Panevin T S, Zotkin E G, Lila A M
V.A. Nasonova Research Institute of Rheumatology.
V.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuous Professional Education.
Probl Endokrinol (Mosk). 2023 Aug 30;69(4):70-76. doi: 10.14341/probl13258.
The prevalence of obesity in the modern world is increasing. Obesity is an independent risk factor for some rheumatic diseases and also worsens their course. The presence of chronic joint disease can make it difficult for obesity to reduce activity, creating a vicious circle where joint pain makes exercise difficult and being overweight exacerbates joint pain. At the same time, there is a conditionally radical method of treating obesity - bariatric surgery (BS), which is currently used when conservative methods are ineffective. The purpose of this review is to analyze the data presented in the world literature on the impact of BS on the course of the most common rheumatic diseases. The available data show the possibility of a positive effect of BS not only on weight loss, but also on the course of a number of rheumatic diseases.
现代世界中肥胖的患病率正在上升。肥胖是一些风湿性疾病的独立危险因素，并且还会使这些疾病的病程恶化。慢性关节疾病的存在会使肥胖者难以减少活动量，从而形成恶性循环，即关节疼痛使运动困难，而超重又会加剧关节疼痛。同时，有一种治疗肥胖的有条件根治方法——减肥手术（BS），目前在保守方法无效时使用。这篇综述的目的是分析世界文献中关于减肥手术对最常见风湿性疾病病程影响的数据。现有数据表明，减肥手术不仅对体重减轻有积极作用，而且对一些风湿性疾病的病程也有积极作用。
