Medical management of obesity in Scandinavia 2016

Tonstad, Serena; Rössner, Stephan; Rissanen, Aila; Astrup, Arne

doi:10.1016/j.obmed.2016.01.002

Cited by 14 publications

(11 citation statements)

References 45 publications

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“…Актуализация цели, поведенческие модификации, создание мотивации и комфортной психологической обстановки -необходи-мые условия успешной реализации программ по сниже-нию избыточного веса [4,30,54,55].…”

Section: роль образа жизни и окружающей среды в патогенезе ожиренияunclassified

Obesity: Current Global and Russian Trends

2016

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Obesity: Current Global and Russian TrendsThe review of literature presents the results of recent epidemiological studies in obese people in Russia and abroad taking into account gender, age, ethnic, social, and geographical ВведениеВ настоящее время ожирение рассматривается наи-более значимой проблемой медицины, поскольку пред-ставляет собой хроническое заболевание, распростра-ненное как среди взрослых, так и в детской популяции [1,2]. Всемирная организация здравоохранения (ВОЗ) определила ожирение и избыточный вес как «патологи-ческое или чрезмерное накопление жира, которое может негативно повлиять на здоровье» [3] и объявила эту па-тологию глобальной эпидемией. КлассификацияДля классификации ожирения во многих странах, в том числе и в России, используется индекс массы тела (ИМТ), рассчитываемый по формуле: масса (кг) / рост (м 2 ). При этом ИМТ ≥25 указывает на избыточную массу, а ИМТ ≥30 -на ожирение [4].Многие специалисты относят избыточную массу тела и ожирение к сложным, многофакторным, мультиген-ным расстройствам, эпидемиология и частота которых тесно связаны с географическими, социально-экономи-ческими, а также психосоциально-культурными усло-виями жизни [5−7]. Так, до недавнего времени считали, что проблема ожирения актуальна для стран с высоким уровнем жизни (до 10 млн детского населения), однако количество страдающих от избыточного веса и ожире-ния детей растет и в странах с низким уровнем доходов, особенно среди проживающих в городских условиях (более 30 млн) [4,5].

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Section: роль образа жизни и окружающей среды в патогенезе ожиренияunclassified

Obesity: Current Global and Russian Trends

2016

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“…Lifestyle interventions, involving dietary modifications and increased physical activity are of high importance in avoiding obesity; however, a high proportion of the individuals loses interest shortly after they have started their new lifestyle and return to their original one; therefore, the results are rarely permanent ( Curioni and Lourenço, 2005 ). In the past century, many pharmacons have been approved to support weight loss; however, currently only three APIs and one combination product are available for this indication in the European Union (EU) ( Tonstad et al, 2016 ). Several medicines are no longer available on the market because of safety concerns.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of the European Rapid Alert System for Food and Feed: Tendencies in Illegal Food Supplements for Weight Loss

et al. 2021

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Background: Slimming products represent a dynamically growing group of food supplements worldwide. The efficacy of safely usable natural ingredients is usually below consumers’ expectations. Certain manufacturers add unauthorized or prohibited ingredients to weight loss supplements in order to increase their efficacy. Hence, many of these products are adulterated and may pose a risk to the consumers’ health.Aims: The aim of our work was to give an overview on natural ingredients used in slimming products, to summarize the frequently used synthetic adulterants and also to assess the trends of adulterated and illegal food supplements in the European Union based on the warnings of the Rapid Alert System for Food and Feed (RASFF) in the time period of 1988–2019.Methods: Reports between 1988–2019 were extracted from the RASFF portal on January 1, 2020. Each entry was individually reviewed.Results: 2,559 records of food supplements with quality problems were identified in the RASFF, several of which [319 (12,5%)] were marketed to facilitate weight loss. 202 (63,3%) contained unapproved, synthetic drug ingredients. The major adulterant (113 of 319, 35.4%) was DNP (2,4-dinitrophenol), whereas sibutramine was the second most frequent adulterant agent (69 products, 21,6%) between 1988 and 2019.Conclusion: The number of approved medicines for the indication of weight loss is relatively low and their efficacy (and also that of the natural ingredients) is limited. Therefore, a significant number of weight loss supplements is adulterated to satisfy patients’ expectations. Hence, these products may cause serious adverse effects in sensitive patients.

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“…Body Mass Index (BMI) has gradually increased over the past three decades, with 39% and 13% of adults being overweight (BMI ≥ 25) or obese (BMI ≥ 30) worldwide [1]. Furthermore, in Scandinavia, we see comparable or even higher prevalence numbers [2]. This represents a major public health concern because a high BMI, and especially obesity, increases the risk of noncommunicable diseases, such as cardiovascular disease, type 2 diabetes, high blood pressure, musculoskeletal complaints, mental health challenges (such as depression), and some cancers [3].…”

Section: Introductionmentioning

confidence: 99%

Does Self-Perception Equal the Truth When Judging Own Body Weight and Height?

Haakstad

Stensrud

Gjestvang

2021

IJERPH

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Background: Data from the research project “Fitness clubs—a venue for public health?” provided an opportunity to evaluate the accuracy of self-reported body weight and height, and subsequent Body Mass Index (BMI), as well as the “trueness” of novice exercisers perception of weight status category, which has not been examined in this population. The aims were to examine self-reported body weight, height, and calculated BMI data from an online survey compared with measured data at fitness club start-up, investigate how accurately novice exercisers place themselves within self-classified weight group (underweight, normal weight, overweight, and obese), and compare this with fitness club attendance at three months follow-up. Methods: Prior to anthropometric measurements, 62 men and 63 women responded to an online questionnaire, including body weight (kilogram, kg) and height (centimeters, cm), and self-classified weight group (“I think I am … underweight, normal weight, overweight, obese”). We used the following statistical analysis: Paired sample t-tests, a Bland–Altman plot kappa statistics, chi-squared tests, and a logistic regression. Results: Mean difference of BMI calculated from self-reported and measured data was 0.06 (95% CI -0.29 to 0.17, p = 0.593) in men, and 0.16 (95% CI -0.40 to 0.09, p = 0.224) in women, with four participants being outliers of the 95% limits of agreement (Bland-Altman plot). Allowing a difference of 0.5 kg between self-reported and measured weight, we found that 16% reported their weight correctly, 31.2% underreported (−1.89 ± 1.59 kg), and 52.8% overreported (1.85 ± 1.23 kg), with no sex differences (p = 0.870). Further, our results suggest that both sexes may have difficulty recognizing overweight/obesity in themselves, and particularly men are likely to underreport their perceived weight group compared with women. More than half (53.3%) of the overweight men perceived themselves to be normal weight (women: 14%), and only 33.3% of obese men and women correctly classified themselves as being obese. We did not find any difference between participants correctly or incorrectly classifying weight group and fitness club attendance (≥2 times a week) at three months follow-up. Conclusion: Both sexes reported body weight and height reasonably accurately, and BMI based on self-report appears to be valid measure. Still, a large proportion of novice exercisers do not recognise their own overweight or obesity status, which may in part explain why public health campaigns do not reach risk populations.

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Medical management of obesity in Scandinavia 2016

Cited by 14 publications

References 45 publications

Obesity: Current Global and Russian Trends

Obesity: Current Global and Russian Trends

A Systematic Review of the European Rapid Alert System for Food and Feed: Tendencies in Illegal Food Supplements for Weight Loss

Does Self-Perception Equal the Truth When Judging Own Body Weight and Height?

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