title: [Analysis of regulatory basis for organization of clinical nutrition in medical institutions of the Russian Federation].
abstract: The article analyzes regulatory basis for organization of clinical nutrition in medical institutions of Russia. It is shown that the strategy of therapeutic measures in acute and chronic diseases a central place to take dietary therapy with adequate provision of energy and plastic body's needs, correction of metabolic disorders and risk factors for comorbidity. Prior to the confirmation of the order of Ministry of Health of Russia from 05.08.2003, No 330 "On measures to improve nutritional care in health care institutions in the Russian Federation" clinical nutrition in medical institutions was based on the nosological principle, in the form of daily diet--a diet designed for each concrete Diseases which are identified by a number from 1 to 15. According to the order of Ministry of Health of Russia from 05.08.2003, No 330 in the health care practice has introduced a new range of diets (system standard diets), which is based on the principle of adapting the chemical composition and energy value of the diet to the individual clinical and pathogenic features of the disease and combines previously used diet numbering system. It is shown that the organization of clinical nutrition should be based on common requirements imposed on the federal level and at the level of the subject of the Russian Federation. In order to optimize clinical nutrition is necessary to determine the methodological approaches to personalization through the introduction of diet in health care practice of modern innovative technologies health food, performing preventive and treatment of the problem (implementation of Article 39 of the Federal Law of 21.11.2011 No 323--FZ "On the basis of health protection in the Russian Federation", the Order of the Government of the Russian Federation of 25.10.2010 No 1873-r "On the basis of the state policy in the field of nutrition to 2020 year").
authors.forename: V A
authors.initials: VA
authors.lastname: Tutel'ian
authors.forename: Kh Kh
authors.initials: KhKh
authors.lastname: Sharafetdinov
authors.forename: A V
authors.initials: AV
authors.lastname: Pogozheva
authors.forename: O A
authors.initials: OA
authors.lastname: Plotnikova
mesh_terms: D004035:Diet Therapy / Q000379:methods / Q000592:standards; D006801:Humans; D007878:Legislation as Topic; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000592:standards; D018529:Nutritional Support / Q000379:methods / Q000592:standards; D012426:Russia