Objective: to study the parameters of the compound body composition in middle-aged people with arterial hypertension (AH) to determine the targets for prevention and treatment.Materials and methods: 37 men and 58 women with AH aged 45 to 59 years were examined. Questioning, anthropometry with determination of waist circumference (WC), body mass index (BMI), study of compound body composition by bioimpedancemetry, as well as measurement of blood pressure (BP) were carried out.Results: overweight and obesity were found in 87,3% of middle-aged people with AH. In both sexes, there was a direct correlation of visceral fat (VF) with age, BMI, WC and also with diastolic BP.Conclusion: detection of hypertension, increased BMI, VF is necessary for diagnosing metabolic imbalance in middle-aged people in order to further conduct non-drug and preventive therapy, as well as reduce the development of possible complications.

Background. Nonrational nutrition is among main risk factors of chronic noncommunicable diseases (CNCDs) that can be contained via adopting and motivating population to a healthy diet by clarifying territorial, gender and age-specific eating behaviours.Objectives. A study of urban gender and age-specific eating behaviours associated with universal and metabolic CNCD risk factors.Methods. An observational cohort study has been conducted with 1,317 urban residents (657 men and 660 women) aged 18–74 years at Kuban State Medical University, Ministry of Health of the Russian Federation, using anonymous surveys on food preferences, tobacco and alcohol consumption, physical activity (PA), as well as physical examination, anthropometry, electrocardiography (ECG) and biochemical blood tests.Results. Urban residents revealed low-physical activity (PA) (88%), overweight and obesity (33%), high tobacco (65%) and alcohol use (39%) in men, high metabolic risk by waist/hip circumference (33.7%) and significant polymorbidity in hypertension (3 to 8 diseases per person). The urban dietary pattern can be described “intermediate” by the co-presence of rational and nonrational ingredients in diet. Rational ingredients prevailed in women and elderly people. Elevated total cholesterol, low-density lipoproteins, triglycerides, gamma-glutamyl transpeptidase, alanine aminotransferase, aspartate aminotransferase, bilirubin, uric acid, urea, creatinine and ultra-sensitive C-reactive protein in blood were associated with foods intake like chips and breadsticks, potatoes, sweet drinks, confectionery and borscht.Conclusion. Adopting measures to rational nutrition in population may comprise a clear declaration of dysmetabolic nature of specific foods, eating behaviour monitoring and motivated self-control of body mass index and waist girth beyond medical check-ups.