Methodological Guidelines of the Scientific Community for Human Microbiome Research (CHMR) and the Russian Gastroenterology Association (RGA) on the Use of Probiotics, Prebiotics, Synbiotics, Metabiotics and Functional Foods Enriched with Them for the Treatment and Prevention of Gastrointestinal Diseases in Adults and Children
https://doi.org/10.22416/1382-4376-2024-117-312
Abstract
Aim: to optimize outcomes of the treatment and prevention of gastrointestinal diseases in adults and children.
Key points. The Methodological Guidelines contain sections on the terminology, classification, mechanisms of action, requirements for sale in the Russian Federation, requirements for proving the efficacy and safety of probiotics, prebiotics, synbiotics and metabiotics, as well as functional foods enriched with them. An overview of relevant data allowing to include these drugs and products in the treatment an d prevention of gastrointestinal diseases in adults and children is presented.
Conclusion. The clinical efficacy of probiotics, prebiotics, synbiotics and metabiotics depends on the specificity and quantity of their components, the dosage form, the regimen and duration of treatment. Products and functional foods with proven efficacy and safety are recommended for the treatment and prevention of gastrointestinal diseases in adults and children.
About the Authors
V. T. IvashkinRussian Federation
Vladimir T. Ivashkin, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department, Director of Clinic, Chief Gastroenterologist of the Ministry of Health of the Russian Federation
Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; V.Kh. Vasilenko Clinic of Internal Diseases Propedeutics, Gastroenterology and Hepatology
119435; Pogodinskaya str., 1, build. 1; Moscow
A. V. Gorelov
Russian Federation
Aleksandr V. Gorelov, Dr. Sci. (Med.), Academician of the Russian Academy of Sciences, Professor, Deputy Director for Research
N.F. Filatov Clinical Institute of Children’s Health; Department of Pediatrics
111123; Novogireevskaya str., 3a; Moscow
D. I. Abdulganieva
Russian Federation
Diana I. Abdulganieva, Dr. Sci. (Med.), Professor, Head of the Department, Chief Internal Medicine Specialist of the Republic of Tatarstan
Department of Hospital Therapy
420012; utlerova str., 49; Kazan
O. P. Alekseeva
Russian Federation
Olga P. Alekseeva, Dr. Sci. (Med.); Professor, Chief Gastroenterologist of the Volga Federal District
Department of Hospital Therapy and General Medical Practice named after V.G. Vogralik
603005; Minina i Pozharskogo sq, 10/1; Nizhny Novgorod
S. A. Alekseenko
Russian Federation
Sergei A. Alekseenko, Dr. Sci. (Med.), Professor, Head of the Department, Chief Gastroenterologist of the Far-Eastern Federal District
Department of Hospital Therapy
680000; Muravyova-Amurskogo str., 35; Khabarovsk
A. Yu. Baranovsky
Russian Federation
Andrey Yu. Baranovsky, Dr. Sci. (Med.), Professor, Head of the Department, Chief Gastroenterologist of the North-Western Federal District
Department of Gastroenterology, Hepatology and Nutritional Medicine
199226; Korablestroiteley str., 20, build. 1; Saint Petersburg
I. N. Zakharova
Russian Federation
Irina N. Zakharova, Dr. Sci. (Med.), Professor, Head of the Department
Department of Pediatrics named after Academician G.N. Speransky
125373; Geroyev Panfilovtsev str., 28; Moscow
O. Yu. Zolnikova
Russian Federation
Oxana Yu. Zolnikova, Dr. Sci. (Med.), Professor, Chief Gastroenterologist of the Central Federal District
Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology
119435; Pogodinskaya str., 1, build. 1; Moscow
K. V. Ivashkin
Russian Federation
Konstantin V. Ivashkin, Dr. Sci. (Med.), Professor
Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology
119435; Pogodinskaya str., 1, build. 1; Moscow
N. Yu. Ivashkina
Russian Federation
Natalia Yu. Ivashkina, Dr. Sci. (Med.); Associate Professor
Department of Propaedeutics of Internal Diseases and Gastroenterology
127473; Dolgorukovskaya str., 4; Moscow
N. V. Korochanskaya
Russian Federation
Natalia V. Korochanskaya, Dr. Sci. (Med.), Professor, Chief Gastroenterologist of the Krasnodar Territory
Faculty of Advanced Training and Postgraduate Studies; Department of Surgery N 3
350063; Mitrofana Sedina str., 4; Krasnodar
S. N. Mammaev
Russian Federation
Suleiman N. Mammaev, Dr. Sci. (Med.), Professor, Chief Gastroenterologist of the North Caucasian Federal District
Department of Hospital Therapy N 1
367000; Lenina sq., 1; Makhachkala
S. V. Nikolaeva
Russian Federation
Svetlana V. Nikolaeva, Dr. Sci. (Med.), Leading Researcher
Clinical Infection Division
111123; Novogireevskaya str., 3a; Moscow
E. A. Poluektova
Russian Federation
Elena A. Poluektova, Dr. Sci. (Med.), Professor, Gastroenterologist, Head of the Center
Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; V.Kh. Vasilenko Clinic of Internal Disease Propaedeutics, Gastroenterology and Hepatology; Department of Chronic Intestinal and Pancreatic Diseases; Microbiota Reference Center of the Ministry of Health of the Russian Federation
119435; Pogodinskaya str., 1, build. 1; Moscow
A. S. Trukhmanov
Russian Federation
Alexander S. Trukhmanov, Dr. Sci. (Med.), Professor
N.V. Sklifosovsky Institute of Clinical Medicine; Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology
119435; Pogodinskaya str., 1, build. 1; Moscow
D. V. Usenko
Russian Federation
Denis V. Usenko, Dr. Sci. (Med.), Docent, Leading Researcher
Clinical Infection Division
111123; Novogireevskaya str., 3a; Moscow
I. B. Khlynov
Russian Federation
Igor B. Khlynov, Dr. Sci. (Med.), Associate Professor, Chief Gastroenterologist of the Ural Federal District
Department of Intermediate Level Therapy and Geriatrics
620028; Repina str., 3; Yekaterinburg
V. V. Tsukanov
Russian Federation
Vladislav V. Tsukanov, Dr. Sci. (Med.), Professor, Head Department, Chief Gastroenterologist of the Siberian Federal District
Clinical Department of Adult and Infant Digestive Pathology
660022; Partizana Zheleznyaka str., 3G; Krasnoyarsk
O. S. Shifrin
Russian Federation
Oleg S. Shifrin, Dr. Sci. (Med.), Professor, Head of the Department
N.V. Sklifosovsky Institute of Clinical Medicine; Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; V.Kh. Vasilenko Clinic
of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; Department of Chronic Intestinal and Pancreatic Diseases
119435; Pogodinskaya str., 1, build. 1; Moscow
I. V. Berezhnaya
Russian Federation
Irina V. Berezhnaya, Cand. Sci. (Med.); Associate Professor
Department of Pediatrics with a Course of Outpatient Pediatrics named after Academician G.N. Speransky
125373; Geroyev Panfilovtsev str., 28; Moscow
T. L. Lapina
Russian Federation
Tatiana L. Lapina, Cand. Sci. (Med.), Associate Professor
N.V. Sklifosovsky Institute of Clinical Medicine; Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology
119435; Pogodinskaya str., 1, build. 1; Moscow
R. V. Maslennikov
Russian Federation
Roman V. Maslennikov, Cand. Sci. (Med.), Associate Professor, Expert
N.V. Sklifosovsky Institute of Clinical Medicine; Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; Microbiota Reference Center of the Ministry of Health of the Russian Federation
119435; Pogodinskaya str., 1, build. 1; Moscow
N. G. Sugian
Russian Federation
Narine G. Sugian, Cand. Sci. (Med.), Associate Professor
Department of Pediatrics named after Academician G.N. Speransky
125373; Geroyev Panfilovtsev str., 28; Moscow
A. I. Ulyanin
Russian Federation
Anatoly I. Ulyanin, Gastroenterologist, Expert
V.Kh. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology; Department of Chronic Intestinal and Pancreatic Diseases; Microbiota Reference Center of the Ministry of Health of the Russian Federation
119435; Pogodinskaya str., 1, build. 1; Moscow
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Review
For citations:
Ivashkin V.T., Gorelov A.V., Abdulganieva D.I., Alekseeva O.P., Alekseenko S.A., Baranovsky A.Yu., Zakharova I.N., Zolnikova O.Yu., Ivashkin K.V., Ivashkina N.Yu., Korochanskaya N.V., Mammaev S.N., Nikolaeva S.V., Poluektova E.A., Trukhmanov A.S., Usenko D.V., Khlynov I.B., Tsukanov V.V., Shifrin O.S., Berezhnaya I.V., Lapina T.L., Maslennikov R.V., Sugian N.G., Ulyanin A.I. Methodological Guidelines of the Scientific Community for Human Microbiome Research (CHMR) and the Russian Gastroenterology Association (RGA) on the Use of Probiotics, Prebiotics, Synbiotics, Metabiotics and Functional Foods Enriched with Them for the Treatment and Prevention of Gastrointestinal Diseases in Adults and Children. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2024;34(4):113-136. https://doi.org/10.22416/1382-4376-2024-117-312