cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-1290Research ArticleФАКТОРЫ РИСКА СЕРДЕЧНО-СОСУДИСТЫХ ЗАБОЛЕВАНИЙRISK FACTORS FOR CARDIOVASCULAR DISEASESПрогностическое значение избыточной массы тела у мальчиков-подростков: 10-летнее проспективное наблюдениеOverweight prognostic value in adolescent boys: 10-year prospective studyРозановВ. Б.RozanovV. B.vrozanov@gnicpm.ruАлександровА. А.AlexandrovA. A.vrozanov@gnicpm.ruШугаеваЕ. Н.ShugaevaE. N.vrozanov@gnicpm.ruМасленниковаГ. Я.MaslennikovaG. Ya.vrozanov@gnicpm.ruСмирноваС. Г.SmirnovaS. G.vrozanov@gnicpm.ruНаучно-исследовательский центр профилактической медицины Росздрава, МоскваState Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow200720082007647279Copyright © Розанов В.Б., Александров А.А., Шугаева Е.Н., Масленникова Г.Я., Смирнова С.Г., 20072007Розанов В.Б., Александров А.А., Шугаева Е.Н., Масленникова Г.Я., Смирнова С.Г.Rozanov V.B., Alexandrov A.A., Shugaeva E.N., Maslennikova G.Y., Smirnova S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/1290

Цель. Оценить динамику, устойчивость и прогностическое значение избыточной массы тела (ИМТ) у мальчиков-подростков. Материал и методы. В проспективном исследовании участвовали 376 мальчиков-подростков. За 10-летний период наблюдения проведено 5 повторных обследований в возрасте 12, 13, 15, 17 и 22 лет. Программа обследования включала: измерение МТ, длины тела, индекса Кетле (ИК), толщины кожных складок под лопаткой, на животе и над трицепсом, оценку полового созревания (ПС). Результаты. Динамика антропометрических показателей у мальчиков в периоде ПС отражала процесс формирования взрослого типа ожирения с централизацией подкожного жира и была сопряжена с увеличением распространенности ИМТ и ожирения уже в позднем периоде пубертата (после 15 лет). Более чем у 50% мальчиков-подростков ИМТ сохранялась в молодом взрослом возрасте. 54,5% молодых людей в возрасте 22 лет имели ИМТ или ожирение в раннем подростковом возрасте. С увеличением ИК у мальчиков-подростков увеличивалась его устойчивость (трекинг) в последующих периодах жизни и повышался риск развития ИМТ или ожирения в молодом взрослом возрасте. ИМТ или ожирение в молодом взрослом возрасте наблюдались не только у мальчиков с ИМТ, но и их сверстников с нормальным высоким значением ИК. Заключение. Выявленные особенности возрастной динамики антропометрических показателей служат основанием для начала профилактического вмешательства в детском возрасте – в препубертатном или раннем пубертатном периодах, и не только в группах риска, но и на популяционном уровне.

Aim. To assess dynamics, stability, and prognostic value of overweight (OW) in adolescent boys. Material and methods. This prospective study included 376 adolescent boys. During 10-year follow-up, five clinical examinations were performed (at the age of 12, 13, 15, 17, and 22 years). Examination program included measuring body weight and height, body mass index (BMI), subscapular, abdominal, and triceps skin fold thickness, pubescence assessment. Results. In pubescence period, anthropometry dynamics demonstrated formation of adult obesity type, with central subcutaneous adiposity. OW and obesity prevalence increased as early as in late pubertal period (after 15 years). More than in 50% of the adolescent boys, OW was registered in early adulthood period. Among 22-year-olds, 54,5% suffered from OW or obesity in early adolescence. BMI increase in adolescence was associated with its later stabilization (tracking) and increased risk of OW and obesity in early adulthood. OW and obesity in early adulthood were observed in adolescent boys with OW or high-normal BMI. Conclusion. The observed age dynamics of anthropometric parameters points to the need for early preventive measures in risk groups and general population, starting in pre-pubertal or early pubertal periods.

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The authors declare that there are no conflicts of interest present.