Obesity: the modern approach to the problem
https://doi.org/10.14341/omet201613-8
Abstract
The review presents epidemiological observations of recent years about the prevalence of overweight and obesity in different countries among people of different gender, age and social groups, and ethnicity. It also presents and analyses health risks and comorbidities leading to disability and death according to national and foreign researchers. It was found that the pathogenesis of obesity was multifactorial and also it was noted the importance of energy balance, consumed and expended calories. It was emphasized the need of a multidisciplinary approach to the treatment and prevention of the disease. The significant influence of the environment and increasing urbanization on the development of the pathology as well as the role of government support in relation to increasing physical activity of the population, including integrated interdisciplinary programs with environmental changes to increase physical activity and control over the quality of food was investigated. The priority areas for correction of overweight including optimization motion activity and correction of the diet were identified.
About the Authors
Anastasiya O. RazinaRussian Federation
postgraduate student
Evgeniy E. Achkasov
Russian Federation
head of physiotherapy and sports medicine department, prof. at Hospital Surgery №1 department
Svetlana D. Runenko
Russian Federation
PhD, assistant professor at physical therapy and sports medicine department
References
1. Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Pp. 252. (World Health Organization, Geneva, 2000.) SFr 56.00, ISBN 92-4-120894-5, paperback.
2. Guénard F, Houde A, Bouchard L, et al. Association of LIPA Gene Polymorphisms With Obesity-Related Metabolic Complications Among Severely Obese Patients. Obesity. 2012;20(10):2075-2082. doi:10.1038/oby.2012.52.
3. Zhang Y, Wang S. Differences in development and the prevalence of obesity among children and adolescents in different socioeconomic status districts in Shandong, China. Ann Hum Biol. 2012;39(4):290-296. doi:10.3109/03014460.2012.690888.
4. ВОЗ центр СМИ. Ожирение и избыточный вес [internet]. Информационный бюллетень N°311 . — 2015. [WHO Media centre . Obesity and overweight [internet]. Fact sheet N°311 . January 2015. ] URL: http://www.who.int/mediacentre/factsheets/fs311/en/
5. Bessesen D, Kushner R. Evaluation & Management Of Obesity. Philadelphia: Hanley & Belfus; 2002.
6. Европейские клинические рекомендации 2008. «Лечение ожирения у взрослых». Донецк: Издатель Заславский А.Ю. 2011; 32. [Evropeyskie klinicheskie rekomendatsii 2008. «Lechenie ozhireniya u vzroslykh». Donetsk: Izdatel' Zaslavskiy A.Yu. 2011; 32. (In Russ)]
7. Гинзбург М.М. Ожирение и метаболический синдром. Влияние на состояние здоровья, профилактика и лечение. – М.: Эксмо; 2009. [Ginzburg MM. Ozhirenie i metabolicheskiy sindrom. Vliyanie na sostoyanie zdorov'ya, profilaktika i lechenie. – Moscow: Eksmo; 2009. (In Russ).]
8. James W. The epidemiology of obesity: the size of the problem. J Intern Med. 2008;263(4):336-352. doi:10.1111/j.1365-2796.2008.01922.x.
9. Ландырь А.П., Ачкасов Е.Е., Добровольский О.Б., Руненко С.Д. Энергетика мышечной деятельности. // Спортивная медицина: наука и практика. – 2012. – №3 – С.30-33. [Landyr' AP, Achkasov EE, Dobrovol'skiy OB, Runenko SD. Energetika myshechnoy deyatel'nosti. Sportivnaya meditsina: nauka i praktika. 2012;(3):30-33. (In Russ).]
10. Барановский А.Ю. Руководство по диетологии. – СПб.: Питер; 2001. [Baranovskiy AYu Rukovodstvo po dietologii. – Saint-Petersburg: Piter; 2001. (In Russ).]
11. Рубаненко Е.П., Буторина А.В. Рациональное питание в период занятий фитнесом и спортом. //Спортивная медицина: наука и практика. – 2012. – №3 – С.26-29. [ Rubanenko EP, Butorina AV Ratsional'noe pitanie v period zanyatiy fitnesom i sportom. Sportivnaya meditsina: nauka i praktika. 2012;(3):26-29. (In Russ).]
12. Fock K, Khoo J. Diet and exercise in management of obesity and overweight. J Gastroenterol Hepatol. 2013;28:59-63. doi:10.1111/jgh.12407.
13. Flores R. Dance for Health: Improving Fitness in African American and Hispanic Adolescents. Public Health Reports. 1995; 110 (2): 189-192.
14. Ачкасов Е.Е., Ландырь А.П. Влияние физической нагрузки на основные параметры сердечной гемодинамики и частоту сердечных сокращений. // Спортивная медицина: наука и практика. – 2012. – №2. – С.38-46. [Achkasov EE, Landyr' AP. Vliyanie fizicheskoy nagruzki na osnovnye parametry serdechnoy gemodinamiki i chastotu serdechnykh sokrashcheniy. Sportivnaya meditsina: nauka i praktika. 2012; 2:38-46. (In Russ).]
15. Гуревич К. Г., Платонов В. Н. Индивидуальная адаптация школьников к физической нагрузке. // Спортивная медицина: наука и практика. – 2011. – №4. – С.29-32. [Gurevich KG, Platonov VN. Individual'naya adaptatsiya shkol'nikov k fizicheskoy nagruzke. Sportivnaya meditsina: nauka i praktika. 2011;(4):29-32. (In Russ).]
16. Мельниченко Г.А., Романцова Т.И. Ожирение: эпидемиология, классификация, патогенез, клиническая симптоматика и диагностика. – М.: Медицинское информационное агентство; 2004. [Mel'nichenko GA, Romantsova TI. Ozhirenie: epidemiologiya, klassifikatsiya, patogenez, klinicheskaya simptomatika i diagnostika. Moscow: Meditsinskoe informatsionnoe agentstvo; 2004. (In Russ).]
17. Schoeller D. The Challenge of Obesity in the WHO European Region and the Strategies for Response. Medicine & Science in Sports & Exercise. 2008;40(3):590. doi:10.1249/mss.0b013e318164f33c.
18. Коромыслов А.В., Маргазин В.А. Роль организованной двигательной активности в формировании показателей физического развития студенток за время обучения в вузе. // Спортивная медицина: наука и практика. – 2013. – №1. – С.36-39. [Koromyslov A V, Margazin V A. Rol' organizovannoy dvigatel'noy aktivnosti v formirovanii pokazateley fizicheskogo razvitiya studentok za vremya obucheniya v vuze. Sportivnaya meditsina: nauka i praktika. 2013;(1):36-39. (In Russ).]
19. Вербовой А.Ф. Ожирение, манифестировавшее в пубертатный период. – Самара: Офорт; 2012. [Verbovoy AF. Ozhirenie, manifestirovavshee v pubertatnyy period. Samara: Ofort; 2012. (In Russ).]
20. Rigby N, James P. Obesity campaign view of diabetes prevention. Diabetes Voice. 2003;(48):20-23.
21. Alexander C, Landsman P, Teutsch S, Haffner S. NCEP-Defined Metabolic Syndrome, Diabetes, and Prevalence of Coronary Heart Disease Among NHANES III Participants Age 50 Years and Older. Diabetes. 2003;52(5):1210-1214. doi:10.2337/diabetes.52.5.1210.
22. Zhao G, Ford E, Li C, Tsai J, Dhingra S, Balluz L. et al. Waist circumference, abdominal obesity, and depression among overweight and obese U.S. adults: national health and nutrition examination survey 2005-2006. BMC Psychiatry. 2011;11(1):130. doi:10.1186/1471-244x-11-130.
23. Flegal K, Carroll M, Kit B, Ogden C. Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010. JAMA. 2012;307(5):491. doi:10.1001/jama.2012.39.
24. Cherian A, Cherian S, Subbiah S. Prevalence of obesity and overweight in urban school children in Kerala, India. Indian Pediatr. 2012;49(6):475-477. doi:10.1007/s13312-012-0070-0.
25. Ying-Xiu Z, Shu-Rong W. Secular trends in body mass index and the prevalence of overweight and obesity among children and adolescents in Shandong, China, from 1985 to 2010. Journal of Public Health. 2011;34(1):131-137. doi:10.1093/pubmed/fdr053.
26. Euro.who.int. Russian Federation. 2015. Available at: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/country-work/russian-federation2/. Accessed October 2, 2015.
27. Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. The American journal of clinical nutrition. 2002; 75(6): 971-977.
28. Дедов И.И., Мельниченко Г.А., Бутрова С.А. и др. Ожирение у подростков в России. // Ожирение и метаболизм. – 2006. – №4. – С.30-34. [Dedov II, Mel'nichenko GA, Butrova SA et al. Ozhirenie u podrostkov v Rossii. Obessity and Metabolism. 2006;(4):30-34. (In Russ)]. doi: 10.14341/2071-8713-5141
29. Мельниченко Г.А., Бутрова С.А., Савельева Л.В., Чеботникова Т.В. Распространенность избыточного веса и ожирения в популяции московских подростков. // Ожирение и метаболизм. – 2006. – №2. – С.29-31. [Mel'nichenko GA, Butrova SA, Savel'eva LV, Chebotnikova TV. Rasprostranennost' izbytochnogo vesa i ozhireniya v populyatsii moskovskikh podrostkov. Obessity and Metabolism. 2006;(2):29-31. (In Russ)] doi:10.14341/2071-8713-4863
30. Соболева Н.П. Биоимпедансный скрининг населения России в центрах здоровья: распространенность избыточной массы тела и ожирения. // Российский медицинский журнал. – 2014; – №4: – С.4-13. [Soboleva NP Bioimpedansnyy skrining naseleniya Rossii v tsentrakh zdorov'ya: rasprostranennost' izbytochnoy massy tela i ozhireniya. Rossiyskiy meditsinskiy zhurnal. – 2014;(4):4-13. (In Russ).]
31. Николаев Д.В., Руднев С.Г. Биоимпедансный анализ: основы метода, протокол обследования и интерпретация результатов. // Спортивная медицина: наука и практика. – 2012. – №2. – С. 29-37. [Nikolaev DV, Rudnev SG. Bioimpedansnyy analiz: osnovy metoda, protokol obsledovaniya i interpretatsiya rezul'tatov. Sportivnaya meditsina: nauka i praktika. 2012;(2): 29-37. (In Russ).]
32. Contaldo F, Pasanisi F. Obesity epidemics: simple or simplicistic answers?. Clinical Nutrition. 2005;24(1):1-4. doi:10.1016/j.clnu.2004.10.005.
33. Tucker S, Lanningham-Foster L, Murphy J, et al. A School Based Community Partnership for Promoting Healthy Habits for Life. Journal of Community Health. 2010;36(3):414-422. doi:10.1007/s10900-010-9323-9.
34. Liu JH, Jones SJ, Sun H, et al. Diet, physical activity, and sedentary behaviors as risk factors for childhood obesity: an urban and rural comparison. Childhood Obesity (Formerly Obesity and Weight Management). 2012;8(5),440-448.
35. Wimalawansa SJ. Controlling Obesity and Its Complications by Elimination of Causes and Adopting Healthy Habits: «Cause-Driven» Approach. Advances in Medical Sciences. 2014; 3(1): 1-15.
36. Приказ Минздрава России от 30.03.2013 г. № 175 «Об утверждении плана мероприятий по реализации стратегии развития медицинской науки в Российской Федерации на период до 2025 года». [Prikaz Minzdrava Rossii ot 30.03.2013 g. № 175 «Ob utverzhdenii plana meropriyatiy po realizatsii strategii razvitiya meditsinskoy nauki v Rossiyskoy Federatsii na period do 2025 goda». (In Russ).] Доступно по: http://www.rosminzdrav.ru/documents/5409-prikazminzdrava-rossii-ot-30-marta-2013-g-n-175. Ссылка активна на 03.10.2015.
37. Grima M, Dixon JB. Obesity: Recommendations for management in general practice and beyond. Australian Family Physician. 2013;42(8):532-541.
38. National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children: draft clinical practice guidelines for primary healthcare professionals. Canberra: NHMRC. 2013.
39. Expert panel report: Guidelines (2013) for the management of overweight and obesity in adults. Obesity. 2014;22(S2):S41-S410. doi:10.1002/oby.20660.
40. Wong E, Tanamas SK, Wolfe R, et al. The role of obesity duration on the association between obesity and risk of physical disability. Obesity. 2015;23(2): 443-447.
41. Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 2014; 384(9945): 766-781.
42. Jilcott S, Whetstone L, Wilkerson J, et al. Community-Driven Approach to Identifying "Winnable" Policies Using the Centers for Disease Control and Prevention's Common Community Measures for Obesity Prevention. Preventing Chronic Disease. 2012. doi:10.5888/pcd9.110195.
43. Мещеряков А.В., Левушкин С.П. Тип телосложения как возможный маркер заболеваний и особенностей организации двигательной активности студентов. // Спортивная медицина: наука и практика. – 2015. – №1. – С.61-67. [Meshcheryakov AV, Levushkin SP Tip teloslozheniya kak vozmozhnyy marker zabolevaniy i osobennostey organizatsii dvigatel'noy aktivnosti studentov. Sportivnaya meditsina: nauka i praktika. 2015;(1):61-67. (In Russ).]
44. Caro JF. Insulin resistance in obese and nonobese men. JCEM. 1991;73(4):691-695. doi:10.1210/jcem-73-4-691.
45. Reaven G. Role of Insulin Resistance in Human Disease. Diabetes. 1988;37(12):1595-1607. doi:10.2337/diab.37.12.1595.
46. Beaglehole R, Bonita R, Alleyne G, et al. UN High-Level Meeting on Non-Communicable Diseases: addressing four questions. The Lancet. 2011;378(9789):449-455. doi:10.1016/s0140-6736(11)60879-9.
47. Mathers C, Loncar D. Projections of Global Mortality and Burden of Disease from 2002 to 2030. Plos Med. 2006;3(11):e442. doi:10.1371/journal.pmed.0030442.
48. Blair SN, Brodney S. Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Medicine & Science in Sports & Exercise. 1999;31(Supplement 1):S646. doi:10.1097/00005768-199911001-00025.
49. Пермякова Е.Ю., Година Е.З., Гилярова О.А. Влияние физической активности и суточного потребления калорий на особенности жироотложения у современных детей и подростков Архангельского региона и г. Москвы. // Вестник Московского университета. Серия 23: Антропология. – 2012. – №4 – С.112-119. [Permyakova EYu, Godina EZ, Gilyarova OA. Vliyanie fizicheskoy aktivnosti i sutochnogo potrebleniya kaloriy na osobennosti zhirootlozheniya u sovremennykh detey i podrostkov Arkhangel'skogo regiona i g. Moskvy. Vestnik Moskovskogo universiteta. Seriya 23: Antropologiya. 2012; (4):112-119. (In Russ).]
50. Wimalawansa SJ. Pathophysiology of obesity: focused, cause-driven approach to control the epidemic. Global Adv Res J Pharm Pharmacol. 2013;(2): 1-13.
51. Ландырь А.П., Ачкасов Е.Е., Добровольский О.Б., и др. Программное обеспечение для анализа зарегистрированных значений частоты сердечных сокращений (лекция). Часть 1. // Спортивная медицина: наука и практика. – 2013. – №4. – С.76-84. [Landyr' AP, Achkasov EE, Dobrovol'skiy OB. Programmnoe obespechenie dlya analiza zaregistrirovannykh znacheniy chastity serdechnykh sokrashcheniy (lektsiya). Chast' 1. Sportivnaya meditsina: nauka i praktika. 2013;(4):76-84. (In Russ).]
52. Hu F. Television Watching and Other Sedentary Behaviors in Relation to Risk of Obesity and Type 2 Diabetes Mellitus in Women.JAMA. 2003;289(14):1785. doi:10.1001/jama.289.14.1785.
53. De Craemer M, De Decker E, De Bourdeaudhuij I et al. Correlates of energy balance-related behaviours in preschool children: a systematic review. Obesity Reviews. 2012;13:13-28. doi:10.1111/j.1467-789x.2011.00941.x.
54. Соколова В.С., Сахарова Н.Е. Динамика функциональных показателей при занятиях оздоровительным плаванием у детей с алиментарным ожирением. // Спортивная медицина: наука и практика. – 2014. – №4. – С.44-47. [Sokolova VS, Sakharova NE. Dinamika funktsional'nykh pokazateley pri zanyatiyakh ozdorovitel'nym plavaniem u detey s alimentarnym ozhireniem. Sportivnaya meditsina: nauka i praktika. 2014;(4):44-47. (In Russ).]
55. Sallis J, Floyd M, Rodriguez D, Saelens B. Role of Built Environments in Physical Activity, Obesity, and Cardiovascular Disease. Circulation. 2012;125(5):729-737. doi:10.1161/circulationaha.110.969022.
56. Рубаненко Е.П., Буторина А.В. Медицинское обеспечение фитнеса. // Спортивная медицина: наука и практика. – 2015. – №1 – С.68-76. [Rubanenko EP, Butorina AV. Meditsinskoe obespechenie fitnesa. Sportivnaya meditsina: nauka i praktika. 2015;(1):68-76.(In Russ).]
57. Tucker S, Lanningham-Foster L, Murphy J, et al. A School Based Community Partnership for Promoting Healthy Habits for Life. Journal of Community Health. 2010;36(3):414-422. doi:10.1007/s10900-010-9323-9.
58. Liu JH, Jones SJ, Sun H, et al. Diet, physical activity, and sedentary behaviors as risk factors for childhood obesity: an urban and rural comparison. Childhood Obesity (Formerly Obesity and Weight Management). 2012; 8(5):440-448.
59. Фудин Н.А., Классина С.Я., Пигарева С.Н. Особенности системной организации физиологических функций на отдельных этапах возрастающей физической нагрузки у лиц, занимающихся физической культурой и спортом. // Спортивная медицина: наука и практика. – 2014. – №3. – С. 14-18. [Fudin NA, Klassina SY, Pigareva SN. Osobennosti sistemnoy organizatsii fiziologicheskikh funktsiy na otdel'nykh etapakh vozrastayushchey fizicheskoy nagruzki u lits, zanimayushchikhsya fizicheskoy kul'turoy i sportom. Sportivnaya meditsina: nauka i praktika. 2014;(3):14-18. (In Russ)].
Review
For citations:
Razina A.O., Achkasov E.E., Runenko S.D. Obesity: the modern approach to the problem. Obesity and metabolism. 2016;13(1):3-8. (In Russ.) https://doi.org/10.14341/omet201613-8

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