problendoПроблемы ЭндокринологииProblems of Endocrinology0375-96602308-1430Endocrinology Research Centre10.14341/probl12416problendo-12416Research ArticleБолезни костной и жировой тканиBones & Adipose tissues diseasesАлекситимия и ее связь с расстройствами пищевого поведения и ожирениемAlexithymia and its relation with eating disorders and obesityhttps://orcid.org/0000-0003-4974-7765БерковскаяМарина АроновнаBerkovskayaMarina A.

к.м.н.

MD, PhD

abaitamar@gmail.comhttps://orcid.org/0000-0002-7210-6491ТарасенкоАнна АндреевнаTarasenkoAnna A.

студент

student

anna07ru96@mail.ruhttps://orcid.org/0000-0002-2504-7468ФадеевВалентин ВикторовичFadeevValentin V.

д.м.н., профессор, член-корреспондент РАН

MD, ScD, professor, corresponding member of the RAS

walfad@mail.ruhttps://orcid.org/0000-0003-2576-4421ГуроваОлеся ЮрьевнаGurovaOlesya Yu.

к.м.н.

MD, PhD

ol.gur79@yandex.ruПервый Московский государственный медицинский университет имени И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation2020300820206624248Copyright © Берковская М.А., Тарасенко А.А., Фадеев В.В., Гурова О.Ю., 20202020Берковская М.А., Тарасенко А.А., Фадеев В.В., Гурова О.Ю.Berkovskaya M.A., Tarasenko A.A., Fadeev V.V., Gurova O.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.probl-endojournals.ru/jour/article/view/12416

В настоящей рукописи представлен обзор современной литературы, посвященной взаимосвязи избыточного веса с алекситимией как психологическим фактором, ассоциированным с ожирением, а также роли алекситимии в развитии различных нарушений и расстройств пищевого поведения (РПП). Ожирение является многофакторным заболеванием, важнейшими патогенетическими звеньями развития которого являются особенности образа жизни, а также комплекс генетических, эпигенетических, биологических и психологических факторов, обуславливающих избыточное накопление жира и препятствующих эффективному снижению и удержанию массы тела. Одной из возможных причин увеличения распространенности ожирения среди взрослых является плохое управление эмоциями, что может негативно повлиять на здоровое пищевое поведение и образ жизни.

Обнаружено, что у лиц с избыточным весом и ожирением отмечается высокая распространенность алекситимии, а также показана ее прогностическая роль в развитии РПП. Алекситимия является фактором, который не только предрасполагает к набору массы тела, но и является значимым предиктором неэффективности и преждевременного прекращения программ по лечению ожирения и РПП. Своевременная диагностика и коррекция алекситимического синдрома могут помочь в разработке эффективных стратегий лечения пациентов с ожирением.

This manuscript provides a review of current literature on the relationship between overweight and alexithymia as a psychological factor associated with obesity, as well as the role of alexithymia in the development of various abnormalities and eating disorders (ED). Obesity is a multifactorial disease, and lifestyle characteristics are the most important pathogenetic links on its development, as well as a complex of genetic, epigenetic, biological and psychological factors that cause accumulation of excessive fat and prevent effective reduction and retention of body weight. One possible reason for the increased prevalence of obesity in adults is poor emotional management, which can affect healthy eating behavior and lifestyle.

It was found that overweight and obese people have a high prevalence of alexithymia, and also the study shows its prognostic role in the development of ED. Alexithymia is a factor that not only predisposes to weight gain, but is also a significant predictor of inefficiency and premature termination of programs for the treatment of obesity and ED. Timely diagnosis and correction of alexithymic syndrome can help in developing the effective treatment strategies for obese patients.

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The authors declare that there are no conflicts of interest present.