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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">gosupr</journal-id><journal-title-group><journal-title xml:lang="ru">Государственное управление. Электронный вестник</journal-title><trans-title-group xml:lang="en"><trans-title>Public Administration. E-journal (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2070-1381</issn><publisher><publisher-name>Факультет государственного управления МГУ имени М.В. Ломоносова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.55959/MSU2070-1381-102-2024-222-233</article-id><article-id custom-type="elpub" pub-id-type="custom">gosupr-135</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>ПОЛИТИКА И УПРАВЛЕНИЕ В СФЕРЕ ЗДРАВООХРАНЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HEALTH POLICY AND MANAGEMENT</subject></subj-group></article-categories><title-group><article-title>Эпидемия ожирения в России и мире: обзор текущей ситуации и перспективы регулирования</article-title><trans-title-group xml:lang="en"><trans-title>The Obesity Epidemic in Russia and the World: An Overview of Current Situation and Prospects for Regulation</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-1366-8835</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тарасова Ирина Владимировна, Врач-кардиолог, заведующая кардиологическим отделением</p><p>Москва</p></bio><bio xml:lang="en"><p>Irina V. Tarasova, Cardiologist, Head of the Cardiology Department</p><p>Moscow</p></bio><email xlink:type="simple">ira-tar76@ya.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Центральный клинический госпиталь Федеральной таможенной службы России</institution></aff><aff xml:lang="en"><institution>Central Clinical Hospital of the Federal Customs Service of Russia</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>22</day><month>05</month><year>2026</year></pub-date><volume>0</volume><issue>102</issue><fpage>222</fpage><lpage>233</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тарасова И.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Тарасова И.В.</copyright-holder><copyright-holder xml:lang="en">Tarasova I.V.</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.spajournal.ru/jour/article/view/135">https://www.spajournal.ru/jour/article/view/135</self-uri><abstract><p>Аннотация Ожирение является одной из серьезных проблем для общественного здравоохранения во всем мире. За последние 40 лет фиксируется значительный рост случаев ожирения, обусловленный различными факторами, главными из которых являются урбанизация, малоподвижный образ жизни и избыточное потребление высококалорийных продуктов питания. Особенно тревожным фактом становится прогрессирующий рост детского ожирения, что предвещает огромное бремя хронических заболеваний в будущем. Ожирение является фактором риска развития сердечно-сосудистых заболеваний, сахарного диабета, некоторых форм рака, заболеваний опорно-двигательной системы, желудочно-кишечного тракта, тяжелого течения инфекционных болезней; значимо сокращает продолжительность и качество жизни, оказывает отрицательное влияние на экономику, увеличивая расходы на здравоохранение и снижая продуктивность труда лиц, страдающих ожирением. Традиционные методы борьбы с ожирением показали свою недостаточную эффективность, что подчеркивает необходимость изменения стратегии борьбы с этой болезнью. Вместо того, чтобы полагаться исключительно на меры индивидуального воздействия, необходимо сосредоточиться на масштабных политических и практических действиях, направленных на изменение окружающей среды, способствующей ожирению. Мероприятия, ориентированные на все население, такие как маркировка продуктов питания, налоги на продукты с высоким содержанием сахара, ограничение маркетинга нездоровой пищи, кампании по пропаганде здорового образа жизни, представляются наиболее эффективными. Необходим адресный подход с учетом особенностей различных групп населения. Инвестирование в профилактику может помочь увеличить продолжительность жизни и снизить затраты на здравоохранение. В обзоре проводится анализ социально-экономических факторов и последствий ожирения, оцениваются возможности государственной политики в борьбе с этой эпидемией и рассматриваются лучшие мировые практики.</p></abstract><trans-abstract xml:lang="en"><p>The obesity epidemic is a serious public health problem. Over the past 40 years, there has been a significant increase in obesity cases worldwide due to various factors, the main of which are urbanization, sedentary lifestyle and excessive consumption of highcalorie foods. A particularly alarming fact is the progressive increase in childhood obesity, which portends a huge burden of chronic diseases in the future. Obesity is a risk factor for the development of cardiovascular diseases, type 2 diabetes mellitus, certain forms of cancer, diseases of the musculoskeletal system, gastrointestinal tract, severe infectious diseases, significantly reduces life span and quality of life, has a negative impact on the economy, increasing health care costs and reducing the productivity of obese people. Traditional methods of combating obesity have proved ineffective, which underscores the need for a change in strategy. Instead of relying solely on individual impact measures, it is necessary to focus on large-scale policy actions aimed at changing the environment that contributes to obesity. Measures aimed at the entire population, such as food labeling, taxes on products with high sugar content, restrictions on the marketing of unhealthy foods, and campaigns to promote a healthy lifestyle seem to be the most effective. A targeted approach is also needed, taking into account the characteristics of different population groups. Investing in prevention can help increase the life span of the population, reduce health care costs, increase human resources and strengthen the country’s economy. The review analyzes the socio-economic factors and consequences of obesity, assesses the possibilities of public policy in combating this epidemic and examines the best global practice.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Ожирение</kwd><kwd>факторы окружающей среды</kwd><kwd>профилактика ожирения</kwd><kwd>общественное здоровье</kwd><kwd>комплексный подход</kwd><kwd>государственная политика</kwd><kwd>стратегии развития в здравоохранении</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Obesity</kwd><kwd>environmental factors</kwd><kwd>obesity prevention</kwd><kwd>public health</kwd><kwd>integrated approach</kwd><kwd>public policy</kwd><kwd>development strategies in healthcare</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">Баланова Ю.А., Шальнова С.А., Деев А.Д., Имаева А.Э., Концевая А.В., Муромцева Г.А., Капустина А.В., Евстифеева С.Е., Драпкина О.В. 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