pub-type="epub">2500-3089</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/pf.v22i2.2884</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-2600</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RECOMMENDATIONS</subject></subj-group></article-categories><title-group><article-title>Проект клинических рекомендаций по диагностике и лечению метаболически ассоциированной жировой болезни печени у детей (неалкогольной жировой болезни печени)</article-title><trans-title-group xml:lang="en"><trans-title>Draft Clinical Guidelines for the Diagnosis and Treatment of Metabolically Associated Fatty Liver Disease in Children (Non-Alcoholic Fatty Liver Disease)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3987-8112</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-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5413-9599</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волынец</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Volynets</surname><given-names>Galina 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-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-7665-4793</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власов</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasov</surname><given-names>Nikolay N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0001-7890-733X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горячева</surname><given-names>Л. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Goryacheva</surname><given-names>Larisa G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0002-2666-4759</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гурова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurova</surname><given-names>Margarita M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0002-4509-5352</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Грешнякова</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Greshnyakova</surname><given-names>Vera A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9532-9698</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Завьялова</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaviyalova</surname><given-names>Anna N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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>Евдокимова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Evdokimova</surname><given-names>Nina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0002-1533-4498</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Комиссарова</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Komissarova</surname><given-names>Marina Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Красногорск</p></bio><bio xml:lang="en"><p>Krasnogorsk</p></bio><xref ref-type="aff" rid="aff-6"/></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>Намазова-Баранова Лейла Сеймуровна - доктор медицинских наук, профессор, академик РАН, заведующая кафедрой факультетской педиатрии Института материнства и детства ФГАОУ ВО РНИМУ им. Н.И. Пирогова (Пироговский Университет), руководитель НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского», президент Союза педиатров России.</p><p>119333, Москва, ул. Фотиевой, д. 10, тел.: +7 (499) 400-47-33</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">lsnamazova@yandex.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0992-1709</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новикова</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Novikova</surname><given-names>Valeriya P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0002-4505-397X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павловская</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlovskaya</surname><given-names>Elena 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-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0968-6291</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рогозина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rogozina</surname><given-names>Natalya V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</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/0000-0002-0762-0873</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Строкова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Strokova</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-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3697-4283</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сурков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Surkov</surname><given-names>Andrey 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-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7308-7280</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хавкин</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Havkin</surname><given-names>Anatoly I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Белгород</p></bio><bio xml:lang="en"><p>Moscow, Belgorod</p></bio><xref ref-type="aff" rid="aff-10"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Sechenov Moscow Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский клинический институт педиатрии и детской хирургии им. акад. Ю.Е. Вельтищева; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный педиатрический медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg State Pediatric Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный педиатрический медицинский университет; Детский научно-клинический центр инфекционных болезней</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg State Pediatric Medical University; Pediatric Research and Clinical Center for Infectious Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Детский научно-клинический центр инфекционных болезней</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pediatric Research and Clinical Center for Infectious Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Детский клинический центр им. Л.М. Рошаля</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Roshal Children’s Clinical Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Федеральный исследовательский центр питания, биотехнологии и безопасности пищи; Российская медицинская академия непрерывного профессионального образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Research Institute of Nutrition; Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет); Федеральный исследовательский центр питания, биотехнологии и безопасности пищи</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Scientific Research Institute of Nutrition</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Научно-исследовательский клинический институт детства; Белгородский государственный национальный исследовательский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research and Clinical Institute for Children; Belgorod State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>05</month><year>2025</year></pub-date><volume>22</volume><issue>2</issue><fpage>147</fpage><lpage>163</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранов А.А., Волынец Г.В., Власов Н.Н., Горячева Л.Г., Гурова М.М., Грешнякова В.А., Завьялова А.Н., Евдокимова Н.В., Комиссарова М.Ю., Намазова-Баранова Л.С., Новикова В.П., Павловская Е.В., Рогозина Н.В., Строкова Т.В., Сурков А.Н., Хавкин А.И., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Баранов А.А., Волынец Г.В., Власов Н.Н., Горячева Л.Г., Гурова М.М., Грешнякова В.А., Завьялова А.Н., Евдокимова Н.В., Комиссарова М.Ю., Намазова-Баранова Л.С., Новикова В.П., Павловская Е.В., Рогозина Н.В., Строкова Т.В., Сурков А.Н., Хавкин А.И.</copyright-holder><copyright-holder xml:lang="en">Baranov A.A., Volynets G.V., Vlasov N.N., Goryacheva L.G., Gurova M.M., Greshnyakova V.A., Zaviyalova A.N., Evdokimova N.V., Komissarova M.Y., Namazova-Baranova L.S., Novikova V.P., Pavlovskaya E.V., Rogozina N.V., Strokova T.V., Surkov A.N., Havkin A.I.</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.pedpharma.ru/jour/article/view/2600">https://www.pedpharma.ru/jour/article/view/2600</self-uri><abstract><p>Авторами представлены современные эпидемиологические данные и особенности этиопатогенеза метаболически ассоциированной жировой болезни печени у детей (неалкогольной жировой болезни печени), даны клинические характеристики различных вариантов данной нозологии. Приведены сведения по лабораторно-инструментальным и морфологическим признакам метаболически ассоциированной жировой болезни печени у детей, а также о методах профилактики, лечения и реабилитации в соответствии с разработанными клиническими рекомендациями.</p></abstract><trans-abstract xml:lang="en"><p>The authors present modern epidemiological data and features of the etiopathogenesis of metabolically associated fatty liver disease in children (non-alcoholic fatty liver disease), and provide clinical characteristics of various variants of this nosology. Information is provided on laboratory, instrumental and morphological signs of metabolically associated fatty liver disease in children, as well as on methods of prevention, treatment and rehabilitation in accordance with developed clinical guidelines.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метаболически ассоциированная жировая болезнь печени (неалкогольная жировая болезнь печени)</kwd><kwd>клинические рекомендации</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metabolic-associated fatty liver disease (non-alcoholic fatty liver disease)</kwd><kwd>clinical guidelines</kwd><kwd>children</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Отсутствует</funding-statement><funding-statement xml:lang="en">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">Vos MV, Abrams SH, Barlow SE, et al. 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