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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">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2025-103-8-9-584-588</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-1258</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>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Диетотерапия при ожирении и бронхиальной астме</article-title><trans-title-group xml:lang="en"><trans-title>Diet therapy for obesity and bronchial asthma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0963-0792</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лапик</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lapik</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лапик Ирина Александровна — канд. мед. наук, научный сотрудник отделения реабилитационной диетотерапии</p><p>Москва </p></bio><bio xml:lang="en"><p>Irina A. Lapik — Candidate of Medical Sciences, Research Scientist, Department of Nutritional Rehabilitation</p><p>Moscow </p></bio><email xlink:type="simple">lapik_@inbox.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/0000-0003-1223-8545</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаппарова</surname><given-names>К. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gapparova</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гаппарова Камилат Минкаиловна — канд. мед. наук, заведующая отделением реабилитационной диетотерапии</p><p>Москва </p></bio><bio xml:lang="en"><p>Kamilat M. Gapparova — Candidate of Medical Sciences, Head of the Department of Nutritional Rehabilitation</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>ФГБУН «Федеральный исследовательский центр питания, биотехнологии и безопасности пищи»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Centre for Nutrition, Biotechnology and Food Safety</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>27</day><month>01</month><year>2026</year></pub-date><volume>103</volume><issue>8-9</issue><fpage>584</fpage><lpage>588</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лапик И.А., Гаппарова К.М., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Лапик И.А., Гаппарова К.М.</copyright-holder><copyright-holder xml:lang="en">Lapik I.A., Gapparova K.M.</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.clinmedjournal.com/jour/article/view/1258">https://www.clinmedjournal.com/jour/article/view/1258</self-uri><abstract><p>Ожирение и бронхиальная астма являются заболеваниями, которые часто сопровождают друг друга. Исследования показывают, что ожирение увеличивает риск развития бронхиальной астмы и ухудшает ее течение. В таких случаях важно применять комплексный подход к лечению, включая диетотерапию. Персонализированная диетотерапия может помочь пациентам не только снизить жировую массу тела, но и улучшить функцию легких и облегчить симптомы астмы. В данной статье мы рассмотрим основные принципы диетотерапии для таких пациентов, а также связь между диетой, ожирением и бронхиальной астмой. Цель статьи — проанализировать данные литературы и изучить влияние диетотерапии на пациентов с ожирением и бронхиальной астмой. Материал и методы. Анализ литературы за последние 10 лет с использованием баз данных PubMed, Elibrary по ключевым словам: «ожирение», «бронхиальная астма», «системное воспаление», «диета». Результаты. Доказано, что ожирение сопровождается хроническим воспалением, которое может усугубить воспалительный процесс в дыхательных путях при бронхиальной астме. Исследования показывают, что диетотерапия оказывает непосредственное воздействие на воспалительные процессы в организме. Рацион, содержащий большое количество простых углеводов и насыщенных жиров, играет важную роль в возникновении системного воспаления при ожирении и ухудшении симптомов бронхиальной астмы. В то же время исследования демонстрируют, что рацион, богатый антиоксидантами и полиненасыщенными жирными кислотами, способен снизить уровень воспаления в организме и улучшить контроль над астмой у пациентов с ожирением. Заключение. В настоящее время проведен ряд исследований по изучению диетотерапии пациентов с ожирением и астмой, однако их результаты противоречивы и требуют дальнейшего рассмотрения.</p></abstract><trans-abstract xml:lang="en"><p>Obesity and bronchial asthma are diseases that often accompany each other. Studies show that obesity increases the risk of developing bronchial asthma and makes it worse. In such cases, it is important to apply a comprehensive approach to treatment, including diet therapy. Personalized diet therapy can help patients not only reduce body fat, but also improve lung function and relieve asthma symptoms. In this article we will consider the basic principles of dietary therapy for such patients, as well as the relationship between diet, obesity and bronchial asthma. Material and methods. Analysis of literature over the past 15 years using databases dataPubMed, eLIBRARYby key words: “obesity”, “bronchial asthma”, “systemic inflammation”, “diet”. Results. Obesity has been shown to be accompanied by chronic inflammation, which can aggravate the inflammatory process in the airways in bronchial asthma. Studies show that diet therapy has a direct effect on inflammatory processes in the body. The diet, which contains a large amount of simple carbohydrates and saturated fats, plays an important role in causing systemic inflammation in obesity and worsening symptoms of bronchial asthma. On the other hand, studies show that a diet rich in antioxidants and polyunsaturated fatty acids can reduce inflammation in the body and improve control of asthma in obese patients. Conclusion. A number of studies have been carried out on dietary therapy for patients with obesity and asthma, but their results are contradictory and require further consideration.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ожирение</kwd><kwd>бронхиальная астма</kwd><kwd>воспаление</kwd><kwd>диета</kwd></kwd-group><kwd-group xml:lang="en"><kwd>obesity</kwd><kwd>bronchial asthma</kwd><kwd>inflammation</kwd><kwd>diet</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Источник финансирования — федеральный бюджет. Публикация подготовлена в рамках выполнения фундаментальной научно-исследовательской работы ФГБУН «ФИЦ питания и биотехнологии» № FGMF-2025-0003.</funding-statement><funding-statement xml:lang="en">The source of funding is the federal budget. The publication was prepared as part of the fundamental research work of the Federal Research Centre for Nutrition, Biotechnology and Food Safety No. FGMF-2025-0003.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Sharma V., Cowan D.C. Obesity, inflammation, and severe asthma: an update. Curr. Allergy Asthma Rep. 2021;21(12):46. DOI: 10.1007/s11882-021-01024-9</mixed-citation><mixed-citation xml:lang="en">Sharma V., Cowan D.C. Obesity, inflammation, and severe asthma: an update. Curr. Allergy Asthma Rep. 2021;21(12):46. 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