ometendoОжирение и метаболизмObesity and metabolism2071-87132306-5524Endocrinology Research Centre10.14341/omet12745ometendo-12745Research ArticleНаучные обзорыReviewsОжирение и COVID-19 — признаки конвергенции двух пандемий. Рекомендации по борьбе с ожирением, основанные на принципах «ROOTS»Obesity and covid-19 — signs of convergence of two pandemiсs. Guidelines to fight obesity based on the principles of «ROOTS»https://orcid.org/0000-0002-6992-8646ФурсовА. Б.FursovA. B.

Фурсов Александр Борисович - доктор медицинских наук, профессор; Researcher ID: AAM-9615-2021; Scopus Author ID: 6603714989; eLibrary SPIN-код: 6393-8283.

010000, Нур-Султан, ул. Бакейхана, дом 25-Г, кв. 20

Alexandr B. Fursov - MD, PhD, Professor; Researcher ID: AAM-9615-2021; Scopus Author ID: 6603714989; eLibrary SPIN-код: 6393-8283

25-G, Bokeihana street, 010000, Nur-Sultan

abfcom@yandex.ruhttps://orcid.org/0000-0002-1840-114XОспановО. Б.OspanovO. B.

Оспанов Орал Базарбаевич - доктор медицинских наук, профессор; Researcher ID: J-8795-2012; Scopus Author ID:6505950417; eLibrary SPIN: 9940-6026

Нур-Султан

Oral B. Ospanov - MD, PhD, Professor; Researcher ID: J-8795-2012; Scopus Author ID:6505950417; eLibrary SPIN: 9940-6026

Nur-Sultan

bariatric.kz@gmail.comhttps://orcid.org/0000-0003-1617-5991ФурсовР. А.FursovR. A.

Фурсов Роман Александрович - доктор медицинских наук; Researcher ID: N-7939-2014; Scopus Author ID: 57190808131; eLibrary SPIN-код: 6331-5975.

Нур-Султан

Roman A. Fursov - MD, PhD; Researcher ID: N-7939-2014; Scopus Author ID: 57190808131; eLibrary SPIN-код: 6331-5975.

Nur-Sultan

fursrom@mail.ruМедицинский университет АстанаКазахстанAstana medical universityKazakhstan202119022022184456464Copyright © Фурсов А.Б., Оспанов О.Б., Фурсов Р.А., 20222022Фурсов А.Б., Оспанов О.Б., Фурсов Р.А.Fursov A.B., Ospanov O.B., Fursov R.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.omet-endojournals.ru/jour/article/view/12745

Самая актуальная проблема настоящего времени, бросившая вызов мировому здравоохранению, — это пандемия COVID-19. Не менее грозные последствия для здоровья населения несет и глобальная эпидемия ожирения. В статье отмечается важность изучения этих параллельно идущих пандемических процессов и их корреляционных связей. Проанализированы научные исследования, в которых доказано, что ожирение и диабет — это факторы повышенного риска госпитализации больных с коронавирусной инфекцией в стационар, а затем их перевода в отделение реанимации и на искусственную вентиляцию легких. В обзоре приведены научные наблюдения, в которых впервые отмечены случаи повышенной летальности в период предыдущих пандемий гриппа (в том числе H1N1) среди госпитализированных с лишним весом и диабетом. Итоги 2020 г. показали, что ситуация с коронавирусной инфекцией и ожирением имеет значительный и более угрожающий характер. В статье приводятся показатели корреляции летальности в зависимости от среднего статистического индекса массы в различных странах (по данным ВОЗ и Всемирной федерации ожирения). Приводятся сравнительные результаты в странах Центральной Азии. В работе проанализировано обращение Всемирной федерации ожирения ко всем странам мира с призывом соблюдать принципы «ROOTS». В выводах отмечена важность выполнения предложенных мер по борьбе с ожирением в период пандемии, а также в так называемый «постковидный» период.

The COVID-19 pandemic is a challenging problem of the present. Another essential problem causing serious health consequences is the global obesity epidemy. Our article notes the importance of studying the combinations and correlations of mentioned pandemic processes. We analyzed scientific reports of co-presence of obesity, diabetes and coronavirus infection. According to the analyzed data combination of COVID-19 with obesity and diabetes leads to the higher rate of the hospitalisation. These patients more often required the transfer to the intensive care unit and artificial lung ventilation. Our review contains scientific observations of the first reported cases of higher mortality rate of obese and diabetic patients during the period of previous influenza pandemics (including H1N1). The results of the 2020 year shows that the outcomes of coronavirus infection with underlying obesity much more threatening and harmfull. In our article, we present the correlation of the average body mass and mortality rate index in different countries (according to the WHO and the World Obesity Federation). Comparative results in the Central Asia countries are given as well. The paper analyzes the suggestions for obesity policy and advocacy provided by World Obesity Federation in “ROOTS: A framework for action”. The conclusions marks the importance of implementing the proposed measures against obesity during a pandemic and in the post-COVID era.

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The authors declare that there are no conflicts of interest present.