[Android and gynecoid types of obesity as factors in the onset of certain related diseases]. / Androidni i ginoidni tip gojaznosti kao faktor u nastajanju nekih relevantnih bolesti.

The prevalence of some diseases was studied in 238 android and 720 gynoid obese women and 180 android obese men with the aim to establish the relationship between the type of obesity and relevant diseases. In the selected group of obese patients (25 android and 90 gynoid obese women and 26 android obese men) fed on a reducing diet (1000 kcal--4.2 M.J.) 67 women were engaged in intensified physical activity during the 90 days of dieting. The relationship between the weight loss and the type of obesity as well as the relationship between the weight loss in women engaged in intensified physical activity and those abstaining from it was investigated. The investigation has shown that the prevalence of hypertension, coronary heart disease and diabetes was much higher in men and women affected by the android type of obesity than in women affected by the gynoid type of obesity. The prevalence of gallbladder's as well as venous system diseases and spondylosis in women affected by both types of obesity was much higher than in android obese men, but the prevalence of constipation was higher in gynoid obese women. From data relating to response to reducing diet it is concluded that the weight loss was equal among the women affected by the android and gynoid types of obesity, but the weight loss in android and gynoid obese women engaged in intensified physical activity was significantly higher than in those abstaining from it.2+herefore, for the prevention and

Childhood obesity as a risk factor in adulthood and its prevention.

Investigation of the relationship between relative body mass (RBM) of women immediately upon giving birth and birth weight (BW) of newborns showed that variables are positively correlated (r = 0.56, P less than 0.05). Data on distributions of adult RBM and BW show that it is more likely that children with a BW greater than or equal to 4.5 kg will become obese in a later stage of life than those whose BW was less than or equal to 3.2 kg. The regression lines in a group of children indicated a positive correlation between RBM and glycemia (r = 0.30, P less than 0.01), cholesterolemia (r = 0.223, P less than 0.05), and triglyceridemia (r = 0.239, P less than 0.05). After the same duration of dieting, those adults who became obese in early childhood lost as much from their initial body mass and fat as those who became obese in adulthood. A reducing diet produced a decrease in systolic and diastolic blood pressure in both groups, but was significant only in the latter. Therefore, the prevention of obesity and its consequences should begin in the intrauterine stage and be continued through early childhood, adolescence, and adulthood with dietary measures and increased physical activity.