Abstract

The article deals with a problem of improving the efficiency of therapy for exogenous-constitutional obesity, one of the most widespread chronic diseases with a high risk of developing many dangerous diseases and resulting in significant decrease in the quality of life. Modern paradigm of the treatment of exogenous-constitutional obesity — stage-by-stage approach, complexity and immediacy of the effect, in accordance with the disease mechanism, along with monitoring, relief and prevention of recurrence — is proved based on the review of Russian and foreign publications. The underlying mechanisms of exogenous-constitutional obesity origin and progression are discussed, as well as the methods of non-drug treatment (diet therapy, physiotherapy, psychotherapy, reflexotherapy), a limited role of pharmacotherapy, and a specific place of surgical correction. An important role of preventing the exogenous-constitutional obesity recurrence, the incidence of which is very high, is emphasized. The prime factors causing the development of recurrence, the principles of therapy and prevention are given.

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