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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">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nefr-175</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>Инсулинорезистентность и нефропатия при ожирении у детей</article-title><trans-title-group xml:lang="en"><trans-title>Insulin resistance and nephropathy in obese children</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>Смирнова</surname><given-names>Наталия Николаевна</given-names></name><name name-style="western" xml:lang="en"><surname>Smirnova</surname><given-names>Natalia N</given-names></name></name-alternatives><email xlink:type="simple">nephro-uro-kids@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куприенко</surname><given-names>Наталья Борисовна</given-names></name><name name-style="western" xml:lang="en"><surname>Kuprienko</surname><given-names>Natalja B.</given-names></name></name-alternatives><email xlink:type="simple">n-b-k@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова; Северо-Западный Федеральный медицинский исследовательский центр им. В.А. Алмазова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Pavlov Saint-Petersburg State Medical University; Federal Almazov North-West Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>01</day><month>05</month><year>2016</year></pub-date><volume>20</volume><issue>3</issue><fpage>28</fpage><lpage>34</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Смирнова Н.Н., Куприенко Н.Б., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Смирнова Н.Н., Куприенко Н.Б.</copyright-holder><copyright-holder xml:lang="en">Smirnova N.N., Kuprienko N.B.</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://journal.nephrolog.ru/jour/article/view/175">https://journal.nephrolog.ru/jour/article/view/175</self-uri><abstract><p>В обзоре приводятся сведения о механизмах развития инсулинорезистентности (ИР) при избыточном накоплении жировой ткани и влиянии нарушений углеводного и жирового обмена на функцию почек. Представлены данные о причинах возникновения ожирения и ИР на ранних этапах онтогенеза. Подчеркнута значимость ранней диагностики ИР и её коррекции при приобретенных болезнях почек у детей.</p></abstract><trans-abstract xml:lang="en"><p>Current review provides a multifaceted analysis of development of insulin resistance in extra accumulation of lipids and renal function in carbohydrate and lipid metabolism disturbances. Causes of obesity and insulin resistance in early ontogenesis elucidated. Significance of early diagnosis of insulin resistance and its correction in acquired kidney diseases in children emphasized.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инсулинорезистентность</kwd><kwd>ожирение</kwd><kwd>нефропатия</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>insulin resistance</kwd><kwd>obesity</kwd><kwd>nephropathy</kwd><kwd>children</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">Hedley A, Ogden CL, Johnson CL et al. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 2004; 291:2847- 2850</mixed-citation><mixed-citation xml:lang="en">Hedley A, Ogden CL, Johnson CL et al. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. 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