Встановлення особливостей харчової поведінки як визначальний фактор розробки програми фізичної реабілітації хворих ожирінням

Abstract

Стаття присвячена встановленню особливостей харчової поведінки як визначального фактору розробки реабілітаційної програми хворих ожирінням І-ІІІ ступеня. За Голландським опитувальником харчової поведінки з'ясовано, що обмежувальний тип не є властивим для хворих ожирінням. Для них характерні екстернальний та емоціогенний типи, останній виразніше проявляється у жінок. Визначено, що першим етапом реабілітаційного втручання повинно бути визнання хворим наявності проблеми власного ожиріння та вироблення активного прагнення її подолання на основі виявленого типу харчової поведінки.

Obesity is one of the most common medical and social problems of modern society, plays a significant role in the formation of overall morbidity negative impact on overall health and reduces efficiency and quality of life, reproductive potential, therefore, requires new approaches to complex programs correction. The consumption of food is determined by feeding behavior, denoted value attitude to food and its reception system stereotypes, rituals and eating habits in everyday and stressful conditions, certain behavioral strategies focused on the formation and transformation of the image of his own body. The aim of the research was to determine the types of eating behavior in obese patients with varying degrees of severity depending on the sex. The work was based on interviews 114 second adulthood people with alimentary-constitutional obesity varying degrees. Obesity is classified by body mass index. Violation of eating behavior was determined by the Dutch eating behavior questionnaire. The results showed that restrictive type of obesity not a characteristic of patients with obesity. Conversely, when a high degree of obesity was characteristic decrease the number of control eating. Emotiogenic feeding behavior was observed in both gender groups more clearly, the greater was the degree of obesity, but women at all levels of obesity, it was statistically significantly higher relative rate of men (p <0.05). External type of behavior was typical for both men and women, its expression also depended on the degree of obesity, but the difference between members of both sexes was not statistically significant (p> 0.05). Conclusions. Thus, in obese patients rehabilitation programs should be used not only various means and methods of physical rehabilitation, but also necessarily affect the etiologic agent overeating - psychological abuse eating behavior. The first stage of rehabilitation intervention must be active recognition and awareness of patients there is a problem of obesity and develop their own desire to overcome identified on the basis of the type of eating behavior.