Обзор литературы представляет результаты современных эпидемиологических исследований ожирения в России и за рубежом с уче- том гендерно-возрастных, этнических и социально-географических факторов. Показан рост распространенности ожирения среди различных категорий населения, включая детей и подростков. Проанализированы риски нарушения здоровья человека с возможной инвалидизацией и смертностью вследствие избыточной массы тела и ожирения. Среди многих факторов этиопатогенеза ожирения подчеркнута ведущая роль нарушения энергетического баланса вследствие несоответствия потребляемой с пищей и расходуемой энергии, что особенно актуально на фоне прогрессирующей гипокинезии во всех сферах жизни современного человека. Уделено внимание анализу экологических факторов, возрастающей урбанизации и социально-экономических условий жизни населения. Отмечена прин- ципиальная значимость мультидисциплинарного подхода в …
Journal of the Academy of Nutrition and Dietetics,
Год журнала:
2021,
Номер
121(8), С. 1551 - 1564.e3
Опубликована: Июнь 16, 2021
Portion
control
is
a
useful
component
of
weight
reduction
interventions
and
meal
replacement
(MR)
plans
represent
promising
strategy
for
portion
control.
Research
performed
with
pooled
data
on
the
effect
MR
according
to
various
characteristics
remains
scarce.Our
aim
was
assess
effects
MR-based
diets
compared
food-based
loss,
calorie-restriction
types
energy
intake
proportions
from
MR.Electronic
databases
(Cochrane
Central
Register
Controlled
Trials,
PubMed,
Embase,
Information
Sharing
Service)
were
searched
randomized
controlled
trials
loss
results
calorie-restricted
January
2000
May
2020.
Standardized
mean
differences
(Hedges'
g)
all
study
outcomes
calculated
using
random-effects
model.
Heterogeneity
quantified
by
Q
test
I2.
Publication
bias
assessed
funnel
plot
trim
fill
method.
Both
(MR
control)
separated
into
very-low-energy
low-energy
(LEDs).
A
meta-analysis
variance
conducted
dividing
patient-related
factors
treatment-related
subgroups.
In
multivariable
meta-regressions,
background
variables
selected
first,
after
which
main
independent
included.Twenty-two
studies
involving
24
1,982
patients
who
overweight
or
obese
included.
The
size
in
LED
small,
favoring
g
=
0.261;
95%
CI
0.156
0.365;
I2
21.9;
0.0
53.6).
Diets
including
≥60%
total
daily
had
medium
regard
among
groups
0.545;
0.260
0.830;
42.7;
80.8).The
superior
LED,
receiving
greatest
loss.
ЗДОРОВЬЕ НАСЕЛЕНИЯ И СРЕДА ОБИТАНИЯ - ЗНиСО / PUBLIC HEALTH AND LIFE ENVIRONMENT,
Год журнала:
2022,
Номер
unknown, С. 13 - 22
Опубликована: Фев. 1, 2022
Introduction:
Food
culture
is
one
of
the
basic
principles
a
healthy
lifestyle.
Malnutrition
has
numerous
adverse
health
effects,
overweight
and
obesity
being
most
prevalent
ones.
Yet,
many
people
find
it
quite
difficult
to
mind
their
diet
and,
in
fact,
care
little
about
choice
safe
foodstuffs
or
cooking
techniques.
In
this
respect,
fast
food
poses
certain
danger.
The
objective
our
study
was
analyze
evaluate
nutritional
practices
representatives
different
socio-demographic
groups
Russian
establish
reasons
for
lack
eating
habits.
Methods:
Within
framework
research,
an
all-Russian
sociological
survey
conducted
using
method
in-home
personal
interview.
from
April
8
19,
2021
30
regions
Russia.
sample
size
1,500
aged
18
years
older.
Results:
Rational
nutrition
not
yet
become
daily
practice
Russians.
pace
life
busyness
population
are
obstacle
meal
consumption
regularity.
Still,
respondents
report
main
criteria
choosing
product
include
its
price,
quality,
taste,
benefit.
At
same
time,
price
recently
stronger
determinant,
especially
low-income
retired
citizens.
Fast
restaurant
chains
help
save
time
money
spent
on
meals
increasingly
popular
among
Conclusion:
It
expedient
stimulate
interest
issues
terms
quantitative
qualitative
composition
encourage
habit
regular
meals.
This
relevant
young
people,
who
often
very
careless
health.
Moscow University Anthropology Bulletin (Vestnik Moskovskogo Universiteta Seria XXIII Antropologia),
Год журнала:
2024,
Номер
1/2024, С. 49 - 66
Опубликована: Апрель 12, 2024
Introduction.
The
purpose
of
the
work
is
to
determine
temporal
variability
morphological
characteristics
urban
Abkhazian
children
and
adolescents
in
context
changing
living
conditions.
Materials
methods.
For
first
time,
parameters
some
signs
Abkhaz
10-17
years
old
from
city
Sukhum
(Republic
Abkhazia)
2012
were
presented.
Intergenerational
analysis
somatic
development
indicators
was
carried
out
for
boys
girls
(the
total
number
examined
1,651
people).
Surveys
2005
conducted
under
a
single
protocol
included
set
measuring
descriptive
features.
Results.
During
considered
time
period
17
years,
stability
longitudinal
proportions
skeleton
noted.
girls,
trend
has
been
established
towards
flattening
shape
chest,
narrowing
shoulder
diameter.
Similar
changes
transverse
skeletal
are
trending.
observed
discrepancies
two
samples
during
ecosensitive
growth
periods.
Stunts
caused
by
effects
difficult
conditions
early
examination
compensated
end
period.
Two
achieve
similar
definition
at
different
rates.
younger
sample
offset
continued
rates
until
Over
considered,
labile
components
catfish
have
changed
greater
extent,
determining
girth
body.
children,
temporary
an
increase
abdominal
fat
deposition
decrease
subcutaneous
on
limbs
determined.
Conclusion.
sex
specificity
characteristic
systems
observed.
Changes
dimensions
determined
change
topography
according
"truncal"
type,
which
probably
result
adaptation
new
conditions,
traditional
lifestyle
population.
review,
minor
system
noted
adolescents.
Significant
affected
fatty
component
soma:
there
truncal
type.
teenagers,
gender
secular
dynamics
various
established.
study
results
demonstrate
important
role
environmental
factors
status
genetically
stable
Pharmacy & Pharmacology,
Год журнала:
2022,
Номер
10(1), С. 19 - 30
Опубликована: Март 6, 2022
Obesity
is
a
vivid
example
of
multifactorial
disease.
In
its
development,
not
only
the
discrepancy
between
energy
intake
and
expenditure
but
also
various
neurohumoral
mechanisms,
as
well
external
socio-economic
psychosocial
factors,
play
important
roles.
One
frequent
options
for
combining
psychoemotional
disorders
with
obesity
development
certain
types
eating
in
patient.
this
regard,
actual
problem
to
find
optimal
therapeutic
prophylactic
strategy
management
such
patients.
The
aim
work
analyze
literature
data
on
features
pathogenetic
mechanisms
against
background
that
are
realized
through
disorders,
identify
possibilities
using
sibutramine
carry
out
pharmacological
correction
these
pathological
conditions.
Materials
methods.
process
selecting
materials
writing
review
article,
following
databases
were
uses:
PubMed,
Scopus,
Web
Science,
Google
Scholar,
ScienceDirect,
etc.
search
carried
out,
was
based
publications
period
from
2009
2020.
words
phrases
chosen
parameters
selection:
obesity,
psycho-emotional
sibutramine.
Results.
This
summarizes
main
aspects
unite
both
metabolic
disorders.
A
modern
classification
taking
into
account
latest
domestic
international
recommendations
professional
communities,
given.
Eating
considered
detail,
their
socio-psychological
psychiatric
classifications
prospect
choosing
managing
patients
assessed,
depending
presence
Conclusion.
Thus,
combined
drug
containing
metformin
registered
Russian
Federation
effective,
safe
can
be
used
alimentary
contraindications.
Pharmaceuticals,
Год журнала:
2023,
Номер
16(3), С. 346 - 346
Опубликована: Фев. 24, 2023
Activation
of
peroxisome
proliferator-activated
receptors
(PPARs)
not
only
regulates
multiple
metabolic
pathways,
but
mediates
various
biological
effects
related
to
inflammation
and
oxidative
stress.
We
investigated
the
four
new
PPAR
ligands
containing
a
fibrate
scaffold—the
agonists
(1a
(αEC50
1.0
μM)
1b
(γEC50
0.012
μM))
antagonists
(2a
(αIC50
6.5
2b
0.98
μM,
with
weak
antagonist
activity
on
γ
isoform))—on
proinflammatory
stress
biomarkers.
The
1a-b
2a-b
(0.1–10
were
tested
isolated
liver
specimens
treated
lipopolysaccharide
(LPS),
levels
lactate
dehydrogenase
(LDH),
prostaglandin
(PG)
E2,
8-iso-PGF2α
measured.
these
compounds
gene
expression
adipose
tissue
markers
browning,
PPARα,
PPARγ,
in
white
adipocytes,
evaluated
as
well.
found
significant
reduction
LPS-induced
LDH,
PGE2,
after
1a
treatment.
On
other
hand,
decreased
LDH
activity.
Compared
control,
stimulated
uncoupling
protein
1
(UCP1),
PR-(PRD1-BF1-RIZ1
homologous)
domain
16
(PRDM16),
deiodinase
type
II
(DIO2),
PPARα
PPARγ
expression,
3T3-L1
cells.
Similarly,
increased
UCP1,
DIO2,
expression.
caused
PRDM16,
DIO2
when
at
10
μM.
In
addition,
significantly
A
was
also
novel
agonist
might
be
promising
lead
compound
represents
valuable
pharmacological
tool
for
further
assessment.
could
play
minor
role
regulation
inflammatory
pathways.
Педиатрическая фармакология,
Год журнала:
2019,
Номер
16(4), С. 211 - 215
Опубликована: Дек. 25, 2019
Background
.
Children’s
body
weight
is
the
predictor
of
pathologic
elevation
arterial
blood
pressure
(ABP)
in
adult
life.
The
aim
study
to
divide
data
on
and
ABP
adolescents
find
correlations
between
them.
Methods.
randomised
11
15
years
old
pupils
from
general
education
institutions
was
carried
out.
16
months
research
executed
9
different
regions
country
(one
region
every
federal
district
5
schools
(with
juniors
seniors)
each
were
randomly
selected).
In
addition
measurement
(three
times
by
Korotkov’s
method)
(using
bathroom
scales)
all
children
examined
group
pediatric
specialists
(pediatrician,
gastroenterologist,
allergologist,
otolaryngologist,
ophthalmologist,
neurologist,
psychologist,
cognitive
specialist,
orthopedic
traumatologists,
nephrologist,
ultrasound
laboratory
diagnostic
specialist).
Results.
included
1911
teenagers.
correlation
(p<0,010
for
groups)
systolic/diastolic
revealed
boys
at
age
(r=0,394/0,206)
(r=0,231/0,185)
girls
same
(r=0,330/0,227
r=0.228/0.148
respectively).
Conclusion
significant
levels
systolic
diastolic
has
been
revealed.
Hygiene and Sanitation,
Год журнала:
2022,
Номер
101(8), С. 969 - 975
Опубликована: Сен. 14, 2022
Introduction.
In
recent
years,
the
mining
dump
truck
drivers
have
consistently
reported
high
rates
of
occupational
morbidity.
The
aim
study
was
a
retrospective
pathology
development
in
at
apatite
open
pits
Kola
Peninsula.
Material
and
methods.
A
analysis
carried
out
six
hundred
forty
three
drivers.
Its
starting
point
results
medical
examination
2008,
2009-2020,
newly
detected
diseases
were
studied.
Results.
During
12
172
including
vibration
disease
(n=63),
radiculopathy
(n=54),
reflex
syndromes
(n=36),
sensorineural
hearing
loss
(n=19)
diagnosed
for
first
time
105
(16.3%)
85
(49.4%)
cases
due
to
increased
severity
work
(class
3.1-3.2).
66
(38.4%)
cases,
cause
whole-body
3.1-3.2),
19
(11.0%)
-
noise
2
(1.2%)
hand-arm
3.1).
risk
developing
musculoskeletal
by
vertebral
osteochondrosis
(RR=1.78;
CI
1.21-2.60;
p=0.004),
deforming
osteoarthritis
(RR=2.35;
1.41-3,
91;
p=0.001),
arthralgia
(RR
=
3.12;
1.66-5.86;
p<0.0001),
cervicalgia
(RR=3.29;
1.48-7.32
;
p
0.002).
Occupational
exposure
(Z57.0)
(RR=2.61;
1.31-5.19;
p=0.005).
Limitations.
impossibility
completely
eliminating
diagnosis
an
who
left
observation
group
permanent
residence
other
regions
country.
Conclusion.
health
is
determined
length
service,
work,
impact
noise,
concomitant
ear
diseases,
which
must
be
taken
into
account
prevention
diseases.
Problems of Social Hygiene Public Health and History of Medicine,
Год журнала:
2022,
Номер
30(s1), С. 1109 - 1115
Опубликована: Ноя. 17, 2022
Currently,
obesity
is
considered
one
of
the
most
significant
health
problems,
representing
a
common
chronic
disease
leading
to
development
severe
comorbidities,
accompanied
by
loss
disability-adjusted
life
years
and
high
mortality.
Due
fact
that
risk
factors
for
number
non-communicable
diseases,
such
as
diseases
circulatory
system,
endocrine
system
malignant
neoplasms.assessment
adult
mortality
dynamics
from
obesity-associated
causes
in
Moscow
compared
Russian
Federation
2011-2020.data
analytic
package
FAISS
(internal
use
program):
standardized
rates
population
whole.Over
10-year
period
under
study,
class
neoplasms
was
decreasing,
while
increasing.
Adult
reduced
12%,
-
25%.
It
should
be
noted,
rate
(302.5
per
100,000)
significantly
(by
34%)
lower
than
Russia
(460.3),
at
same
time,
reduction
over
equal
amounts
23-25%.
Myocardial
infarction
serious
characterized
it
has
declining
trend
whole.
increased
3
times,
almost
5
annual
increase
during
first
year
pandemic
88%
24%
Russia.
In
Moscow,
more
half
(66%)
deaths
belongs
non-insulin-dependent
diabetes
mellitus,
about
80%.
Compared
Russia's
average,
are
8%,
but
decline
happens
similar
(11-12%).Despite
impact
COVID-19
pandemic,
demonstrates
slowdown
growth
Federation,
which
could
have
been
positively
affected
prevention
programs
noncommunicable
promotion
healthy
lifestyles.Введение.
Ожирение
считается
одной
из
наиболее
значимых
проблем
здравоохранения,
представляет
собой
распространённое
хроническое
заболевание,
приводящее
к
развитию
тяжёлых
сопутствующих
патологий,
сопровождающихся
утратой
лет
жизни
с
поправкой
на
инвалидность,
и
высокой
смертности.
также
является
одним
ведущих
факторов
риска
возникновения
ряда
неинфекционных
заболеваний:
болезней
системы
кровообращения
(БСК),
эндокринной
злокачественных
новообразований.Цель
исследования
оценка
динамики
смертности
взрослого
населения
от
причин,
ассоциированных
ожирением,
в
Москве
сравнении
Российской
Федерацией
за
2011-2020
гг.Материалы
методы.
Использовались
данные
пакета
анализа
программы
внутреннего
использования
«Фактографическая
автоматизированная
информационно-поисковая
система»
по
стандартизированным
показателям
г.
Москвы
Федерации.Результаты.
За
исследуемый
10-летний
период
отмечается
снижение
классу
БСК
онкологических
заболеваний,
то
же
время
рост
болезням
системы.
Смертность
сократилась
России
Стоит
отметить,
что
уровень
(302,5
100
тыс.
населения)
значительно
(на
ниже,
чем
(460,3),
при
этом
темпы
снижения
равные
составляют
Наиболее
серьёзным
ассоциированным
ожирением
заболеванием,
характеризующимся
летальностью
БСК,
инфаркт
миокарда,
имеющий
динамику
целом.
выросла
раза,
а
почти
раз,
годовой
прирост
первого
года
пандемии
составил
88%,
24%.
В
сахарному
диабету
2-го
типа
структуре
причин
смерти
принадлежит
более
половины
(66%),
со
среднероссийскими
показателями
уровни
классе
новообразований
ниже
но
происходит
сходными
темпами
(11-12%).Заключение.
Несмотря
влияние
COVID-19,
темпа
прироста
показателей
заболеваний
Федерации,
которые
могли
оказать
позитивное
воздействие
профилактике
формированию
здорового
образа
жизни.