Кривопустов Н. С.

МОРБИДНОЕ ОЖИРЕНИЕ КАК МЕДИКО-СОЦИАЛЬНАЯ ПРОБЛЕМА И ПУТИ ЕЕ РЕШЕНИЯ


Об авторе:

Кривопустов Н. С.

Рубрика:

ОБЗОРЫ ЛИТЕРАТУРЫ

Тип статьи:

Научная статья.

Аннотация:

По данным Global Health Observatory (2017), по состоянию на 2016 год в Украине избыточную массу тела имеют 58,4% населения (61,4% мужчин и 55,5% женщин), ожирение – 24,1% населения (22% мужчин и 25,7% женщин). Причины ожирения мультифакториальные, следовательно, и решение этой про-блемы должно быть мультидисциплинарным. При этом рассматривают модификацию образа жизни, диету, физическую активность, поведенческое консультирование и др. Недостаточная эффективность консер-вативных методов лечения ожирения обусловила необходимость внедрения в клиническую практику ба-риатрических операций. В настоящее время лапароскопическое желудочное шунтирование «Roux-en-Y GastricBypass» (RYGB) признано American Society for Metabolic and Bariatric Surgery как «золотой стандарт» в хирургии морбидного ожирения (IMT > 40 кг/м 2 ). У пациентов с морбидным ожирением, особенно суперо-жирением (IMT > 50 кг/м2 ) целесообразно использование внутрижелудочного баллона для снижения опера-ционно-анестезиологического риска и подготовки больного к проведению бариатрической операции.

Ключевые слова:

ожирение, морбидное ожирение, хирургическое лечение

Список цитируемой литературы:

  1. Egiev V, Rudakova M, Belkov D. Restriktivnye vmeshatelʹstva na zheludke v lechenii bolʹnykh ozhireniem. Moskva: Medpraktika-M; 2004. 100 s. [in Russiаn].
  2. Ioffe OYu, Stetsenko OP, Kryvopustov MS, Tarasyuk TV, Tsyura YuP, Molnar IM, vynakhidnyky; Natsional’nyy medychnyy universytet imeni O.O. Bohomol’tsya, patentovlasnyk. Sposib likuvannya morbidnoho superozhyrinnya. Patent Ukrayiny № 90819. 2014 Cher [in Ukrainian].
  3. Ozhirenie i izbyitochnyiy ves [Internet]. Vsemirnaya organizatsiya zdravoohraneniya. 2017 [cited 2 February 2018]. Available from: http://www.who.int/mediacentre/factsheets/fs311/ru/[in Russiаn]. 
  4. Sedov V, Fishman M. Laparoskopicheskaya hirurgiya ozhireniya: Prakticheskoe rukovodstvo. Sankt Peterburg; 2009. 192 s. [in Russiаn]. 
  5. Abdelaal M, le Roux C, Docherty N. Morbidity and mortality associated with obesity. Annals of Translational Medicine. 2017;5(7):161. 
  6. Adjustable Gastric Banding | Weight Loss Surgery [Internet]. International Federation for the Surgery of Obesity and Metabolic Disorders. 2018 [cited 2 February 2018]. Available from: http://www.ifso.com/adjustable-gastric-banding/
  7. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H,et al. Erratum to: Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014. Obesity Surgery. 2017;27(9):2290-2.
  8. Bariatric Surgery Procedures – ASMBS | American Society for Metabolic and Bariatric Surgery [Internet]. American Society for Metabolic and Bariatric Surgery. 2018 [cited 2 February 2018]. Available from: https://asmbs.org/patients/bariatric-surgery-procedures#bypass
  9. BilioPancreatic Diversion | International Federation for the Surgery of Obesity and Metabolic Disorders [Internet]. International Federation for the Surgery of Obesity and Metabolic Disorders. 2018 [cited 2 February 2018]. Available from: http://www.ifso.com/bilio-pancreaticdiversion-2/
  10. Body Mass Index | BMI Calculator – Severe Obesity Treatment [Internet]. International Federation for the Surgery of Obesity and Metabolic Disorders. 2018 [cited 2 February 2018]. Available from: http://www.ifso.com/body-mass-index/
  11. Bray G, Ryan D. Medical Therapy for the Patient With Obesity. Circulation. 2012;125(13):1695-1703. 
  12. Burke L, Wang J, Sevick M. Self-Monitoring in Weight Loss: A Systematic Review of the Literature. Journal of the American Dietetic Association. 2011;111(1):92-102. 
  13. Busetto L, Segato G, De Luca M, Bortolozzi E, MacCari T, Magon A,et al. Preoperative Weight Loss by Intragastric Balloon in Super-Obese PatientsTreated with Laparoscopic Gastric Banding: A Case-Control Study. Obesity Surgery. 2004;14(5):671-6. 
  14. De Luca M, Himpens J, Weiner R, Angrisani L. IFSO Statement: Credentials for Bariatric Surgeons 2015. Obesity Surgery. 2015;25(3):394-6. 
  15. Dumonceau J. Evidence-based Review of the Bioenterics Intragastric Balloon for Weight Loss. Obesity Surgery. 2008;18(12):1611-7. 
  16. Fitz-Henry J. The ASA classification and peri-operative risk. The Annals of The Royal College of Surgeons of England. 2011;93(3):185-7. 
  17. Flegal K, Kit B, Orpana H, Graubard B. Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories. JAMA. 2013;309(1):71. 
  18. Gastric Bypass Surgery Naples | Morbid Obesity Naples [Internet]. International Federation for the Surgery of Obesity and Metabolic Disorders. 2018 [cited 2 February 2018]. Available from: http://www.ifso.com/roux-en-y-gastric-bypass/
  19. Hamdy O, Uwaifo G, Oral E. Obesity: Practice Essentials, Background, Pathophysiology [Internet]. Emedicine.medscape.com. 2017 [cited 2 February 2018]. Available from: https://emedicine.medscape.com/article/123702-overview
  20. Heymsfield SB, Harp JB, Reitman ML, Beetsch JW, Schoeller DA, Erondu N,et al. Why do obese patients not lose more weight when treated with low-calorie diets? A mechanistic perspective. Am J Clin Nutr. 2007 Feb;85(2):346-54. 
  21. Inabnet W, DeMaria E, Ikramuddin S. Laparoscopic bariatric surgery. Philadelphia: Lippincott Williams and Wilkins; 2005. 
  22. Jakicic (Chair) J, Clark K, Coleman E, Donnelly J, Foreyt J, Melanson E,et al. Appropriate Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. Medicine & Science in Sports & Exercise. 2001;33(12):2145-56. 
  23. Jakicic J. Effect of Exercise on 24-Month Weight Loss Maintenance in Overweight Women. Archives of Internal Medicine. 2008;168(14):1550. 
  24. Jensen M, Ryan D, Apovian C, Ard J, Comuzzie A, Donato K,et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation. 2013;129(25 suppl 2):102-38. 
  25. Johnston B, Kanters S, Bandayrel K, Wu P, Naji F, Siemieniuk R,et al. Comparison of Weight Loss Among Named Diet Programs in Overweight and Obese Adults. JAMA. 2014;312(9):923. 
  26. Logue J, Thompson L, Romanes F, Wilson D, Thompson J, Sattar N. Management of obesity: summary of SIGN guideline. BMJ. 2010;340(feb24 2):154. 
  27. Mechanick J, Youdim A, Jones D, Garvey W, Hurley D, McMahon M,et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update. Obesity. 2013;21(S1):1-27. 
  28. Miller W, Koceja D, Hamilton E. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. International Journal of Obesity. 1997;21(10):941-7. 
  29. ORBERA™ Intragastric Balloon System (ORBERA™) Patient Information Booklet [Internet]. 2015 [cited 2 February 2018]. Available from: http://www.accessdata.fda.gov/cdrh_docs/pdf14/P140008a.pdf
  30. Overweight and obesity [Internet]. World Health Organization. 2017 [cited 2 February 2018]. Available from: http://www.who.int/gho/ncd/risk_factors/overweight_obesity/obesity_adults/en/
  31. Peterson N, Middleton K, Nackers L, Medina K, Milsom V, Perri M. Dietary self-monitoring and long-term success with weight management. Obesity. 2014;22(9):1962-7. 
  32. Pischon T, Boeing H, Hoffmann K. General and Abdominal Adiposity and Risk of Death in Europe. Journal of Vascular Surgery. 2009;49(3):811-2. 
  33. Rooney K, Werrett G. Obesity and Anaesthesia [Internet]. 2006 [cited 2 February 2018]. Available from: http://www.anaesthesiauk.com/documents/obesity.pdf
  34. Rubino F, Nathan D, Eckel R, Schauer P, Alberti K, Zimmet P,et al. Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations. Diabetes Care. 2016;39(6):861-77. 
  35. Sallet J, Marchesini J, Paiva D, Komoto K, Pizani C, Ribeiro M,et al. Brazilian Multicenter Study of the Intragastric Balloon. Obesity Surgery. 2004;14(7):991-8. 
  36. Sharma A, Kushner R. A proposed clinical staging system for obesity. International Journal of Obesity. 2009;33(3):289-295. 
  37. Shaw K, Gennat H, O’Rourke P, Del Mar C. Exercise for overweight or obesity. Cochrane Database of Systematic Reviews. 2006;4. 
  38. Sleeve Gastrectomy | International Federation for the Surgery of Obesity and Metabolic Disorders [Internet]. International Federation for the Surgery of Obesity and Metabolic Disorders. 2018 [cited 2 February 2018]. Available from: http://www.ifso.com/sleeve-gastrectomy/
  39. Stroh C, Birk D, Flade-Kuthe R, Frenken M, Herbig B, Höhne S,et al. Studie zur Qualitätskontrolle der operativen Therapie der Adipositas – Ergebnisse der Jahre 2005 und 2006. Zentralblatt für Chirurgie. 2008;133(05):473-8. 
  40. Thorogood A, Mottillo S, Shimony A, Filion K, Joseph L, Genest J,et al. Isolated Aerobic Exercise and Weight Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The American Journal of Medicine. 2011;124(8):747-55. 
  41. Tooze JA, Schoeller DA, Subar AF, Kipnis V, Schatzkin A, Troiano RP. Total daily energy expenditure among middle-aged men and women: the OPEN Study. Am J Clin Nutr. 2007 Aug;86(2):382-7. 
  42. U.S. Department of Health and Human Services Public Health Service National Institutes of Health National Heart, Lung, and Blood Institute. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. [Internet]. NIH Publication No. 00-4084; 2000 [cited 2 February 2018]. Available from: https://www.nhlbi.nih.gov/files/docs/guidelines/prctgd_c.pdf
  43. Wing R, Tate D, Gorin A, Raynor H, Fava J. A Self-Regulation Program for Maintenance of Weight Loss. New England Journal of Medicine. 2006;355(15):1563-71. 
  44. Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005 Jul;82(1 Suppl):222-5. Review. 
  45. Yanovski S, Yanovski J. Long-term Drug Treatment for Obesity. JAMA. 2014;311(1):74. 
  46. Yumuk V, Frühbeck G, Oppert J, Woodward E, Toplak H. An EASO Position Statement on Multidisciplinary Obesity Management in Adults. Obesity Facts. 2014;7(2):96-101.

Публикация статьи:

«Вестник проблем биологии и медицины» Выпуск 1 Том 1 (142), 2018 год, 34-39 страницы, код УДК 616-056.52

DOI: