O. Oynotkinova, V. M. Kuraeva, Evgeny V. Esin, S. Gusarenko
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引用次数: 0
摘要
本审查是根据世界卫生组织(世界卫生组织)、欧洲公共卫生系统和公共卫生领域政策观察站的流行病学、人口统计和国家研究以及专家材料的概括,人群中的肥胖和代谢相关疾病,包括糖尿病。使用Scopus、Web of Science、Medline、The Cochrane Library、EMBASE、Global Health、CyberLeninka、RSCI等信息数据库以及世界卫生组织公报中发布的材料进行文章检索和筛选。不遵守健康饮食原则、低体力活动被认为是发展为2型糖尿病的危险因素。上述分析表明,不适当、不均衡的饮食、低体力活动等可改变的风险因素是肥胖和代谢相关疾病发展的触发风险因素,特别是2型糖尿病和随后的心血管并发症。与此同时,五年内出现新的2型糖尿病病例的风险很高,这意味着早期残疾,专家表示,还意味着提供医疗服务的经济成本。旨在减少2型糖尿病和心血管疾病风险因素的策略应侧重于生活方式的纠正、改善饮食和增加体育活动。
Assessment of the role of unhealthy diet and low physical activity in the development of diabetes mellitus and cardiovascular complications (literature review)
The presented review is based on a generalization of epidemiological, demographic and country studies and expert materials of the World Health Organization (WHO), the European Observatory on Public Health Systems and Policies in the Field of Public Health and an analysis of existing and progressive medical and social problems associated with the growth of overweight, obesity and metabolic-associated diseases among the population, including diabetes mellitus. The search and selection of articles was carried out using the information databases Scopus, Web of Science, Medline, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RSCI, materials published in WHO bulletins. Non-compliance with the principles of a healthy diet, low physical activity are considered risk factors for the development diabetes of type 2. The above analysis shows that such modifiable risk factors as improper, unbalanced diet, low physical activity are trigger risk factors for the development of obesity and metabolically associated diseases, in particular, diabetes mellitus type 2 with subsequent cardiovascular complications. At the same time, the five-year risk of developing new cases of diabetes type 2 is high, which entails early disability and, according to experts, the economic costs of providing medical care. Strategies aimed at reducing risk factors for diabetes mellitus type 2 and cardiac vascular diseases should be focused on lifestyle correction, improving diet, and increasing physical activity.