Efficiency of an educating program as non-drug treatment in obese patients
https://doi.org/10.18705/1607-419X-2003-9-2-54-58
Abstract
To evaluate the efficiency of treatment in obese patients with educating methods, 73 patients were examined A protocol of examination included the estimation of anthropometric indices, the measurement of blood pressure, the levels of glucose and insulin on fasting, 30,60,90, and 120 mm after loading with 75 of dried glucose by calculating integral parameters (the area under the curve), and the lipid spectrum at the beginning of the study and 1 year after classes at "Patient’s School" according to the structurized programme. The android type of obesity was shown to have the most negative impact on metabolic parameters A year following the training course, 47 9% of the examinees could maintain the target figures of reducing their body weight. There was a significant reduction in the baseline levels of insulin and glucose and in the concentration of triglycerides
About the Authors
Ye. K. Shavarova
НИИ кардиологии Минздрава РФ им. акад. В.А.Алмазова
Russian Federation
Russian Federation
Ye. A. Nikitina
НИИ кардиологии Минздрава РФ им. акад. В.А.Алмазова
Russian Federation
Russian Federation
Ye. V. Smirnova
НИИ кардиологии Минздрава РФ им. акад. В.А.Алмазова
Russian Federation
Russian Federation
A. O. Kondradi
НИИ кардиологии Минздрава РФ им. акад. В.А.Алмазова
Russian Federation
Russian Federation
A. G. Zalevskaya
НИИ кардиологии Минздрава РФ им. акад. В.А.Алмазова
Russian Federation
Russian Federation
References
1. Pathoeenests of the worst killers of the 21 st century IntJ Obesity 2002, 26 (suppl 2) S1-S2
2. Kuczmarski RJ, Flegal KM, Campbell SMJohnson CL Increasing prevalence of overweight among US adults The National Health and Nutrition Examination Surveys, I960 to 1991 JAMA 1994, 272 205-11
3. BjomtorpP Obesity Lancet 1997, 350 423-6
4. Kopelman PG Obesity as a medical problem Nature 2000, 404 635-43
5. DeFronzo RA Insulin resistance a multifaceted syndrom responsible for NIDDM, obesity, hypertension, dilipidemia and atherosclerosis Neth J Med 1997, 50 191-1975 + Reaven GM Role of insulin resistance m human disease Diabetes 1988, 37 1595-607
6. National Heart Lung and Blood Institut Clinical Guidelines on the identification, evaluation and treatment of overweight and obesity m adults the evidence report National Institut of Health, 1998, 6
7. National Heart, Lung and Blood Institute Clmicalguidelmes on the identification, evaluation and treatment of overweight and obesity in adults The evidence report Bethesda National Institute of Health, 1998, 1-228
8. Obesity in Scotland Integrating prvention witn weight management Scottish Intercollegiate Guide lines Network Edinburgh, 1996, 13
9. Evidence for success of behavior modification in weight loss and controlForeyt JP, Goodnck GKAnn IntemMed 1993 Oct I, 119 (7pt2) 698-701
10. UKPDS Prospective diabetes study 7 Response of fasting plasma glucose to diet therapy innewly presenting type II diabetic patients Metab Clin Exp 1990, 39 905-12
11. Goldstein DJ Beneficial health effects of modest weight loss Int J Obes 1992, 16 397-415
12. Han TS, van Leer EM, Seidell JS, Lean MEJ Waist circumference action levels m the identification of cardiovascular nsk factors prevalence study in a random sample BrMedJ 1995,311 1401 -5
13. Liebson PR, Grandits G, Dianzumba Comparison of five antihypertensive monotherapies and placebo for change m left ventncular mass m patients receiving nutntional-hygienic therapy tn the Treatment of Mild Hypertension Study (TOMHS) Circulation 1995, 91 698-706
14. Tuomielehto J et al. Prevention of Diabetes Mellitus by changes in Lifestyle among Subjects with Impaired Glucose Tolerance New Eng J Med 2001, 344 1343-50
15. WHO Obesity prevention and managing the global epidemic Report of the WHO consultation on obesity, Geneva, 3-5 June 1997 WHO Geneva, 1998
16. Doll S, Paccaud F, BovetP et al. Body mass index, abdominal adiposity and blood pressure consistency of their association across developing and developed countnes Int J Obesity 2002, 26 (I) 48-57
17. Sengenes C, Stich V, Berlan M te al. Increased lipolysis in adipose tissue and lipid mobilization to natnuretic peptides dunng low-calone diet in obese women IntJ Obes 2002, 26 (I) 24-33
18. Muscelh, Camastra S, Catalano C et al. Metabolic and cardiovascular asses-ment m modirate obesity effect of weight loss J Clin Endoc Metab l997, 82 (9) 2937-43
Review
For citations:
Shavarova Ye.K., Nikitina Ye.A., Smirnova Ye.V., Kondradi A.O., Zalevskaya A.G. Efficiency of an educating program as non-drug treatment in obese patients. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2003;9(2):54-58. (In Russ.) https://doi.org/10.18705/1607-419X-2003-9-2-54-58
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