evrazkarЕвразийский Кардиологический ЖурналEurasian heart journal2225-16852305-0748Евразийская ассоциация кардиологов10.38109/2225-1685-2024-4-6-66evrazkar-6485Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESЕвразийские клинические рекомендации по питанию при сердечно-сосудистых заболеваниях (2024)Eurasian clinical practice guidelines for dietary management of cardiovascular diseases (2024)https://orcid.org/0000-0001-9262-9233СтародубоваА. В.StarodubovaA. V.

Стародубова Антонина Владимировна, д.м.н., доцент, заместитель директора по научной и лечебной работе; заведующая кафедрой факультетской терапии

Каширское шоссе, дом 21, г. Москва 115446

Antonina V. Starodubova, Dr. of Sci. (Med.), Associate Professor, Deputy Director for Scientific and Medical Work; Head of the Department of Faculty Therapy

21 Kashirskoe Shosse, Moscow 115446

avs.ion@yandex.ruhttps://orcid.org/0000-0002-9822-4357ЧазоваИ. Е.ChazovaI. E.

Чазова Ирина Евгеньевна, д.м.н., профессор, академик РАН, заместитель генерального директора по научно-экспертной работе, руководитель отдела гипертонии

Irina E. Chazova, Dr. of Sci. (Med.), Academician of RAS, Deputy General Director for Scientific and Expert Work, Head of Hypertension Department, A.L. Myasnikov

https://orcid.org/0000-0002-4164-8992ТутельянВ. А.TutelyanV. A.

Тутельян Виктор Александрович, академик РАН, д.м.н., профессор, научный руководитель

Victor A. Tutelyan, Full Member of the Russian Academy of Sciences (Academician), Dr. of Sci. (Med.), Professor, Scientific President

https://orcid.org/0000-0002-4968-4517НикитюкД. Б.NikityukD. B.

Никитюк Дмитрий Борисович, академик РАН, д.м.н., профессор, директор

Dmitriy B. Nikityuk, Full Member of the Russian Academy of Sciences (Academician), Dr. of Sci. (Med.), Professor, Director

https://orcid.org/0000-0002-4505-397XПавловскаяЕ. В.PavlovskayaE. V.

Павловская Елена Вячеславовна, д.м.н., ведущий научный сотрудник отделения педиатрической гастроэнтерологии, гепатологии и диетологии; профессор кафедры диетологии и нутрициологии

Elena V. Pavlovskaya, Dr. of Sci. (Med.), Leading Researcher, Department of Pediatric Gastroenterology,Hepatology and Dietetics;  professor of the Department of dietology and nutrition

https://orcid.org/0000-0002-2028-8748КислякО. А.KislyakO. A.

Кисляк Оксана Андреевна, д.м.н., профессор, профессор кафедры факультетской терапии

Oxana A. Kislyak, Dr. of Sci. (Med.), Professor, Professor of the Department of Faculty Therapy Institute of Clinical Medicine

https://orcid.org/0000-0001-5215-4894БлиноваН. В.BlinovaN. V.

Блинова Наталия Владимировна, к.м.н., старший научный сотрудник отдела гипертонии

Nataliya V. Blinova, Cand. of Sci. (Med.), Senior Researcher of Department of Hypertension

https://orcid.org/0000-0002-0859-7978БрумбергА. А.BrumbergA. A.

Брумберг Анна Альбертовна, специалист организационно-методического отдела по диетологии

Anna A. Brumberg, Specialist of Organizational and Methodological Division for Dietology

https://orcid.org/0000-0003-2250-5942БубноваМ. Г.BubnovaM. G.

Бубнова Марина Геннадьевна, д.м.н., профессор, руководитель отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний

Marina G. Bubnova, Dr. of Sci. (Med.), Professor, head of Department of Rehabilitation and Secondary Prevention for Cardiovascular Disease

https://orcid.org/0000-0002-5274-2773ВараеваЮ. Р.VaraevaYu. R.

Вараева Юргита Руслановна, научный сотрудник отделения сердечно-сосудистой патологии и диетотерапии

Yurgita R. Varaeva, MRes, Research Fellow, Department of Cardiovascular Pathology and Diet

https://orcid.org/0000-0003-1223-8545ГаппароваК. М.GapparovaK. M.

Гаппарова Камилат Минкаиловна, к.м.н., заведующая отделением реабилитационной диетотерапии

Kamilat M. Gapparova, Cand. of Sci. (Med.), Head of the Department of Rehabilitation Diet Therapy

https://orcid.org/0000-0002-1095-8787ГриневичВ. Б.GrinevichV. B.

Гриневич Владимир Борисович, д.м.н., профессор, заведующий 2 кафедрой (терапии усовершенствования врачей)

Vladimir B. Grinevich, Dr. of Sci. (Med.), Professor, Head of 2nd Therapy department of postgraduate education

https://orcid.org/0000-0002-3757-058XГромоваМ. А.GromovaM. A.

Громова Маргарита Александровна, к.м.н., доцент, доцент кафедры факультетской терапии

Margarita A. Gromova, Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Therapy

https://orcid.org/0000-0001-6385-540XДемидоваТ. Ю.DemidovaT. Yu.

Демидова Татьяна Юльевна, д.м.н., профессор, заведующая кафедрой эндокринологии

Tatiana Yu. Demidova, Dr. of Sci. (Med), Professor, Chief of the Department of Endocrinology

https://orcid.org/0000-0003-1876-1230ДербеневаС. А.DerbenevaS. A.

Дербенева Светлана Анатольевна, д.м.н., ведущий научный сотрудник отделения сердечно-сосудистой патологии и диетотерапии

Svetlana A. Derbeneva, Dr. of Sci. (Med.), Leading Researcher, Department of Cardiovascular Pathology and Diet Therapy

https://orcid.org/0000-0002-2640-8253ЕгороваВ. В.EgorovaV. V.

Егорова Виктория Владиславовна, заведующая организационно-методическим отделом по диетологии

Victoriya V. Egorova, Head of Organizational and Methodological Division for Dietology

https://orcid.org/0000-0001-7895-9068ЖернаковаЮ. В.ZhernakovaYu. V.

Жернакова Юлия Валерьевна, д.м.н., ученый секретарь

Yuliya V. Zhernakova, Dr. of Sci. (Med.), scientific secretary of A.L. Myasnikov

https://orcid.org/0000-0002-8604-712XКарамноваН. С.KaramnovaN. S.

Карамнова Наталья Станиславовна, д.м.н., руководитель лаборатории эпидемиологии питания отдела эпидемиологии хронических неинфекционных заболеваний

Natalia S. Karamnova, Dr. of Sci. (Med.), Head of theLaboratory of Nutrition Epidemiology, Department of Epidemiology of Chronic Non-Communicable Diseases

https://orcid.org/0000-0002-3938-0368КостюкевичО. И.KostyukevichO. I.

Костюкевич Ольга Игоревна, к.м.н, доцент кафедры терапии;  доцент кафедры пропедевтики внутренних болезней №1 

Olga I. Kostyukevich, Cand. of Sci. (Med.), Associate Professor of the Department of Therapy; Associate Professor of the Department of Propaedeutics of Internal Diseases № 1

https://orcid.org/0000-0003-2634-8067КосюраС. Д.KosyuraS. D.

Косюра Светлана Дмитриевна, к.м.н., доцент, доцент кафедры факультетской терапии Института клинической медицины

Svetlana D. Kosyura, Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Therapy

https://orcid.org/0000-0002-6679-1269КошельскаяО. А.KoshelskayaO. A.

Кошельская Ольга Анатольевна, д.м.н, профессор, ведущий научный сотрудник отделения атеросклероза и хронической ишемической болезни сердца

Olga A. Koshelskaya, Dr. of Sci. (Med.), Professor, Leading Researcher of the Department of Atherosclerosis and Coronary Artery Disease

https://orcid.org/0000-0001-7825-5597ЛаринаВ. Н.LarinaV. N.

Ларина Вера Николаевна, д.м.н, профессор, заведующая кафедрой поликлинической терапии

Vera N. Larina, Dr.of Sci. (Med.), Professor, Head of the Department of outpatient medicine

ЛейдерманИлья НаумовичLeidermanI. N.

Лейдерман Илья Наумович, д.м.н., профессор, профессор кафедры анестезиологии и реаниматологии с клиникой

Ilia N. Leiderman, Dr. of Sci. (Med.), Professor, Professor of the Department of Anaesthesiology and Reanimatology

https://orcid.org/0000-0001-6271-8841ЛисковаЮ. В.LiskovaYu. V.

Лискова Юлия Владимировна, д.м.н., доцент, профессор кафедры факультетской терапии

Yulia V. Liskova, Dr. of Sci. (Med.), Associate Professor, Professor of the Department Faculty Therapy

https://orcid.org/0000-0001-5670-9607ЛиванцоваЕ. Н.LivantsovaE. N.

Ливанцова Елена Николаевна, научный сотрудник отделения сердечно-сосудистой патологии и диетотерапии

Elena N. Livantsova, MRes, Research Fellow, Department of Cardiovascular Pathology and Diet

https://orcid.org/0000-0002-0795-8225ОстроумоваО. Д.OstroumovaO. D.

Остроумова Ольга Дмитриевна, д.м.н., заведующая кафедрой терапии и полиморбидной патологии имени академика М.С. Вовси

Olga D. Ostroumova, Dr. of Sci. (Med.), professor, Head of the Department of Therapy and Polymorbid Pathology named after Academician M.S. Vovsi

https://orcid.org/0000-0002-0350-0698ПавловаН. Н.PavlovaN. N.

Павлова Наталья Николаевна, д.м.н., профессор, заведующая кафедрой внутренних болезней педиатрического и стоматологического факультетов

Natalia N. Pavlova, Dr. of Sci. (Med.), Professor, Head of the Internal Medicine Department of Pediatric and Dental Faculties

ПогожеваА. В.PogozhevaA. V.

Погожева Алла Владимировна, д.м.н., профессор, ведущий научный сотрудник лаборатории демографии и эпидемиологии питания

Alla V. Pogozheva, Dr. of Sci. (Med.), Professor, Leading Researcher, Laboratory of Demography and Nutrition Epidemiology

https://orcid.org/0000-0003-4839-9578СаликоваС. П.SalikovaS. P.

Саликова Светлана Петровна, д.м.н., доцент, профессор 2 кафедры (терапии усовершенствования врачей)

Svetlana P. Salikova, Dr. of Sci. (Med.), Associate Professor, Professor of the 2nd Therapy department of postgraduate education

https://orcid.org/0000-0002-2667-4842СамойловаЮ. Г.SamoilovaYu. G.

Самойлова Юлия Геннадьевна, д.м.н., профессор, руководитель; заведующая кафедрой педиатрии с курсом эндокринологии, профессор кафедры факультетской терапии

Yuliya G. Samoilova, Dr. of Sci. (Med.), Professor, Head of Clinical Research Center, Head of the Department of Pediatrics with a course of endocrinology, Professor of the Department of Faculty Therapy with a course of clinical pharmacology

https://orcid.org/0000-0002-6826-5924ТепловаА. С.TeplovaA. S.

Теплова Анна Сергеевна, ассистент кафедры эндокринологии

Anna S. Teplova, Assistant Professor Department of Endocrinology

https://orcid.org/0000-0003-4860-0112ХлыноваО. В.KhlynovaO. V.

Хлынова Ольга Витальевна, член-корреспондент РАН, д.м.н., профессор, заведующая кафедрой госпитальной терапии и кардиологии

Olga V. Khlynova, RAS Corresponding Member, Dr. of Sci. (Med.), Professor, Head of the Department of Hospital Therapy and Cardiology

https://orcid.org/0000-0001-9645-5816ЧернышеваТ. В.ChernyshevaT. V.

Чернышева Татьяна Викторовна, д.м.н., профессор, заведующая кафедрой внутренних болезней факультета иностранных студентов

Tatyana V. Chernysheva, Dr. of Sci. (Med.), Professor, Head of the Department of Internal Medicine, Faculty of Foreign Students

https://orcid.org/0000-0001-6061-0095ШарафетдиновХ. Х.SharafetdinovKh. Kh.

Шарафетдинов Хайдерь Хамзярович, д.м.н., заведующий отделением болезней обмена веществ и диетотерапии; профессор кафедры диетологии и нутрициологии

Khaider Kh. Sharafetdinov, Dr. of Sci. (Med.), Head of the Department of Metabolic Diseases and Diet Therapy; professor of the Department of dietology and nutritionology

https://orcid.org/0000-0002-1686-3885ШулькинаС. Г.ShulkinaS. G.

Шулькина Софья Григорьевна, д.м.н., доцент, профессор кафедры поликлинической терапии

Sofia G. Shulkina, Dr. of Sci (Med.) associate professor, Professor of the Department of Polyclinic Therapy

ФГБУН «Федеральный исследовательский центр питания и биотехнологии»; ФГАОУ ВО РНИМУ им. Н.И. Пирогова; Институт клинической медициныРоссияFederal Research Center for Nutrition Biotechnology and Food Safety; Institute of Clinical Medicine; Pirogov Russian National Research Medical UniversityRussian FederationНИИ клинической кардиологии им. А.Л. Мясникова; ФГБУ «НМИЦ кардиологии им. акад. Е.И. Чазова»РоссияInstitute of Cardiology, E.I. Chazov National Medical Research Center of CardiologyRussian FederationФГБУН «ФИЦ питания и биотехнологии»РоссияFederal Research Centre of Nutrition, Biotechnology and Food SafetyRussian FederationФГБУН «ФИЦ питания и биотехнологии»; ФГБОУ ДПО РМАНПОРоссияFederal Research Center for Nutrition and Biotechnology; Russian Medical Academy of Continuous Professional EducationRussian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова; Институт клинической медициныРоссияPirogov Russian National Research Medical UniversityRussian FederationНИИ клинической кардиологии им. А.Л. Мясникова, ФГБУ «НМИЦ кардиологии им. акад. Е.И. Чазова»РоссияA.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of CardiologyRussian FederationНаучно-исследовательский институт организации здравоохранения и медицинского менеджментаРоссияResearch Institute for Healthcare Organization and Medical ManagementRussian FederationФГБУ «НМИЦ ТПМ»РоссияNational Medical Research Center for Therapy and Preventive MedicineRussian FederationФГБУН «ФИЦ питания и биотехнологии»РоссияFederal Research Centre for Nutrition, Biotechnology and Food SafetyRussian FederationФГБВОУ ВО «Военно-медицинская академия имени С. М. Кирова»РоссияKirov Military Medical AcademyRussian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова; Институт клинической медициныРоссияInstitute of Clinical Medicine; Pirogov Russian National Research Medical UniversityRussian FederationИнститут клинической медицины; ФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияInstitute of Clinical Medicine; Pirogov Russian National Research Medical UniversityRussian FederationНИИ клинической кардиологии им. А.Л. Мясникова; НМИЦ кардиологии им. акад. Е.И. ЧазоваРоссияInstitute of Clinical Cardiology; E.I. Chazov National Medical Research Center of CardiologyRussian FederationФУВ ГБУЗ МО МОНИКИ им. М.Ф. Владимирского; Института Клинической медицины; ФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияMoscow Regional Research and Clinical Institute («MONIKI»); Pirogov Russian National Research Medical UniversityRussian FederationФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияInstitute of Clinical Medicine; Pirogov Russian National Research Medical UniversityRussian FederationНаучно-исследовательский институт – филиал Томского национального исследовательского медицинского центра Российской академии наукРоссияCardiology Research Institute – branch of the Tomsk National Research Medical Center of the Russian Academy of SciencesRussian FederationИнститута клинической медицины; ФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияInstitute of Clinical Medicine, Pirogov Russian National Research Medical UniversityRussian FederationФГБУ «НМИЦ им. В.А. Алмазова»РоссияAlmazov Medical Research CenterRussian FederationИнститута клинической медицины; ФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияInstitute of Clinical Medicine; Pirogov Russian National Research Medical UniversityRussian FederationФГБОУ ДПО РМАНПОРоссияRussian Medical Academy of Continuous Professional EducationRussian FederationФГБОУ ВО Читинская государственная медицинская академияРоссияChita State Medical AcademyRussian FederationФГБВОУ ВО Военно-медицинская академия имени С. М. КироваРоссияKirov Military Medical AcademyRussian FederationЦентра клинических исследований; ФГБОУ ВО СибГМУ Минздрава РоссииРоссияSiberian State Medical UniversityRussian FederationИнститут клинической медицины; ФГАОУ ВО РНИМУ им. Н.И. ПироговаРоссияInstitute of Clinical Medicine, Pirogov Russian; National Research Medical UniversityRussian FederationФГБОУ ВО «Пермский государственный медицинский университет им. Академика Е.А. Вагнера»РоссияE.A. Vagner Perm State Medical UniversityRussian FederationФГБОУ ВО ОрГМУ Минздрава РоссииРоссияOrenburg State Medical UniversityRussian FederationФГБУН «ФИЦ питания, биотехнологии и безопасности пищи»; ФГБОУ ДПО РМАНПОРоссияFederal Research Centre of Nutrition; Biotechnology and Food Safety; Medical Academy of Continuous Professional EducationRussian FederationФГБОУ ВО ПГМУ имени Е.А. ВагнераРоссияE.A. Vagner Perm State Medical UniversityRussian Federation20242211202404667Copyright © Стародубова А.В., Чазова И.Е., Тутельян В.А., Никитюк Д.Б., Павловская Е.В., Кисляк О.А., Блинова Н.В., Брумберг А.А., Бубнова М.Г., Вараева Ю.Р., Гаппарова К.М., Гриневич В.Б., Громова М.А., Демидова Т.Ю., Дербенева С.А., Егорова В.В., Жернакова Ю.В., Карамнова Н.С., Костюкевич О.И., Косюра С.Д., Кошельская О.А., Ларина В.Н., Лейдерман И.Н., Лискова Ю.В., Ливанцова Е.Н., Остроумова О.Д., Павлова Н.Н., Погожева А.В., Саликова С.П., Самойлова Ю.Г., Теплова А.С., Хлынова О.В., Чернышева Т.В., Шарафетдинов Х.Х., Шулькина С.Г., 20242024Стародубова А.В., Чазова И.Е., Тутельян В.А., Никитюк Д.Б., Павловская Е.В., Кисляк О.А., Блинова Н.В., Брумберг А.А., Бубнова М.Г., Вараева Ю.Р., Гаппарова К.М., Гриневич В.Б., Громова М.А., Демидова Т.Ю., Дербенева С.А., Егорова В.В., Жернакова Ю.В., Карамнова Н.С., Костюкевич О.И., Косюра С.Д., Кошельская О.А., Ларина В.Н., Лейдерман И.Н., Лискова Ю.В., Ливанцова Е.Н., Остроумова О.Д., Павлова Н.Н., Погожева А.В., Саликова С.П., Самойлова Ю.Г., Теплова А.С., Хлынова О.В., Чернышева Т.В., Шарафетдинов Х.Х., Шулькина С.Г.Starodubova A.V., Chazova I.E., Tutelyan V.A., Nikityuk D.B., Pavlovskaya E.V., Kislyak O.A., Blinova N.V., Brumberg A.A., Bubnova M.G., Varaeva Y.R., Gapparova K.M., Grinevich V.B., Gromova M.A., Demidova T.Y., Derbeneva S.A., Egorova V.V., Zhernakova Y.V., Karamnova N.S., Kostyukevich O.I., Kosyura S.D., Koshelskaya O.A., Larina V.N., Leiderman I.N., Liskova Y.V., Livantsova E.N., Ostroumova O.D., Pavlova N.N., Pogozheva A.V., Salikova S.P., Samoilova Y.G., Teplova A.S., Khlynova O.V., Chernysheva T.V., Sharafetdinov K.K., Shulkina S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.heartj.asia/jour/article/view/6485

В рекомендациях изложены современные представления о здоровом питании, основных принципах диетического лечебного и профилактического питания пациентов с различными сердечно-сосудистыми заболеваниями. Представлены наиболее значимые особенности пищевого статуса, обоснованы подходы к немедикаментозному лечению, диетотерапии, с учетом патогенетических основ заболевания. В работе суммированы современные представления и рекомендации по питанию пациентов с артериальной гипертензией, ишемической болезнью сердца, хронической сердечной недостаточностью, нарушениями сердечного ритма, дислипидемиями и подагрой. Особое внимание уделено диетотерапии пациентов с сердечно-сосудистой патологией, страдающих ожирением и сахарным диабетом.

Eurasian clinical practice guidelines for dietary management of cardiovascular diseases include actual healthy diet recommendations and modern dietary approaches for prevention and treatment of cardiovascular diseases. Nutritional assessment and interventions based on pathogenesis of atherosclerosis and cardiovascular diseases are presented.

Modern nutritional and dietary recommendations for patients with arterial hypertension, coronary heart disease, chronic heart failure, heart rhythm disorders, dyslipidemia and gout are summarized in present recommendations. Particular attention is paid to the dietary management of cardiovascular patients with obesity and/or diabetes mellitus. This guide would be interesting and intended to a wide range of readers, primarily cardiologists, dietitians and nutritionists, general practitioners, endocrinologists, and medical students.

сердечно-сосудистые заболеванияпитаниедиетадиетотерапияфакторы рискаартериальная гипертензиядислипидемияожирениегиперурикемиясахарный диабетишемическая болезнь сердцахроническая сердечная недостаточностьрекомендацииcardiovascular diseasesnutritiondietdiet therapyrisk factorsarterial hypertensiondyslipidemiaobesityhyperuricemiadiabetes mellituscoronary heart diseasechronic heart failureguidelinesReferencesФедеральный закон от 01.03.2020 № 47-ФЗ «О внесении изменений в Федеральный закон «О качестве и безопасности пищевых продуктов» и Статью 37 Федерального закона «Об образовании в Российской Федерации РФ».Federal Law of 01.03.2020 No. 47-FZ «On Amendments to the Federal Law «On the Quality and Safety of Food Products» and Article 37 of the Federal Law «On Education in the Russian Federation RF» (In Russ.)Методические рекомендации МР 2.3.1.0253-21 «Нормы физиологических потребностей в энергии и пищевых веществах для различных групп населения Российской Федерации», Москва, 2021, 72 стр. https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=18979 (31 August 2024)Methodological recommendations MR 2.3.1.0253-21 «Norms of physiological needs for energy and nutrients for various groups of the population of the Russian Federation», Moscow, 2021, 72 pp. (In Russ.) https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=18979 (31 August 2024)Устойчивое здоровое питание. 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The authors declare that there are no conflicts of interest present.