milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2025.2.130milmed-130Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE FROM PRACTICEПроблема лечения компульсивного перееданияThe problem of treatment for compulsive overeating (with a case description)ХрущИ. А.KhrushchI. A.ШубинаС. Н.ShubinaS. N.КротА. Ф.KrotA. F.УО «Белорусский государственный медицинский университет»Belarus20252208202602130134Copyright © Хрущ И.А., Шубина С.Н., Крот А.Ф., 20262026Хрущ И.А., Шубина С.Н., Крот А.Ф.Khrushch I.A., Shubina S.N., Krot A.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/130

Компульсивное переедание и коморбидное ему ожирение остаются серьезной угрозой для жизни и здоровья человека в связи с высокой распространенностью заболеваемости и смертности, как при данных нозологиях, так и при связанных с ними сопутствующих расстройствах. Изменение образа жизни, включающего в себя сочетание ограниченного потребления ежедневной калорийности, физических упражнений и изменений в поведении, широко рекомендуются в качестве поэтапного подхода к контролю/лечению компульсивного переедания и, соответственно, ожирения. Однако эти меры обычно приводят лишь к незначительному снижению веса с коротким периодом его сохранения – результаты, схожие с результатами фармакотерапии. Причем, результаты хирургического лечения ожирения в ближайшем 5-летнем периоде имеют значительно лучшие показатели [1].

Таким образом, лечение компульсивного переедания и других сопутствующих расстройств является непростой задачей в медицинской практике, большинство результатов научных исследований, затрагивающих описанную проблему, остаются достаточно противоречивыми.

Цель работы: проанализировать данные литературных обзоров по вопросу лечения компульсивного переедания и коморбидного ему ожирения с анализом клинического случая из практики.

Binge eating disorder and comorbid obesity remain a serious threat to human life and health due to the high prevalence of morbidity and mortality in both these nosologies and associated comorbidities. Lifestyle changes, including a combination of limited daily calorie intake, exercise, and behavioral changes, are widely recommended as a step-by-step approach to the control/treatment of binge eating disorder and, accordingly, obesity. However, these measures usually lead to only a slight decrease in weight with a short period of its maintenance – results similar to the results of pharmacotherapy. Moreover, the results of surgical treatment of obesity in the next 5-year period have significantly better indicators [1].

Thus, the treatment of binge eating disorder and other comorbid disorders is a difficult task in medical practice; most of the results of scientific studies touching on the described problem remain quite contradictory.

The aim of the work: to analyze the data of literature reviews on the issue of treatment of compulsive overeating and comorbid obesity with an analysis of a clinical case from practice.

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