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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.v12i1.1247</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-463</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>ЗНАЧЕНИЕ ГРУДНОГО ВСКАРМЛИВАНИЯ В ПРОФИЛАКТИКЕ ОТДАЛЕННЫХ НАРУШЕНИЙ МЕТАБОЛИЗМА: ОБЗОР ЛИТЕРАТУРЫ</article-title><trans-title-group xml:lang="en"><trans-title>ROLE OF BREASTFEEDING IN PREVENTING LONG-TERM METABOLIC DISORDERS: REVIEW</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><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>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, заведующая отделением для недоношенных детей ФГБНУ «Научный центр здоровья детей»</p></bio><email xlink:type="simple">belyaeva@nczd.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><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>L. S.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><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>T. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><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>E. P.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Митиш</surname><given-names>М. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Mitish</surname><given-names>M. D.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Потехина</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Potekhina</surname><given-names>T. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children's Health, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>21</day><month>08</month><year>2015</year></pub-date><volume>12</volume><issue>1</issue><fpage>52</fpage><lpage>58</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Беляева И.А., Намазова-Баранова Л.С., Турти Т.В., Бомбардирова Е.П., Митиш М.Д., Потехина Т.В., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Беляева И.А., Намазова-Баранова Л.С., Турти Т.В., Бомбардирова Е.П., Митиш М.Д., Потехина Т.В.</copyright-holder><copyright-holder xml:lang="en">Belyaeva I.A., Namazova-Baranova L.S., Turti T.V., Bombardirova E.P., Mitish M.D., Potekhina T.V.</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/463">https://www.pedpharma.ru/jour/article/view/463</self-uri><abstract/><trans-abstract xml:lang="en"><p>The literature review is dedicated to the preventive role of breastfeeding in preserving long-term health of individuals and the population in whole. The issue is urgent due to high prevalence of multifactor metabolic diseases (obesity, pancreatic diabetes, hypertonic disease etc.) in adolescents and adults; these socially significant have started to set on in younger persons in the recent years. The article presents results of the studies dedicated to the association between the nature of the infant's feeding and risk of metabolic pathology conducted in the recent decades in various countries. Most works put premature infants in the high risk group, as the diets involving special formulas contributing to "catching-up" growth of neonates with low birth weight are statistically significantly associated with high risk of long-term cardiovascular diseases. According to numerous studies, artificial feeding significantly increases the risk of excess weight and obesity, hypertonic disease and atherogenic dyslipidemia. Possible mechanisms of realization of hereditary susceptibility to metabolic disorders in the setting of artificial feeding are enhanced insulin burst paired with further development of insulin resistance; preventive role of breast milk is associated with the hormones therein, which program the individual's metabolism. Along with that, breastfeeding provides metabolic and immunological programming by means of forming optimal intestinal microbiota in a child. All the studies indicate importance of prolonged breastfeeding during infancy, which is why medical administrative support provided by medical personnel of medical and preventive facilities is important for preventing hypolactasia. District pediatricians and nurses not only control, but also organize the process of breastfeeding; when necessary, they recommend special devices intended to optimize lactation (breast pumps, nipple shields); if breast latching is not feasible – feeding with extracted breast milk using bottles and pacifiers reproducing natural breast sucking mechanism. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>грудное вскармливание</kwd><kwd>недоношенные дети</kwd><kwd>грудные дети</kwd><kwd>грудное молоко</kwd><kwd>метаболическое программирование</kwd><kwd>метаболический синдром</kwd><kwd>ожирение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breastfeeding</kwd><kwd>premature infants</kwd><kwd>infants</kwd><kwd>breast milk</kwd><kwd>metabolic programming</kwd><kwd>metabolic syndrome</kwd><kwd>obesity</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">Gluckman P. D., Hanson M. 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