Justification of the need to create a new classification of obesity
The results of numerous studies conducted over the past decades have shown that the greatest importance in determining the risk of disease and death at the individual level is the accumulation of visceral adipose tissue, associated with the development of metabolic disorders and local influence when...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Open Systems Publication
2021-09-01
|
| Series: | Лечащий Врач |
| Subjects: | |
| Online Access: | https://journal.lvrach.ru/jour/article/view/786 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849248395010506752 |
|---|---|
| author | S. V. Miklishanskaya E. A. Zolozova A. A. Orlovsky G. V. Shlevkova N. A. Mazur |
| author_facet | S. V. Miklishanskaya E. A. Zolozova A. A. Orlovsky G. V. Shlevkova N. A. Mazur |
| author_sort | S. V. Miklishanskaya |
| collection | DOAJ |
| description | The results of numerous studies conducted over the past decades have shown that the greatest importance in determining the risk of disease and death at the individual level is the accumulation of visceral adipose tissue, associated with the development of metabolic disorders and local influence when it accumulates in the internal organs. Bioimpedance analysis is a simple and widely available clinical method for determining the excess content of visceral adipose tissue, thereby allowing you to identify patients with obesity and a high risk of developing cardiovascular complications, even in the first meeting with a doctor. The results of the determination of visceral adipose tissue by bioimpedance analysis are comparable with the data obtained by CT and MRI. According to our observations conducted on 154 patients with various cardiovascular diseases, the content of visceral adipose tissue , which is 14% or more according to bioimpedance analysis, was combined with disorders characteristic of the metabolic syndrome. At the same time, the increase in BMI from the 1st to the 3rd degree did not reflect the severity of metabolic disorders. There were no significant differences in the content of visceral adipose tissue and blood levels of triglycerides, glucose, and HDL-C in patients with different degrees of obesity. To date, it is obvious that obesity, determined by BMI, is very heterogeneous and its negative role in the development of diseases is revealed only when observing very large groups of the population. Research data on the importance of visceral adipose tissue and its association with risk factors for cardiovascular disease suggest the need for a new classification of obesity. We present a draft for discussing the new classification of obesity in our article. |
| format | Article |
| id | doaj-art-e23a628bd7e54e44b0f8ec0063c25cf1 |
| institution | Kabale University |
| issn | 1560-5175 2687-1181 |
| language | Russian |
| publishDate | 2021-09-01 |
| publisher | Open Systems Publication |
| record_format | Article |
| series | Лечащий Врач |
| spelling | doaj-art-e23a628bd7e54e44b0f8ec0063c25cf12025-08-20T03:57:51ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812021-09-0107586210.51793/OS.2021.24.7.011785Justification of the need to create a new classification of obesityS. V. Miklishanskaya0E. A. Zolozova1A. A. Orlovsky2G. V. Shlevkova3N. A. Mazur4Russian Medical Academy of Continuous Professional EducationRussian Medical Academy of Continuous Professional EducationNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyRussian Medical Academy of Continuous Professional EducationThe results of numerous studies conducted over the past decades have shown that the greatest importance in determining the risk of disease and death at the individual level is the accumulation of visceral adipose tissue, associated with the development of metabolic disorders and local influence when it accumulates in the internal organs. Bioimpedance analysis is a simple and widely available clinical method for determining the excess content of visceral adipose tissue, thereby allowing you to identify patients with obesity and a high risk of developing cardiovascular complications, even in the first meeting with a doctor. The results of the determination of visceral adipose tissue by bioimpedance analysis are comparable with the data obtained by CT and MRI. According to our observations conducted on 154 patients with various cardiovascular diseases, the content of visceral adipose tissue , which is 14% or more according to bioimpedance analysis, was combined with disorders characteristic of the metabolic syndrome. At the same time, the increase in BMI from the 1st to the 3rd degree did not reflect the severity of metabolic disorders. There were no significant differences in the content of visceral adipose tissue and blood levels of triglycerides, glucose, and HDL-C in patients with different degrees of obesity. To date, it is obvious that obesity, determined by BMI, is very heterogeneous and its negative role in the development of diseases is revealed only when observing very large groups of the population. Research data on the importance of visceral adipose tissue and its association with risk factors for cardiovascular disease suggest the need for a new classification of obesity. We present a draft for discussing the new classification of obesity in our article.https://journal.lvrach.ru/jour/article/view/786visceral adipose tissuebioimpedance analysisclassification of obesitymetabolic disordersbody mass index |
| spellingShingle | S. V. Miklishanskaya E. A. Zolozova A. A. Orlovsky G. V. Shlevkova N. A. Mazur Justification of the need to create a new classification of obesity Лечащий Врач visceral adipose tissue bioimpedance analysis classification of obesity metabolic disorders body mass index |
| title | Justification of the need to create a new classification of obesity |
| title_full | Justification of the need to create a new classification of obesity |
| title_fullStr | Justification of the need to create a new classification of obesity |
| title_full_unstemmed | Justification of the need to create a new classification of obesity |
| title_short | Justification of the need to create a new classification of obesity |
| title_sort | justification of the need to create a new classification of obesity |
| topic | visceral adipose tissue bioimpedance analysis classification of obesity metabolic disorders body mass index |
| url | https://journal.lvrach.ru/jour/article/view/786 |
| work_keys_str_mv | AT svmiklishanskaya justificationoftheneedtocreateanewclassificationofobesity AT eazolozova justificationoftheneedtocreateanewclassificationofobesity AT aaorlovsky justificationoftheneedtocreateanewclassificationofobesity AT gvshlevkova justificationoftheneedtocreateanewclassificationofobesity AT namazur justificationoftheneedtocreateanewclassificationofobesity |