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Баланова Ю. А.,
Баланова Ю. А.
к.м.н., в.н.с. лаборатории экономического анализа эпидемиологических исследований и профилактических технологий отдела эпидемиологии хронических неинфекционных заболеваний
Шальнова С.А.,
Шальнова С.А.
д.м.н., профессор, руководитель отдела эпидемиологии хронических неинфекционных заболеваний
Деев А. Д.,
Деев А. Д.
к.ф.-м.н., руководитель лаборатории медицинской биостатистики
Имаева А.Э.,
Имаева А.Э.
к.м.н., с.н.с. отдела эпидемиологии хронических неинфекционных заболеваний
Концевая А. В.,
Концевая А. В.
д.м.н., Первый заместитель директора по научной и лечебной работе
Муромцева Г. А.,
Муромцева Г. А.
к.м.н., в.н.с. отдела эпидемиологии хронических неинфекционных заболеваний
Капустина А. В.,
Капустина А. В.
с.н.с. отдела эпидемиологии ХНИЗ
Евстифеева С. Е.,
Евстифеева С. Е.
к.м.н., с.н.с. отдела эпидемиологии хронических неинфекционных заболеваний
Цель. Изучитъ распространенность ожирения и ассоциации с факторами риска хронических неинфекционных заболеваний среди населения некоторых регионов России по данным исследования ЭССЕ-РФ.
Материал и методы. Обследованы представительные выборки населения 13 регионов России, всего 21768 участников, в т.ч. мужчин (п-8 304) и женщин (п=13464) 25-64 лет, в рамках исследования “Эпидемиология сердечно-сосудистых заболеваний (ЭССЕ-РФ)”, с откликом -80%. Стандартный вопросник состоящему из 12 модулей, разработанному на основе адаптированных международных методик. Для оценки распространенности ФР были использованы стандартные эпидемиологические методы. Масса тела оценивалась в категориях индекса МТ (индекса Кегле: ИМТ = Масса тела, кг/рост, мг). МТ в категориях ИМТ оценивается как: недостаточная (ИМТ <18,5), нормальная (18,5< ИМТ <24,9), избыточная (25,0< ИМТ <29,9), ожирение I степени (30,0 <ИМТ <34,9), ожирение II ст. (35,0< ИМТ <39,9) и ожирение III ст. (ИМТ >40,0). Абдоминальное …18,5),>
Obesity and metabolism,
Год журнала:
2021,
Номер
18(1), С. 5 - 99
Опубликована: Фев. 14, 2021
Clinical
guidelines
have
long
been
one
of
the
working
tools
modern
doctor,
helping
him
quickly
navigate
most
effective
proven
methods
treatment
and
prevention
various
diseases,
also
to
adapt
these
specific
tasks
their
patients
achieve
maximum
personalization
treatment.
practice
are
drawn
up
by
professional
non-profit
associations
approved
Scientific
Council
Ministry
Health
Russian
Federation,
while
often
recommendation
is
prepared
two
or
even
three
associations.
The
peculiarity
recommendations
offered
your
attention
that
not
only
endocrinologists,
but
therapists,
cardiologists,
gynecologists,
gastroenterologists,
experts
many
other
specialties
involved
in
obesity.
Multidisciplinary
Working
Group
presents
this
a
project
multidisciplinary
journal
bring
together
efforts
several
associated
with
need
pay
obesity
itself
comorbid
conditions.
We
looking
forward
constructive
criticism
comprehensive
discussion
problem
on
pages
our
journal.
Obesity and metabolism,
Год журнала:
2022,
Номер
19(1), С. 96 - 105
Опубликована: Март 30, 2022
This
review
analyzes
the
prevalence
of
obesity
among
adult
population
in
Russian
Federation.
The
data
various
studies,
including
large
international
projects
(WHO
MONICA
1985–1995,
HAPIEE
2003–2005),
all-Russian
screenings
(RLMS
-
HSE
1993,
Federal
monitoring
arterial
hypertension
2003,
ESSE-RF
2013
—
present.),
as
well
selected
regional
studies.
In
some
regions,
long-term
dynamics
has
been
studied.
history
studying
epidemiology
Russia
more
than
thirty
years.
According
to
obtained,
throughout
country
remains
high
and
continues
increase.
Thus,
men,
increased
from
10.8%
1993
27.9%
2017,
women
26.4%
31.8%,
respectively.
all
regions
where
it
was
possible
assess
trends,
adults
(maximum
48.5%
Belgorod
region).
population,
is
common
47.0%
Novosibirsk
region)
men
30.0%
Ivanovo
Voronezh
regions).
It
necessary
expand
number
which
studies
are
carried
out,
strengthen
measures
combat
overweight
age
groups
country.
Experimental and Clinical Gastroenterology,
Год журнала:
2025,
Номер
8, С. 65 - 75
Опубликована: Фев. 3, 2025
Currently,
there
is
a
global
trend
of
steadily
increasing
obesity
rates.
Obesity
component
metabolic
syndrome
and
risk
factor
for
the
development
number
diseases,
such
as
type
2
diabetes
mellitus
cardiovascular
pathologies.
also
leads
to
hypogonadism
in
men.
In
turn,
decrease
androgen
levels
changes
body
composition,
reducing
amount
muscle
tissue
content
adipose
tissue,
thus
closing
vicious
circle
hypogonadism.
young
men,
erectile
dysfunction,
which
can
result
infertility.
Pathogenetic
mechanisms
causing
obese
men
include
increased
aromatization
testosterone
estradiol
decreased
production
gonadotropin-releasing
hormone
by
hypothalamus
gonadotropins
adenohypophysis
due
leptin
resistance,
sex
steroid-binding
globulin
activation
secretion
proinflammatory
cytokines.
The
functional
nature
male
associated
with
suggests
potential
reversibility
this
condition
when
treating
cause
its
development.
Several
studies
have
shown
that
calorie
reduction,
drug
therapy
obesity,
bariatric
surgery
help
improve
And
use
replacement
has
positive
effect
not
only
on
sexual
function
but
tissue.
CARDIOVASCULAR THERAPY AND PREVENTION,
Год журнала:
2020,
Номер
19(3), С. 2602 - 2602
Опубликована: Июль 3, 2020
The
article
discusses
the
role
of
epidemiological
studies
in
development
preventive
programs
through
example
ESSE-RF
study.
most
interesting
and
sometimes
unexpected
research
results
are
discussed.
There
is
an
increase
prevalence
hypertension
obesity,
a
decrease
smoking,
extremely
high
cardiovascular
risk.
In
conclusion,
it
noted
that
do
provide
opportunity
to
assess
population
health
priorities
targeted
prevention,
which
effective.
Thus,
Galen’s
statement
confirmed:
“Qui
bene
diagnoscit
—
curat”.
The Clinician,
Год журнала:
2025,
Номер
18(4), С. 59 - 68
Опубликована: Янв. 28, 2025
Metabolic
syndrome
(MS)
is
a
complex
of
metabolic
disorders,
including
insulin
resistance,
abdominal
obesity,
diabetes
mellitus,
hyperuricemia
and
arterial
hypertension.
According
to
the
World
Health
Organization,
number
people
with
obesity
worldwide
steadily
increasing,
taking
on
characteristics
“pandemic”.
Against
this
backdrop,
diseases
pathogenetically
linked
MS,
such
as
osteoarthritis
(OA),
are
gaining
particular
significance.
Modern
biochemical
molecular-genetic
research
has
provided
new
data
etiology
pathogenesis
OA,
allowing
identification
phenotypes
condition.
One
phenotype
OA
associated
or
OA.
The
development
form
disease
influenced
by
numerous
factors,
hypersecretion
pro-inflammatory
adipokines,
transformation
synovial
macrophages,
direct
effects
free
fatty
acids,
biomechanical
overload
joints,
others.
Treatment
in
addition
standard
approaches
outlined
clinical
guidelines,
its
own
specific
features.
Particular
emphasis
placed
weight
reduction
through
lifestyle
modification,
strengthening
musculo-tendinous
complexes,
concomitant
therapy
for
disorders.
These
measures
have
demonstrated
significant
therapeutic
effects,
pain
reduction,
decreased
inflammation,
slowing
progression.
modern
comprehensive
remedies
phytonutritional
components
Revocca
capsules
(“BIOTECHNOS”,
Russia).
Their
composition
daily
dosage
includes
phytosterols
(calculated
β-sitosterol)
at
100
mg,
unsaponifiable
compounds
from
avocado
soybean
oils
(in
1:2
ratio)
300
rosehip
extract
resveratrol
70
zinc
(as
citrate)
12
mg.
Given
increasing
patients
hypolipidemic
anti-inflammatory
multi-component
drugs
becoming
increasingly
significant.
Meditsinskiy sovet = Medical Council,
Год журнала:
2025,
Номер
23, С. 237 - 243
Опубликована: Янв. 24, 2025
Introduction
.
Control
of
edema
in
obese
patients
with
postmastectomy
lymphedema
is
an
important
aspect
care
for
undergoing
curative
treatment
breast
cancer.
One
effective
and
highly
sensitive
method
monitoring
bioimpedance
measurement,
which
can
be
a
useful
tool
assessing
tissue
fluid
balance
such
patients.
Aim.
To
study
the
feasibility
using
analysis
as
to
assess
efficacy
anti-edema
effects
physiotherapeutic
methods
secondary
after
mastectomy.
Materials
In
this
review,
search
sources
describing
effectiveness
bioimpedanceometry
controlling
mastectomy
cancer
was
carried
out
several
English
text
databases:
PubMed,
Scopus,
Web
Science,
Springer
Link,
scientific
electronic
library
elibrary.ru.
Results.
After
mastectomy,
approximately
18%
radical
experience
due
impaired
lymphatic
drainage
upper
extremity
on
affected
side
result
lymph
node
removal.
The
development
limb
accompanied
by
significant
decrease
quality
life
requires
constant
medical
monitoring.
Bioimpedansometry
allows
you
estimate
volume
body
determine
presence
based
changes
electrical
resistance
tissues.
following
may
particularly
early
detection
subclinical
evaluation
effectiveness.
Conclusions
Thus,
use
measurements
practice
oncologists
rehabilitation
specialists
significantly
facilitate
control
obesity
This
provides
objective
data
state
stages,
facilitates
earlier
start
intensive
non-pharmacological
interventions
increase
postoperative
improve
Experimental and Clinical Gastroenterology,
Год журнала:
2025,
Номер
8, С. 131 - 142
Опубликована: Фев. 3, 2025
The
main
components
of
the
metabolic
syndrome
-
obesity,
insulin
resistance
and
carbohydrate
metabolism
disorders,
dyslipidemia,
arterial
hypertension
are
comorbid,
having
a
single
pathogenetic
mechanism
for
formation
conditions.
prevalence
oral
diseases
exceeds
combined
incidence
five
major
non-communicable
diseases.
article
presents
data
on
relationship
between
syndrome.
adipose
tissue
dysfunction,
chronic
inflammation,
oxidative
stress,
resistance,
atherogenesis,
role
pathogenic
microorganisms
in
mechanisms
pathogenesis
discussed.
most
common
clinical
manifestations
cavity
described.
Attention
is
paid
to
positive
mutual
influence
therapy
course
these
notes
that
health
screening
should
be
part
treatment
or
any
its
components.
Experimental and Clinical Gastroenterology,
Год журнала:
2025,
Номер
8, С. 44 - 51
Опубликована: Фев. 3, 2025
In
recent
decades,
obesity
has
been
a
pressing
medical
and
social
problem
for
all
countries,
including
the
Russian
Federation.
Obesity
is
an
independent
risk
factor
development
of
many
chronic
diseases,
reproductive
metabolic
disorders.
The
article
presents
data
on
prevalence
among
women.
effect
adipose
tissue
function
shown
-
ovarian
function,
endometrium,
as
well
activity
hypothalamic-pituitary-ovarian
system.
relationship
between
polycystic
ovary
syndrome,
infertility,
menopausal
syndrome
discussed.
mechanisms
impact
pathogenesis
disorders
in
women
are
considered.