OBESITY: DIAGNOSIS AND TREATMENT IN GENERAL PRACTICE

Cover Page

Cite item

Full Text

Abstract

The lecture presents contemporary view of obesity as a chronic cardiovascular disease with a complex pathogenesis and unknown etiology, with severe economic and social consequences; on the role of eating behavior in the development of obesity and the need for psychological correction in the complex of therapeutic measures for this disease. Author describes the complex of diagnostic procedures for the examination of the patient with obesity. The rationale for an integrated approach to therapy including low-calorie diet, physical exercises and correction of eating behavior is presented.

About the authors

E V Frolova

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: Exampl@mail.ru
Russian Federation

References

  1. Потемкина Р.А., Глазунов И.С., Кузнецова О.Ю., и др. Изучение распространенности поведенческих факторов риска среди населения Москвы, Санкт-Петербурга и Твери методом телефонного опроса // Профилактика заболеваний и укрепление здоровья. — 2005. — T. 8. — № 3. — С. 3–15. [Potemkina RA, Glazunov IS, Kuznetsova OY, et al. Izuchenie rasprostranennosti povedencheskikh faktorov riska sredi naseleniya Moskvy, Sankt-Peterburga i Tveri metodom telefonnogo oprosa. Profilaktika zabolevaniy i ukreplenie zdorov’ya. 2005;8(3):3-15. (In Russ.)].
  2. Caballero B. A Nutrition Paradox - Underweight and Obesity in Developing Countries. NEJM. 2005;352(15):1514-1516. doi: 10.1056/NEJMp048310.
  3. Hu FB, Stampfer MJ, Manson JE, et al. Trends in the Incidence of Coronary Heart Disease and Changes in Diet and Lifestyle in Women. New Engl Jour of Med. 2000;343(8):530-537. doi: 10.1056/NEJM200008243430802.
  4. Powell BD, Redfield MM, Bybee KA, et al. Association of obesity with left ventricular remodeling and diastolic dysfunction in patients without coronary artery disease. Am J Cardiol. 2006;98:116-120. doi: 10.1016/j.amjcard.2006.01.063.
  5. Rich-Edwards JW, et al. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol. 1994;171:171-177. doi: 10.1016/0002-9378(94)90465-0.
  6. Rooney BL, Schauberger CW. Excess pregnancy weight gain and long-term obesity: one decade later. Int J Obes Relat Metab Disord. 2003;27(12):1516-1522.
  7. Salsberry P, Reagan P. Dynamics of Early Childhood Overweight. Pediatrics. 2005;116(6):1329-1338. doi: 10.1542/peds.2004-2583.
  8. Lijing LY. Midlife Body Mass Index and Hospitalization and Mortality in Older Age. JAMA. 2006;295: 190-198. doi: 10.1001/jama.295.2.190.
  9. Speakman JR, Goran MI. Tissue-Specificity and Ethnic Diversity in Obesity-Related Risk of Cancer May Be Explained by Variability in Insulin Response and Insulin Signaling Pathways. Obesity. 2010;18:1071-1078. doi: 10.1038/oby.2010.16.
  10. Murphy NF, et al. Long-term cardiovascular consequences of obesity: 20-year follow-up of more than 15000 middle-aged men and women (the Renfrew-Paisley study). European Heart Journal. 2006;27(1):96-106. doi: 10.1093/eurheartj/ehi506.
  11. Schmidhuber J, Shetty P. Nutrition transition, obesity and noncommunicable diseases: drivers, outlook and concerns. SCN news. 2005;29:13-19.
  12. Lobstein T. Obesity and children. SCN. 2005;29:53-58.
  13. Дедов И.И., Мельниченко Г.А., Романцова Т.Н. Патогенетические аспекты ожирения // Ожирение и метаболизм. — 2004. — № 1. — C. 5–9. [Dedov II, Mel’nichenko GA, Romantsova TN. Patogeneticheskie aspekty ozhireniya. Ozhirenie i metabolizm. 2004;(1):5-9. (In Russ.)].
  14. Kaati G, Bygren LO, Edvinsson ES. Cardiovascular and diabetes mortality determined by nutrition during parents’ and grandparents’ slow growth period. European Journal of Human Genetics. 2002;10:682-688. doi: 10.1038/sj.ejhg.5200859.
  15. O’Brien K, et al. Reasons for wanting to lose weight: different strokes for different folks. Eat Behav. 2007;8:132-135. doi: 10.1016/j.eatbeh.2006.01.004.
  16. Sabinsky MS, Toft U, Raben A, Holm L. Overweight men’s motivations and perceived barriers towards weight loss. Eur J Clin Nutr. 2007;61:526-531.
  17. Logue E, et al. Longitudinal Relationship between Elapsed Time in the Action Stages of Change and Weight Loss. Obesity Research. 2005;12:1499-1508. doi: 10.1038/oby.2004.187.
  18. Li Ch-L, Lin J-D, Lee Sh-J, Tseng R-F. Associations between the metabolic syndrome and its components, watching television and physical activity. Public Health. 2007;121:83-91. doi: 10.1016/j.puhe.2006.08.004.
  19. Orzano AJ, Scott JG. Diagnosis and treatment of obesity in adults: an applied evidence-based review. J Am Board Fam Pract. 2004;17(5):359-369. doi: 10.3122/jabfm.17.5.359.
  20. Практическое руководство для врачей общей (семейной) практики / под ред/ акад. РАМН И.Н. Денисова. — М.: Гэотар-Мед., 2001. — 719 с. [Prakticheskoe rukovodstvo dlya vrachey obshchey (semeynoy) praktiki. Ed by I.N. Denisova. Moscow: Geotar-Med.; 2001:719 p. (In Russ.)].
  21. Lesser L, et al. Nutrition Myths and Healthy Dietary Advice in Clinical Practice. Am Fam Physician. 2015;91(9):634-638
  22. Wasserman DH, Zinman B. Fuel homeostasis. In: Ruderman N, Devlin JT, eds. The Health Professional’s Guide to Diabetes and Exercise. Alexandria, Va: American Diabetes Association. 1995. P. 29-47.
  23. Okura T, Nakata Y, Tanaka K. Effects of exercise intensity on physical fitness and risk factors for coronary heart disease. Lancet. 2005;366(9497):1640-1649.
  24. Ожирение / Под ред. Н.А. Белякова, В. И. Мазурова. — СПб.: Изд. дом СПбМАПО, 2003. — 520 с. [Ozhirenie / Ed by N.A. Belyakova, V. I. Mazurova. Saint Petersburg: SPbMAPO; 2003: 520 p. (In Russ.)].
  25. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and metaanalysis. JAMA. 2004;292:1724-1737. doi: 10.1001/jama.292.14.1724.
  26. Meyer T, et al. Long-Term Caloric Restriction Ameliorates the Decline in Diastolic Function in Humans. J Am Coll Cardiol. 2006;47:398-402. doi: 10.1016/j.jacc.2005.08.069.
  27. Foster GD, Wadden TA, Makris AP, et al. Primary Care Physicians’ Attitudes about Obesity and Its Treatment. Obes Res. 2003;11(10):1168-1177. doi: 10.1038/oby.2003.161.
  28. Bäckhed F, et al. The gut microbiota as an environmental factor that regulates fat storage. Proc Natl Acad Sci USA. 2004;101(44):15718-15723. doi: 10.1073/pnas.0407076101.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2016 Frolova E.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).