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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medalphabet-164</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Лечение ожирения у больных с нарушениями менструальной функции</article-title><trans-title-group xml:lang="en"><trans-title>Treatment of obesity in patients with menstrual dysfunction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ведзижева</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Vedzizheva</surname><given-names>E. R.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Успенская</surname><given-names>Ю. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Uspenskaya</surname><given-names>Yu. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow State Medical University n.a. I. M. Sechenov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>01</day><month>04</month><year>2017</year></pub-date><volume>2</volume><issue>10</issue><issue-title>Современная гинекология</issue-title><fpage>48</fpage><lpage>53</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ведзижева Э.Р., Кузнецова И.В., Успенская Ю.Б., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Ведзижева Э.Р., Кузнецова И.В., Успенская Ю.Б.</copyright-holder><copyright-holder xml:lang="en">Vedzizheva E.R., Kuznetsova I.V., Uspenskaya Y.B.</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.med-alphabet.com/jour/article/view/164">https://www.med-alphabet.com/jour/article/view/164</self-uri><abstract><p>Ожирение является распространенным заболеванием и часто сопровождается нарушениями менструальной функции и фертильности. Патогенез нарушений менструальной функции у больных ожирением и возможности его коррекции недостаточно изучены. Целью настоящего исследования стало изучение влияния комбинации сибутрамина и метформина на метаболические параметры и эндокринную функцию репродуктивной системы женщин с ожирением. В результате проведенного исследования была установлена более высокая распространенность репродуктивных нарушений у больных ожирением с дислипидемиями. Сравнительный анализ антропометрических, метаболических и репродуктивных параметров на фоне лечения выявил преимущества комплекса сибутрамин + метформин по сравнению с методом коррекции образа жизни.</p></abstract><trans-abstract xml:lang="en"><p>Obesity is a common disease and is often accompanied by impairment of menstrual function and fertility. The pathogenesis of menstrual dysfunction in obese patients and the possibility of its correction have not been sufficiently studied. The purpose of this study was to study the effect of the combination of sibutramine and metformin on the metabolic parameters and endocrine function of the reproductive system of obese women. As a result of the study, a higher prevalence of reproductive disorders in obese patients with dyslipidemia was established. Comparative analysis of anthropometric, metabolic and reproductive parameters against the background of treatment revealed the advantages of the sibutramine + metformin complex compared with the method of lifestyle correction.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ожирение</kwd><kwd>инсулинорезистентность</kwd><kwd>дислипидемия</kwd><kwd>лептин</kwd><kwd>грелин</kwd><kwd>нарушения менструального цикла</kwd><kwd>сибутрамин</kwd><kwd>метформин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>obesity</kwd><kwd>insulin resistance</kwd><kwd>dyslipidemia</kwd><kwd>leptin</kwd><kwd>ghrelin</kwd><kwd>menstrual irregularities</kwd><kwd>sibutramine</kwd><kwd>metformin</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">Apovian C.M. Obesity: definition, comorbidities, causes, and burden. Am.J. Manag. 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