<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">sechenov</journal-id><journal-title-group><journal-title xml:lang="en">Sechenov Medical Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Сеченовский вестник</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2218-7332</issn><issn pub-type="epub">2658-3348</issn><publisher><publisher-name>Сеченовский Университет</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">sechenov-582</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CURRENT CLINICAL SCIENCE ISSUES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ КЛИНИЧЕСКИЕ ПРОБЛЕМЫ</subject></subj-group></article-categories><title-group><article-title>Obesity complications in pediatric practice</article-title><trans-title-group xml:lang="ru"><trans-title>Ожирение и его осложнения в педиатрической практике</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Витебская</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vitebskaya</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Витебская Алиса Витальевна - кандидат медицинских наук, заведующая детским эндокринологическим отделением Университетской детской клинической больницы.</p><p>119881, Москва, ул. Б. Пироговская, д. 19</p><p>Тел.: +7 (499) 248-44-33</p></bio><bio xml:lang="en"><p>Alisa V. Vitebskaya - Candidate of Medical Science, Head of Pediatric Endocrinology Department University Pediatric Hospital, I.M. Sechenov First Moscow State Medical University.</p><p>19, Bolshaya Pirogovskaya str., Moscow, 119881</p><p>Tel.: +7 (499) 248-44-33</p></bio><email xlink:type="simple">dr.vitebskaya@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пятницкая</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pyatnitskaya</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клинический ординатор кафедры детских болезней лечебного факультета.</p><p>119881, Москва, ул. Б. Пироговская, д. 19</p></bio><bio xml:lang="en"><p>Resident of Pediatric Endocrinology Department, University Pediatric Hospital, I.M. Sechenov First Moscow State Medical University.</p><p>19, Bolshaya Pirogovskaya str., Moscow, 119881</p></bio><email xlink:type="simple">dr.vitebskaya@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый МГМУ имени И.М. Сеченова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>30</day><month>06</month><year>2016</year></pub-date><volume>0</volume><issue>2</issue><fpage>4</fpage><lpage>7</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Vitebskaya A.V., Pyatnitskaya K.V., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Витебская А.В., Пятницкая К.В.</copyright-holder><copyright-holder xml:lang="en">Vitebskaya A.V., Pyatnitskaya K.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.sechenovmedj.com/jour/article/view/582">https://www.sechenovmedj.com/jour/article/view/582</self-uri><abstract><p>The obesity prevalence in children and adolescents is epidemic. We report two clinical cases of adolescent constitutional exogenous obesity. A patient with progressing obesity, complicated  by dyslipidemia, diabetes mellitus type 2, proteinuria, polyneuropathy, arterial hypertension, steatohepatitis,  multiple ulcers of stomach and disseminated hemorrhagic gastritis. Another patient with obesity, complicated  with arterial hypertension, succeeded in body mass index normalization following recommendations on diet and physical activity.</p></abstract><trans-abstract xml:lang="ru"><p>Рост распространенности ожирения  среди детей и подростков  приобретает характер эпидемии. Представлены два клинических случая конституционально-экзогенного ожирения  у подростков. В первом случае – пациент  с прогрессирующим ожирением, осложненным дислипидемией, сахарным  диабетом 2 типа, протеинурией, полинейропатией, артериальной гипертензией, стеатогепатитом и сопутствующими множественными язвами  желудка, распространенным геморрагическим гастритом.  Во втором – пациент с ожирением, осложненным артериальной гипертензией, добившийся нормализации индекса  массы тела при соблюдении рекомендаций по диете и физическим нагрузкам.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Ожирение</kwd><kwd>осложнения</kwd><kwd>дети</kwd><kwd>подростки</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Obesity</kwd><kwd>complication</kwd><kwd>children</kwd><kwd>adolescents</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline based on expert opinion. JCEM. 2008; 93 (12): 4576–4599.</mixed-citation><mixed-citation xml:lang="en">Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline based on expert opinion. JCEM. 2008; 93 (12): 4576–4599.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Демидов И.И., Петеркова В.А. (ред.) Федеральные клинические рекомендации (протоколы) по ведению детей с эндокринными заболеваниями. М.: Практика; 2014: 442.</mixed-citation><mixed-citation xml:lang="en">Dedov I.I. Peterkova V.A. (eds). Federal clinical guidelines (protocols) on the management of children with endocrine diseases. Moscow: Practice; 2014: 442 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Рекомендации по диагностике, лечению и профилактике ожирения у детей и подростков. Российская ассоциация эндокринологов, Российское общество по профилактике неинфекционных заболеваний, Ассоциация детских кардиологов России. М.: Практика; 2015: 136.</mixed-citation><mixed-citation xml:lang="en">Recommendations for diagnosis, treatment and prevention of obesity in children and adolescents. Russian Association of endocrinologists, Russian Society for the prevention of noncommunicable diseases, the Association of children’s cardiologists Russia. Moscow: Practice; 2015: 136 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Шестакова М.В. (ред.) Алгоритмы специализированной медицинской помощи больным сахарным диабетом. Сахарный диабет. 2015; 18 (1S): 1–112.</mixed-citation><mixed-citation xml:lang="en">Dedov I.I., Shestakova M.V. (eds). Algorithms of specialized medical care to patients with diabetes. Diabetes. 2015; 18 (1S): 1–112 (in Russian).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
