Place of fermented milk products in a flexitarian diet structure
https://doi.org/10.21508/1027-4065-2022-67-1-39-46
Abstract
Changes in the traditional way of life, conditioned by socio-economic processes, affect persistent nutritional stereotypes among other aspects. This fully applies to flexitarianism. The term «Flexitarianism» was added to the Oxford English Dictionary in 2014 and denotes a direction in dietetics as flexible vegetarianism, i.e., rare consumption of meat or fish against the background of a plantbased diet. Many do not realize that they are currently following the Flexitarian diet. Its origins are known even in traditional dietetics where the protein component is limited mainly in respect to animal proteins for gout and chronic kidney disease. The article reflects the positive impact of the Flexitarian diet on gut health and microflora. The formation of intestinal microflora under the influence of plant and fermented milk products is optimal. A possible alternative to red meat can be fermented dairy products rich in minerals, essential amino acids, and essential nutrients due to lactic acid fermentation and the production of essential food components by the intestinal microflora
About the Authors
A. I. KhavkinRussian Federation
Belgorod; Saint-Petersburg
A. N. Zavyalova
Russian Federation
Saint-Petersburg
V. P. Novikova
Russian Federation
Saint-Petersburg
References
1. Baturin A.K., Martinchik A.N., Kambarov A.O. The transit of Russian nation nutrition at the turn of the 20th and 21st centuries. Voprosy pitaniya 2020; 89(4): 60–70. (in Russ.) DOI: 10.24411/0042– 8833–2020–10042
2. Martinchik A.N., Mikhailov N.A., Keshabyants E.E., Kudryavtseva K.V. The study of the informativeness and reliability of the healthy eating index for assessing of dietary peculiarity and eating behavior of Russian population. Voprosy pitaniya 2021: 90(5); 77–86. (in Russ.) DOI: 10.33029/0042–8833–2021–90–5–77–86
3. Erhardt J., Olsen A. Meat Reduction in 5 to 8 Years Old Children-A Survey to Investigate the Role of Parental Meat Attachment. Foods 2021; 10(8): 1756. DOI: 10.3390/ foods10081756
4. Davis C., Bryan J., Hodgson J., Murphy K. Definition of the Mediterranean Diet; a Literature Review. Nutrients 2015; 7(11): 9139–9153. DOI: 10.3390/nu7115459.PMID: 26556369
5. Dernini S., Berry E.M., Serra-Majem L., La Vecchia C., Capone R., Medina F.X. et al. Med Diet 4.0: The Mediterranean diet with four sustainable benefits. Public Health Nutr 2017; 20(7): 1322–1330. DOI: 10.1017/S1368980016003177
6. Rosenfeld D.L. The psychology of vegetarianism: Recent advances and future directions. Appetite 2018; 131:125–138. DOI: 10.1016/j.appet.2018.09.011
7. Rosenfeld D.L., Burrow A.L. Vegetarian on purpose: Understanding the motivations of plant-based dieters. Appetite 2017; 116: 456–463. DOI: 10.1016/j.appet.2017.05.039
8. Skripchenko N.V., Fedorova L.A., Skripchenko E.Yu., Makarova E.G., Klepikova T.V., Ukraincev S.E. Nutrition and Brain Development: Investing in the Future or Missed Opportunity? Pediatrics. Pediatriya. Zhurnal im. G.N. Speranskogo 2020; 3: 134–142. (in Russ.) DOI: 10.24110/0031–403X-2020–99–3–134–142
9. Medawar E., Huhn S., Villringer A., Witte A.V. The effects of plant-based diets on the body and the brain: a systematic review. Transl Psychiatry 2019; 9: 226. Published online. DOI: 10.1038/s41398–019–0552–0
10. Yasakov D.S., Makarova S.G., Kodentsova V.M. Nutritional status and health of vegetarians: what is known from recent scientific research? Pediatriya. Zhurnal im. G.N. Speranskogo 2019; 4: 221–228. (in Russ.)DOI: 10.24110/0031–403X-2019–98– 4–221–228
11. Korobeynikova T.V. Vegetarianism and micronutrients. Mikroelementy v meditsine 2018; 19(2): 34–40. (in Russ.) DOI: 10.19112/2413–6174–2018–19–2–34–40
12. Yasakov D.S., Makarova S.G., Fisenko A.P., Chumbadze T.R. Features of the macronutrient composition of the diets of vegetarian children. Russkii pediatricheskii zhurnal 2020; 4: 229–234. (in Russ.) DOI: 10.18821 / 1560–9561–2020–23–4–229–234
13. Green E.A.E., Zhguleva A.A. The influence of a vegetarian diet on the physical, mental and intellectual development of children of different ages. Forcipe 2020; 3(S): 547–548. (in Russ.)
14. Gorbachev D.O., Sazonova O.V., Gilmiyarova F.N., Gusyakova O.A., Myakisheva Yu.V., Beketova N.A. et al. Peculiarities of the nutritional status of vegetarians. Profilakticheskaya meditsina 2018; 21(3): 51–56. (in Russ.) DOI: 10.17116/profmed201821351
15. Galchenko A.V., Nazarova A.M. Essential micro-and ultra-trace elements in the diet of vegetarians and vegans. Part 1. Iron, zinc, copper, manganese. Mikroelementy v meditsine 2019; 4: 14–23. DOI: 10.19112 / 2413–6174–2019–20–4–14–23. (in Russ.)
16. Galchenko A.V., Nazarova A.M. Macronutrients in the diet of vegetarians and vegans (literature review). Mikroelementy v meditsine 2019; 2: 3–17. (in Russ.) DOI: 10.19112 / 2413–6174–2019–20–2–3–17
17. Sustainable Diets: Directions and Solutions for Policy, Research and Action. International Scientific Symposium, Biodiversity and Sustainable Diets United Against Hunger. Editors B. Burlingame, S. Dernini FAO., Rome: 2012; 309. https://www.fao.org/3/i3004e/i3004e.pdf (Дата обращения 26.12.21.)
18. Lopatina O.A., Rachenkova A.I. Diet and lifestyle of Flexitarianism. Zdorov’e cheloveka, teorija i metodika fizicheskoj kul’tury i sporta 2017; 3(6): 35–43. (in Russ.)
19. Kemper J.A., White S.K. Young adults’ experiences with flexitarianism: The 4Cs. Appetite 2021; 160: 105073. DOI: 10.1016/j.appet.2020.105073
20. Dakin B.C., Ching A.E., Teperman E., Klebl C., Moshel M., Bastian B. Prescribing vegetarian or flexitarian diets leads to sustained reduction in meat intake. Appetite 2021; 164: 105285. DOI: 10.1016/j.appet.2021.105285
21. Webb D. The Flexitarian Diet. Today’s Dietitian 2021; 3: 40. The Flexitarian Diet — Today’s Dietitian Magazine (todaysdietitian.com). (Дата обращения 26.12.21.)
22. Oxford English Dictionary. The Definitive Record of the English Language. (2014). Available from: http://www.oed.com Google Scholar (Дата обращения 26.12.21.)
23. González N., Marquès M., Nadal M., Domingo J.L. Meat consumption: Which are the current global risks? A review of recent (2010–2020) evidences. Food Res Int 2020; 137: 109341. DOI: 10.1016/j.foodres.2020.109341
24. Hicks T.M., Knowles S.O., Farouk M.M. Global Provisioning of Red Meat for Flexitarian Diets. Front Nutr 2018; 5: 50. DOI: 10.3389/fnut.2018.00050
25. Zavyalova A.N., Gostimskij A.V., Fedorec V.N. Nutritional Approaches to the Management of Children with Chronic Kidney Disease. Prakticheskaya meditsina 2019; 5: 152–160. (in Russ.)
26. Zavyalova A.N., Gostimskij A.V., Fedorec V.N. Possibilities Of Diet Therapy In Correcting The Nutritional Status Of Children With Chronic Kidney Disease (Literature Review) Meditsina: teoriya i praktika 2020; 1: 50–61. (in Russ.)
27. Ivanov D.O., Novikova V.P., Zavyalova A.N., Shapovalova N.S., Yakovleva M.N., Savenkova N.D. et al. Draft Clinical Guidelines Principles of Nutritional Support in Children with Chronic Kidney Disease. In the collection: Actual problems of abdominal pathology in children. Materials of the XXVIII Congress of Pediatric Gastroenterologists in Russia and the CIS. Technical preparation for publication was carried out by Dr. med. S.V. Belmer and Ph.D. T.V. Gasilina. 2021; 213–288. (in Russ.)
28. Simakhodsky A.S., Leonova I.A., Penkov D.G., Zorina S.A., Kagan A.V., Kruchina T.K. et al. Nutrition for a healthy and sick child. St. Petersburg, 2021; 216 (in Russ.)
29. Bykova S.T., Kalinina T.G., Moskovskaya I.M. The main aspects of the treatment, recovery and health support of children with phenylketonuria. Pishhevaya promyshlennost’ 2021; 11: 8–14. DOI: 10.52653/ PPI.2021.11.11.004. (in Russ.)
30. Farouk M.M. Global Provisioning of Red Meat for Flexitarian Diets. Front Nutr 2018; 5: 50. DOI: 10.3389/fnut.2018.00050
31. Kidd B., Mackay S., Vandevijvere S., Swinburn B. Cost and greenhouse gas emissions of current, healthy, flexitarian and vegan diets in Aotearoa (New Zealand). BMJ Nutr Prev Health. 2021; 4(1): 275–284. DOI: 10.1136/ bmjnph-2021–000262
32. Derbyshire E.J. Flexitarian diets and health: a review of the evidence-based literature. Front Nutr 2017; 3: 55. DOI: 10.3389/fnut.2016.00055
33. NatCen. Are We Eating Less Meat? A British Social Attitudes Report. (2016). Available at: http://www.natcen.ac.uk/ our-research/research/british-social-attitudes-are-we-eating-less-meat Google Scholar (Дата обращения 26.12.21.)
34. Kemper J.A., White S.K. Young adults’ experiences with flexitarianism: The 4Cs. Appetite 2021; 160: 105073. DOI: 10.1016/j.appet.2020.105073
35. Kemper J.A. Motivations, barriers, and strategies for meat reduction at different family lifecycle stages. Appetite 2020; 150: 104644. DOI: 10.1016/j.appet.2020.104644
36. Spencer M., Guinard J.X. The Flexitarian Flip™: Testing the Modalities of Flavor as Sensory Strategies to Accomplish the Shift from Meat-Centered to Vegetable-Forward Mixed Dishes. J Food Sci 2018; 83(1): 175–187. DOI: 10.1111/1750–3841.13991
37. de Gavelle E., Davidenko O., Fouillet H., Delarue J., Darcel N., Huneau J.F., Mariotti F. Self-declared attitudes and beliefs regarding protein sources are a good prediction of the degree of transition to a low-meat diet in France. Appetite 2019; 142: 104345. DOI: 10.1016/j.appet.2019.104345
38. Hsu C.K., Su S.C., Chang L.C., Shao S.C., Yang K.J., Chen C.Y. et al. Effects of Low Protein Diet on Modulating Gut Microbiota in Patients with Chronic Kidney Disease: A Systematic Review and Meta-analysis of International Studies. Int J Med Sci 2021; 18(16): 3839–3850. DOI: 10.7150/ijms.66451
39. Toribio-Mateas M.A., Bester A., Klimenko N. Impact of PlantBased Meat Alternatives on the Gut Microbiota of Consumers: A Real-World Study. Foods 2021; 10(9): 2040. DOI: 10.3390/foods10092040
40. Gentile C.L., Weir N.L. The gut microbiota at the intersection of diet and human health. Science 2018; 362(6416): 776–780. DOI: 10.1126/science.aau5812
41. Li D., Wang P., Wang P., Hu X., Chen F. Targeting the gut microbiota by dietary nutrients: A new avenue for human health. Crit Rev Food Sci Nutr 2019; 59(2): 181–195. DOI: 10.1080/10408398.2017.1363708
42. Beam A., Clinger E., Hao L. Effect of Diet and Dietary Components on the Composition of the Gut Microbiota. Nutrients 2021; 13(8): 2795. DOI: 10.3390/nu13082795
43. Farag M.A., Jomaa S.A., El-Wahed A.A., El-Seedi A.H.R. The Many Faces of Kefir Fermented Dairy Products: Quality Characteristics, Flavour Chemistry, Nutritional Value, Health Benefits, and Safety. Nutrients 2020; 12(2): 346. DOI: 10.3390/nu12020346
44. Huang Y., Wang X., Wang J., Wu F., Sui Y., Yang L., Wang Z. Lactobacillus plantarum strains as potential probiotic cultures with cholesterol-lowering activity. J Dairy Sci 2013; 96: 2746–2753
45. Huang Y., Wu F., Wang X., Sui Y., Yang L., Wang J. Characterization of Lactobacillus plantarum Lp27 isolated from Tibetan kefir grains: A potential probiotic bacterium with cholesterol-lowering effects. J Dairy Sci 2013; 96: 2816–2825
46. Komarova O.N., Havkin A.I. Cultured milk foods in children’s nutrition: nutritional and biological value. Rossiyskiy Vestnik Perinatologii i Pediatrii 2017; 62(5): 80–86. (in Russ.) DOI: 10.21508/1027–4065–2017–62– 5–80–86
47. Khavkin А.I., Fedotova O.B., Volynets G.V., Koshkarova Yu.A., Penkina N.A., Komarova O.N. The results of a prospective comparative openlabel randomised study of the effectiveness of a probiotic- and prebiotic-fortified yogurt in small children after an acute respiratory infection. Vopr det dietol 2019; 1: 29–37. (in Russ.) DOI: 10.20953/1727– 5784–2019–1–29–37
48. Bogdanova N.M., Khavkin A.I., Kolobova O.L. Prospects of fermented milk products in children with primary hypolactasia of the adult type. Ros Vestn Perinatol i Pediatr 2020; 65(3): 160–168. (in Russ.) DOI: 10.21508/1027–4065– 2020–65–3–160–168
49. Khavkin A.I., Volynets G.V., Fedotova O.B., Sokolova O.V., Komarova O.N. The use of dairy products in children’s nutrition: experience and prospects. Trudnyi patsient 2019; 17(1–2): 28–36. (in Russ.)
50. Khavkin A.I., Kovtun T.A., Makarkin D.V., Fedotova O.B. Fermented Milk Products and Child Health. Ros Vestn Perinatol i Pediatr 2020; 65(6): 155–165. (in Russ.) DOI: 10.21508/1027– 4065–2020–65–6–155–165
51. Khavkin A.I. Lactobacillus rhamnosus GG and intestinal microbiota. Voprosy detskoi dietologii 2018; 16(2): 42–51. (in Russ.) DOI: 10.20953/1727–5784– 2018–2–42–51
52. Komarova О.N., Khavkin А.I. Effect of prebiotics on the gastrointestinal tract. Voprosy prakticheskoi pediatrii (Clinical Practice in Pediatrics) 2018; 13(5): 33–39. (in Russ.) DOI: 10.20953/1817–7646–2018–5–33–39
53. Khavkin A.I., Blat S.F. Intestinal microbiocenosis and immunity. Rossiiskii vestnik perinatologii i pediatrii 2011; 1: 159–174. (in Russ.)
54. Khavkin A.I., Bogdanova N.M., Novikova V.P. Biological role of zonulin: a biomarker of increased intestinal permeability syndrome. Ros Vestn Perinatol i Pediatr 2021; 66:(1): 31–38. (in Russ.) DOI: 10.21508/1027–4065–2021– 66–1–31–38
55. Khavkin A.I., Kovtun T.A., Makarkin D.V., Fedotova O.B. Probiotic fermented dairy products — food or medication? Vopr det dietol 2021; 19(3): 58–68. (in Russ.) DOI: 10.20953/1727–5784–2021–3–58–68
56. Khavkin A.I., Vasia M.N., Zavyalova A.N., Novikova V.P. Protein digestion, casomorphins, and fermented dairy products. Vopr prakt pediatr 2021; 16(5): 125–132. (in Russ.) DOI: 10.20953/1817–7646–2021–5–125–132
Review
For citations:
Khavkin A.I., Zavyalova A.N., Novikova V.P. Place of fermented milk products in a flexitarian diet structure. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(1):39-46. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-1-39-46