In Russia, for several years now, the real "epidemic of obesity"

Nenets Autonomous District (1032 people per 100 thousand population), the Altai Territory (976 people per 100 thousand of population) and the Penza region (678 people per 100 thousand population) became the most problematic regions in terms of obesity, according to statistics of Rospotrebnadzor. Compared with 2011, the incidence of obesity on average in Russia increased by 2.3 times: from 123.65 cases per 100 thousand people to 284.8 cases.

The analysis conducted by the bodies of Rospotrebnadzor, the report says, shows the problems that are common for the vast majority of regions, related to inadequate intake of vital macro- and microelements from food in the human body and excess - simple carbohydrates.
In other words, instead of rich in vitamins and other elements necessary for "building an organism", we eat something that is cheaper and "greedy", and, moreover, more traditional: dishes made from cereals, potatoes, bread, sweets.
Nowadays obesity is not a disease of the rich, like two hundred or three hundred years ago, but of the poor, says dietician professor Alexei Kovalkov. If you do not take into account hormonal diseases, for example diabetes, then there are almost too many people who are too fat among the rich. First of all, because wealthy people can afford to make a diet of useful protein foods and vegetables, but the poor can not. Are carbohydrate food and dairy products.
Director of the Research Institute of Nutrition, Academician of the Russian Academy of Sciences, Professor, Doctor of Medical Sciences Viktor Tutelyan
© RIA Novosti / Boris Babanov
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Victor Tutelian: Russians always have a dilemma: obesity or vitamin deficiency
"Carbohydrates contribute to a sharp release of insulin into the blood," Kovalkov explains, "and insulin is practically the only hormone that controls the fat cell.When insulin is released, free fatty acids rush into the fat cell, gather into solid formations - triglycerides - and can not go out anymore From this fat cell.The person starts gaining weight.It's very simple. "

The second reason for obesity is psychological: cheap and unpleasant food is eaten by stress, with which the poor are facing more than the rich. The release of endorphins in this case, according to the dietician, is due to the use of both "sweet" and "fatty."

"Just a spoonful of sugar will sate you, but it will not give you pleasure," says Alexei Kovalkov, "it will not give you a piece of bread, but you will not get a piece of butter." But potatoes are a carbohydrate, just potatoes, without oil , Do not really go in. Add or fry the oil or add this potato - eat with pleasure, we sit down on it, like they sit down on heroin! "

In the coming years, the tendency to obesity of Russians will not be reversed, says Alexei Kovalkov. Such a development of events doctors predicted a decade ago.

The seriousness of the situation is recognized also by colleague Kovalkova Elena Solomatina. And the severity of the problem with obesity directly correlates with the level of development of the region, to be more exact - with the average level of education and well-being of its residents, the dietician is sure.

For low-income Russians, cereals are one of the foundations of the diet. And buckwheat - even the best (in terms of nutritionists) option
"The lower the level of education, the less chance for a person to get a prestigious and highly paid job," Solomatina explains her idea. "Staying at a low social level, such a person comes to the store and buys the cheapest goods, and among them there are rarely useful. : The person feeds worse, less useful substances and oxygen enters the brain, the intellectual level and tone fall even lower ... Money and energy for social adaptation is even less, and therefore he has to buy more Cheaper and less quality products. "Next, children grow in the same conditions, obesity is passed on to them as a family scenario, it's already difficult to break the vicious cycle."

It is possible to reverse the trend, but it will not be possible to do this easily and quickly. This is a matter of strategic decisions, not several years, state the two nutritionists interviewed by RIA Novosti.

There are two ways to fight obesity at the state level, says Professor Alexei Kovalkov. The first is to improve the welfare of the people. The second is to lead a universal education in the field of proper nutrition. And it must be done simultaneously.

"Now, unfortunately, we do not have a single program on federal television or radio that would be devoted to proper nutrition," says the nutritionist. "We must learn how to eat properly for children, the elderly, sportsmen, bodybuilders ... Everyone should have their own right Nutrition. "Add to this medical diets, because virtually every adult has some kind of disease."

To begin with, it is necessary at least to restore the training of dietitians in the program of medical universities, Kovalkov insists. Now the specialists of this profile are not issued by any medical institute in Russia.

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