cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2022-2918cardiovascular-2918Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEW ARTICLESЗдоровое питание во вторичной профилактике после инфаркта миокарда. На чем сделать акцент?Healthy nutrition in secondary prevention after myocardial infarction. What to focus on?https://orcid.org/0000-0002-4642-3610БарбарашО. Л.BarbarashO. L.

Ольга Леонидовна Барбараш — доктор медицинских наук, профессор, член-корр. РАН, директор.

Кемерово

Kemerovo

olb61@mail.ruhttps://orcid.org/0000-0001-7058-2008СедыхД. Ю.SedykhD. Yu.

Дарья Юрьевна Седых — кандидат медицинских наук, научный сотрудник лаборатории патологии кровообращения отдела клинической кардиологии

Кемерово, Тел.: + 7 (961) 711-51-82

Kemerovo

md-sedih@mail.ruhttps://orcid.org/0000-0002-6979-182XПетроваТ. С.PetrovaT. S.

Татьяна Сергеевна Петрова — клинический ординатор.

Кемерово

Kemerovo

tat.petrova184@gmail.comhttps://orcid.org/0000-0003-3729-616XКашталапВ. В.KashtalapV. V.

Василий Васильевич Кашталап — доктор медицинских наук, доцент, зав. отделом клинической кардиологии.

Кемерово

Kemerovo

v_kash@mail.ruhttps://orcid.org/0000-0001-6136-0518ЦыганковаД. П.TsygankovaD. P.

Дарья Павловна Цыганкова — кандидат медицинских наук, научный сотрудник лаборатории эпидемиологии сердечно-сосудистых заболеваний отдела оптимизации медицинской помощи при сердечно-сосудистых заболеваниях.

Кемерово

Kemerovo

darjapavlovna2014@mail.ruФГБНУ Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийResearch Institute for Complex Issues of Cardiovascular Diseases20222801202221129182918Copyright © Барбараш О.Л., Седых Д.Ю., Петрова Т.С., Кашталап В.В., Цыганкова Д.П., 20222022Барбараш О.Л., Седых Д.Ю., Петрова Т.С., Кашталап В.В., Цыганкова Д.П.Barbarash O.L., Sedykh D.Y., Petrova T.S., Kashtalap V.V., Tsygankova D.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/2918

Рационализация пищевого поведения у пациентов после инфаркта миокарда является предметом многочисленных дискуссий. Несмотря на доказанное превентивное влияние здорового питания и пользу от употребления отдельных пищевых продуктов при болезнях системы кровообращения, использование данного вида вмешательства остается на низком уровне. Цель обзора — проанализировать существующие подходы к модификации питания пациентов в рамках вторичной профилактики инфаркта миокарда. Для этого были изучены тексты и абстракты 903 публикаций в PubMed/ MEDLINE за последние 5 лет. Наибольшую эффективность и безопасность в предотвращении атеротромботических событий среди существующих диетических паттернов продемонстрировала Средиземноморская диета, однако ее широкая воспроизводимость в различных регионах сопряжена с рядом лимитирующих факторов. Государственные программы по модификации и поддержке здорового питания, выходящего за рамки традиционной гипохолестериновой диеты, могут быть перспективными при вторичной профилактике, в особенности в случае надлежащего контроля и мотивации пациентов.

Rationalization of dietary behavior in patients after myocardial infarction is the subject of numerous discussions. Despite the proven preventive effect of a healthy diet and the benefits of certain foods in cardiovascular diseases, this type of intervention is still underused. The aim of this review was to analyze current approaches to modifying the nutrition of patients within the secondary prevention of myocardial infarction. For this, 903 publications from PubMed/MEDLINE database over the past 5 years were studied. The Mediterranean diet demonstrated the highest efficacy and safety in preventing athero-thrombotic events among existing dietary patterns. However, its wide reproducibility in different regions is associated with a number of limitations. Government programs to modify and support a healthy diet beyond the conventional low-cholesterol diet may be promising in secondary prevention, especially if patients are properly monitored and motivated.

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The authors declare that there are no conflicts of interest present.