METABOLIC AND PATHOPHYSIOLOGICAL DISORDERS IN HUMAN ORGANISM DURING PROLONGED STARVATION
https://doi.org/10.25016/2541-7487-2018-0-2-109-116
Abstract
Relevance. The number of starving people throughout the world as well as global financial costs related to the development of alimentary-dependent conditions and diseases constantly increase. Intention. To review the scientific literature on the problems of metabolic and pathophysiological disorders caused by longterm starvation in human organism.
Methodology. The available domestic and foreign sources of scientific information were studied.
Results and Discussion. Paper describes the data on the pathogenesis of prolonged famine, on the endo- and exogenous causes of starvation, on qualitative and quantitative types of starvation, as well as the changes in metabolism of various organs and systems in completely starving organism during all periods of complete starvation (that of emergency, long-term adaptation, and decompensation) with their detailed endocrine-metabolic features. The results of the main research works by the Leningrad physicians who lived and worked in besieged Leningrad during the Great Patriotic War are recalled.
Conclusion. The information presented is important for biomedical science and health practice as well, since emergencies can be associated with prolonged starvation of people in the modern world.
About the Authors
L. P. KhoroshininaRussian Federation
Lidiya Pavlovna Khoroshinina – Dr. Med. Sci. Prof.
Litovskaya Str., 2, St. Petersburg, 194100
Narodnaya Str., 21–2, St. Petersburg, 193079
L. P. Churilov
Russian Federation
Leonid Pavlovich Churilov – PhD Med. Sci. Associate Prof., Chairman of Pathology Dept
Universitetskaya Emb., 7/9, St. Petersburg, 199034
References
1. Gefter Yu.M. Biokhimicheskie izmeneniya v organizme pri alimentarnoi distrofii Nauchnye nablyudeniya za 2 goda Otechestvennoi voiny [Biochemical changes in the organism at malnutrition. Scientific observations over the 2 years of the Patriotic war]. Ed. Strashun. Leningrad. 1944. Pp. 7–12. (In Russ.)
2. Zaichik A.M., Churilov L.P. Patokhimiya. Endokrinno-metabolicheskie narusheniya [Pathochemistry. Endocrine and Metabolic disorders]. Sankt-Peterburg. 2007. 756 p.
3. Lang G.F. Klinika alimentarnoi distrofii [Сlinic of alimentary dystrophy]. Trudy 1-i terapevticheskoi konferentsii [Proceedings of the 1st therapeutic conference]. Gor’kii. 1943. Pp. 406–424. (In Russ.)
4. London E.S. Fiziologiya i patologiya pishchevareniya [Physiology and pathology of digestion]. Petrograd. 1916. 168 p. (In Russ.)
5. Luk’yanov S.M. Osnovaniya obshchei patologii pishchevareniya : 10 lektsii [Fundamentals of General Pathology of digestion: 10 lectures]. Sankt-Peterburg. 1897. VIII, 380 p. (In Russ.)
6. Perel’man L.R. Patologiya pitaniya. Golodanie [Pathology of nutrition. Starvation] Rukovodstvo po patologicheskoi fiziologii. Leningrad. 1937. Vol. 2. Pp. 5–121. (In Russ.)
7. Perel’man L.R. Golodanie [Starvation]. Kiev. 1947. 139 p. (In Russ.)
8. Svechnikov V.A. Bolezn’ golodaniya (alimentarnaya distrofiya) [Disease of starvation (alimentary dystrophy)]. Leningrad. 1947. 103 p. (In Russ.)
9. Chernorutskii M.V. Alimentarnaya distrofiya v blokirovannom Leningrade [Alimentary dystrophy in the blocked Leningrad]. Leningrad. 1947. 367 p. (In Russ.)
10. Churilov L.P. Anri Labori i metabolicheskaya logistika stressa [Henri Laborie and metabolic logistics of the stress. Zdorov’e – osnova chelovecheskogo potentsiala: problemy i puti ikh resheniya [Health – the base of human potential: Problems and ways to solve them] : Scientific. Conf. Proceedings. 2014. Vol. 9, N 1. Pp. 161–169. (In Russ.)
11. Churilov L.P. Obshchaya patofiziologiya s osnovami immunopatologii [General pathophysiology with the Fundamentals of immunopathology]. Sankt-Peterburg. 2015. 686 p. (In Russ.)
12. Shanin V.Yu. Stressornoe golodanie i alimentarnaya distrofiya [Stress starvation and alimentary dystrophy]. Klinicheskaya meditsina i patofiziologiya [Clinical Medicine and Pathophysiology]. 1995. N 1. Pp. 62–70.
13. Shanin V.Yu. Tipovye patologicheskie protsessy [Typical pathological processes]. Sankt-Peterburg. 1996. 278 p. (In Russ.)
14. Cahill G.F.J. Starvation in man. NEJM. 1970. Vol. 282. Pp. 668-675.
15. Cahill G.F.J. Fuel metabolism in starvation. Annu Rev Nutr. 2006. Vol. 26. Pp. 1–22.
16. Flatt J.P. On the maximal possible rate of ketogenesis. Diabetes. 1972. Vol. 21. Pp. 50-53.
17. Foster D.W., McGarry J.D. The metabolic derangements and treatment of diabetic ketoacidosis. NEJM. 1983. Vol. 309. Pp. 159–169.
18. Owen O.E., Morgan A.P., Kemp H.C. Brain metabolism during fasting. J. Clin. Invest. 1967. Vol. 46. Pp. 1589-1595.
19. Redies C., Hoffer L.J., Beil C. Generalized decrease in brain glucose metabolism during fasting in man studied by PET. Fin. J. Physiol. 1989. Vol. 256. Pp. E805-E810.
Review
For citations:
Khoroshinina L.P., Churilov L.P. METABOLIC AND PATHOPHYSIOLOGICAL DISORDERS IN HUMAN ORGANISM DURING PROLONGED STARVATION. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2018;(2):109-116. (In Russ.) https://doi.org/10.25016/2541-7487-2018-0-2-109-116