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<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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">problendo</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы Эндокринологии</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Endocrinology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0375-9660</issn><issn pub-type="epub">2308-1430</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/probl13557</article-id><article-id custom-type="elpub" pub-id-type="custom">problendo-13557</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="ru"><subject>Болезни костной и жировой ткани</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Bones &amp; Adipose tissues diseases</subject></subj-group></article-categories><title-group><article-title>Дефицит витамина D у пациентов с избыточной массой тела: современные стратегии и практические аспекты</article-title><trans-title-group xml:lang="en"><trans-title>Vitamin D deficiency in overweight patients: current strategies and practical aspects</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1547-0123</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каронова</surname><given-names>Т. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Karonova</surname><given-names>T. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каронова Татьяна Леонидовна, д.м.н., доцент, профессор</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Tatiana L. Karonova, PhD, Chief esearcher, Associate Professor</p><p>Saint Petersburg</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1851-0941</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салухов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Salukhov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салухов Владимир Владимирович, д.м.н., проф.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Vladimir V. Salukhov, MD, PhD, Professor</p><p>Saint Petersburg</p></bio><email xlink:type="simple">vlasaluk@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0327-4619</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дзгоева</surname><given-names>Ф. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzgoeva</surname><given-names>F. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дзгоева Фатима Хаджимуратовна, к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Fatima Kh. Dzgoeva, MD, PhD</p><p>Moscow</p></bio><email xlink:type="simple">fatima.dzgoeva@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6539-466X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пигарова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pigarova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пигарова Екатерина Александровна, д.м.н. </p><p>Москва</p></bio><bio xml:lang="en"><p>Ekaterina A. Pigarova, MD, PhD, DMedSc</p><p>Moscow</p></bio><email xlink:type="simple">kpigarova@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6581-4521</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галстян</surname><given-names>Г. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Galstyan</surname><given-names>G. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галстян Гагик Радикович, д.м.н., проф.</p><p>Москва</p></bio><bio xml:lang="en"><p>Gagik R. Galstyan, MD, PhD, Professor</p><p>Moscow</p></bio><email xlink:type="simple">galstyangagik964@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0027-1786</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Булгакова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bulgakova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Булгакова Светлана Викторовна, д.м.н., доцент</p><p>Самара</p></bio><bio xml:lang="en"><p>Svetlana V.Bulgakova</p><p>Samara</p></bio><email xlink:type="simple">osteoporosis63@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8493-7893</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вагапова</surname><given-names>Г. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Vagapova</surname><given-names>G. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вагапова Гульнар Рифатовна, д.м.н., проф.</p><p>Казань</p></bio><bio xml:lang="en"><p>Gulnar R. Vagapova, MD, PhD, Professor</p><p>Kazan</p></bio><email xlink:type="simple">g.r.vagapova@gmail.com</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4874-7835</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волкова</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Volkova</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Волкова Наталья Ивановна, д.м.н., проф.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Natalya I. Volkova, MD, PhD, Professor</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">n_i_volkova@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0425-6567</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киселева</surname><given-names>Т. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kiseleva</surname><given-names>T. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Киселева Татьяна Петровна, д.м.н., проф.</p><p>Екатеринбург</p></bio><bio xml:lang="en"><p>Tatiana P. Kiseleva, MD, PhD, Professor</p><p>Yekaterinburg</p></bio><email xlink:type="simple">kistapet@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7911-2424</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маркова</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Markova</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маркова Татьяна Николаевна, д.м.н., проф.</p><p>Москва</p></bio><bio xml:lang="en"><p>Tatiana N. Markova</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4175-5365</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ремизов</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Remizov</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ремизов Олег Валерьевич, д.м.н.</p><p>Владикавказ</p></bio><bio xml:lang="en"><p>Oleg V. Remizov, MD, PhD, DMedSc</p><p>Vladikavkaz</p></bio><email xlink:type="simple">oleg_remizov@mail.ru</email><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скакун</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Skakun</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Скакун Лариса Александровна</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Larisa A. Skakun</p><p>Chelyabinsk</p></bio><email xlink:type="simple">info@clinicaistochnik.ru</email><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тюльганова</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Tul`ganova</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тюльганова Валерия Леонидовна, к.м.н.</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Valeria L. Tul`ganova, MD, PhD</p><p>Chelyabinsk</p></bio><email xlink:type="simple">val_tu@mail.ru</email><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1463-2610</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Являнская</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yavlyanskaya</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Являнская Валерия Валерьевна, к.м.н.</p><p>Краснодар</p></bio><bio xml:lang="en"><p>Valeria V. Yavlyanskaya</p><p>Krasnodar</p></bio><xref ref-type="aff" rid="aff-12"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр им. В.А. Алмазова; Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Center; Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Военно-медицинская академия имени С.М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Military Medical Academy named after S.M. Kirov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр эндокринологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Самарский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Samara State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Казанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Ростовский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Уральский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Эндокринологический диспансер Департамента здравоохранения г. Москвы; Российский университет медицины</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Dispensary of the Moscow City Health Department; Russian University of Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Северо-Осетинская государственная медицинская академия</institution><country>Russian Federation</country></aff><aff xml:lang="en"><institution>North Ossetian State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Городская больница №11; Южно-Уральский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Hospital No. 11; South Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Челябинская областная клиническая больница; Южно-Уральский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chelyabinsk Regional Clinical Hospital; South Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>Кубанский государственный медицинский университет; Краевая клиническая больница №2</institution><country>Russian Federation</country></aff><aff xml:lang="en"><institution>Kuban State Medical University; Regional Clinical Hospital No. 2</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>27</day><month>01</month><year>2025</year></pub-date><volume>71</volume><issue>1</issue><fpage>92</fpage><lpage>98</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Каронова Т.Л., Салухов В.В., Дзгоева Ф.Х., Пигарова Е.А., Галстян Г.Р., Булгакова С.В., Вагапова Г.Р., Волкова Н.И., Киселева Т.П., Маркова Т.Н., Ремизов О.В., Скакун Л.А., Тюльганова В.Л., Являнская В.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Каронова Т.Л., Салухов В.В., Дзгоева Ф.Х., Пигарова Е.А., Галстян Г.Р., Булгакова С.В., Вагапова Г.Р., Волкова Н.И., Киселева Т.П., Маркова Т.Н., Ремизов О.В., Скакун Л.А., Тюльганова В.Л., Являнская В.В.</copyright-holder><copyright-holder xml:lang="en">Karonova T.L., Salukhov V.V., Dzgoeva F.K., Pigarova E.A., Galstyan G.R., Bulgakova S.V., Vagapova G.R., Volkova N.I., Kiseleva T.P., Markova T.N., Remizov O.V., Skakun L.A., Tul`ganova V.L., Yavlyanskaya V.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.probl-endojournals.ru/jour/article/view/13557">https://www.probl-endojournals.ru/jour/article/view/13557</self-uri><abstract><p>В г. Владикавказе 27 сентября 2024 г. состоялось рабочее совещание в дискуссионном формате по проблеме дефицита витамина D у пациентов с избыточной массой тела и ожирением.</p><p>Цель заседания — оценить взаимосвязь дефицита витамина D с избыточной массой тела и коморбидными нарушениями, рассмотреть современные стратегии и практические аспекты ведения таких пациентов в практике эндокринолога.</p><p>Резолюцию рабочего совещания разработали его участники — ведущие специалисты-эндокринологи.</p></abstract><trans-abstract xml:lang="en"><p>On September 27, 2024, a discussion-based working meeting on the issue of vitamin D deficiency in patients with overweight and obesity was held in Vladikavkaz.The meeting aimed to evaluate the relationship between vitamin D deficiency, overweight, and associated comorbidities, as well as to explore modern strategies and practical approaches for managing such patients in endocrinology practice. The resolution of the meeting was developed by its participants, comprising leading endocrinologists.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>витамин D</kwd><kwd>недостаточность</kwd><kwd>дефицит</kwd><kwd>избыточная масса тела</kwd><kwd>ожирение</kwd><kwd>сахарный диабет 2 типа</kwd><kwd>колекальциферол</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vitamin D</kwd><kwd>insufficiency</kwd><kwd>deficiency</kwd><kwd>overweight</kwd><kwd>obesity</kwd><kwd>diabetes mellitus type 2</kwd><kwd>cholecalciferol</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">Li M, Jiang S, Dong C, Jiang D. Association between fat-soluble vitamins and metabolic syndromes in US adults: a cross-section study from NHANES database. BMC Endocr Disord. 2024;24(1):178. doi: https://doi.org/10.1186/s12902-024-01711-4</mixed-citation><mixed-citation xml:lang="en">Li M, Jiang S, Dong C, Jiang D. 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