avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2015-0-5-10avk-447Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESОЖИРЕНИЕ И ЖЕЛЕЗОДЕФИЦИТ. ЕЩЕ ОДНА КОМОРБИДНОСТЬ?BESITY AND IRON DEFICIENCY. ONE MORE COMORBIDITY?ДворецкийЛ. И.DvoretskyL. I.

Москва

Moscow

dvoretski@mail.ruИвлеваО. В.IvlevaO. V.

Москва

Moscow

ГБОУ ВПО Первый МГМУ им. И.М. Сеченова Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical UniversityRussian Federation20152810201505916Copyright © Дворецкий Л.И., Ивлева О.В., 20152015Дворецкий Л.И., Ивлева О.В.Dvoretsky L.I., Ivleva O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/447

Железодефицит является одной из коморбидностей у больных ожирением, что позволяет выделять особый фенотип («железодефицитный») ожирения. Имеются убедительные доказательства патогенетической связи между железодефицитом и наличием системного воспаления, ассоциированного с ожирением. Данные о частоте и патогенетическом варианте анемии (железодефицитная или анемия хронических заболеваний) при ожирении неоднозначны. Необходимы дальнейшие исследования ферростатуса у больных с ожирением для решения вопроса о целесообразности и способах коррекции нарушений метаболизма железа, в частности при подготовке пациентов к бариатрическим операциям.

Iron defi ciency is one of comorbidity in patients with obesity, which allows you to select a particular phenotype (“iron defi ciency”) obesity. There is strong evidence of the pathogenetic link between iron defi ciency and the presence of systemic infl ammation associated with obesity. Data on the frequency and pathogenic form of anemia ( iron defi ciency or anemia of chronic disease ), obesity are not unique. Further research of iron status in obese patients is needed to decide on the feasibility and methods of correction of disorders of iron metabolism , in particular in the preparation of patients for bariatric surgery.

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The authors declare that there are no conflicts of interest present.