ometendoОжирение и метаболизмObesity and metabolism2071-87132306-5524Endocrinology Research Centre10.14341/omet13119ometendo-13119Research ArticleОБЗОРЫREVIEWSДиетические рекомендации для бариатрических пациентов с использованием специализированного питанияDietary recommendations for bariatric patientshttps://orcid.org/0000-0003-4925-0126НеймаркА. Е.NeimarkA. E.

Неймарк Александр Евгеньевич - к.м.н.

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Aleksandr E. Neimark - MD, PhD.

2 Akkuratov street, 197341 St. Petersburg

sas_spb@mail.ruhttps://orcid.org/0000-0001-6754-1942ЛапшинаС. Е.LapshinaS. E.

Лапшина Софья Евгеньевна.

Санкт-Петербург

Sofya E. Lapshina - MD.

St. Petersburg

s.e.lapshina@gmail.comhttps://orcid.org/0000-0002-3663-1934ШуляковскаяА. С.ShulyakovskayaA. S.

Шуляковская Анастасия Сергеевна.

Санкт-Петербург

Anastasiya S. Shulyakovskaya - MD.

St. Petersburg

ramniiks@gmail.comНациональный медицинский исследовательский центр имени В.А. АлмазоваРоссияAlmazov National Medical Research CentreRussian Federation202413102024213325330Copyright © Неймарк А.Е., Лапшина С.Е., Шуляковская А.С., 20242024Неймарк А.Е., Лапшина С.Е., Шуляковская А.С.Neimark A.E., Lapshina S.E., Shulyakovskaya A.S.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/13119

За последние несколько десятилетий ожирение стало значимой проблемой общественного здравоохранения во всем мире. Целью борьбы с ожирением является улучшение здоровья. Устойчивая потеря веса более чем на 10% от общей массы тела улучшает течение многих заболеваний, связанных с ожирением, а также качество жизни. Высокая эффективность бариатрической хирургии при лечении ожирения в отношении достижения значимого и устойчивого снижения веса была продемонстрирована в ряде исследований. В большинстве центров, в которых выполняются бариатрические операции, соблюдается рекомендация о предоперационном снижении веса. Увеличенная левая доля печени затрудняет доступ к желудку и, соответственно, мешает технически правильному выполнению операции. Снижение веса перед бариатрической операцией приводит к уменьшению риска развития осложнений в послеоперационном периоде, в связи с чем пациентам рекомендуется предоперационная подготовка в виде низкокалорийного питания и регулярных физических нагрузок с учетом сопутствующей патологии. Одной из проблем в послеоперационном периоде является необходимость изменения привычного образа жизни и питания в связи с необходимостью выполнения рекомендаций лечащего врача. Это может привести к снижению качества жизни после операции в связи с психоэмоциональным перенапряжением. Питание бариатрических пациентов подразумевает значительные изменения, связанные с уменьшением объема принимаемой пищи, затруднением усвоения нутриентов, бедностью вкусов, предлагаемых до этого дня на рынке специализированного питания. С помощью продуктов питания в рамках низкокалорийных диет становится практически невозможно накормить такого пациента, не снизив их питательную ценность. На российском рынке в 2024 г. появилось сбалансированное низкокалорийное питание OPTIFAST® (ОПТИФАСТ), зарекомендовавшее себя во всем мире на протяжении уже более чем 50 лет и показавшее эффективность и безопасность в более чем 80 международных клинических исследованиях с высоким уровнем доказательности. ОПТИФАСТ обеспечивает пациента необходимыми питательными веществами и позволяет управлять суточным калоражем, дает чувство сытости, необходимое для высокой приверженности низкокалорийной диете, которая показана пациентам с ожирением и лишним весом.

Over the past few decades, obesity has become a growing public health problem worldwide. The goal of fighting obesity is to improve health. Sustained weight loss of more than 10% of the total body weight improves the course of many obesity-related diseases, as well as the quality of life. The high effectiveness of bariatric surgery in the treatment of obesity in achieving significant and sustained weight loss has been demonstrated in several studies. In most centers where bariatric surgery is performed, the recommendation for preoperative weight loss is followed. The enlarged left lobe of the liver makes it difficult to access the stomach and, accordingly, prevents technically correct operation. Weight loss before bariatric surgery reduces the risk of complications in the postoperative period, and therefore preoperative preparation in the form of hypocaloric nutrition and regular physical activity is recommended for patients, considering concomitant pathology. One of the problems in the postoperative period is the need to change the usual lifestyle and diet due to the need to follow the recommendations of the attending physician. This can lead to a decrease in the quality of life after surgery due to psychoemotional overstrain. The nutrition of bariatric patients implies significant changes associated with a decrease in the amount of food consumed, difficulty in assimilation of nutrients, and the poverty of flavors offered up to this day in the specialized nutrition market. With the help of food products within the framework of low-calorie diets, it becomes almost impossible to feed such a patient without reducing their nutritional value. In 2024, balanced low-calorie nutrition OPTIFAST® (OPTIFAST) appeared on the Russian market, which has proven itself worldwide for more than 50 years and has shown its effectiveness and safety in more than 80 international clinical trials with a high level of evidence. OPTIFAST provides the patient with all the necessary nutrients and allows you to manage the daily calorie intake, gives the patient a feeling of satiety necessary for high adherence to a low-calorie diet, which is indicated for patients with obesity and overweight.

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