Epidemiology of obesity in women: from multifactorial analysis to personalized prevention strategies

Health care of Tajikistan, Год журнала: 2025, Номер 4, С. 120 - 129

Опубликована: Фев. 7, 2025

This article focuses on obesity in women, which is a global medical problem. Obesity the result of complex interaction epidemiological, socio-economic, geographical, hormonal, genetic, metabolic, psycho-emotional-behavioural and environmental factors. Numerous etiopathogenetic factors are involved pathogenesis adiposopathies, such as polygenic inheritance, physical inactivity, dysmetabolic nutritional behaviour, nicotine addiction various forms dysregulation. Recently, correlation between dysbiotic changes oral intestinal microbiota has been actively studied, highlighting multicomponent systemic nature this pathology. Despite introduction therapeutic preventive programmes aimed at reducing prevalence adiposopathy, there steady trend towards an increase number obese people Republic Tajikistan.

Язык: Английский

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Difficult intubation risk assessment in bariatric surgery

Russian Journal of Anesthesiology and Reanimatology, Год журнала: 2025, Номер 1, С. 62 - 62

Опубликована: Фев. 14, 2025

Objective. To develop the optimal method for assessing risks of difficult tracheal intubation in obese patients. Material and methods. A prospective study included 116 patients who underwent surgery 2022. predict risk intubation, authors used original scale high-risk (SHORT). Neck circumference was measured all using a standard centimeter tape. The mouth opening width, maximum range movements atlanto-occipital joint universal medical goniometer. In addition, were divided by gender. Depending on statistical significance parameters, indicators assigned points from 0.5 to 1.5. ROC-analysis performed. Results. AUC 0.906±0.045 with 95% CI 0.817—0.994. This model significant (p<0.001). Difficult predicted SHORT score ≥2. Sensitivity specificity 90.5% 80.0%, respectively. Conclusion. has demonstrated diagnostic value predicting airways bariatric surgery. According authors, this can improve quality patients, and, accordingly, safety anesthetic management.

Язык: Английский

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Risk factors and adverse outcomes of cardiovascular diseases in people with high normal blood pressure of the Ryazan region. (5-year prospective follow-up)

Russian Journal of Preventive Medicine, Год журнала: 2025, Номер 28(2), С. 31 - 31

Опубликована: Фев. 27, 2025

High-normal blood pressure (HNBP) can increase the risk of cardiovascular events (CVE). The study factors for diseases (CVD) and CVE among Ryazan oblast population with HNBP reveal epidemiological regional features influence on prognosis. Objective. To compare adverse outcomes in a 5-year prospective observation high-normal normal pressure. Materials Methods. In study, “Epidemiology Russian Federation — 2” (ESSE-RF-2 RO), oblast, group 334 participants was selected from random representative sample 1620 people aged 25 to 64 years, without CVD, diabetes mellitus, antihypertensive or lipid-lowering therapy. patients were divided into two groups: 145 (130—139/85—89 mm Hg) 189 (NBP) (120—129/80—84 Hg). They examined CVD accessed endpoints during observation. Results. more common than NBP group. differences statistically significant an unhealthy diet, low physical activity, stress, family history early body mass index, class I obesity, abdominal heart rate, C-reactive protein fibrinogen levels. No difference between groups found prevalence 5 years Conclusions. results obtained should be considered future research development preventive measures

Язык: Английский

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Vitamin D deficiency in overweight patients: current strategies and practical aspects

Problems of Endocrinology, Год журнала: 2025, Номер 71(1), С. 92 - 98

Опубликована: Янв. 27, 2025

On September 27, 2024, a discussion-based working meeting on the issue of vitamin D deficiency in patients with overweight and obesity was held Vladikavkaz.The aimed to evaluate relationship between deficiency, overweight, associated comorbidities, as well explore modern strategies practical approaches for managing such endocrinology practice. The resolution developed by its participants, comprising leading endocrinologists.

Язык: Английский

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Latent Inflammation and Defect in Adipocyte Renewal as a Mechanism of Obesity-Associated Insulin Resistance

Biochemistry (Moscow), Год журнала: 2019, Номер 84(11), С. 1329 - 1345

Опубликована: Ноя. 1, 2019

Язык: Английский

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Obesity in the Russian population during the COVID-19 pandemic and associated factors. Data from the ESSE-RF3 study

CARDIOVASCULAR THERAPY AND PREVENTION, Год журнала: 2023, Номер 22(8S), С. 3793 - 3793

Опубликована: Дек. 28, 2023

Aim. To study the problem of obesity at national level. Material and methods. The ESSE-RF3 examined a representative sample population 15 Russian regions aged 35-74 years with response >70% (n=28731). Modular design questionnaire was used. received approval from Independent Ethics Committee National Medical Research Center for Therapy Preventive Medicine. Signed informed consent obtained each participant. Body mass (BM) measured once an accuracy 100 g. height 0,5 cm in standing position without shoes. Waist circumference standard measuring tape cm. There were following BM categories: insufficient (BM index (BMI) <18,5), normal (18,5≲ BMI ≲24,9), overweight (25,0≲ ≲29,9), class I (30,0≲ ≲34,9), II (35,0≲ ≲39,9) III (BMI >40). Abdominal (AO) assessed using criteria: waist ≥102 ≥88 men women, respectively. changes studied inclusion materials ESSE-RF (2012-14) ESSE-RF2 (2017) studies, carried out same methodology age range 35-64 years. Statistical analysis open-source R 3.6.1 environment. Analysis associations between factors binary variable logistic regression method. significance level all tested hypotheses 0,05. Results. Mean values is 28,2±4,6 kg/m 2 among 28,9±5,9 women. prevalence 44,0 33,7%, — 30,0 39,5%, AO 30,9 55,1% In addition, 30,3% have combination AO; and/or 49,1%. Obesity statistics did not significantly change, but section rates are higher closest found hypertension (men: odds ratio (OR) (95% confidence interval) 2,88 (2,66-3,12), women: OR 3,03 (2,81-3,27) (p<0,001) hyperuricemia women (OR 4,21 (3,74-4,75) (p<0,001). Conclusion. A third obese, half has AO. This severity requires development adoption strategy to monitor

Язык: Английский

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Behavioral risk factors in the Russian population: results of a survey using a modified methodology STEPS

Russian Journal of Preventive Medicine, Год журнала: 2020, Номер 23(5), С. 56 - 56

Опубликована: Янв. 1, 2020

ЦЕЛЬ ИССЛЕДОВАНИЯ

Оценить распространенность поведенческих факторов риска (ФР) в России по адаптированной методологии STEPS среди мужчин и женщин старше 18 лет.

МАТЕРИАЛ И МЕТОДЫ

Обследованы представительные выборки 22 регионов 2018—2019 гг. с откликом 70%. Использована адаптированная методология STEPS, включающая единый вопросник, физический осмотр (рост, масса тела, окружность талии тела). Были изучены такие ФР хронических неинфекционных заболеваний (ХНИЗ), как недостаточная физическая активность (НФА), недостаточное потребление овощей фруктов, избыточное соли (ИзбПС), курение, алкоголя, избыточная тела (ИзбМТ) ожирение.

РЕЗУЛЬТАТЫ

Распространенность курения составила 34,7% 9,3% женщин, использование электронных сигарет — 1,1 0,5% соответственно. Среди потребляющих алкоголь 8,8% 7,2% выпивали его пагубных количествах, пересчете на всю популяцию 3,6% 2,2% женщин. НФА была выявлена у 25,3% 28,2% ИзбПС 32,3 25,8%, фруктов 76,9 72,8%, ИзбМТ 43,0 32,0%, ожирение 17,1

ЗАКЛЮЧЕНИЕ

Исследования, изучающие ФР, необходимы для оценки состояния здоровья, частоты ХНИЗ отдельно взятых регионах стране целом. Знание регионального профиля позволяет прицельно разрабатывать профилактические программы учетом выявленных особенностей давать оценку их эффективности, выделять целевые группы неблагоприятным профилем внедрения мер популяционной профилактики.

Язык: Русский

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The effects of guar gum supplementation on glycemic control, body mass and blood pressure in adults: A GRADE-assessed systematic review and meta-analysis of randomized clinical trials

Diabetes Research and Clinical Practice, Год журнала: 2023, Номер 199, С. 110604 - 110604

Опубликована: Март 22, 2023

Язык: Английский

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Clinical guidelines of the Russian Medical Society on arterial Hypertension (RSH) and the Eurasian association of Cardiologists (EaC) for the diagnosis and treatment of arterial hypertension (2024)

Systemic Hypertension, Год журнала: 2024, Номер 21(4), С. 5 - 110

Опубликована: Дек. 25, 2024

The сlinical guidelines present the main approaches to management of patients with arterial hypertension (aH) using principles evidence-based medicine. include sections containing expanded and updated information on aspects diagnosis, treatment, prevention methods follow-up hypertension, taking into account phenotypes disease various clinical situations, as well secondary forms origins.

Язык: Английский

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Obesity as a main component of metabolic syndrome and a risk factor for comorbidity

Experimental and Clinical Gastroenterology, Год журнала: 2024, Номер 2, С. 101 - 110

Опубликована: Март 26, 2024

Obesity is an important medical and social problem, it occupies one of the leading places among cardiovascular risk factors. a major component metabolic syndrome. It has close pathogenetic relationship with its other manifestations, as result which portrait comorbid patient formed. The article presents data on prevalence, criteria for diagnosing obesity, obesity components syndrome shown. role adipose tissue dysfunction in development progression insulin resistance, atherosclerosis, well non-alcoholic fatty liver disease arterial hypertension discussed. shown that comorbidity factor basis syndrome, mechanism formation components, preceding their occurrence. This allows us to conclude weight loss can reduce risks, manifestations some cases even eliminate them completely.

Язык: Английский

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