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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">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2017-19-139-141</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2203</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>КЛУБ ЭКСПЕРТОВ ESPGHAN</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ESPGHAN EXPERT CLUB</subject></subj-group></article-categories><title-group><article-title>ОЖИРЕНИЕ И КИШЕЧНАЯ МИКРОБИОТА</article-title><trans-title-group xml:lang="en"><trans-title>OBESITY AND INTESTINAL MICROBIOTA</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, </p><p>Москва</p></bio><bio xml:lang="en"><p>MD, Prof., </p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бережная</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Berezhnaya</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н.,</p><p>Москва</p></bio><bio xml:lang="en"><p>PhD in medicine,</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дмитриева</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dmitrieva</surname><given-names>Y. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н.,</p><p>Москва</p></bio><bio xml:lang="en"><p>PhD in medicine,</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российская медицинская академия непрерывного профессионального образования Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2017</year></pub-date><volume>0</volume><issue>19</issue><fpage>139</fpage><lpage>141</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Захарова И.Н., Бережная И.В., Дмитриева Ю.А., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Захарова И.Н., Бережная И.В., Дмитриева Ю.А.</copyright-holder><copyright-holder xml:lang="en">Zakharova I.N., Berezhnaya I.V., Dmitrieva Y.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://www.med-sovet.pro/jour/article/view/2203">https://www.med-sovet.pro/jour/article/view/2203</self-uri><abstract><p>В настоящее время существуют убедительные данные, свидетельствующие в пользу того, что микробиота желудочно-кишечного тракта обладает иммуномодулирующим и метаболическим воздействием на организм человека, а также определяет экспрессию отдельных генов посредством эпигенетических механизмов [1–3]. Особенности состава кишечной микробиоты могут предопределять особенности метаболизма макроорганизма, предрасполагая тем самым к развитию различных заболеваний, включая воспалительные заболевания кишечника, сахарный диабет 1-го типа, рассеянный склероз, расстройства аутистического спектра, сердечно-сосудистые и онкологические заболевания, метаболический синдром и ожирение [4, 5].</p></abstract><trans-abstract xml:lang="en"><p>Currently there is conclusive evidence testifying that the microbiota of the gastrointestinal tract has an immune modifying and metabolic effect on the human body and determines expression of separate genes by means of some epigenetic mechanisms [1–3]. The peculiarities of a composition of the intestinal microbiota can predetermine peculiarities of the macroorganism metabolism hereby predisposing to the development of various disease, including inflammatory intestinal diseases, type 1 diabetes mellitus, disseminated sclerosis, disturbances of the autistic spectrum, cardiovascular and oncologic diseases, metabolic syndrome and obesity [4, 5].</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метаболизм</kwd><kwd>микробиота</kwd><kwd>ожирение</kwd><kwd>профилактика ожирения</kwd><kwd>пробиотики</kwd><kwd>Lactobacillus rhamnosus GG</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metabolism</kwd><kwd>microbiota</kwd><kwd>obesity</kwd><kwd>prevention of obesity</kwd><kwd>probiotics</kwd><kwd>Lactobacillus rhamnosus GG</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">Shenderov BA, Midtvedt T. Epigenomic programing: a future way to health? Microb Ecol Health Dis, 2014, 25: 24145.</mixed-citation><mixed-citation xml:lang="en">Shenderov BA, Midtvedt T. Epigenomic programing: a future way to health? Microb Ecol Health Dis, 2014, 25: 24145.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Holmes E, Li JV, Marchesi JR, Nicholson JK. Gut microbiota composition and activity in relation to host metabolic phenotype and disease risk. Cell Metab, 2012, 16(5): 559–64.</mixed-citation><mixed-citation xml:lang="en">Holmes E, Li JV, Marchesi JR, Nicholson JK. Gut microbiota composition and activity in relation to host metabolic phenotype and disease risk. Cell Metab, 2012, 16(5): 559–64.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Nicholson JK, Holmes E, Kinross J, et al. Hostgut microbiota metabolic interactions. Science. 2012,336(6086): 1262–7.</mixed-citation><mixed-citation xml:lang="en">Nicholson JK, Holmes E, Kinross J, et al. Hostgut microbiota metabolic interactions. Science. 2012,336(6086): 1262–7.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Cho I, Blaser MJ. The human microbiome: at the interface of health and disease. Nat Rev Genet, 2012, 13(4): 260–70.</mixed-citation><mixed-citation xml:lang="en">Cho I, Blaser MJ. The human microbiome: at the interface of health and disease. Nat Rev Genet, 2012, 13(4): 260–70.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">O’Mahony SM, Stilling RM, Dinan TG, Cryan JF. The microbiome and childhood diseases: focus on brain-gut axis. Birth Defects Res C Embryo Today, 2015, 105(4): 296–313.</mixed-citation><mixed-citation xml:lang="en">O’Mahony SM, Stilling RM, Dinan TG, Cryan JF. The microbiome and childhood diseases: focus on brain-gut axis. Birth Defects Res C Embryo Today, 2015, 105(4): 296–313.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 2006, 444(7122): 1027–31.</mixed-citation><mixed-citation xml:lang="en">Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 2006, 444(7122): 1027–31.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Turnbaugh PJ, Backhed F, Fulton L, Gordon JI. Diet-induced obesity is linked to marked but reversible alterations in the mouse distal gut microbiome. Cell Host Microbe, 2008, 3(4): 213–23.</mixed-citation><mixed-citation xml:lang="en">Turnbaugh PJ, Backhed F, Fulton L, Gordon JI. Diet-induced obesity is linked to marked but reversible alterations in the mouse distal gut microbiome. Cell Host Microbe, 2008, 3(4): 213–23.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Armougom F, Henry M, Vialettes B, Raccah D, Raoult D. Monitoring bacterial community of human gut microbiota reveals an increase in Lactobacillus in obese patients and Methanogens in anorexic patients. PLoS One, 2009, 4(9): e7125.</mixed-citation><mixed-citation xml:lang="en">Armougom F, Henry M, Vialettes B, Raccah D, Raoult D. Monitoring bacterial community of human gut microbiota reveals an increase in Lactobacillus in obese patients and Methanogens in anorexic patients. PLoS One, 2009, 4(9): e7125.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Slattery J, MacFabe DF, Frye RE. The Significance of the Enteric Microbiome on the Development of Childhood Disease: A Review of Prebiotic and Probiotic Therapies in Disorders of Childhood. Clin Med Insights Pediatr, 2016 Oct 9, 10: 91-107.</mixed-citation><mixed-citation xml:lang="en">Slattery J, MacFabe DF, Frye RE. The Significance of the Enteric Microbiome on the Development of Childhood Disease: A Review of Prebiotic and Probiotic Therapies in Disorders of Childhood. Clin Med Insights Pediatr, 2016 Oct 9, 10: 91-107.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ravussin Y, Koren O, Spor A et al. Responses of gut microbiota to diet composition and weight loss in lean and obese mice. Obesity (Silver Spring), 2012 Apr, 20(4): 738-47.</mixed-citation><mixed-citation xml:lang="en">Ravussin Y, Koren O, Spor A et al. Responses of gut microbiota to diet composition and weight loss in lean and obese mice. Obesity (Silver Spring), 2012 Apr, 20(4): 738-47.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Riva A, Borgo F, Lassandro C, et al. Pediatric obesity is associated with an altered gut microbiota and discordant shifts in Firmicutes populations. Environ Microbiol, 2016, 23(10): 1462–2920.</mixed-citation><mixed-citation xml:lang="en">Riva A, Borgo F, Lassandro C, et al. Pediatric obesity is associated with an altered gut microbiota and discordant shifts in Firmicutes populations. Environ Microbiol, 2016, 23(10): 1462–2920.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bervoets L, Van Hoorenbeeck K, Kortleven I, et al. Differences in gut microbiota composition between obese and lean children: a cross-sectional study. Gut Pathog, 2013, 5(1): 10.</mixed-citation><mixed-citation xml:lang="en">Bervoets L, Van Hoorenbeeck K, Kortleven I, et al. Differences in gut microbiota composition between obese and lean children: a cross-sectional study. Gut Pathog, 2013, 5(1): 10.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Karlsson CL, Onnerfalt J, Xu J, et al. The microbiota of the gut in preschool children with normal and excessive body weight. Obesity, 2012, 20(11): 2257–61.</mixed-citation><mixed-citation xml:lang="en">Karlsson CL, Onnerfalt J, Xu J, et al. The microbiota of the gut in preschool children with normal and excessive body weight. Obesity, 2012, 20(11): 2257–61.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Payne AN, Chassard C, Zimmermann M, Muller P, Stinca S, Lacroix C. The metabolic activity of gut microbiota in obese children is increased compared with normal-weight children and exhibits more exhaustive substrate utilization. Nutrit Diab, 2011, 1: e12.</mixed-citation><mixed-citation xml:lang="en">Payne AN, Chassard C, Zimmermann M, Muller P, Stinca S, Lacroix C. The metabolic activity of gut microbiota in obese children is increased compared with normal-weight children and exhibits more exhaustive substrate utilization. Nutrit Diab, 2011, 1: e12.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Murphy E, Cotter P, Healy S et al. Composition and energy harvesting capacity of the gut microbiota: relationship to diet, obesity and time in mouse models. Gut, 2010, 59(12): 1635–42.</mixed-citation><mixed-citation xml:lang="en">Murphy E, Cotter P, Healy S et al. Composition and energy harvesting capacity of the gut microbiota: relationship to diet, obesity and time in mouse models. Gut, 2010, 59(12): 1635–42.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Cromwell GL. Why and how antibiotics are used in swine production. Anim Biotechnol, 2002, 13(1): 7–27.</mixed-citation><mixed-citation xml:lang="en">Cromwell GL. Why and how antibiotics are used in swine production. Anim Biotechnol, 2002, 13(1): 7–27.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Cox LM, Yamanishi S, Sohn J, et al. Altering the intestinal microbiota during a critical developmental window has lasting metabolic consequences. Cell, 2014, 158(4): 705–21.</mixed-citation><mixed-citation xml:lang="en">Cox LM, Yamanishi S, Sohn J, et al. Altering the intestinal microbiota during a critical developmental window has lasting metabolic consequences. Cell, 2014, 158(4): 705–21.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Trasande L, Blustein J, Liu M, Corwin E, Cox LM, Blaser MJ. Infant antibiotic exposures and earlylife body mass. Int J Obes, 2013, 37(1): 16–23.</mixed-citation><mixed-citation xml:lang="en">Trasande L, Blustein J, Liu M, Corwin E, Cox LM, Blaser MJ. Infant antibiotic exposures and earlylife body mass. Int J Obes, 2013, 37(1): 16–23.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Turnbaugh PJ, Ley RE, Mahowald MA et al. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 2006, 444: 1027-1031.</mixed-citation><mixed-citation xml:lang="en">Turnbaugh PJ, Ley RE, Mahowald MA et al. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 2006, 444: 1027-1031.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Martens EC. Microbiome: fibre for the future. Nature, 2016, 529: 158–159.</mixed-citation><mixed-citation xml:lang="en">Martens EC. Microbiome: fibre for the future. Nature, 2016, 529: 158–159.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Ley RE, Turnbaugh PJ, Klein S et al. Microbial ecology: human gut microbes associated with obesity. Nature, 2006, 444: 1022–1023.</mixed-citation><mixed-citation xml:lang="en">Ley RE, Turnbaugh PJ, Klein S et al. Microbial ecology: human gut microbes associated with obesity. Nature, 2006, 444: 1022–1023.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Santacruz A, Marcos A, Warnberg J et al. Interplay between weight loss and gut microbiota composition in overweight adolescents. Obesity (Silver Spring), 2009, 17: 1906–15.</mixed-citation><mixed-citation xml:lang="en">Santacruz A, Marcos A, Warnberg J et al. Interplay between weight loss and gut microbiota composition in overweight adolescents. Obesity (Silver Spring), 2009, 17: 1906–15.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Le Chatelier E, Nielsen T, Qin J, et al. Richness of human gut microbiome correlates with metabolic markers. Nature, 2013, 500(7464): 541–6.</mixed-citation><mixed-citation xml:lang="en">Le Chatelier E, Nielsen T, Qin J, et al. Richness of human gut microbiome correlates with metabolic markers. Nature, 2013, 500(7464): 541–6.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Ghoshal S, Witta J, Zhong J, de Villiers W, Eckhardt E. Chylomicrons promote intestinal absorption of lipopolysaccharides. J Lipid Res, 2009, 50(1): 90–97.</mixed-citation><mixed-citation xml:lang="en">Ghoshal S, Witta J, Zhong J, de Villiers W, Eckhardt E. Chylomicrons promote intestinal absorption of lipopolysaccharides. J Lipid Res, 2009, 50(1): 90–97.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Martin R, Langa S, Reviriego C et al. Human milk is a source of lactic acid bacteria for the infant gut. J. Pediatr., 2003, 143: 754-8.</mixed-citation><mixed-citation xml:lang="en">Martin R, Langa S, Reviriego C et al. Human milk is a source of lactic acid bacteria for the infant gut. J. Pediatr., 2003, 143: 754-8.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Cabrera-Rubio R, Collado MC, Laitinen K et al. The human milk microbiome changes over lactation and is shaped by maternal weight and mode of delivery. Am J Clin Nutr, 2012, 96: 544–51.</mixed-citation><mixed-citation xml:lang="en">Cabrera-Rubio R, Collado MC, Laitinen K et al. The human milk microbiome changes over lactation and is shaped by maternal weight and mode of delivery. Am J Clin Nutr, 2012, 96: 544–51.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Kalliomaki M, Collado MC, Salminen S et al. Early differences in fecal microbiota composition in children may predict overweight. Am. J. Clin. Nutr., 2008, 87: 534–538.</mixed-citation><mixed-citation xml:lang="en">Kalliomaki M, Collado MC, Salminen S et al. Early differences in fecal microbiota composition in children may predict overweight. Am. J. Clin. Nutr., 2008, 87: 534–538.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Cani PD, Neyrinck AM, Maton N et al. Oligofructose promotes satiety in rats fed a highfat diet: involvement of glucagon-like Peptide-1. Obes. Res., 2005, 13: 1000–1007.</mixed-citation><mixed-citation xml:lang="en">Cani PD, Neyrinck AM, Maton N et al. Oligofructose promotes satiety in rats fed a highfat diet: involvement of glucagon-like Peptide-1. Obes. Res., 2005, 13: 1000–1007.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Cani PD, Dewever C, Delzenne NM. Inulin-type fructans modulate gastrointestinal peptides involved in appetite regulation (glucagon-like peptide-1 and ghrelin) in rats. Br. J. Nutr., 2004, 92: 521–526.</mixed-citation><mixed-citation xml:lang="en">Cani PD, Dewever C, Delzenne NM. Inulin-type fructans modulate gastrointestinal peptides involved in appetite regulation (glucagon-like peptide-1 and ghrelin) in rats. Br. J. Nutr., 2004, 92: 521–526.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Cani PD, Neyrinck AM, Fava F et al. Selective increases of bifidobacteria in gut microflora improve high-fat-diet-induced diabetes in mice through a mechanism associated with endotoxaemia. Diabetologia, 2007, 50: 2374–2383.</mixed-citation><mixed-citation xml:lang="en">Cani PD, Neyrinck AM, Fava F et al. Selective increases of bifidobacteria in gut microflora improve high-fat-diet-induced diabetes in mice through a mechanism associated with endotoxaemia. Diabetologia, 2007, 50: 2374–2383.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Luoto R, Kalliomaki M, Laitinen K, Isolauri E. The impact of perinatal probiotic intervention on the development of overweight and obesity: follow-up study from birth to 10 years. Int J Obes, 2010, 34(10): 1531–7.</mixed-citation><mixed-citation xml:lang="en">Luoto R, Kalliomaki M, Laitinen K, Isolauri E. The impact of perinatal probiotic intervention on the development of overweight and obesity: follow-up study from birth to 10 years. Int J Obes, 2010, 34(10): 1531–7.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Vajro P, Mandato C, Licenziati MR, et al. Effects of Lactobacillus rhamnosus strain GG in pediatric obesity-related liver disease. J Pediatr Gastroenterol Nutr, 2011, 52(6): 740–3.</mixed-citation><mixed-citation xml:lang="en">Vajro P, Mandato C, Licenziati MR, et al. Effects of Lactobacillus rhamnosus strain GG in pediatric obesity-related liver disease. J Pediatr Gastroenterol Nutr, 2011, 52(6): 740–3.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Safavi M, Farajian S, Kelishadi R, Mirlohi M, Hashemipour M. The effects of synbiotic supplementation on some cardio-metabolic risk factors in overweight and obese children: a randomized triple-masked controlled trial. Int J Food Sci Nutr, 2013, 64(6): 687–93.</mixed-citation><mixed-citation xml:lang="en">Safavi M, Farajian S, Kelishadi R, Mirlohi M, Hashemipour M. The effects of synbiotic supplementation on some cardio-metabolic risk factors in overweight and obese children: a randomized triple-masked controlled trial. Int J Food Sci Nutr, 2013, 64(6): 687–93.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
