Obesity is a non-infectious epidemic of the XXI century. The social significance of the problem of obesity is determined by the threat of disability of young patients and the reduction of overall life expectancy due to the frequent development of severe diseases. Eating behaviour disorders are the leading factors in the development of overweight and obesity. The purpose of the work was to determine the relationship between overweight and obesity with eating behaviour, taking into account the gender and age characteristics of patients. Material and methods. A survey of 272 people (136 men and 136 women) was conducted. The examined patients were divided into two clinical groups: I group included 90 people (45 women and 45 men) with excess weight (BMI = 27.7±1.31 kg / m2); Group II had 92 people (46 women and 46 men) with obesity of 1 degree (BMI = 31.74±1.03 kg / m2). Evaluation of eating disorders was carried out using the DEBQ questionnaire (Netherlands) adapted to the purpose of the study. Results and discussion. Eating behaviour disorders are one of the leading factors in the development of overweight and obesity: in overweight patients a healthy type of eating behaviour was recorded 4.86 times less often than in normal weight (D = 13.56, p = 2.35 e-14 <0.05), and in obese patients it was 7.14 times less often than in normal weight individuals (D = 21.04, p = 2.2e-16 <0.05). Overweight and obesity are most often associated with a restrictive type of eating behaviour: in overweight people they were met 4 times more often (D = 0.16, p-value = 4.637e-06 <0.05), and in obese patients disorders of the restrictive type of eating behaviour were 4.24 times more often compared to the control group (D = 0.15, p-value = 6.148e-07 <0.05). The type of eating behaviour in all clinical groups, except for body mass index, was influenced by gender and age of the subjects. Thus, in overweight men after the age of 45 a healthy type of eating behaviour occurred 8.09 times more often than in men under the age of 45 (D = 0.11, p-value = 0.03 <0.05) and in overweight women (D = 0.11, p-value = 0.03 <0.05). The relationship between the type of eating behaviour and gender and age characteristics of patients was found and confirmed by correlation analysis in all clinical groups. Conclusions. Healthy eating behaviour disorders are one of the leading factors in the development of overweight and obesity. Correction of eating disorders in obese people must be carried out taking into account the gender and age characteristics of the patient, to obtain positive results for a shorter course of treatment. Medical advice for women and young people, taking into account the prevalence of restrictive eating behaviour disorders, should be aimed at combating strict diets and periods of prolonged starvation; men and people over 45, taking into account the prevalence of external eating behaviour disorders, should follow a balanced diet. The duration of corrective treatment in obese women should be increased through psychotherapy

The aim: Identify the types of eating behaviour in overweight and obesity depending on gender and age. Materials and methods: A survey of 210 people (men -105, women -105) was conducted. The age of women ranged from 19 to 60 years, the average age was 41.5 ± 11.2 years. The age of men ranged from 22 to 60 years, the average age was 42.3 ± 12.3 years. The examined patients were divided into two clinical groups: group I – 70 people (women – 35, men – 35) with overweight. BMI of persons of the I group from 25.8 kg / m2 to 29,3 kg / m2 (BMTmid. = 27,5 ± 1,31 kg / m2); Group II – 72 people with 1st degree obesity (women -36, men – 36). Evaluation of eating disorders was carried out using the DEBQ questionnaire (Nederland) adapted to the purpose of the study. Results: In patients of groups I and II healthy type of eating behaviour was recorded less often than in control groups, 5.38 times (D = 13.561, p = 0.002 <0.05) and 10.45 times (D = 21.043, p = 0.022 <0.05), respectively. In group I, the restrictive type of EB among women occurred 1.7 times more often than in men (D = 0.852, p = 0.001). In group II, the restrictive type of EB among women was observed 1.3 times more often than in men (D = 0.382, p = 0.005). Conclusions: Restrictive eating behaviour disorders are one of the leading factors in the development of overweight and obesity. Correction of eating disorders in obese people must be carried out taking into account the gender and age characteristics of the patient, to obtain positive results for a shorter course of treatment.

Надмірна вага та ожиріння — одна з найскладніших медичних і соціальних проблем сучасності. Для сучасного суспільства характерні фактори, які обумовлюють ожиріння: малорухливий спосіб життя, нераціональне харчування з великою часткою рафінованих продуктів, переїдання, психологічні стреси тощо. Проте роль порушень харчової поведінки (ХП) у формуванні надлишкової ваги та ожиріння вивчені недостатньо. Метою роботи є визначення особливостей різних типів ХП при надмірній масі тіла та ожирінні в залежності від гендерно-вікових чинників. Матеріал і методи. Проведено опитування 210 пацієнтів (105 жінок і 105 чоловіків). Вік жінок коливався від 19 до 60 років (середній вік становив 41,5±11,2 року), вік чоловіків — від 22 до 60 років (середній вік — 42,3±12,3 року). Всіх пацієнтів було розподілено на дві клінічні групи: 1-а група — 70 осіб (35 жінок і 35 чоловіків) з надлишковою вагою (індекс маси тіла (ІМТ) від 25,8 до 29,3 кг/м2; середній показник 27,5±1,31 кг/м2); 2-а група — 72 особи (36 жінок і 36 чоловіків) з ожирінням 1 ступеня (ІМТ від 30,0 до 33,9 кг/м2; середній показник 31,74±1,03 кг/м2). Контрольну групу склали 70 осіб (35 жінок і 35 чоловіків) з нормальною вагою (ІМТ від 19,5 кг/м2 до 23,9 кг/м2; середній показник 22,41±1,43 кг/м2). Оцінку розладів ХП проводили за допомогою адаптованого Нідерландського опитувальника ХП (The Dutch Eating Behaviour Questionnaire, DEBQ). Результати. У пацієнтів 1-ої та 2-ої груп здоровий тип ХП зафіксовано рідше, ніж у контрольній групі, у 5,38 раза (D=13,561, p<0,01) та в 10,45 раза (D=21,043, p<0,05) відповідно. У 1-й групі обмежувальний тип ХП серед жінок був зафіксований в 1,7 раза частіше, ніж у чоловіків (D=0,852, p<0,01). У 2-й групі обмежувальний тип ХП серед чоловіків зафіксований в 1,3 раза рідше, ніж серед жінок (D=0,382, p<0,01). Висновки. Обмежувальні розлади ХП є одним із провідних факторів розвитку надмірної ваги та ожиріння. Корекція розладів харчування в людей, що страждають ожирінням, повинна проводитися з урахуванням гендерних і вікових особливостей пацієнта, щоб отримати позитивні результати при коротшому курсі лікування.

Purpose: to establish the relationship between the severity of the course of depressive disorders and body mass index in patients with non-alcoholic fatty liver disease on the background of abdominal obesity, the role of physical activity and cognitive-behavioral therapy for their correction.  Materials and methods. 272 people (136 women and 136 men) were examined. The patients were divided into two clinical groups: 1st group – 90 people with non-alcoholic fatty liver disease and overweight (average body mass index =27.5±1.31 kg/m2), who followed only dietary recommendations and a complex physical exercises; 2nd group  - 92 people with non-alcoholic fatty liver disease  and abdominal obesity of the 1st degree (average body mass index =31.74±1.03 kg/m2), who additional  underwent a 6-month course of cognitive-behavioral therapy. The control group consisted of 90 people with normal body weight (average body mass index =22.41±1.43 kg/m2). The Beck scale was used to assess the presence of depression. Results. Depression in patients of the 1st and 2nd groups was registered in 2.3 times (x2=28.105, p=4.762e-10<0.05) and 2.6 times more often (x2=12.019, p=0.007<0.05), than in the control group. Mild depressive disorders in 1.9 times (D=0.304, p=0.032<0.005) more often recorded in young women (up to 45 years old). Patients of the 2nd group, who additionally received a course of CBT, recorded a decrease in the number of depressive disorders of moderate severity by 3.33 times (D=0.1837, p=0.0133), compared to the patients of the 1st group. Conclusions. Gender-age characteristics and weight affect the severity of depressive disorders in obese patients. To reduce the number of depressive disorders and optimize body mass index, it is mandatory to use combined treatment in the form of aerobic exercises and cognitive-behavioral training.

Purpose: to evaluate the effectiveness of correction of eating behaviour disorders, anthropometric, physiological indicators by impFreelementing combined non-drug treatment for patients with non-alcoholic fatty liver disease on the background of abdominal obesity. Material and methods 85 patients with non-alcoholic fatty liver disease on the background of abdominal obesity of the 1st degree were examined. All patients were divided into two clinical groups: 1st group (research) - 48 people, with average body mass index BMI=32.55±1.07 kg/m2, who underwent a course of cognitive behavioural therapy, diet therapy, and physical activity for 6 months; the control group - 37 people with average BMI=31.95±1.03 kg/m2 followed only a rational diet and physical activity, without cognitive behavioural therapy. The examination of the patients included the measurement of anthropometric and physiological indicators, questionnaires according to the DEBQ (Dutch Eating Behaviour Questionnaire). Results On the 180th day, the number of patients with normal blood pressure in the 1st group increased in 2.38 times (D=2.3511, p=0.0015), healthy eating behavior was recorded in 2.38 times more often (D=0.2215, p=0.0047) and the number of restrictive type of EB decreased in 2.0 times (D=0.4321, p=0.0031), compared to the control group. Conclusion A combined course of therapy in the form of a rational diet, aerobic exercise and cognitive behavioural therapy should be an integral component of early non-drug treatment, as a guarantee not only of the correction of anthropometric and functional indicators, but also of the modification of the eating behavior and a guarantee of long-term maintenance of the desired weight.