THE USE OF PATIENT­SPECIFIC REGIMENTS IN OBESITY TREATMENT AND PREVENTION BASED ON DATA FROM INDIRECT CALORIMETRY

Excessive intake of nutrient materials combined with low physical activity in modern conditions has led to a high prevalence of obesity among the population. One of the conditions for obesity treatment and prevention is the use of diets based on different diagnostic methods, the effectiveness of some of which remains understudied. The aim of this study is efficacy evaluation of personified diets in obesity treatment and prevention on the basis of indirect respiratory calorimetry. Methods. The analysis of indicator changes of bioimpedansometry (BIA) in 112 patients with obesity II and III degree during the three-month use of diet therapy based on anthropometric, anamnestic data and BIA results (group 1) as well as respiratory indirect calorimetry (group 2 experienced) was carried out. To conduct the BIA the device ABC-01 MEDASS (Russia), indirect calorimetry - CCM Express (Medical Graphics, USA) was used. Data collection was performed in Microsoft Excel 2011, statistical data processing - using the computer program Statistica 13.1. Results. Analysis of changes of BIA data among patients of the experimental group revealed statistically significant (p = 0.048) differences of average values of parameters obtained before and after therapy. Thus, the reduction in fat mass made up 14.2 %, BMI - 9.7 %, and the specific change grew to 3.3 %, which is almost twice the rate of the relevant indicators among the patients in the control group. Conclusion. Appliance of the indirect calorimetry method in patients with obesity II and III degree allows to carry out more efficient diet therapy under the control of the objective results except for the subjective factor. The data obtained allows to judge more precisely about susceptibility of a concrete person to the appointed diet, which eventually gives the most adequate result in comparison to the standard practice of destination therapy.