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Management of patients with obesity and noncommunicable diseases by primary health care physicians. Guidelines

https://doi.org/10.15829/3034-4123-2025-93

EDN: DATCMN

Abstract

These guidelines present an algorithm for managing patients with obesity and noncommunicable diseases in primary health care facilities. The presented algorithm includes measures aimed at assessing the patient's condition and comorbidities, developing individualized treatment plans and adjusting therapy, and regularly monitoring the therapy effectiveness. Key criteria for monitoring treatment effectiveness are presented to reduce the risk of complications and improve the overall quality of life and life expectancy of patients. The systematization and structuring of modern clinical guidelines and standards in terms of monitoring make this manual relevant, practice-­oriented, and useful for healthcare professionals. The inclusion of research data ensures the high effectiveness of the proposed approaches and their application in routine health practice.

These guidelines can be used by healthcare administrators, heads of primary care facilities and related departments.

About the Authors

O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Oxana M. Drapkina.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



N. G. Mokrisheva
Dedov National Medical Research Center for Endocrinology
Russian Federation

Natalia G. Mokrysheva.

Dmitry Ulyanov str., 11, Moscow, 117292



E. A. Gritsaeva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Evgenia A. Gritsaeva.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



S. A. Berns
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Svetlana A. Berns.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



O. V. Vasyukova
Dedov National Medical Research Center for Endocrinology
Russian Federation

Olga V. Vasyukova.

Dmitry Ulyanov str., 11, Moscow, 117292



A. M. Gorbacheva
Dedov National Medical Research Center for Endocrinology
Russian Federation

Anna M. Gorbacheva.

Dmitry Ulyanov str., 11, Moscow, 117292



L. Yu. Drozdova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Lubov Y. Drozdova.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



S. O. Eliashevich
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Sofia O. Eliashevich.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



E. V. Ershova
Dedov National Medical Research Center for Endocrinology
Russian Federation

Ekaterina V. Ershova.

Dmitry Ulyanov str., 11, Moscow, 117292



E. V. Zyatenkova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Elena V. Zyatenkova.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



M. P. Kazakova
Dedov National Medical Research Center for Endocrinology
Russian Federation

Maria P. Kazakova.

Dmitry Ulyanov str., 11, Moscow, 117292



I. V. Kononenko
Dedov National Medical Research Center for Endocrinology
Russian Federation

Irina V. Kononenko.

Dmitry Ulyanov str., 11, Moscow, 117292



G. A. Melnichenko
Dedov National Medical Research Center for Endocrinology
Russian Federation

Galina A. Melnichenko.

Dmitry Ulyanov str., 11, Moscow, 117292



O. U. Sukhareva
Dedov National Medical Research Center for Endocrinology
Russian Federation

Olga Y. Sukhareva.

Dmitry Ulyanov str., 11, Moscow, 117292



E. A. Troshina
Dedov National Medical Research Center for Endocrinology
Russian Federation

Ekaterina A. Troshina.

Dmitry Ulyanov str., 11, Moscow, 117292



M. V. Shestakova
Dedov National Medical Research Center for Endocrinology
Russian Federation

Marina V. Shestakova.

Dmitry Ulyanov str., 11, Moscow, 117292



R. N. Shepel
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Ruslan N. Shepel.

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



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For citations:


Drapkina OM, Mokrisheva NG, Gritsaeva EA, Berns SA, Vasyukova OV, Gorbacheva AM, Drozdova LY, Eliashevich SO, Ershova EV, Zyatenkova EV, Kazakova MP, Kononenko IV, Melnichenko GA, Sukhareva OU, Troshina EA, Shestakova MV, Shepel RN. Management of patients with obesity and noncommunicable diseases by primary health care physicians. Guidelines. Primary Health Care (Russian Federation). 2025;2(4):138-164. (In Russ.) https://doi.org/10.15829/3034-4123-2025-93. EDN: DATCMN

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ISSN 3034-4123 (Print)
ISSN 3034-4565 (Online)