[Intensity of metabolic syndrome in patients with different degrees of obesity].

Metabolic syndrome is a complex disorder and an emerging clinical challenge. It is considered a "multiplex" cardiovascular risk factor, in that each component of the cluster of abnormalities is a risk factor in its own right. Introduced as Syndrome X by Reaven in 1988 and also termed insulin resistance syndrome, metabolic syndrome is recognized clinically by the findings of abdominal obesity, elevated triglycerides, atherogenic dyslipidemia - i.e. low levels of high-density lipoprotein cholesterol (HDL-C), elevated blood pressure, high blood glucose and/or insulin resistance. The goal of our research was to investigate intensity of "complete metabolic syndrome"- (abdominal obesity, dyslipidemia, elevated blood pressure, high blood glucose and/or insulin resistance) in patients with different degrees of obesity. In our study 570 patients have been involved. The patients were divided into 3 groups: I group--123 patients with first degree of obesity (body mass index - BMI - 30-34,9 kg/m2), II group--189 patients with II degree of obesity (BMI - 35-39,9 kg/m2), III group--258 patients with III degree of obesity (BMI >40 kg/m2). Results of carried out investigations have shown that the complete picture of metabolic syndrome was present in 132 (23,16%) patients and should note, that according to the increasing of obesity degrees also increases the intensity of metabolic syndrome.

[Activity of antioxidative ferments during obesity of different degree].

The purpose of our research was to define influence of dislipidemia on the redox-system, developed during obesity. 150 patients from 18 to 55 years were examined having obesity of a different degrees who have been admitted to the endocrinology department of 4-th clinical hospital of Tbilisi. On the basis of the analysis of the received data it is possible to conclude that with in a degree of obesity a deterioration of parameters of lipid exchange was observed which from its part exerts its influence on the redox-system of an organism. Namely, it promotes reduction of antioxidant protection system in comparison with the control group. Also, dependence of change of activity of antioxidant ferments on the age and intensity of lipid exchange has been revealed. Furthermore, it has been revealed that deterioration of lipid exchange in patients over 30 years is the reason for compensatory activity of antioxidant ferments (SOD and catalase).