Preview

Health care of Tajikistan

Advanced search

Epidemiology of obesity in women: from multifactorial analysis to personalized prevention strategies

https://doi.org/10.52888/0514-2515-2024-363-4-120-129

Abstract

This article focuses on obesity in women, which is a global medical problem. Obesity is the result of a complex interaction of epidemiological, socio-economic, geographical, hormonal, genetic, metabolic, psycho-emotional-behavioural and environmental factors. Numerous etiopathogenetic factors are involved in the pathogenesis of adiposopathies, such as polygenic inheritance, physical inactivity, dysmetabolic nutritional behaviour, nicotine addiction and various forms of nutritional dysregulation. Recently, the correlation between obesity and dysbiotic changes in the oral and intestinal microbiota has been actively studied, highlighting the multicomponent and systemic nature of this pathology. Despite the introduction of therapeutic and preventive programmes aimed at reducing the prevalence of adiposopathy, there is a steady trend towards an increase in the number of obese people in the Republic of Tajikistan.

About the Author

Z. A. Umarova
Department of Epidemiology named after Prof. Rafiev H.K., SEI Avicenna Tajik State Medical University
Tajikistan

Umarova Zamira Akhmedovna – Postgraduate Student

Tel: +992918422233

Dushanbe



References

1. Ametov A.S., Pashkova E.Yu., Ramazanova Z.D., Darsigova M.N. Ozhirenie kak neinfektsionnaya epidemiya XXI veka. Sovremennye predstavleniya o patogeneze, riskakh i podkhodakh k farmakoterapii [Obesity as a non-infectious epidemic of the XXI century. Current understanding of pathogenesis, risks and approaches to pharmacotherapy]. Endokrinologiya: Novosti. Mneniya. Obuchenie – Endocrinology: News, Opinions, Training, 2019, No. 2 (27), pp. 57-66.

2. Amlaev K.R., Dakhkilkova Kh.T. Ozhirenie: epidemiologiya, etiopatogenez, komorbidnost, diagnostika i lechenie [Obesity: epidemiology, etiopathogenesis, comorbidity, diagnosis and treatment]. Meditsinskiy vestnik Severnogo Kavkaza - Medical news of the North Caucasus, 2020, Vol. 15, No 3, pp. 434-438.

3. Arkhangelskaya A.N., Ivkina M.V., Gurevich K.G. Izbytochnaya massa tela i ozhirenie kak aktualnaya problema zdorovya lits opasnykh professiy [Overweight and obesity as an urgent health problem for persons in hazardous occupations]. Meditsina katastrof – Disaster Medicine, 2015, No. 3, pp. 34-36.

4. Balanova Yu.A. Ozhirenie v rossiyskoy populyatsii — rasprostranennost i assotsiatsii s faktorami riska khronicheskikh neinfektsionnykh zabolevaniy [Obesity in the Russian population - prevalence and associations with risk factors for chronic non-communicable diseases]. Rossiyskiy kardiologicheskiy zhurnal - Russian Journal of Cardiology, 2018, No. 6, pp. 123-130.

5. Bulatova E.M., Butko P.V., Shabalov A.M. Narushenie pishchevogo povedeniya kak prediktor ozhireniya i metabolicheskogo sindroma: vozmozhna li profilaktika? [Eating disorder as a predictor of obesity and metabolic syndrome: is prevention possible?]. Pediatr - Pediatrician, 2019, Vol. 10, No. 3, pp. 57-61.

6. Verbovoy A.F., Sharonova L.A. Ozhirenie: epidemiologicheskie i sotsialno-ekonomicheskie aspekty, profilaktika [Obesity: epidemiologic and socio-economic aspects, prevention]. Endokrinologiya: Novosti. Mneniya. Obuchenie – Endocrinology: News, Opinions, Training, 2019, Vol. 8, No. 3, pp. 87-97.

7. Vilkov V.G. Trendy ozhireniya v populyatsiyakh Rossiyskoy Federatsii i Soedinennykh Shtatov Ameriki. Tridtsatiletnyaya dinamika [Obesity trends in populations of the Russian Federation and the United States of America. Thirty-year dynamics]. Kardiovaskulyarnaya terapiya i profilaktika - Cardiovascular Therapy and Prevention, 2018, No. 4, pp. 67-72.

8. Grigoryan O.R., Andreeva E.N. Ozhirenie i reproduktivnaya funktsiya [Obesity and reproductive function]. Akusherstvo i ginekologiya - Obstetrics and Gynecology, 2015, No. 9, pp. 14-19.

9. Zhedunova L.G., Voldaeva A.S. Sostoyanie granits psikhologicheskogo prostranstva lichnosti kak faktor formirovaniya narusheniy pishchevogo povedeniya [The state of the boundaries of the psychological space of an individual as a factor in the formation of eating behavior disorders]. Yaroslavskiy pedagogicheskiy vestnik – Yaroslavl Pedagogical Bulletin, 2014, Vol. 2, No. 4, pp. 237-241.

10. Zhunisova M.B. Psikhoemotsionalnyy stress kak prediktor tipa pishchevogo povedeniya v Kazakhstane [Psychoemotional stress as a predictor of eating behavior type in Kazakhstan]. Ekologiya cheloveka - Human Ecology, 2015, No. 5, pp. 36-45.

11. Zvenigorodskaya L.A., Mishchenkova T.V. Metody korrektsii massy tela pri abdominalnom ozhirenii - vliyanie na gormony i tipy pishchevogo povedeniya [Methods of weight correction in abdominal obesity - effects on hormones and types of eating behavior]. Consilium medicum, 2010, No. 12, pp. 77-82.

12. Ivleva A.Ya., Burkov S.G. Izbytochnyy ves i ozhirenie: problema meditsinskaya, a ne kosmeticheskaya [Overweight and obesity: a medical problem, not a cosmetic one]. Ozhirenie i metabolism - Obesity and metabolism, 2010, No. 3 (1), pp. 15-19.

13. Kovaleva Yu.V. Gormony zhirovoy tkani i ikh rol v formirovanii gormonalnogo statusa i patogeneze metabolicheskikh narusheniy u zhenshchin [Adipose tissue hormones and their role in the formation of hormonal status and pathogenesis of metabolic disorders in women]. Arterialnaya gipertenziya - Arterial hypertension, 2015, No. 21 (4), pp. 356-370.

14. Leonova E.N. Sotsialno-psikhologicheskie tipy pishchevogo povedeniya [Psychosocial types of eating behavior]. Vestnik Udmurtskogo universiteta. Seriya «Filosofiya. Psikhologiya. Pedagogika» - Bulletin of Udmurt University. Series Philosophy. Psychology. Pedagogy, 2017, Vol. 27, No. 2, pp. 174-181.

15. Rakhmanov R.S., Evdokimov A.V., Gadzhiibragimov D.A. Sravnitelnyy analiz massy tela zhenshchin razlichnykh vozrastnykh grupp s razlichnoy fizicheskoy aktivnostyu [Comparative analysis of body weight of women of different age groups with different physical activity]. Gigiena i sanitariya - Hygiene and Sanitation, 2016, Vol. 95, No. 2, pp. 212-215.

16. Bäckhed F. The gut microbiota as an environmental factor that regulates fat storage. Proceedings of the National Academy of Sciences, 2004, Vol. 101, No. 44, рp. 15718-15723.

17. Cani P.D. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes, 2007, Vol. 56, рp. 1761-1772.

18. Catalano P. M., Ehrenberg E. The short- and long-term implications of maternal obesity on the mother and her offspring BJOG. An International Journal of Obstetrics and Gynaecology, 2006, Vol. 113, No. 10, pp. 1126-1133.

19. Cutler D.M. Why have Americans become more obese? The Journal of Economic Perspectives, 2003, Vol. 17, No. 3, рp. 93-118.

20. Donnelly J.E. Physical Activity and Weight Control: Consensus Recommendations. The Journal of Clinical Endocrinology and Metabolism, 2004, Vol. 89, No. 9, рp. 4311-4318.

21. Fabricatore A.N. Intentional weight loss and changes in symptoms of depression: a systematic review and meta-analysis. International Journal of Obesity, 2011, Vol. 3, pр. 216-223.

22. Heidemarie Abrahamian, Alexandra Kautzky-Willer. Sexuality in overweight and obesity. Wiener Medizinische Wochenschrift (Springer Vienna), 2016, Vol. 166, Iss. 3, pp 121-128.

23. Hill J.O. Energy balance and obesity. Circulation, 2012, Vol. 126, No. 1, pр. 126-132.

24. Kee С.С. Association of BMI with risk of CVD mortality and all-cause mortality. Public health nutrition, 2017, Vol. 20, pp. 1226-1234.

25. Kowalczuk M., Lipinska J., Kopec I. The multimodal approach to obesitytreatment – current pharmacological and surgical methods and lifestyle changes. Journal of Education, Health and Sport, 2024, No. 59, pp. 220-234.

26. Kulak K., Sztybor I., Kaminska K. Obesity - an epidemic of the 21st century – literature review. Journal of Education, Health and Sport, 2024, No. 70, pp. 49557.

27. Ley R.E. Microbial ecology: Human gut microbes associated with obesity. Nature, 2006, Vol. 444, рp. 1022-1023.

28. Livingstone K.M., Celis-Morales C., Papandonatos G.D. Precision Nutrition for Prevention and Management of Type 2 Diabetes. The Lancet Diabetes and Endocrinology, 2018, Vol. 6, No. 5, рp. 416-426.

29. McLaren L. Socioeconomic status and obesity. Epidemiologic Reviews, 2007, Vol. 29, pр. 29-48.

30. Moynihan P., Petersen P.E. Diet, nutrition and the prevention of dental diseases. Public Health Nutrition, 2004.

31. Ng M. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 2014, Vol. 384, No. 9945, pp. 766-781.

32. Ogden C.L. Prevalence of Obesity Among Adults and Youth: United States 2015–2016. NCHS Data Brief, №288, 2017.

33. Palmer B.F., Clegg D.J. The sexual dimorphism of obesity. Molecular and Cellular Endocrinology, 2015, Vol. 402, pр. 113-119.

34. Pasquali R. The impact of obesity on reproduction in women with polycystic ovary syndrome. BJOG: An International Journal of Obstetrics and Gynaecology, 2006.

35. Popkin, B.M. Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, 2012, Vol. 70, No. 1, pр. 3-21.

36. Renehan A.G. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. The Lancet, 2008, Vol. 371, No. 9612, pp. 569-578.

37. Sarwer D.B. Psychological aspects of obesity. Clinics in Dermatology, 2004, Vol. 22, No. 4, pp. 332337.

38. Sruthi K.G., Sushil Mathew John, Sam Marconi David. Assessment of obesity in the Indian setting: A clinical review. Clinical Epidemiology and Global Health 23 (2023).

39. Suvan J.E. Association between overweight/obesity and periodontitis in adults. A systematic review. Obesity Reviews, 2011.

40. Swinburn B.A. Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutrition, 2004, Vol. 7, No. 1A, pр. 123-146.

41. Teede H.J. Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline. The Medical Journal of Australia, 2011, Vol. 195, No. S6, pp. S65-S112.

42. Turnbaugh P.J. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 2006, Vol. 444, рp. 1027-1031.


Review

For citations:


Umarova Z.A. Epidemiology of obesity in women: from multifactorial analysis to personalized prevention strategies. Health care of Tajikistan. 2024;(4):120-129. (In Russ.) https://doi.org/10.52888/0514-2515-2024-363-4-120-129

Views: 142


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0514-2415 (Print)