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Том 19 №1 2017 год - Нефрология и диализ

Ожирение и заболевания почек: скрытые последствия эпидемии


Ковесди Ксаба П. Фурс Сюзан Зоккали Кармин

Аннотация: * Члены Организационного Комитета Всемирного Дня Почки: Филип Кам Тао Ли, Гиермо Гарсиа-Гарсиа, Мохамед Венджамен-Гариби, Рик Боллерт, Софи Дюпюи, Тимур Эрк, Камьяр Калантар-Заде, Ксаба Ковесди, Шаролотт Осафо, Мигуэль С Риелла, Елена Захарова Перевод с английского Е.С. Камышовой и И.Н. Бобковой под редакцией Е.В. Захаровой Перевод осуществлен по инициативе Российского Диализного Общества и одобрен Организационным Комитетом Всемирного Дня Почки Ожирение стало всемирной эпидемией, и, по прогнозам, его распространенность в ближайшем десятилетии увеличится на 40%. Растущая распространенность ожирения оказывает влияние на риск развития сахарного диабета, сердечно-сосудистых заболеваний, а также хронической болезни почек (ХБП). Высокий индекс массы тела - один из наиболее значимых факторов риска ХБП. У лиц с ожирением в ответ на увеличение метаболических потребностей избыточной массы тела развивается компенсаторная гиперфильтрация. Увеличение внутриклубочкового давления может привести к повреждению почек и повышению риска развития ХБП в отдаленном периоде. В последние годы частота развития гломерулопатии, ассоциированной с ожирением, выросла в 10 раз. Кроме того, показано, что ожирение является фактором риска нефролитиаза и ряда злокачественных новообразований, в том числе рака почки. В этом году Инициатива «Всемирный День Почки» выдвигает образовательную программу, которая разъясняет опасные последствия ожирения и его связь с заболеваниями почек, и пропагандирует здоровый образ жизни и мероприятия по его формированию как доступную основу профилактики неблагоприятных последствий ожирения.

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Ключевые слова: ожирение, хроническая болезнь почек, нефролитиаз, рак почки, профилактика, obesity, chronic kidney disease, nephrolithiasis, kidney cancer, prevention

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