{"title":"在预防非传染性疾病的框架内提高控制体重的预防性干预措施的效力","authors":"L. Vlasyk, A. Sukholotiuk, T. Khrystych","doi":"10.33273/2663-9726-2019-50-1-19-27","DOIUrl":null,"url":null,"abstract":"Introduction. Excessive body weight and obesity account for 5 % of world deaths. The cessation of diabetes and obesity prevalence growth by 2025 is one of 9 voluntary global targets to struggle with noncommunicable diseases.\nAim. To put forward ways to increase the effectiveness of health services in the area of nutrition control, physical activity and body weight.\nMaterials and Methods. The experience of conducting individual prophylactic consultations of patients with overweight on the basis of a municipal policlinic and a private medical center has been used. 377 adult residents of Chernivtsi region have been interviewed in public places of the city during educational events. Bibliosemantic, sociological and statistical methods have been used.\nResults and Discussion. The ways to increase the effectiveness of body mass control services, which are recommended for use at the level of primary care, are analyzed in the article. The proposed method for assessing the risk of developing obesity using bioimpedance analysis of the body composition, which can serve as a tool for doctors to provide reasonable observation of different patients: with an burdensome heredity for arterial hypertension and diabetes mellitus; with disturbed eating behavior; with concomitant diseases limiting the intensity of their physical activity; with the problem of accumulation of visceral fat. In all cases, body mass control showed sufficient motivation of the patients to achieve the target result.\nConclusions. Increasing the effectiveness of body mass control services provided to patients at the level of the primary care is possible using an integrated approach and risk assessment in the dynamics. The above examples show that taking into account the dynamics of indices of bioimpedance analysis in risk assessment provides reasoned management of patients motivated to achieve the target results. The effectiveness of consultations is enhanced by the use of written recommendations and modern communication methods.","PeriodicalId":231282,"journal":{"name":"One Health and Nutrition Problems of Ukraine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Increasing the effectiveness of prophylactic interventions for the body weight control in the framework of the prevention of non-communicable diseases\",\"authors\":\"L. Vlasyk, A. Sukholotiuk, T. Khrystych\",\"doi\":\"10.33273/2663-9726-2019-50-1-19-27\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction. Excessive body weight and obesity account for 5 % of world deaths. The cessation of diabetes and obesity prevalence growth by 2025 is one of 9 voluntary global targets to struggle with noncommunicable diseases.\\nAim. To put forward ways to increase the effectiveness of health services in the area of nutrition control, physical activity and body weight.\\nMaterials and Methods. The experience of conducting individual prophylactic consultations of patients with overweight on the basis of a municipal policlinic and a private medical center has been used. 377 adult residents of Chernivtsi region have been interviewed in public places of the city during educational events. Bibliosemantic, sociological and statistical methods have been used.\\nResults and Discussion. The ways to increase the effectiveness of body mass control services, which are recommended for use at the level of primary care, are analyzed in the article. The proposed method for assessing the risk of developing obesity using bioimpedance analysis of the body composition, which can serve as a tool for doctors to provide reasonable observation of different patients: with an burdensome heredity for arterial hypertension and diabetes mellitus; with disturbed eating behavior; with concomitant diseases limiting the intensity of their physical activity; with the problem of accumulation of visceral fat. In all cases, body mass control showed sufficient motivation of the patients to achieve the target result.\\nConclusions. Increasing the effectiveness of body mass control services provided to patients at the level of the primary care is possible using an integrated approach and risk assessment in the dynamics. The above examples show that taking into account the dynamics of indices of bioimpedance analysis in risk assessment provides reasoned management of patients motivated to achieve the target results. The effectiveness of consultations is enhanced by the use of written recommendations and modern communication methods.\",\"PeriodicalId\":231282,\"journal\":{\"name\":\"One Health and Nutrition Problems of Ukraine\",\"volume\":\"13 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-05-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"One Health and Nutrition Problems of Ukraine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33273/2663-9726-2019-50-1-19-27\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"One Health and Nutrition Problems of Ukraine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33273/2663-9726-2019-50-1-19-27","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Increasing the effectiveness of prophylactic interventions for the body weight control in the framework of the prevention of non-communicable diseases
Introduction. Excessive body weight and obesity account for 5 % of world deaths. The cessation of diabetes and obesity prevalence growth by 2025 is one of 9 voluntary global targets to struggle with noncommunicable diseases.
Aim. To put forward ways to increase the effectiveness of health services in the area of nutrition control, physical activity and body weight.
Materials and Methods. The experience of conducting individual prophylactic consultations of patients with overweight on the basis of a municipal policlinic and a private medical center has been used. 377 adult residents of Chernivtsi region have been interviewed in public places of the city during educational events. Bibliosemantic, sociological and statistical methods have been used.
Results and Discussion. The ways to increase the effectiveness of body mass control services, which are recommended for use at the level of primary care, are analyzed in the article. The proposed method for assessing the risk of developing obesity using bioimpedance analysis of the body composition, which can serve as a tool for doctors to provide reasonable observation of different patients: with an burdensome heredity for arterial hypertension and diabetes mellitus; with disturbed eating behavior; with concomitant diseases limiting the intensity of their physical activity; with the problem of accumulation of visceral fat. In all cases, body mass control showed sufficient motivation of the patients to achieve the target result.
Conclusions. Increasing the effectiveness of body mass control services provided to patients at the level of the primary care is possible using an integrated approach and risk assessment in the dynamics. The above examples show that taking into account the dynamics of indices of bioimpedance analysis in risk assessment provides reasoned management of patients motivated to achieve the target results. The effectiveness of consultations is enhanced by the use of written recommendations and modern communication methods.