[Method of treating obesity in elderly and senile patients (1st stage).]

The aim of the work is to evaluate the efficiency of the method of treating obesity in elderly and senile patients. The patients were offered 2 nutrition programs, one based on the obtained data (insulin resistance, biliary dyskinesia, type 2 diabetes, etc.) and the final diagnosis in connection with the concomitant disease, and the second based on their taste preferences. The peculiarity of the development of the dietary program was to prepare a menu based on lean body mass, and not the total mass obtained from the results of bioimpedancemetry. The ratio of proteins, fats and carbohydrates (in grams per kg of lean body mass is 1:1:2(3). Based on stress echo and lactate testing, a program of dosed aerobic physical activity was developed for the patient. Training was carried out 3-4 times a week after the last meal, the training time was 90 minutes with the required heart rate (not higher than aerobic threshold). Against the background of using the proposed technique, a reliable decrease in total body mass, body fat mass, total water was observed according to the results of bioimpedancemetry. Also, a reliable decrease in blood parameters: ALT, AST, gamma-GT, glucose, insulin, leptin, an increase in the level of vitamin D. Thus, the selection of a personalized diet in combination with dosed aerobic physical activity and regular monitoring using heart rate monitors will not only reduce weight, but also improve health indicators (reduce weight due to adipose tissue, reduce insulin resistance, increase vitamin D levels, reduce blood pressure, liver transaminases, glucose), and also increase the effectiveness of therapeutic measures for obesity, preventing the progression of complications.