Email this article CHARACTERISTICS OF LIPID, CARBOHYDRATE AND ADIPOKINE METABOLISM IN VARIOUS METABOLIC TYPES OF OBESITY IN MILITARY MEN
- Authors: Sokolov D.A1, Serdyukov D.Y.1
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Affiliations:
- S.M. Kirov Military Medical Academy of the Ministry of Defense
- Issue: Vol 39, No 1-1S (2020)
- Pages: 155-158
- Section: Articles
- URL: https://journals.rcsi.science/RMMArep/article/view/43399
- DOI: https://doi.org/10.17816/rmmar43399
- ID: 43399
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Abstract
Obesity is a multifactorial pathology. The medical community still has debatable questions about the multidirectional impact of obesity on the body. So there is still no reliable scientific data on metabolically healthy obesity, the obesity paradox. The aim of the study is to compare the prevalence and structure of metabolic disorders in men with "metabolically healthy" and "metabolically neutral" obesity. The analysis of 590 case histories of male patients aged 30 to 45 years who were treated in the hospital therapy clinic was carried out. At the first stage of the study, patient data were divided into 3 groups depending on the presence of abdominal obesity and metabolic syndrome criteria: the metabolically healthy obesity group-155 people with a body mass index >30 kg / m without insulin resistance, the metabolic syndrome group-134 men with a body mass index >30 kg / m2 and metabolic syndrome, the control group-301 men without abdominal obesity. At the second stage of the study, the same indicators were compared in groups of patients with metabolically neutral obesity (86 men) and metabolically healthy obesity (155 men). The study examined the prevalence of various metabolic types of abdominal obesity. In the study sample, metabolic syndrome occurred in 23% of cases, metabolically healthy obesity in 26% of cases, of which 55% included a group with metabolcally neutral obesity, and 51% of cases had normal body weight. Determining the level of leptin in alimentary obesity is a necessary diagnostic criterion that characterizes the likelihood of metabolic disorders. In practical medical practice, it is advisable to use the term and criteria for "metabolically neutral" type of obesity, which allow stratifying patients who need active prevention and treatment.
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##article.viewOnOriginalSite##About the authors
D. A Sokolov
S.M. Kirov Military Medical Academy of the Ministry of DefenseSt. Petersburg, Russia
D. Yu Serdyukov
S.M. Kirov Military Medical Academy of the Ministry of DefenseSt. Petersburg, Russia
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