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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">lvrach</journal-id><journal-title-group><journal-title xml:lang="ru">Лечащий Врач</journal-title><trans-title-group xml:lang="en"><trans-title>Lechaschi Vrach</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-5175</issn><issn pub-type="epub">2687-1181</issn><publisher><publisher-name></publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51793/OS.2023.26.1.002</article-id><article-id custom-type="elpub" pub-id-type="custom">lvrach-1016</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>ПЕДИАТРИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PEDIATRICS</subject></subj-group></article-categories><title-group><article-title>Функциональные запоры у детей раннего возраста: современные возможности использования про- и пребиотиков</article-title><trans-title-group xml:lang="en"><trans-title>Functional constipation in infants and toddler: modern possibilities of using pro- and prebiotics</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7516-5756</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крутихина</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Krutikhina</surname><given-names>S. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крутихина Светлана Борисовна, к.м.н., ассистент кафедры детскихболезней</p><p>119991, Москва, ул. Трубецкая, 8/2</p></bio><bio xml:lang="en"><p>Svetlana B. Krutikhina, MD, Assistant of the Department of Children's Diseases at the Clinical Institute of Children's Health named after N. F. Filatov</p><p>8/2 Trubetskaya str., Moscow, 119991</p></bio><email xlink:type="simple">svetulkakru@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0547-3686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геппе</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Geppe</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Геппе Наталья Анатольевна, д.м.н., профессор, заведующая кафедрой детских болезней</p><p>119991, Москва, ул. Трубецкая, 8/2</p></bio><bio xml:lang="en"><p>Nataliya A. Geppe, Dr. of Sci. (Med.), Professor, Head of the Department of Children's Diseases at the Clinical Institute of Children's Health named after N. F. Filatov</p><p>8/2 Trubetskaya str., Moscow, 119991</p></bio><email xlink:type="simple">geppe@mail.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/0000-0003-3364-610X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яблокова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yablokova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Яблокова Екатерина Александровна, к.м.н., доцент кафедры детских болезней</p><p>119991, Москва, ул. Трубецкая, 8/2</p></bio><bio xml:lang="en"><p>Ekaterina A. Yablokova, MD, Associate Professor of the Department of Children's Diseases at the Clinical Institute of Children's Health named after N. F. Filatov</p><p>8/2 Trubetskaya str., Moscow, 119991</p></bio><email xlink:type="simple">catcom@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/0000-0001-7275-4344</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудряшова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudryashova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудряшова Мария Алексеевна, к.м.н., ассистент кафедры детских болезней</p><p>119991, Москва, ул. Трубецкая, 8/2</p></bio><bio xml:lang="en"><p>Mariya A. Kudryashova, MD, Assistant of the Department of Children's Diseases at the Clinical Institute of Children's Health named after N. F. Filatov</p><p>8/2 Trubetskaya str., Moscow, 119991</p></bio><email xlink:type="simple">xvosel@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования Первый Московский государственный медицинский университет имени И. М. Сеченова Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education Sechenov First Moscow State University of Medicine of Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>16</day><month>02</month><year>2023</year></pub-date><volume>0</volume><issue>1</issue><fpage>11</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Крутихина С.Б., Геппе Н.А., Яблокова Е.А., Кудряшова М.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Крутихина С.Б., Геппе Н.А., Яблокова Е.А., Кудряшова М.А.</copyright-holder><copyright-holder xml:lang="en">Krutikhina S.B., Geppe N.A., Yablokova E.A., Kudryashova M.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://journal.lvrach.ru/jour/article/view/1016">https://journal.lvrach.ru/jour/article/view/1016</self-uri><abstract><p>Одной из распространенных гастроэнтерологических патологий в детском возрасте являются запоры функционального происхождения. Частота запоров у детей первого года жизни составляет от 10,7% до 17,6%. Запор рассматривают как редкое, болезненное, затрудненное и/или неполное опорожнение кишечника каловыми массами различной степени плотности и диаметра. При диагностировании запора у детей раннего возраста важно ориентироваться не только на частоту стула, но и на его характер, используя Бристольскую шкалу оценки консистенции кала. Даже при ежедневных дефекациях, сопровождающихся болезненными ощущениями и плотным калом, состояние необходимо расценивать как запор. Предполагаемые триггеры на первом году жизни чаще всего связаны с изменениями питания, перенесенной кишечной инфекцией и наличием анальных трещин. После первого года дополнительным фактором может быть неправильное обучение туалетным навыкам. При неправильном обучении туалетным навыкам дети начинают удерживать кал, что приводит к болезненной дефекации, а в дальнейшем формирует страх, ведущий к еще большей задержке дефекации. Для профилактики и коррекции запоров у детей раннего возраста важны следующие моменты: наличие опоры для ног при дефекации; поощрение ребенка к ежедневному употреблению большего количества воды, фруктов и овощей, а также достаточной физической активности. В диетотерапии функциональных запоров доказана роль некоторых пробиотиков (штаммы Lactobacillus, Bifidobacterium lactis) и пребиотиков (инулин, галакто- и фруктоолигосахариды).</p></abstract><trans-abstract xml:lang="en"><p>One of the most common gastroenterological pathologies in childhood is constipation of functional origin. The frequency of constipation in children of the first year of life ranges from 10.7% to 17.6%. Constipation is considered as a rare, painful, difficult and/ or incomplete bowel movement with stools of varying degrees of density and diameter. When diagnosing constipation in young children, it is important to focus not only on the frequency of the stool, but also on its nature, using the Bristol stool consistency scale. Even with daily bowel movements, accompanied by painful sensations and dense feces, the condition must be regarded as constipation. Suggested triggers in the first year of life are most often related to dietary changes, previous intestinal infection, and the presence of anal fissures. After the first year, improper toilet training may be an additional factor. When toilet training is incorrect, children begin to retain feces, which leads to painful defecation, and further forms fear, leading to an even greater delay in defecation. For the prevention and correction of constipation in young children, the following points are important: the presence of support for the legs during defecation; Encouraging the child to consume more water, fruits and vegetables every day, as well as to get enough physical activity. In the diet therapy of functional constipation, the role of some probiotics (strains of Lactobacillus, Bifidobacterium lactis) and prebiotics (inulin, galacto- and fructooligosaccharides) has been proven.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>запоры у младенцев</kwd><kwd>запоры у детей раннего возраста</kwd><kwd>функциональные запоры</kwd><kwd>пребиотики</kwd><kwd>пробиотики</kwd></kwd-group><kwd-group xml:lang="en"><kwd>constipation in infants</kwd><kwd>constipation in young children</kwd><kwd>functional constipation</kwd><kwd>prebiotics</kwd><kwd>probiotics</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">Vandenplas Y., Hauser B., Salvatore S. Functional Gastrointestinal Disorders in Infancy: Impact on the Health of the Infant and Family // Pediatr. Gastroenterol. 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