CHARACTERISTICS AND PREVALENCE OF THE METABOLIC NEUTRAL TYPE OF OBESITY IN MILITARY MEN
The last few decades have changed an important aspect of our society - health. The problem of obesity today requires close attention and prevention. Looking at the data on obesity over the past 40 years, we see that the absolute value of people who are overweight has increased almost 3 times. Aim: to compare changes in carbohydrate, lipid, and adipokine profiles in young military men with metabolically healthy and metabolically neutral obesity. We analyzed 590 medical cases history of military men aged 30 to 45 years who were cured at the hospital therapy clinic of the Kirov medical University. The study was divided into two stages. Stage 1 of the study, we share patients into several groups using the criteria of metabolic syndrome and abdominal obesity. The groups were as follows: first - 155 military-men with metabolically healthy obesity (inclusion criteria: BMI>30 kg/m2 without insulin resistance ); second - 134 men with metabolic syndrome; third - control group , 301 men without abdominal obesity. Stage 2 of the study, we identified a group with metabolically neutral obesity by introducing our proposed criteria and compared the indicators of carbohydrate, lipid and adipokine profiles in groups with metabolically healthy obesity (155 men).and metabolically neutral obesity (86 men). As a result, we received the following results: In the study sample, almost half of the cases were normal body weight-51% of cases, some patients had a metabolic syndrome-23% of cases, and metabolic healthy obesity was found in 26% of cases. In the internal structure of metabolically healthy obesity, 55% of cases were metabolically neutral. The results of our study allow us to use the definition of leptin in alimentary obesity as a necessary diagnostic criterion for assessing early metabolic disorders. Using this method allows the practitioner to identify patients who need early prevention of metabolic disorders in their daily activities.