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.
The aim: Study of somatoform vegetative dysfunction’ clinical features at adolescent age with a chronic pain (HA syndrome and AP syndrome), and also socially-psychological factors of its formation too. Materials and methods: There are 82 teenagers have been examined in this research: 48 girls (58,5 %) and 34 young men (41,5 %) at the age of 16 – 17 years. Research will be done according to diagnostic criteria of ICD-10. Results: An aetiological basis of HAS and APS are various somatoform disorder mostly at teenage age (70,8 % cases at girls and in 58,8 % – at young men). 32,2 % of the patients had various neurotic disturbances with anxiety-depressive symptoms in a genesis of HAS and APS. Somatoform vegetative dysfunction – the most widespread reason of HAS and APS development among teenagers. Among teenagers HAS cases (68,8 % – at girls, 58,8 % – at young men) essentially prevail over APS (31,2 and 41,2 % cases accordingly). All adolescents had combine negative life events in their life. Girls felt psychotraumatic experience more strongly than young man. The greatest combine negative life experience has been revealed in a subgroup of girls with HAS. The least influence of psychotraumatic factors was observed at young men with APS. Consequently, SVD, accompanied by severe pain in adolescence – is pathogenic complex and combined mental disorders, requiring adequate psychopharmacological and psychotherapeutic intervention. Conclusions: Chronic stressful situations were experienced by each of the examined patients. Each of the teens noted combination of stress problems in their lives. The widespread common problem among the examined adolescents was a sense of being overprotected by parents. Consequently, SVD, accompanied by severe pain in adolescence –is pathogenic complex and combined mental disorders, requiring adequate psychopharmacological and psychotherapeutic intervention.
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.
Background The work studied and compared the dynamics of changes in the course of hypertension, type 2 diabetes, and somatized disorders in Ukrainian population, in the 1st period before war (October 2021 – February 2022) and 2nd period during the war (March -July 2022). The choice of the study of the above-mentioned nosology is due, first of all, to the increase in cases of referrals to outpatient doctors regarding hypertensive crises, the increase in the frequency of patients' complaints about the lability of glycemic indicators during routine monitoring of glucose levels with ambulatory glucometers, the appearance of chronic pain syndrome of unspecified pathology with the beginning of war events. Methods 272 people were examined in Mykolaiv Region (Ukraine). The patients were divided into three clinical groups: 1st group - 90 people patients with arterial hypertension; 2nd group – 92 people with type 2 diabetes; the 3rd group – 90 people with somatiform disorders. Results In the patients of the 1st group during the 2nd period, amount of people with hypertension of the 1st degree increased in 1.8 times (D=2.3804; p=0.0412), with 2nd degree hypertension increased in 2 times (D=2.3129; p= 0.0491) and 3rd degree hypertension increased in 2.5 times (D=2.1827, p= 0.0391); somatized disorders in 3rd group also increased in 4.1 times (D=0.489, p=0.001<0.05); in 2nd group recorded an increase in HbA1c by 0.99±0.57 mmol/l (D=0.9420, p=1.795e-07<0.05), in comparison with the indicators for the 1st observation period. Conclusions The war events in Ukraine not only changed the life of every Ukrainian, but also had a significant impact on the dynamics and structure of chronic somatic diseases, in particular due to an increase in patient referrals for hypertensive crises, exacerbations of type 2 diabetes, somatized disorders, and chronic pain syndrome of unknown etiology. Considering these results, it is important to increase the equipment of regional primary care centers with antihypertensive, hypoglycemic and sedative drugs.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.