Vol 20, No 4 (2016)

The lecture presents contemporary view of obesity as a chronic cardiovascular disease with a complex pathogenesis and unknown etiology, with severe economic and social consequences; on the role of eating behavior in the development of obesity and the need for psychological correction in the complex of therapeutic measures for this disease. Author describes the complex of diagnostic procedures for the examination of the patient with obesity. The rationale for an integrated approach to therapy including low-calorie diet, physical exercises and correction of eating behavior is presented.

The article presents the study of the evaluation of the correction of intestinal microbiocenosis and nutritional status disorders in patients with metabolic syndrome and intestinal dysbiosis after treatment with individually selected probiotics and probiotic foods. The study involved 117 patients with metabolic syndrome and intestinal dysbiosis 1-2 degrees, living in the therapeutic area. 3 observation groups were formed. The main criteria for assigning patients to different groups of observations were the difference in adhesion, biocompatibility and the degree of antagonism of microorganisms isolated in the faeces. Results of the correction of intestinal microbiocenosis of patients were evaluated for microbiological indicators faeces, correction of nutritional status - in terms of body composition, blood lipids and glucose profiles. Treatment with individually selected probiotics with high adhesion and antagonism, not suppress indigenous lactobacilli and bifidobacteria in the background contributed to the hypocaloric diet correction microbiological parameters in the feces, body composition and biochemical indicators of lipid and carbohydrate spectrum of the blood of patients.

The article is dedicated to information about All-Russian Conference with international participation “Clinical guidelines as a basis for GP clinical practice” which was organized at 3rd-4th October and devoted to 20-year anniversary of department of family medicine of North-Western State Medical University named after I.I. Mechnikov. There are presented summaries of reports that were included to the forum’s program.