Obesity: Current Global and Russian Trends

Cover Page


Cite item

Full Text

Abstract

The review of literature presents the results of recent epidemiological studies in obese people in Russia and abroad taking into account gender, age, ethnic, social, and geographical factors. The increase of obesity prevalence among different population groups including children and adolescents was registered. The risks of health problems associated with overweight and obesity probably leading to disability and mortality were analyzed. It was shown that the energy imbalance played a key role in the etiopathogenesis of obesity among many other factors. This occurs as a consequence of discrepancy between energy consumption and energy discharge especially under the conditions of hypokinesia in all spheres of modern life. Particular attention was paid to the analysis of environmental factors, increasing urbanization, and socio-economic conditions of modern life. The fundamental importance of a multidisciplinary approach in the development of prevention and treatment and rehabilitation programs was accentuated. The attention was paid to the role of economic factors in the development of carbohydrate metabolism disorders. The important role of the goverment was shown in the development of health improvement programs including improvement of the environmental situation, change in anthropogenic environment due to physical activity. The preferred direction of comprehensive programs of prevention and treatment of obesity were defined including optimization of the motor regime, diet correction, increasing the motivation to healthy lifestyle, physical education and sports, as well as increasing the individual’s personal responsibility for their health.

About the authors

A. O. Razina

Sechenov First Moscow State Medical University

Author for correspondence.
Email: electrum_raz@mail.ru
MD, postgraduate student of the Department of Sports Medicine and Medical Rehabilitation Россия

S. D. Runenko

Sechenov First Moscow State Medical University

Email: svetfit@mail.ru
MD, PhD., Assistant Professor of  Department of Sports Medicine and Medical Rehabilitation Россия

E. E. Achkasov

Sechenov First Moscow State Medical University

Email: 2215.g23@rambler.ru

Доктор медицинских наук, профессор, заведующий кафедрой спортивной медицины и медицинской реабилитации. 

Адрес: 119991, Москва, ул. Трубецкая, д. 8

Россия

References

  1. Cherian AT, Cherian SS, 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.
  2. 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. J Public Health (Oxf). 2012;34(1):131–137. doi: 10.1093/pubmed/fdr053.
  3. Preventing and Managing the Global Epidemic of Obesity. Report of a WHO Consultation on Obesity. Geneva: WHO Technical report Series; 1997. 894 р.
  4. who.int [Internet]. Obesity and overweight. Report of a WHO. 2015 [cited 2016 Apr 18]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.
  5. Zhang YX, Wang SR. 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.
  6. Guenard F, Houde A, Bouchard L, et al. Association of LIPA gene polymorphisms with obesity-related metabolic complications among severely obese patients. Obesity (Silver Spring). 2012;20(10):2075–2082. doi: 10.1038/oby.2012.52.
  7. James WPT. The epidemiology of obesity: the size of the problem. J Intern Med. 2008;263(4):336–352. doi: 10.1111/j.13652796.2008.01922.x.
  8. Bessesen DH, Kushner R. Evaluation & Management of Obesity. Center for Obesity Research and Education. Philadelphia: Hanley&Belfus; 2002. 239 р.
  9. American College of Cardiology/American Heart Association Task Force on Practice Guidelines OEP. Expert panel report: Guidelines (2013) for the management of overweight and obesity in adult Obesity (Silver Spring). 2014;22 Suppl 2:S41–S410. doi: 10.1002/ oby.20660.
  10. Барановский А.Ю. Руководство по диетологии. — СПб.: Питер; 2001. 544 с. [Baranovskii AY. Rukovodstvo po dietologii. St. Petersburg: Piter; 2001. 544 p. (In Russ).]
  11. Рубаненко Е.П., Буторина А.В. Рациональное питание в период занятий фитнесом и спортом // Спортивная медицина: наука и практика. — 2012. — Т.3. — С. 26–29. [Rubanenko EP, Butorina AV. Ratsional’noe pitanie v period zanyatii fitnesom i sportom. Sportivnaya meditsina: nauka i praktika. 2012;3:26–29. (In Russ).]
  12. Fock KM, Khoo J. Diet and exercise in management of obesity and overweight. J Gastroenterol Hepatol. 2013;28(Suppl 4):59–63. doi: 10.1111/jgh.12407.
  13. Flores R. Dance for health: improving fitness in African American and Hispanic adolescents. Public Health Rep. 1995;110(2):189–193.
  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. — Т.2. — С. 38–46. [Achkasov EE, Landyr’ AP. Vliyanie fizicheskoi nagruzki na osnovnye parametry serdechnoi gemodinamiki i chastotu serdechnykh sokrashchenii. Sportivnaya meditsina: nauka i praktika. 2012;2:38–46. (In Russ).]
  15. 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 AV, Margazin VA. Rol’ organizovannoi dvigatel’noi aktivnosti v formirovanii pokazatelei fizicheskogo razvitiya studentok za vremya obucheniya v vuze. Sportivnaya meditsina: nauka i praktika. 2013;1:36–39. (In Russ).]
  16. 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 fizicheskoi nagruzke. Sportivnaya meditsina: nauka i praktika. 2011;4:29–32. (In Russ).]
  17. Branca F, Nikogosian H, Lobstein T. The challenge of obesity in the WHO European region and strategies of response: summary. Copenhagen: WHO Regional Office for Europe; 2007.
  18. Alexander CM, Landsman PB, Teutsch SM, et al. 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.
  19. Zhao G, Ford ES, Li C, 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-11130.
  20. Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012;307(5):491–497. doi: 10.1001/ jama.2012.39.
  21. Мельниченко Г.А., Романцева Т.И. Ожирение: эпидемиология, классификация, патогенез, клиническая симптоматика и диагностика. — М.: МИА; 2004. 456 с. [Mel’nichenko GA, Romantseva TI. Ozhirenie: epidemiologiya, klassifikatsiya, patogenez, klinicheskaya simptomatika i diagnostika. Moscow: MIA; 2004. 456 p. (In Russ).]
  22. Global Health Observatory Data Repository. Report WHO [Internet]. Geneva: World Health Organization; 2013 [cited 2015 Feb 12]. Available from: http://www.euro.who.int/en/health-topics/diseaseprevention/nutrition/country-work/russian-federation2/.
  23. Дедов И.И., Мельниченко Г.А., Бутрова С.А., и др. Ожирение у подростков в России // Ожирение и метаболизм. — 2006. — Т. 3. – №4. — С. 30–34. [Dedov II, Mel’nichenko GA, Butrova SA, et al. Ozhirenie u podrostkov v Rossii. Obesity and Metabolism. 2006;(4):30–34. (In Russ).] doi: 10.14341/2071-8713-5141.
  24. 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. — Т. 3. — №2. — С. 25–31. [Melnichenko GA, Butrova SA, Savel’eva LV, Chebotnikova TV. Rasprostranennost’ izbytochnogo vesa i ozhireniya v populyatsii moskovskikh podrostkov. Obesity and Metabolism. 2006;3(2):25–31. (In Russ).] doi: 10.14341/2071-8713-4863
  25. 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. The bio-impedance screening of population in health centers: prevalence of surplus body mass and obesity. Ross Med Zh. 2014;(4):4—13. (In Russ).]
  26. 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. Bioimpedansnyi analiz: osnovy metoda, protokol obsledovaniya i interpretatsiya rezul’tatov. Sportivnaya meditsina: nauka i praktika. 2012;(2):29–37. (In Russ).]
  27. Contaldo F, Pasanisi F. Obesity epidemics: simple or simplicistic answers? Clin Nutr. 2005;24(1):1–4. doi: 10.1016/j.clnu.2004.10.005.
  28. Tucker S, Lanningham-Foster L, Murphy J, et al. A school based community partnership for promoting healthy habits for life. J Community Health. 2011;36(3):414–422. doi: 10.1007/s10900-0109323-9.
  29. 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. Child Obes. 2012;8(5):440–448. doi: 10.1089/ chi.2012.0090.
  30. Wimalawansa S.J. Controlling obesity & its complications by elimination of causes and adopting healthy habits: “cause-driven” approach. Advan. Med Sci. 2014;3:1–15.
  31. Приказ Минздрава России № 175 от 30.03.2013 г. «Об утверждении плана мероприятий по реализации стратегии развития медицинской науки в Российской Федерации на период до 2025 года». [Decree of the Ministry of Health of the Russian Federation № 175 of 30 March 2013. «Ob utverzhdenii plana meropriyatii po realizatsii strategii razvitiya meditsinskoi nauki v Rossiiskoi Federatsii na period do 2025 goda». (In Russ).]
  32. Grima M, Dixon JB. Obesity: recommendations for management in general practice and beyond. Aust Fam Physician. 2013;42(8):532– 541.
  33. 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.
  34. Rigby N, James P. The obesity campaign view of diabetes prevention. Diabetes Voice. 2003;48(Special Issue):20–23.
  35. National Institutes of Health, National Heart, Lung, and Blood Institute, North American Association for the Study of Obesity. The practical guide: identification, education and treatment of overweight and obesity in adults [Internet]. NIH Publication; 2005 [cited 2016 Apr 18]. Available from: http://www.nhlbi.nih.gov/files/docs/ guidelines/prctgd_c.pdf.
  36. WHO. Global action plan for the prevention and control of noncommunicable diseases 2013−2020. Report of a WHO [Internet]. WHO; 2013 [cited 2016 Apr 18]. Available from: http://www.who.int/nmh/ publications/ncd-action-plan/en/.
  37. Management of overweight and obesity in adults. Systematic evidence review from the Obesity Expert Panel, 2013. New York: Department of Health and Human Service; National Institute of Health; 2013. 33 р.
  38. Alamdari S, Panah F, Amiri P, et al. Plan to design policies for science, technology and innovation in the field of obesity. Prevention and control measures in 20 years national vision. Life Sci J. 2012;9(4):5884–5889.
  39. 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. Somatotype as possible marker of diseases and motion activity of students. Sportivnaya meditsina: nauka i praktika. 2015;(1):61–67. (In Russ).]
  40. Caro JF. Clinical review 26: Insulin resistance in obese and nonobese man. J Clin Endocrinol Metab. 1991;73(4):691–695. doi: 10.1210/jcem-73-4-691.
  41. Reaven GM. Role of insulin resistance in human disease (syndrome X): an expanded definition. Annu Rev Med. 1993;44(1):121–131. doi: 10.1146/annurev.me.44.020193.001005.
  42. Beaglehole R, Bonita R, Alleyne G, et al. UN high-level meeting on non-communicable diseases: addressing four questions. Lancet. 2011;378(9789):449–455. doi: 10.1016/S0140-6736(11)60879-9.
  43. Mathers CD, 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.
  44. Blair SN, Brodney S. Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Med Sci Sports Exerc. 1999;31(Suppl 11):646–662. doi: 10.1097/00005768-199911001-00025.
  45. 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. — 2012. — №4. — С. 112–119. [Permyakova EY, Godina EZ, Gilyarova OA. Vliyanie fizicheskoi aktivnosti i sutochnogo potrebleniya kalorii na osobennosti zhirootlozheniya u sovremennykh detei i podrostkov Arkhangel’skogo regiona i g. Moskvy. Vestnik Moskovskogo universiteta. 2012;(4):112–119. (In Russ).]
  46. Wimalawansa SJ. Pathophysiology of obesity: Focused, causedriven approach to control the epidemic. Global Advanced Research Journal of Pharmacy and Pharmacology. 2013;2(1):1–13.
  47. 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’skii OB, et al. Software for analysis of the recorded heart rate (Lecture). Part 1. Sportivnaya meditsina: nauka i praktika. 2013;(4):76–84. (In Russ).]
  48. Hu FB, Li TY, Colditz GA. Television watching and other sedentary behaviors in relation to risk of obesity and Type 2 Diabetes Mellitus in women. JAMA. 2003;289(14):1785–1791. doi: 10.1001/ jama.289.14.1785.
  49. De Craemer M, De Decker E, Bourdeaudhuij I, et al. Correlates of energy balance-related behaviours in preschool children: a systematic review. Obes Rev. 2012;13:13–28. doi: 10.1111/j.1467789x.2011.00941.x.
  50. 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. Swimming sessions and dynamic of functional indicators in children with alimentary obesity. Sportivnaya meditsina: nauka i praktika. 2014;(4):44–47. (In Russ).]
  51. Sallis JF, Floyd MF, Rodriguez DA, Saelens BE. Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation. 2012;125(5):729–737. doi: 10.1161/ CIRCULATIONAHA.110.969022.
  52. Рубаненко Е.П., Буторина А.В. Медицинское обеспечение фитнеса // Спортивная медицина: наука и практика. — 2015. — №1. — С. 68–76. [Rubanenko EP, Butorina AV. Medical support of aerobic exercise and recreational sports. Sportivnaya meditsina: nauka i praktika. 2015;(1):68–76. (In Russ).]
  53. 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. Features of the systemic organization of physiological functions in different stages of increasing physical activity in persons doing increasing intensity graded physical exercises and sports. Sportivnaya meditsina: nauka i praktika. 2014;(3):14–18. (In Russ).]
  54. Viuda-Serrano A, González Millán C, Pérez-González B, et al. Obesity prevention through physical activity in school-age children and adolescents [Internet]. Madrid: Universidad Camilo José Cela; 2011 [cited 2016 Apr 18]. Available from: http://www.olympic. org/Assets/Sport_for_all/2-CamiloJoseCelaUniversityStudypreventionofobesity-final-en.pdf.
  55. Tonstad S, Rössner S, Rissanen A, Astrup A. Medical management of obesity in Scandinavia 2016. Obes Med. 2016;1:38–44. doi: 10.1016/j.obmed.2016.01.002.
  56. Никитина О.А. О необходимости создания социально-ориентированной системы обеспечения россиян санаторнооздоровительными услугами // Фундаментальные исследования. — 2014. —№6–2. — С. 320–324. [Nikitina OA. The need to create a socially-oriented system for ensuring sanatorium and health improvement services of Russian population. Fundamental’nye issledovaniya. 2014;(6–2):320–324. (In Russ).]
  57. Ромашин О.В., Лядов К.В., Шаповаленко Т.В., и др. Становление физической культуры как базового средства восстановительного лечения, медицинской реабилитации и целенаправленного оздоровления человека // Вопросы курортологии, физиотерапии и лечебной физической культуры. — 2013. — Т.90. — №1. — С. 39–43. [Romashin OV, Lyadov KV, Shapovalenko TV, et al. The development of physical education as a basic instrument of rehabilitative treatment, remedial medicine, and goal-oriented health promotion for the benefit of man. Vopr Kurortol Fizioter Lech Fiz Kult. 2013;90(1):39–43. (In Russ).]

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2016 "Paediatrician" Publishers LLC



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies