spbmedicalrecordsНовые Санкт-Петербургские врачебные ведомостиNew St. Petersburg Medical Records1609-2201Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова10.24884/1609-2201-2026-105-1-70-78spbmedicalrecords-143Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHСиндром избыточного бактериального роста тонкой кишки у пожилых людей Северо-Западного региона РоссииSmall intestine bacterial overgrowth syndrome in elderly people of the North-Western Region of Russiahttps://orcid.org/0000-0001-9134-931XБарановскийА. Ю.BaranovskyA. Yu.

Барановский Андрей Юрьевич, доктор медицинских наук, профессор, руководитель научно-клинического и образовательного центра гастроэнтерологии и диетологии

199034, Санкт-Петербург, Университетская набережная, д. 7/9

Andrey Yu. Baranovsky, Dr. of Sci. (Med.), Professor, Head of the Scientific, Clinical and Educational Center of Gastroenterology and Dietetics

Saint Petersburg

baranovsky46@mail.ruСанкт-Петербургский государственный университетРоссияSt. Petersburg State UniversityRussian Federation202608072026017078Copyright © Барановский А.Ю., 20262026Барановский А.Ю.Baranovsky A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.docved.ru/jour/article/view/143Введение

Введение. Кишечная флора рассматривается современной медициной как отдельная система, выполняющая большой спектр важных в организме человека функций, прежде всего регуляторных и защитных. Особо значима ее роль у лиц старших возрастных групп.

Цель исследования

Цель исследования: изучить влияние характера питания пожилых людей на развитие СИБР тонкой кишки, зависимость биологического возраста и качества жизни лиц старших возрастов от степени выраженности СИБР.

Материал и методы

Материал и методы. Обследовано 227 пожилых людей в возрасте от 67 до 85 лет, проживающих в различных областях СевероЗападного региона России. Проводилась оценка реального содержания питания (пищевой дневник). Выполнена специфическая диагностика СИБР с помощью водородно-метанового дыхательного теста. Вычисление биологического возраста осуществлено по методу Л. М. Белозеровой. Исследование качества жизни проводили с использованием неспецифического опросника SF-36.

Результаты исследования

Результаты исследования. Установлено, что у пожилых людей, пищевой рацион которых соответствовал современным принципам геронтодиетологии (ВОЗ, 1988), СИБР был выявлен у 14 (26,9%) человек, в группе контроля – 89,3%. Биологический возраст в группе исследования превышал календарный на 16,5±3,2%, в группе контроля – на 22,3±4,1%. У пожилых людей с СИБР в сравнении с пожилыми людьми без СИБР отмечена существенная негативная разница по характеристике элементов качества жизни. Наиболее существенные отрицательные отличия обнаружены в анализах ролевого функционирования (-15,7%), психического здоровья (-23,3%), жизненной активности (-17,0%), социального функционирования (-10,4%).

Заключение

Заключение. Сделан вывод, что рацион питания, не соответствующий возрастной физиологии пожилого человека в Северо-Западном регионе РФ, в значительной степени способствует возникновению СИБР, что, в свою очередь, существенно снижает геронтопротективные возможности кишечного микробиоценоза, повышая показатели биологического возраста, существенно снижая качество жизни пожилых людей.

Introduction

Introduction. The intestinal flora is considered by modern medicine as a separate system that performs a wide range of important functions in the human body, primarily regulatory and protective. Its role is particularly significant in older age groups.

The aim of the study

The aim of the study: to study the influence of the diet of elderly people on the development of small intestinal fibroids, the dependence of biological age and quality of life of older people on the severity of SIBR.

Materials and methods

Materials and methods. A total of 227 elderly people aged 67 to 85 years living in various regions of the North-Western region of Russia were examined. An assessment of the actual nutrition content (food diary) was carried out. A specific diagnosis of SIBR was performed using a hydrogen-methane breath test. The biological age was calculated using the method of L.M. Belozerova. The quality of life study was conducted using a non-specific SF-36 questionnaire.

The results of the study

The results of the study. It was found that in the elderly, whose diet corresponded to modern principles of gerontodietology (WHO, 1988), SIBR was detected in 14 (26.9%) people, in the control group - 89.3%. The biological age in the study group exceeded the calendar age by 16.5± 3.2%, in the control group – by 22.3±4.1%. In elderly people with SIBR, compared with elderly people without SIBR, there was a significant negative difference in the characteristics of the elements of quality of life. The most significant negative differences were found in the analyses of role functioning (-15.7%), mental health (-23.3%), vital activity (-17.0%), and social functioning (-10.4%).   

Resume

Resume. It is concluded that a diet that does not correspond to the age-related physiology of an elderly person in the northwestern region of the Russian Federation significantly contributes to the occurrence of SIBR, which in turn significantly reduces the gerontoprotective capabilities of intestinal microbiocenosis, increasing the indicators of biological age, significantly reducing the quality of life of the elderly.

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