Physiotherapeutic methods in complex treatment of obesity
Authors:   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Bulina O. V. , Suslova G. A. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Kiryanova V. V. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Suslov V. M. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Shakhova N. A. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Volkovskaya A. N. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Petrova E. V. ,   SBHI Leningrad Regional Center of Specialized Types of Medical Care, St. Petersburg, Russia, Egorova Yu. S. ,   SBHI Leningrad Regional Center of Specialized Types of Medical Care, St. Petersburg, Russia, Liberman L. N. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Adulas E. I. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Bezushko M. L. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Chebunina M. V. ,   SPbSBHI St. Mary Magdalene Children»s City Hospital No. 2, St. Petersburg, Russia, Grafova A. I. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia, Rostacheva Е. А. ,   FSBEI HE Saint Petersburg State Pediatric Medical University of the Ministry of Health of Russia, St. Petersburg, Russia
Published: October 2023

The purpose of this work was to conduct an analytical review of scientific sources from Russian and foreign literature that present modern information about the risk factors of obesity; the most effective methods of treatment and rehabilitation are described. Based on the studied material, the main directions in the therapy of obesity, i. e. invasive and non-invasive, were identified. The essential components of a comprehensive approach for successful therapy of this chronic pathological process, in the context of a healthy lifestyle, mandatory dietary therapy, and correction of concomitant pathology, are physiotherapeutic procedures, therapeutic physical exercise, and psychological training. Modern physiotherapeutic methods include balneotherapy, electrotherapy, cryotherapy, ozone therapy, shockwave therapy, and others. Physiotherapeutic procedures significantly improve metabolism and contribute to weight stabilization with subsequent gradual normalization of body mass. Preference, especially in pediatric practice, is given to non-invasive physiotherapeutic methods, which are maximally safe for children, demonstrably effective, well-tolerated, and have a general strengthening effect on the growing and developing organism.