mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2017-8-3-6-16mvjr-600Research ArticleОБЗОРЫREVIEWМЕТАБОЛИЧЕСКИ ЗДОРОВОЕ ОЖИРЕНИЕ — ЧТО МЫ О НЕМ ЗНАЕМ?METABOLIC HEALTHY OBESITY, WHAT DO WE KNOW ABOUT IT?https://orcid.org/0000-0003-4874-7835ВолковаН. И.VolkovaN. I.

Волкова Наталья Ивановна – доктор медицинских наук, профессор, проректор по научной работе 

Ростов-на-Дону

Natalya I. Volkova – M.D., Ph.D., professor of medicine, vice rector for scientific work, chief of the department of Internal Diseases III

Rostov-on-Don

n_i_volkova@mail.ruГаненкоЛ. А.GanenkoL. A.

Ганенко Лилия Александровна – врач-эндокринолог терапевтического отделения № 2 

Ростов-на-Дону

Lilya A. Ganenko – M.D., endocrinologist, Therapeutic Department 2 

Rostov-on-Don

ganenko.lilia@yandex.ruПоркшеянМ. И.PorksheyanM. I.

Поркшеян Мария Игоревна – кандидат медицинских наук, доцент кафедры внутренних болезней № 3 

Ростов-на-Дону

Mariya I. Porksheyan – M.D., Ph.D., Associate professor, department of Internal Diseases III 

Rostov-on-Don

Porksheyan_mi@rostgmu.ruРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian Federation20173009201783616Copyright © Волкова Н.И., Ганенко Л.А., Поркшеян М.И., 20172017Волкова Н.И., Ганенко Л.А., Поркшеян М.И.Volkova N.I., Ganenko L.A., Porksheyan M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/600

Распространенность ожирения растет во всем мире. Ожирение является важным фактором риска сердечно-сосудистых заболеваний, сахарного диабета 2 типа. Однако не все пациенты с ожирением имеют неблагоприятный кардиометаболический профиль. В последнее время большое внимание уделяется концепции «метаболически здорового ожирения» (МЗО). На сегодняшний день нет единых критериев для идентификации лиц с МЗО, что затрудняет изучение этой подгруппы пациентов и проведения сравнительного анализа различных исследований. В статье представлены данные современной литературы, включающие определение, распространенность и механизмы развития МЗО, также обсуждаются потенциально протективные факторы, участвующие в развитии МЗО и последствия терапевтического воздействия на МЗО.

The prevalence of obesity is growing all over the world. Obesity is an important risk factor for cardiovascular diseases, type 2 diabetes. However, not all obese patients have an unfavorable cardio-metabolic profile. Recently, much attention has been paid to the concept of «metabolically healthy obesity» (MHO). To date, there are no single criteria for identifying individuals with MHO, which makes it difficult to study this subgroup of patients and to conduct a comparative analysis of various studies. The article presents data of modern literature, including the definition, prevalence and mechanisms of MHO development, also discusses potentially protective factors involved in MHO development and the consequences of the therapeutic impact on MHO.

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