Publications by authors named "SPIRICHEV V"

Daily inclusion in the diet of Pskov GRES workers the drinks or kissels containing 2 g pectin per daily serving (cup) during 6 months was accompanied by a statistically significant decline of their supply with vitamins C, B2, A and beta-carotene. This is reflected both in reducing the average vitamin concentration in blood serum and in the increase of the quota of people with deficiency of several vitamins. Additional inclusion of 13 vitamins in these drinks and kissels, in a dose about 80% of the RDA, has prevented the deterioration of vitamin status.

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Vitamin insufficiency disrupting metabolism, enhances the course of any disease and hinders successful treatment. In this connection the treatment of any patient should include a correction of the existing polyvitaminic deficiency and maintain of optimal provision by all micronutrients. Using vitamins in the treatment of primary avitaminosis, correction of secondary metabolism and function of vitamins, as well as medicamental therapy and various restrictrions in a diet is undisputed.

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Specific function of most vitamins is that they are in the form the body co-enzyme or prosthetic groups are included in the active sites of proteins, enzymes, and thus participate in the mechanisms of enzymatic catalysis of diverse metabolic reactions that underlie life processes and functions of organism. Inadequate intake of micronutrients is a common problem for all economically developed countries. It is the reverse of scientific, technological and social progress, which led to a significant reduction of energy consumption and, consequently, to a corresponding decrease in the total amount of food consumed by modern human.

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The research of influence of vitamin complexes in the form of a drink or kissel on vitamin sufficiency of working persons has been carried out. Long inclusion (6,5 months) in a diet of vitamin drinks containing about 80% from recommended daily consumption of vitamins, was accompanied by trustworthy improvement of vitamins C and B6 sufficiency and prevention of seasonal deterioration of beta-carotene status. As initially surveyed have been well provided with vitamins A and E, their blood serum level increase had not occurred.

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In the review the analysis of the existing in world practice normative documents that regulate the addition of vitamins and minerals to foods and the substantiation of their level in fortified foodstuffs have been presented. The degree of foodstuffs enrichment with micronutrients (mass or volume of foods containing from 15 to 50 per cent from daily recommended allowance) has been proposed.

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Serum concentrations of vitamins A, B2, B6, C, E and beta-carotene were determined in 174 healthy individuals ages 22-59 years. It was been shown that only 11% of examined men and 24% of women were well provided with all vitamins-antioxidants and beta-carotene. 38% cent of women and 67% cent of men had the combined insufficiency of 2-3 antioxidants (more often of vitamin C, B2 and beta-carotene).

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Studies of fat- and water-soluble antioxidants sufficiency (retinol, alfa- and gamma-tocopherols, alfa- and beta-carotene, lycopene, lutein and zeaxanthin, cryptoxanthin, ascorbic and uric acids) and lipid spectrum in patients with cardiovascular disease revealed that blood levels of some carotenoids are directly related to blood levels of vitamin C and to levels of cholesterol of high-density lipoproteins. As total carotenoids content in blood decreased lower than 80 microg/dl, the significant raise of average concentration of urates (p=0.012) and significant decrease of ascorbic acid (p=0.

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Analysis of dietary intake for the month before admission using the food frequency method in patients with cardiovascular diseases (CVD) showed high level consumption of vitamin C, excessive consumption of phosphorus and deficiency in consumption of vitamins A, B1, B2. 82% of patients had low calcium excretion per 1 kg of body mass, 16% of people had high level of bone resorption. In the group of patients with low calcium consumption, content of all the vitamins in daily ration was significantly lower, than that in the group with adequate calcium consumption.

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Results of the study of the provision with vitamins and some micro- and macroelements of limited groups of people, who suffered from the accident at the Chornobyl nuclear power plant (ChNPP), which have been carried out by Ukrainian and Russian scientists during various periods after the accident, are generalized in the paper. Persons which participated in liquidation of the accident and lived during the accident in the territory, adjoining to Pripyat (the Kyiv region, town of Slavutich), people which worked at the object "Shelter" and ChNPP were involved in the inspection. It was noted, that in 1-4 years after the ChNPP accident in blood of liquidators the biochemical parameters displaying security of their organism by vitamins A and B1, remain lower in comparison with the same parameters in a group of relatively healthy persons which were not affected by the accident (control), that testifies to stable metabolic disturbance in the organism of people under irradiation influence.

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The article considers next items: scientific grounds for preventive and clinical application of vitamins, their recommended dietary intakes, reasons and consequences of their insufficient intake, significance and efficiency of fortificated foods and food supplements for improvement and health.

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The article concisely illustrates the vitamin and mineral state of population of town of Slavutich, including personal of Chernobyl Nuclear Power Station, children of pre-school age and pregnancy women, studied in 1992. Vitamins and minerals deficiency in the main of C and B vitamins and selenium was revealed in all the studied groups. Appropriate measures were developed and introduced to eliminate the detected dusturbances; but however some unsolved problems remained.

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In research in which 11 osteoarthrosis patients with osteoarthrosis of the knee-joint of II-III degree and 18 healthy people took part, it has been shown that sufficiency with vitamin C, carotinoids and calcium of osteoarthrosis patients was worse than that of healthy people. These micronutrients blood plasma level in both groups was less than the lower border of normal sufficiency. Whereas patients from both groups were adequately supplied with vitamins A, E, B2 and phosphorus.

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General subjects and achievement of modern vitaminology are discussed. The most impressive success in fundamental vitaminology during last three-four decades was achieved in following areas: elucidation of vitamins metabolic roles and molecular mechanisms in their action; development and improvement of high sensitive modern methods for analytical vitamins determination in biological objects and food; establishment of reliable criteria and methods for human vitamin status assessment; examination of physiological human vitamin requirements and establishment of Recommended Dietary Allowances (RDA) or Adequate Levels (AL) of their intake; elaboration of scientifical grounds for reasonable vitamins application in diseases prevention and treatment. In the area of applied vitaminology the most attention during last decades was paid to next subjects: regular broad vitamin status examination of representative groups of population; reasoning, development, realization and evaluation of broad scale measures for prevention of vitamin insufficiency and improvement of vitamin status of population; development and industrial production of vitamins, multivitamin-mineral preparations and various vitamin enriched food stuffs for the same purpose.

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Comparative study results of vitamin's D active metabolites 1,25-dihydroxycholecalciferol (1,25(OH)2D3) and 24,25-dihydroxycholecalciferol (24,25(OH)2D3) effect on ionised calcium level in blood plasma of patients with postmenopause osteoporosis are described. Administration of 24,25(OH)2D3 for patients with osteoporosis leads to gradual stepped increase of ionised calcium level in blood plasma. This level remains normal and does not change in 2 weeks after cancelling of drug administration.

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General subjects and achievements of modern vitaminology are discussed. The most impressive success in fundamental vitaminology during last three-four decades was achieved in the following areas: elucidation of vitamins metabolic roles and molecular mechanisms in their action; development and improvement of highly sensitive modern methods for analytical vitamins determination in biological objects and food; creation of reliable criteria and methods for human vitamin status assessment; examination of physiological human vitamin requirements and establishment of Recommended Dietary Allowances (RDA) or Adequate Levels (AL) of their intake; elaboration of scientifical grounds for reasonable vitamins application in diseases prevention and treatment. In the field of applied vitaminology main attention during last decades was given to the next subjects: regular broad vitamin status examination of representative groups of population; reasoning, development, realization and evaluation of broad scale measures for prevention of vitamin insufficiency and improvement of vitamin status of population; development and industrial production of vitamins, multivitamin-mineral preparations and various vitamin enriched foodstuffs for the same purpose.

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The hypothesis that antioxidant vitamins may reduce risk of cardiovascular diseases has been the subject of considerable research attention in recent years. Basic research studies have provided evidence of possible mechanisms for an effect of antioxidants on atherosclerosis, and several epidemiological studies have suggested that risk of coronary heart disease may be 20-40% lower among those with high dietary intake and serum levels of antioxidant vitamins, especially of vitamin E. However, large-scale randomized trial haven not supported a benefit of high doses of vitamin E supplementation among a general, well-nourished population.

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High safety of vitamins during vitaminization of dairy products has been shown. Adding of vitamins before pasteurization or sterilization of milk is guaranting its microbiological purity and doesn't change organoleptic quality of dairy products.

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The investigation of vitamin sufficiency of 96 children 4-15 years old living in Moscow with decreased hemoglobin level (less 120 g/l) has been carried out in spring in 2001. Most of the children (90 per cent) had the combined deficiency of B group vitamins and carotenoids while they were sufficiently vitamin C supplied. There were only 2 per cent of children adequately supplied with all vitamins.

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The review of the literature both own given of the author and its employees on a problem of preventive maintenance osteoporosis in submitted. The set of available results enables to believe that alimentary the preventive maintenance osteoporosis oweis is reduced not only to reception calcium and vitamin D and to be based on optimum consumption of all complex macro- and micronutrients participating in process osteoporosis.

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Regular intake of a vitamin-mineral complex for 2 weeks had no effect on spontaneous clustogenesis in blood cells from healthy donors. Significant differences between the levels of chromosome aberrations induced by bleomycin and dioxidine in vitro before and after 2-week vitamin treatment indicate increased resistance of blood cells to clustogens.

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The comparative study of influence of two biologically active food additives with the different contents of vitamins is carried out: a drink "Zolotoi Shar", the dose of vitamins in which makes 50-90% from recommended daily consumption, and "Vitabalance 2000", the contents of vitamins in which at 2-17 of time exceeds need of organism. The use of both additives within 3 weeks resulted in increase of levels of vitamins C, A, E, B2, B6 and carotenoids in blood serum. However if in case of consumption of a drink an authentic level was reached only for vitamin C and beta-carotene, in a case "Vitabalance 2000" for all investigated vitamins except vitamin A.

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Based on the analysis of the dependence of 4-pyridoxic acid urinary excretion from pyridoxal-5'-phosphate blood plasma level and its statistic distribution it has been shown that vitamin B-6 metabolism in children suffering from phenylketonuria and therefore the criteria of the body saturation with this vitamin differ from those for healthy people. Increased pyridoxal-5'-phosphate blood plasma level has been demonstrated for PKU children. The concentration of 11 ng/ml should be considered as a bottom border of the adequate supply with vitamin B-6.

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Vitamin level in blood plasma and erythrocytes and a rate of urinary excretion of vitamin metabolites were analysed in children suffering from phenylketonuria. It has been shown that vitamin B1 metabolism and therefore the criteria of the adequate sufficiency with this vitamin does not differ from those for healthy people. Increased riboflavin urinary excretion under its decreased plasma and erythrocyte levels has been demonstrated for PKU children.

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