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163

Заключение

Можно сказать, что здравоохранение экономически развитых стран только начинает нарабатывать подходы к лечению ожирения, отвечающие современным представлениям о природе этого заболевания. Первые шаги, сделанные в этом направлении, обнадеживают. Однако, мы в самом начале пути. Видимо, будущее за программами, направленными на профилактику ожирения в обществе, за серьезными алгоритмами диагностики и лечения этого заболевания, за новыми, патогенетически обоснованными методами лечения. Необходимо уже сейчас осознать всю важность предстоящей работы. Решение проблемы ожирения - это увеличение качества и продолжительности жизни, снижение заболеваемости и смертности, экономия огромных средств, которые сейчас тратит общество в связи с ожирением и его осложнениями.

164

Приложения

Таблица 1

Максимально допустимая масса тела (по данным М. Н. Егорова и Л. М. Левитского, 1964 г.)

Рост

20 - 29 лет

30 - 39 лет

40 - 49 лет

50 - 59 лет

60 - 69 лет

См

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

муж

жен

муж

жен

муж

жен

муж

жен

муж

жен

 

 

 

 

 

 

 

 

 

 

 

148

50,8

48,4

55,0

52,3

56,6

54,7

56,0

53,2

53,9

52,2

 

 

 

 

 

 

 

 

 

 

 

150

51,3

48,9

56,7

53,9

58,1

56,5

58,0

55,7

57,3

54,8

 

 

 

 

 

 

 

 

 

 

 

152

51,3

51,0

58,7

55,0

61,5

59,5

61,1

57,6

60,3

55,9

 

 

 

 

 

 

 

 

 

 

 

154

55,3

53,0

61,6

59,1

64,5

62,4

63,8

60,2

61,9

59,0

 

 

 

 

 

 

 

 

 

 

 

156

58,5

55,8

64,4

61,5

67,3

66,0

65,8

62,4

63,7

60,9

 

 

 

 

 

 

 

 

 

 

 

158

61,2

58,1

67,3

64,1

70,4

67,9

68,0

64,5

67,0

62,4

 

 

 

 

 

 

 

 

 

 

 

160

62,9

59,8

69,2

65,8

72,3

69,9

69,7

65,8

68,2

64,6

 

 

 

 

 

 

 

 

 

 

 

162

64,6

61,6

71,0

68,5

74,4

72,2

72,7

68,7

69,1

66,5

 

 

 

 

 

 

 

 

 

 

 

164

67,3

63,6

73,9

70,8

77,2

74,0

75,6

72,0

72,2

70,0

 

 

 

 

 

 

 

 

 

 

 

166

68,8

65,2

74,5

71,8

78,0

76,5

76,3

73,8

74,3

71,5

 

 

 

 

 

 

 

 

 

 

 

168

70,8

68,5

76,3

73,7

79,6

78,2

77,9

74,8

76,0

73,3

 

 

 

 

 

 

 

 

 

 

 

170

72,7

69,2

77,7

75,8

81,0

79,8

79,6

76,8

76,9

75,0

 

 

 

 

 

 

 

 

 

 

 

172

74,1

72,8

79,3

77,0

82,8

81,7

81,1

77,7

78,3

76,3

 

 

 

 

 

 

 

 

 

 

 

174

77,5

74,3

80,8

79,0

84,4

83,7

83,0

79,4

79,3

78,0

 

 

 

 

 

 

 

 

 

 

 

176

80,8

76,8

83,3

79,9

86,0

84,6

84,1

80,5

81,9

79,1

 

 

 

 

 

 

 

 

 

 

 

178

83,0

78,2

85,6

82,4

88,0

86,1

86,5

82,4

82,8

80,9

 

 

 

 

 

 

 

 

 

 

 

180

85,1

80,9

88,0

83,9

89,9

88,1

87,5

84,1

84,4

81,6

 

 

 

 

 

 

 

 

 

 

 

182

87,2

83,3

90,6

87,7

91,4

89,3

89,5

86,5

85,4

82,9

 

 

 

 

 

 

 

 

 

 

 

184

89,1

85,5

92,0

89,4

92,9

90,9

91,6

87,4

88,0

85,8

 

 

 

 

 

 

 

 

 

 

 

186

93,1

89,2

95,0

91,0

96,6

92,9

92,8

89,6

89,0

87,3

 

 

 

 

 

 

 

 

 

 

 

188

95,8

91,8

97,0

94,4

98,0

95,8

95,0

91,5

91,5

88,8

 

 

 

 

 

 

 

 

 

 

 

190

97,1

92,3

99,5

95,6

100,7

97,4

99,4

95,6

94,8

92,9

 

 

 

 

 

 

 

 

 

 

 

165

 

 

 

 

 

 

Таблица 2

 

Идеальная масса тела (по данным Metropolitan Life Insuranse Co)

 

 

 

 

 

 

 

Рост

 

Мужчины

 

 

Женщины

 

См

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Астеники

Нормосте-

Гиперстени-

Астеники

Нормостени-

Гиперсте-

 

 

ники

ки

 

ки

ники

 

 

 

 

 

 

 

148

 

 

 

42,0 - 44,8

43,8 - 48,9

47,4 - 54,3

 

 

 

 

 

 

 

150

 

 

 

42,7 - 45,9

44,5 - 50,0

48,2 - 55,4

 

 

 

 

 

 

 

152

 

 

 

43,4 - 47,0

45,6 - 51,0

49,2 - 56,5

 

 

 

 

 

 

 

154

 

 

 

44,4 - 48,0

46,7 - 52,1

50,3 - 57,6

 

 

 

 

 

 

 

156

 

 

 

45,4 - 49,1

47,7 - 53,2

51,3 - 58,6

 

 

 

 

 

 

 

158

51,1 - 54,7

53,8 - 58,9

57,4 - 64,2

46,5 - 50,2

48,8 - 54,3

52,4 - 59,7

 

 

 

 

 

 

 

160

52,2 - 55,8

54,9 - 60,3

58,5 - 65,3

47,6 - 51,3

49,9 - 55,3

53,5 - 60,8

 

 

 

 

 

 

 

162

53,2 - 56,9

55,9 - 61,9

59,6 - 66,7

48,7 - 52,3

51,0 - 56,8

54,6 - 62,2

 

 

 

 

 

 

 

164

54,3 - 57,9

57,0 - 62,5

60,7 - 68,8

49,8 - 53,4

52,0 - 58,2

55,9 - 63,7

 

 

 

 

 

 

 

166

55,4 - 59,2

58,1 - 63,7

61,7 - 69,6

50,8 - 54,6

53,3 - 59,8

57,3 - 65,1

 

 

 

 

 

 

 

168

56,5 - 60,6

59,2 - 65,1

62,9 - 71,1

52,0 - 56,0

54,7 - 61,5

58,8 - 66,5

 

 

 

 

 

 

 

170

57,9 - 62,0

60,7 - 66,7

64,3 - 72,9

53,4 - 57,9

56,1 - 62,9

60,2 - 67,9

 

 

 

 

 

 

 

172

59,4 - 63,4

62,1 - 68,3

66,0 - 74,7

54,8 - 58,9

57,5 - 64,3

61,6 - 69,3

 

 

 

 

 

 

 

174

60,8 - 64,9

63,5 - 69,9

67,6 - 76,2

56,3 - 60,3

59,0 - 65,8

61,3 - 70,8

 

 

 

 

 

 

 

176

62,6 - 66,4

64,9 - 71,3

69,0 - 77,6

57,7 - 61,9

60,4 - 67,2

64,5 - 72,3

 

 

 

 

 

 

 

178

63,6 - 68,2

66,5 - 72,8

70,4 - 79,1

59,1 - 63,6

61,8 - 68,6

65,9 - 74,1

 

 

 

 

 

 

 

180

65,1 - 69,6

67,8 - 74,7

71,9 - 80,9

60,5 - 65,1

63,3 - 70,1

67,3 - 75,9

 

 

 

 

 

 

 

182

66,5 - 71,0

69,2 - 76,3

73,6 - 82,7

62,0 - 66,5

64,7 - 71,5

68,8 - 77,7

 

 

 

 

 

 

 

184

67,9 - 72,5

70,7 - 78,1

75,2 - 84,5

63,4 - 67,9

66,1 - 72,7

70,2 - 79,5

 

 

 

 

 

 

 

186

69,4 - 74,0

72,1 - 79,0

76,7 - 86,2

 

 

 

 

 

 

 

 

 

 

188

70,8 - 75,8

73,5 - 81,7

78,5 - 88,0

 

 

 

 

 

 

 

 

 

 

190

72,2 - 77,2

75,3 - 83,5

80,3 - 89,8

 

 

 

 

 

 

 

 

 

 

192

73,6 - 78,6

77,1 - 85,3

81,8 - 91,6

 

 

 

 

 

 

 

 

 

 

194

75,1 - 80,1

78,9 - 87,0

83,2 - 93,4

 

 

 

 

 

 

 

 

 

 

166

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