L.I. FEISKHANOVA¹, D.V. AKHMEDIEVA¹, A.A. VIVOLANEC¹, E.V. SUKHORUKOVA²

 ¹Kazan State Medical University, Kazan

²Republic Clinical Hospital, Kazan

Contact details:

Feiskhanova L.I. — PhD (medicine), associate professor of the department of hospital therapy

Address: Orenburgskiy trakt 138, Kazan, Russian Federation, 420064, tel.: +7-917-275-21-66, e-mail: ljuts@rambler.ru

 Obesity is one of the diseases that cause concern due to social, psychological and metabolic problems.

The purpose — to determine the features of relationship between the body mass index, physical activity and comorbid conditions in obese individuals.

Material and methods. The study involved 60 patients. The patients’ body mass index was calculated. The patients were divided into 2 groups: group 1 — patients with a BMI of 18.5–30 kg/m², 27 people; group 2 — with a BMI above 30 kg/m², 33 people. The patients underwent a general blood test, a biochemical blood test, and echocardiography. To assess physical activity, the ODA 23+ and IPAQ questionnaires were used, and a six-minute walking test was performed.

Results. The level of physical activity and fitness for it according to the ODA 23+, IPAQ questionnaires and the SMW test was significantly higher in group 1 (p < 0.05). In group 2, an inverse relationship was found between the level of physical activity according to the ODA 23+ questionnaire with the level of gamma-glutamyltranspeptidase (p = 0.03; r = -0.59), alkaline phosphatase (p = 0.03; r = -0.55) and bilirubin (p = 0.049; r = -0.35). In this group, according to the results of the IPAQ questionnaire, we found a correlation of the physical activity with the alcohol consumption (p = 0.03; r = -0.38). The number of stops during a 6-minute walking test had a correlation with the presence of proteinuria (p = 0.04; r = 0.39).

Conclusion. Thus, obesity is accompanied by a decrease in physical activity, which correlates with damage to the hepatobiliary system and kidneys.

Key words: body mass index, obesity, physical activity.

REFERENCES

1. Fonseca-Junior S.J., Sá C.G., Rodrigues P.A. et al. Physical exercise and morbid obesity: a systematic review. Arq Bras Cir Dig., 2013, vol. 26 (1), pp. 67–73. DOI: 10.1590/s0102-67202013000600015
2. Meldrum D.R., Morris M.A., Gambone J.C. Obesity pandemic: causes, consequences and solutions — but do we have the will? Fertil Steril., 2017, vol. 107 (4), pp. 833–839. DOI: 10.1016/j.fertnstert.2017.02.104
3. Ferro-Luzzi A., Martino L. Obesity and physical activity. Ciba Found Symp, 1996, vol. 201, pp. 207–221. DOI: 10.1002/9780470514962.ch13
4. Kulikov V.A. Framingham heart study: 65 years of studying the causes of atherosclerosis. Vestnik VGMU, 2012, no. 2, pp. 16–24 (in Russ.).
5. Faulkner J.L. Obesity-associated cardiovascular risk in women: hypertension and heart failure. Clin Sci (Lond), 2021, vol. 135 (12), pp. 1523–1544. DOI: 10.1042/CS20210384
6. Bartkowiak J., Spitzer E., Kurmann R. et al. The impact of obesity on left ventricular hypertrophy and diastolic dysfunction in children and adolescents. Sci Rep, 2021, vol. 11 (1), p. 13022. DOI: 10.1038/s41598-021-92463-x
7. Akhmedov V.A., Gaus O.V. Damage to the organs of the hepatobiliary system and pancreas in obesity. Terapevticheskiy arkhiv, 2017, vol. 89, no.1, pp. 128–133 (in Russ.).