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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">cardiovascular</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиоваскулярная терапия и профилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Cardiovascular Therapy and Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1728-8800</issn><issn pub-type="epub">2619-0125</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1728-8800-2023-3680</article-id><article-id custom-type="edn" pub-id-type="custom">KZITPY</article-id><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-3680</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>МЕТАБОЛИЧЕСКИЕ НАРУШЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>МЕТАБОЛИЧЕСКИЕ НАРУШЕНИЯ</subject></subj-group></article-categories><title-group><article-title>Использование пищевых продуктов, фортифицированных метилированными формами витаминов группы В, для профилактики гипергомоцистеинемии</article-title><trans-title-group xml:lang="en"><trans-title>Fortified foods with methylated forms of B vitamin for the prevention of hyperhomocysteinemia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5117-3580</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балашова</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Balashova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мария Сергеевна Балашова — кандидат медицинских наук, доцент кафедры медицинской генетики Института клинической медицины им. Н. В. Склифосовского</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">zimt@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3855-9494</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муталлибзода</surname><given-names>Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Mutallibzoda</surname><given-names>Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шерзодхон Муталлибзода — ассистент кафедры биотехнологий продуктов питания из растительного и животного сырья МГУТУ им. К.Г. Разумовского (ПКУ), младший научный сотрудник НИЛ "Биотехнологии пищевых систем" кафедры пищевых технологий и биоинженерии РЭУ им. Г.В. Плеханова</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">mutallibzoda@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2398-3375</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Велина</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Velina</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дарья Александровна Велина — младший  научный сотрудник НИЛ "Биотехнологии пищевых систем" кафедры пищевых технологий и биоинженерии </p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">Velina.DA@rea.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9786-4144</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Швабская</surname><given-names>О. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Shvabskaya</surname><given-names>O. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Борисовна Швабская — научный сотрудник лаборатории эпидемиологии питания</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">oshvabskaya@gnicpm.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2737-8604</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горбачев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gorbachev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Виктор Валерьевич Горбачев — младший научный сотрудник НИЛ "Биотехнологии пищевых систем" кафедры пищевых технологий и биоинженерии</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">genetic2@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8988-5911</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитин</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitin</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Игорь Алексеевич Никитин — доктор технических наук, доцент, заведующий кафедрой биотехнологий продуктов питания из растительного и животного сырья МГУТУ им К.Г. Разумовского (ПКУ); заведующий кафедрой пищевых технологий и биоинженерии РЭУ им Г.В. Плеханова</p><p>Москва</p><p> </p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">nikito.igor@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО "Первый Московский государственный медицинский университет им. И.М. Сеченова" Минздрава России</institution></aff><aff xml:lang="en"><institution>I. M. Sechenov First Moscow State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО "Московский государственный университет технологий и управления им. К.Г. Разумовского (Первый казачий университет)";&#13;
ФГБОУ ВО "Российский экономический университет им. Г.В. Плеханова"</institution></aff><aff xml:lang="en"><institution>K. G. Razumovsky Moscow State University of Technologies and Management; &#13;
Plekhanov Russian University of Economics</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО "Российский экономический университет им. Г.В. Плеханова"</institution></aff><aff xml:lang="en"><institution>Plekhanov Russian University of Economics</institution></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ "Национальный медицинский исследовательский центр терапии и профилактической медицины" Минздрава России</institution></aff><aff xml:lang="en"><institution>National Medical Research Center for Therapy and Preventive Medicine</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>01</day><month>09</month><year>2023</year></pub-date><volume>22</volume><issue>9</issue><fpage>3680</fpage><lpage>3680</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Балашова М.С., Муталлибзода Ш., Велина Д.А., Швабская О.Б., Горбачев В.В., Никитин И.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Балашова М.С., Муталлибзода Ш., Велина Д.А., Швабская О.Б., Горбачев В.В., Никитин И.А.</copyright-holder><copyright-holder xml:lang="en">Balashova M.S., Mutallibzoda S., Velina D.A., Shvabskaya O.B., Gorbachev V.V., Nikitin I.A.</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://cardiovascular.elpub.ru/jour/article/view/3680">https://cardiovascular.elpub.ru/jour/article/view/3680</self-uri><abstract><sec><title>Цель</title><p>Цель. Изучение связи уровня гомоцистеина крови человека с генетическими и эпигенетическими факторами и оценка возможности коррекции уровня гомоцистеина с применением продуктов, обогащенных метилированными формами витаминов группы В.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. В исследование включено 20 человек (6 мужчин и 14 женщин) в возрасте 24-67 лет (средний возраст — 41,5 лет). Соотношение жировой и мышечной массы тела определяли методом биоимпедансометрии. Концентрацию гомоцистеина в плазме крови измеряли с помощью иммунохимического анализатора. Анализ полиморфизма генов фолатного цикла проводили с помощью полимеразной цепной реакции. Статистическую обработку материала, обучения и прогнозирования данных выполняли с применением искусственных нейронных сетей (ИНС). Уровни гомоцистеина до 3-месячного курса потребления фортифицированных продуктов обозначены как Hc1, после — Hc2.</p></sec><sec><title>Результаты</title><p>Результаты. Уровень гомоцистеина крови участников до приема фортифицированных фруктово-ягодных батончиков варьировал от 6,5 до 24,2 мкмоль/л, составив, в среднем, 12,45±2,9 мкмоль/л. После 3-месячного приема, уровень гомоцистеина крови снизился до диапазона 7,1-18 мкмоль/л и, в среднем, составил 10,87±2,6 мкмоль/л (p=0,028). Гипергомоцистеинемия была выявлена у двух женщин (19,7 и 24,2 мкмоль/л) и одного мужчины (17,1 мкмоль/л). После потребления ими фруктово-ягодных батончиков наблюдалось значительное снижение уровня гомоцистеина крови — с 19,7 до 14,3 мкмоль/л, с 24,2 до 14,1 мкмоль/л и с 17,1 до 15,5 мкмоль/л, соответственно. Выявлена значимая средняя корреляция между значениями Hc1 и Hc2 (детектировано смещение значений), которая составила (r=0,579; p&lt;1×10-5). Отмечены корреляции между уровнем гомоцистеина крови и индексом массы тела, а также ответами участников о наличии у них повышенного уровня глюкозы крови и частотой ответов о желании снизить массу тела (p&lt;6,74×10-5).</p></sec><sec><title>Заключение</title><p>Заключение. Полученные результаты демонстрируют значимое снижение гомоцистеина крови у всех участников при приеме продуктов питания, фортифицированных метилдеривативами витаминов группы B (p=0,028). У лиц, придерживающихся диетических ограничений, отмечено более выраженное снижение уровня гомоцистеина (p&lt;6,74×10-5).</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. To study the relationship between blood homocysteine levels and genetic and epigenetic factors and assess the possibility of correcting homocysteine levels using products enriched with methylated forms of B vitamin.</p></sec><sec><title>Material and methods</title><p>Material and methods. The study included 20 people (6 men and 14 women) aged 24-67 years (mean age — 41,5 years). Muscleto-fat ratio was determined by bioelectrical impedance analysis. The plasma concentration of homocysteine was measured using an immunochemistry analyser. Polymorphism analysis of folate cycle genes was performed using polymerase chain reaction. Statistical processing of the material, training and data prediction was performed using artificial neural networks (ANNs). Homocysteine levels before a 3-month consumption of fortified products are presented as Hc1, after — Hc2.</p></sec><sec><title>Results</title><p>Results. The blood level of homocysteine before taking fortified fruitberry bars varied from 6,5 to 24,2 µmol/l, averaging 12,45±2,9 µmol/l. After 3 months of use, the blood homocysteine level decreased to the range of 7,1-18 µmol/l and, on average, amounted to 10,87±2,6 µmol/l (p=0,028). Hyperhomocysteinemia was detected in two women (19,7 and 24,2 µmol/l) and one man (17,1 µmol/l). After consuming fruitberry bars, a significant decrease in blood homocysteine levels was observed from 19,7 to 14,3 µmol/l, from 24,2 to 14,1 µmol/l and from 17,1 to 15,5 µmol/l, respectively. A significant average correlation was revealed between Hc1 and Hc2 (r=0,579; p&lt;1×10-5). Correlations were noted between blood homocysteine levels and body mass index, as well as responses about elevated blood glucose levels and the frequency of desire to reduce body weight (p&lt;6,74×10-5).</p></sec><sec><title>Conclusion</title><p>Conclusion. The results demonstrate a significant decrease in blood homocysteine in all participants when taking food products fortified with methylated forms of B vitamin (p=0,028). Individuals adhering to dietary restrictions showed a more pronounced decrease in homocysteine levels (p&lt;6,74×10-5).</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>фолатный цикл</kwd><kwd>гипергомоцистеинемия</kwd><kwd>полиморфизм генов</kwd><kwd>метилфолат</kwd><kwd>метилкобаламин</kwd><kwd>пиридоксина гидрохлорид</kwd><kwd>персонализированное питание</kwd><kwd>искусственные нейронные сети</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено за счет гранта Российского научного фонда № 22-26-00242, https://rscf.ru/project/22-26-00242/</funding-statement><funding-statement xml:lang="en">The study was supported by the Russian Science Foundation grant № 22-26-00242, https://rscf.ru/ project/22-26-00242/.</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">Koklesova L, Mazurakova A, Samec M, et al. 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