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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">medlit</journal-id><journal-title-group><journal-title xml:lang="ru">Гигиена и санитария</journal-title><trans-title-group xml:lang="en"><trans-title>Hygiene and Sanitation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0016-9900</issn><issn pub-type="epub">2412-0650</issn><publisher><publisher-name>Federal Scientific Center of Hygiene named after F.F. Erisman</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47470/0016-9900-2021-100-6-584-593</article-id><article-id custom-type="elpub" pub-id-type="custom">medlit-1522</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>ГИГИЕНА ОКРУЖАЮЩЕЙ СРЕДЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ENVIRONMENTAL HYGIENE</subject></subj-group></article-categories><title-group><article-title>Роль воды организма в этиологии хронических неинфекционных заболеваний (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>The role of body water in the etiology of chronic non-communicable diseases (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8750-0686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стехин</surname><given-names>Анатолий Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Stekhin</surname><given-names>Anatoly A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Канд. техн. наук, вед. науч. сотр. отд. гигиены окружающей среды ФГБУ «ЦСП» ФМБА России, 119121, Москва.</p><p>e-mail: AStekhin@cspmz.ru</p></bio><bio xml:lang="en"><p>MD, Ph.D., leading researcher, Environmental Health Department of the Centre for Strategic Planning and Management of Biomedical Health Risks of the FMBA of Russia (Centre for Strategic Planning, Moscow, 119121, Russian Federation.</p><p>e-mail: AStekhin@cspmz.ru</p></bio><email xlink:type="simple">astekhin@cspmz.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/0000-0003-2067-8014</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рахманин</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rakhmanin</surname><given-names>Yury A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-8766-2773</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яковлева</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakovleva</surname><given-names>Galina V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-3153-8706</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иксанова</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Iksanova</surname><given-names>Tatyana I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Центр стратегического планирования и управления медико-биологическими рисками здоровью» Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>14</day><month>07</month><year>2021</year></pub-date><volume>100</volume><issue>6</issue><fpage>584</fpage><lpage>593</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Стехин А.А., Рахманин Ю.А., Яковлева Г.В., Иксанова Т.И., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Стехин А.А., Рахманин Ю.А., Яковлева Г.В., Иксанова Т.И.</copyright-holder><copyright-holder xml:lang="en">Stekhin A.A., Rakhmanin Y.A., Yakovleva G.V., Iksanova T.I.</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.rjhas.ru/jour/article/view/1522">https://www.rjhas.ru/jour/article/view/1522</self-uri><abstract><p>Неинфекционные заболевания стали ведущей причиной смертности во всём мире, происхождение которых остаётся не до конца выясненным. В то же время в методологии гигиенической диагностики, так же как и социально-гигиенического мониторинга, значительную сложность представляет поиск адекватных показателей, свидетельствующих о влиянии факторов среды обитания на здоровье человека. При этом признаётся, что 85–90% ошибок в управлении здоровьем человека обусловлены необоснованностью выбора этих показателей. Очевидно, что продолжающийся рост неинфекционной заболеваемости населения России свидетельствует о неэффективности существующей системы социально-гигиенического (эпидемиологического) мониторинга и в целом состояния гигиены как науки о здоровье человека. Для получения достоверных данных мониторинга необходимо введение системного гомеостатического показателя, отражающего изменения состояния здоровья человека независимо от природы и происхождения внешних факторов, включая витальные и социальные. Одним из таких показателей может явиться состояние фазы ассоциированной воды (связанные состояния воды) организма.</p><p>Цель обзора – анализ системного гомеостатического действия фазы ассоциированной воды организма и механизмов её обменного электронного взаимодействия с окружающей средой, отражающий первопричины метаболических нарушений в клеточных структурах и последующее возникновение хронических неинфекционных заболеваний человека.</p><p>Исходя из квантовых представлений, организм рассматривается в качестве макроскопической системы делокализованных электронов, каждый орган и каждая клетка которого находятся в электронном взаимодействии не только друг с другом, но и с подобными по свойствам структурами в окружающей среде. Отсюда здоровье и заболевания имеют существенную зависимость от электрофизического состояния окружающей среды. Системным показателем, отражающим эффективность обменных электронных процессов и состояние здоровья человека, является содержание фазы ассоциированной воды в организме и связанная с ним интенсивность электронной эмиссии.</p><p>При патологических состояниях органов (заболевании) происходит срыв адаптации, который с физических позиций рассматривается как «разрыв» квантовой корреляции с внешними источниками электронов. В ходе данного процесса происходит резкое снижение содержания фазы ассоциированной воды, сопровождаемое выделением свободных радикалов, избыточного тепла с сопутствующими метаболическими сдвигами.</p><p>Электрон-дефицитные состояния внешней среды требуют скорейшего введения мер противодействия опасным тенденциям в состоянии здоровья нации и ревизии методологических аспектов социально-гигиенического мониторинга, существенную значимость в котором приобретает «водный фактор» (структурно-энергетическое состояние фазы ассоциированной воды), посредством которого реализуется один из основных путей компенсации электрон-дефицитных состояний организма.</p></abstract><trans-abstract xml:lang="en"><p>Non-communicable diseases have become the leading cause of death worldwide, the origin of which remains unclear. At the same time, in the methodology of hygienic diagnostics and socio-hygienic monitoring, the search for good indicators testifying to the influence of environmental factors on human health is of considerable difficulty. 85-90% of management errors are recognized due to the unreasonable choice of these indicators. The continued growth of non-infectious morbidity in the Russian population indicates the inefficiency of the existing system of socio-hygienic (epidemiological) monitoring and, in general, the state of hygiene as human health science. To obtain reliable monitoring data, it is necessary to introduce a systematic homeostatic indicator that reflects changes in human health, regardless of the nature and origin of external factors, including vital and social factors.</p><p>In this regard, the goals of this review were to analyze the systemic homeostatic action of the body’s associated water phase and the mechanisms of its electronic exchange interaction with the environment in a relationship that reflects the root causes of metabolic disorders in cellular structures and the subsequent occurrence of chronic non-infectious human diseases.</p><p>According to quantum notions, an organism is a macroscopic quantum system, each organ and each cell of which is in electronic interaction with each other and with similar structures in the environment. It is precise because of non local connections that health and diseases are significantly dependent on the electrophysical state of the environment. A systemic indicator that reflects the effectiveness of electronic metabolic processes and human health is the proportion of the associated water phase in the body and the associated intensity of electromagnetic emission in the low-frequency and high-frequency spectral regions.</p><p>In pathological conditions of organs (disease), adaptation is disrupted, which from a physical perspective is regarded as a “gap” in quantum correlation with external sources of electrons. During this process, a sharp decrease in the proportion of the associated water phase occurs, accompanied by the release of excess heat and metabolic shifts.</p><p>Electron-deficient environmental conditions require the early introduction of measures to counteract dangerous trends in the nation health and the social and hygienic monitoring methodological aspects revision, which can have a significant impact on the “water factor,” through which realized one of the main ways of electron-deficient states the body compensation is implemented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>неинфекционные заболевания</kwd><kwd>социально-гигиенический мониторинг</kwd><kwd>фаза ассоциированной воды</kwd><kwd>обменные электронные взаимодействия</kwd><kwd>гормезис</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Non-communicable diseases</kwd><kwd>socio-hygienic monitoring</kwd><kwd>associated water phase</kwd><kwd>electronic exchange interactions</kwd><kwd>hormesis</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">Харькова А., Синеглазова А. 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