Russian national clinical recommendations for morbid obesity treatment in adults. 3rd revision (Morbid obesity treatment in adults)

Author:

Dedov Ivan I.ORCID,Mel'nichenko Galina A.,Shestakova Marina V.,Troshina Ekaterina A.,Mazurina Natalya V.,Shestakova Ekaterina A.ORCID,Yashkov Yuriy I.ORCID,Neimark Alexander E.,Biryukova Elena V.,Bondarenko Irina Z.,Bordan Natalia S.,Dzgoeva Fatima H.,Ershova Ekaterina V.,Komshilova Kseniya A.,Mkrtumyan Ashot M.,Petunina Nina A.,Romantsova Tatiana I.,Starostina Elena G.,Strongin Leonid G.,Suplotova Ludmila A.,Fadeyev Valentin V.

Abstract

The presented paper is a third revision of the clinical recommendations for the treatment of morbid obesity in adults. Morbid obesity is a condition with body mass index (BMI) 40 kg / m2 or a BMI 35 kg / m2 in the presence of serious complications associated with obesity. The recommendations provide data on the prevalence of obesity, its etiology and pathogenesis, as well as on associated complications. The necessary methods for laboratory and instrumental diagnosis of obesity are described in detail. In this revision of the recommendations, the staging of prescribing conservative and surgical methods for the treatment of obesity are determined. For the first time, a group of patients with obesity and type 2 diabetes mellitus is selected, in whom metabolic surgery allows a long-term improvement in the control of glycemia or remission of diabetes mellitus.

Publisher

Endocrinology Research Centre

Subject

Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Endocrinology,Endocrinology, Diabetes and Metabolism,Internal Medicine

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