Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review

INTRODUCTION. Drinking of natural medicinal mineral waters is the basis of spa treatment for patients with digestive diseases and metabolic disorders. AIM. To search for and analyze the results of scientific studies devoted to studying the mechanisms of action of drinking mineral waters of the Es...

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Main Authors: Tatiana V. Konchugova, Tatiana V. Apkhanova, Tatyana V. Marfina, Detelina B. Kulchitskaya, Larisa A. Marchenkova, Valeriia A. Vasileva, Maxim Yu. Yakovlev, Olga M. Musaeva
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Language:English
Published: Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology 2025-01-01
Series:Вестник восстановительной медицины
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Online Access:https://journals.eco-vector.com/2078-1962/article/viewFile/653414/194037
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author Tatiana V. Konchugova
Tatiana V. Apkhanova
Tatyana V. Marfina
Detelina B. Kulchitskaya
Larisa A. Marchenkova
Valeriia A. Vasileva
Maxim Yu. Yakovlev
Olga M. Musaeva
author_facet Tatiana V. Konchugova
Tatiana V. Apkhanova
Tatyana V. Marfina
Detelina B. Kulchitskaya
Larisa A. Marchenkova
Valeriia A. Vasileva
Maxim Yu. Yakovlev
Olga M. Musaeva
author_sort Tatiana V. Konchugova
collection DOAJ
description INTRODUCTION. Drinking of natural medicinal mineral waters is the basis of spa treatment for patients with digestive diseases and metabolic disorders. AIM. To search for and analyze the results of scientific studies devoted to studying the mechanisms of action of drinking mineral waters of the Essentuki group, as well as the effectiveness of using “Essentuki-4”, “Essentuki-17”, “Narzan” mineral waters in various gastroenterological diseases, metabolic diseases and urinary system. MATERIALS AND METHODS. A search was conducted in the scientific databases of the eLIBRАRY.RU, Scopus, PubMed for scientific publications, including literature reviews, results of RCTs, comparative studies, as well as published patents, methodological manuals, guidelines for doctors, monographs devoted to the effectiveness of the use of the Essentuki group of mineral waters and Narzan mineral waters in various gastroenterological diseases, diseases of the urinary system and metabolism for the period from 1972 to September 2024. A total of 103 publications were selected, including 81 articles in domestic peer-reviewed scientific journals, 4 national guidelines, 6 patents of the Russian Federation, 6 manuals for doctors, 6 monographs by leading domestic balneologists. RESULTS AND DISCUSSION. Scientific analysis of experimental and clinical studies conducted by scientists from the Pyatigorsk Research Institute of Balneology showed that the multifaceted therapeutic effect of drinking mineral waters of the Essentuki type is realized not only due to the unique physical and chemical composition, but also due to the increase in the level of functional reserves of the body. Thus, under the influence of a single and course intake of mineral waters, an increase in the secretion of most digestive hormones (gastrin, glucagon, insulin, cholecystokinin, vasoactive intestinal polypeptide, etc.) was revealed, activating trophic processes in the digestive organs. The established mechanism of action of drinking mineral waters is also associated with their influence on endocrine cells of the intestinal hormonal system, with the adaptive restructuring of the activity of hormonal systems of higher levels of biological integration, where the activation of the early phase of insulin and serotonin secretion is decisive. Also, scientists from the Pyatigorsk Research Institute of Balneology formulated a theory considering the intake of drinking mineral waters as a short-stress stimulating factor that activates adaptive sanogenetic gastrointestinal hormonal mechanisms that are realized through increasing the tension of the antioxidant and insulin-regulating systems. CONCLUSION. The analysis of the conducted randomized scientific studies revealed that drinking mineral waters of the Essentuki type and Narzan in complex spa treatment allows modifying physiological, metabolic processes, has a preventive effect, improves the results of treatment of the main gastroenterological diseases and metabolic diseases, improves the quality of life of patients and prevents the progression of diseases, affecting the correction of the main risk factors (obesity, hyperlipidemia, hyperglycemia, physical inactivity).
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spelling doaj-art-1d819e77a4e3443591933ad4baa65ac22025-08-20T02:09:14ZengMinistry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and BalneologyВестник восстановительной медицины2078-19622713-26252025-01-01242567010.38025/2078-1962-2025-24-2-56-701471Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a ReviewTatiana V. Konchugova0https://orcid.org/0000-0003-0991-8988Tatiana V. Apkhanova1https://orcid.org/0000-0003-3852-2050Tatyana V. Marfina2https://orcid.org/0000-0002-2553-1946Detelina B. Kulchitskaya3https://orcid.org/0000-0002-7785-9767Larisa A. Marchenkova4https://orcid.org/0000-0003-1886-124XValeriia A. Vasileva5https://orcid.org/0000-0002-6526-4512Maxim Yu. Yakovlev6https://orcid.org/0000-0002-5260-8304Olga M. Musaeva7https://orcid.org/0000-0001-9146-0966National Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyNational Medical Research Center for Rehabilitation and BalneologyINTRODUCTION. Drinking of natural medicinal mineral waters is the basis of spa treatment for patients with digestive diseases and metabolic disorders. AIM. To search for and analyze the results of scientific studies devoted to studying the mechanisms of action of drinking mineral waters of the Essentuki group, as well as the effectiveness of using “Essentuki-4”, “Essentuki-17”, “Narzan” mineral waters in various gastroenterological diseases, metabolic diseases and urinary system. MATERIALS AND METHODS. A search was conducted in the scientific databases of the eLIBRАRY.RU, Scopus, PubMed for scientific publications, including literature reviews, results of RCTs, comparative studies, as well as published patents, methodological manuals, guidelines for doctors, monographs devoted to the effectiveness of the use of the Essentuki group of mineral waters and Narzan mineral waters in various gastroenterological diseases, diseases of the urinary system and metabolism for the period from 1972 to September 2024. A total of 103 publications were selected, including 81 articles in domestic peer-reviewed scientific journals, 4 national guidelines, 6 patents of the Russian Federation, 6 manuals for doctors, 6 monographs by leading domestic balneologists. RESULTS AND DISCUSSION. Scientific analysis of experimental and clinical studies conducted by scientists from the Pyatigorsk Research Institute of Balneology showed that the multifaceted therapeutic effect of drinking mineral waters of the Essentuki type is realized not only due to the unique physical and chemical composition, but also due to the increase in the level of functional reserves of the body. Thus, under the influence of a single and course intake of mineral waters, an increase in the secretion of most digestive hormones (gastrin, glucagon, insulin, cholecystokinin, vasoactive intestinal polypeptide, etc.) was revealed, activating trophic processes in the digestive organs. The established mechanism of action of drinking mineral waters is also associated with their influence on endocrine cells of the intestinal hormonal system, with the adaptive restructuring of the activity of hormonal systems of higher levels of biological integration, where the activation of the early phase of insulin and serotonin secretion is decisive. Also, scientists from the Pyatigorsk Research Institute of Balneology formulated a theory considering the intake of drinking mineral waters as a short-stress stimulating factor that activates adaptive sanogenetic gastrointestinal hormonal mechanisms that are realized through increasing the tension of the antioxidant and insulin-regulating systems. CONCLUSION. The analysis of the conducted randomized scientific studies revealed that drinking mineral waters of the Essentuki type and Narzan in complex spa treatment allows modifying physiological, metabolic processes, has a preventive effect, improves the results of treatment of the main gastroenterological diseases and metabolic diseases, improves the quality of life of patients and prevents the progression of diseases, affecting the correction of the main risk factors (obesity, hyperlipidemia, hyperglycemia, physical inactivity).https://journals.eco-vector.com/2078-1962/article/viewFile/653414/194037mineral wateressentuki-4essentuki-17narzangastroenterological diseasesmetabolic disordersmetabolic syndrome
spellingShingle Tatiana V. Konchugova
Tatiana V. Apkhanova
Tatyana V. Marfina
Detelina B. Kulchitskaya
Larisa A. Marchenkova
Valeriia A. Vasileva
Maxim Yu. Yakovlev
Olga M. Musaeva
Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
Вестник восстановительной медицины
mineral water
essentuki-4
essentuki-17
narzan
gastroenterological diseases
metabolic disorders
metabolic syndrome
title Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
title_full Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
title_fullStr Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
title_full_unstemmed Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
title_short Efficiency of Therapeutic Use and Mechanisms of Therapeutic Effect of "Essentuki" and "Narzan" Mineral Waters in Various Diseases: a Review
title_sort efficiency of therapeutic use and mechanisms of therapeutic effect of essentuki and narzan mineral waters in various diseases a review
topic mineral water
essentuki-4
essentuki-17
narzan
gastroenterological diseases
metabolic disorders
metabolic syndrome
url https://journals.eco-vector.com/2078-1962/article/viewFile/653414/194037
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