THE OUTPATIENT REGISTRY PROFILE UTILIZATION FOR OBESITY PATIENTS SURVEYING WITH THE AIM OF FOOD RELATED AND EXERCISE RELATED CARDIOVASCULAR RISK ASSESSEMENT

Aim. Under the framework of the outpatient registry PROFILE, to assess cardiovascular risk factors (CVR) related to food and physical activity (PA) in obese patients, using questionnaires.

Material and methods. Into the study, obesity patients were included, from PROFILE registry, of those 91 completed survey on food behavior and PA.

Results. The prevalence of obesity, by the registry data, was 38,8% (47,3% in women and 52,7% in men). Patients had high and very high CVR by SCORE. Arterial hypertension was found in 85,7%, and the same number had dyslipidemia, coronary heart disease — in 34,1%, glucose intolerance and type 2 diabetes — in 12,1% and 20,9%, respectively, smokers were 16,5%. Most patients had in their food related behavior the adverse factors such as low amount of fruits and vegetables, excess of refined carbohydrates and salt. In 48,4% of patients there was low level of PA. All obesity patients present with a characteristic combination of CVR factors.

Conclusion. Surveying of patients under framework of outpatient registry makes it to reveal CVR factors related to food and PA, in real clinical practice. 

1. World Health Organization Media Centre. Obesity and overweight. Fact sheet no 311. Geneva: World Health Organization 2015; № 311. Russian (Всемирная организация здравоохранения. Ожирение и избыточный вес. Информационный бюллетень 2015; № 311).

2. Health care in Russia. 2015: Stat.comp. Rosstat. M., 2015. 174 pp. Russian (Здравоохранение в России. 2015: Стат.сб. Росстат. М., 2015. 174 с).

3. The state of food and agriculture. Food and agriculture organization of the United Nations. Rome, 2013. Available at http://www.fao.org/docrep/018/i3300e/i3300e.pdf

4. World Health Organization. Increased food energy supply as a major driver of the obesity epidemic: global analysis. Bull World Health Organization. Geneva 2015; 93: 437-512.

5. Shalnova SA, Deev AD, Kapustina AV, et al. Body weight and its impact on all-cause cardiovascular mortality in Russia. Cardiovascular Therapy and Prevention 2014; 13 (1): 44-8. Russian (Шальнова С.А., Деев А.Д., Капустина А.В. и др. Масса тела и ее вклад в смертность от сердечно-сосудистых заболеваний и всех причин среди российского населения. Кардиоваскулярная терапия и профилактика 2014; 13 (1): 44-8).

6. Prospective Studies Collaborations. Body mass index and cause-specific mortality in 900000 adults: collaborative analyses of 57 prospective studies. Lancet 2009; 373: 1083-96.

7. Zakharova AV, Lukina YuV, Voronina VP, et al, on behalf of “PROFILE” registry workgroup. An obese patient “portrait” by the results of outpatient cardiovascular registry “PROFILE”. Cardiovascular Therapy and Prevention 2016; 15(4): 44-9. Russian (Захарова А.В., Лукина Ю.В., Воронина В.П. и др. от имени рабочей

8. группы регистра “ПРОФИЛЬ”. “Портрет” больного ожирением по результатам амбулаторного регистра пациентов с сердечно-сосудистыми заболеваниями “ПРОФИЛЬ”. Кардиоваскулярная терапия и профилактика 2016; 15(4): 44-9).

9. Prentice AM, Jebb SA. Energy intake/physical activity interactions in the homeostasis of body weight regulation. Nutrition Reviews 2004; 62: S98-104.

10. Panagiotakos DB, Pitsavos C, Skoumas Y, Stefanadis C. The Association between Food Patterns and the Metabolic Syndrome Using Principal Components Analysis: The ATTICA Study. Journal of the American Dietetic Association 2007; 107 (6): 979-87.

11. Kastorini C-M, Milionis HJ, Esposito K, et al. The Effect of Mediterranean Diet on Metabolic Syndrome and its Components Meta-Analysis of 50 Studies and 534,906 individuals. JACC 2011; 57(11): 1299-313. doi: 10.1016/j.jacc.2010.09.073.

12. Crichton GE, Bryan J, Buckley J, Murphy KJ. Dairy consumption and metabolic syndrome: a systematic review of findings and methodological issues. Obesity Reviews 2011; 12 (5): e190-201.

13. Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr 2013; 98 (4): 1084-102.

14. Healthy eating. WHO Newsletter No. 394 from September 2015 Available at http://www.who.int/mediacentre/factsheets/fs394/ru/ Russian (Здоровое питание. Информационный бюллетень №394 ВОЗ от сентября 2015г) http://www.who.int/mediacentre/factsheets/fs394/ru/

15. The challenge of obesity in the WHO European Region and the strategies for response/edited by Francesco Branca, Haik Nikogosian and Tim Lobstein. Copenhagen. WHO Library Cataloguing in Publication Data — 339 рр. http://www.euro.who.int/__data/assets/pdf_file/0010/74746/E90711.pdf Russian (Проблема ожирения в Европейском регионе ВОЗ и стратегии ее решения. Резюме. Копенгаген, Европейское региональное бюро ВОЗ, 2007 — 339 с).

16. Global recommendations on physical activity for health. WHO Library Cataloguing in Publication Data; 2010; 60 рр. http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf