Introducere. Diabetul zaharat tip 2 (DZT2), bolile cardiovasculare, sindromul metabolic, boală cronică de rinichi, hiperlipidemia, hipertensiunea arterială (HTA), boala ficatului steatozic asociată dereglărilor metabolice (MASLD), anumite tipuri de cancer sunt cele mai frecvente afecţiuni asociate cu obezitatea. Scop. Evaluarea persoanelor adulte cu obezitate dintr-o localitate rurală din Republica Moldova, pentru identificarea celor mai frecvente comorbid-ităţii/complicaţii asociate obezităţii. Material şi metode. Studiu transversal a inclus 120 persoane adulte cu obezitate de gradul I-III (60 bărbaţi şi 60 femei), cu vârsta medie 61,93±11,43 ani, aflaţi la evidenţa medicului de familie pe parcursul anului 2024 într-o localitate rurală din Republica Moldova. Datele au fost extrase din fişele de ambulatoriu, cu acordul persoanelor respective. Rezultate. Toate persoanele incluse în studiu au prezentat comorbidităţi: 4,16% (5) cu o singură comorbiditate, 10,83% (13) cu două, 14,16% (17) cu trei, 20,83% (25) cu patru, 30,83% (37) cu cinci, 18,33% (22) cu şase, iar câte 0,83% (1) cu şapte şi opt co-morbidităţi. Cele mai frecvente boli au fost MASLD 99,16% (119), HTA 80,83% (97), dislipidemia 72,5% (87), bolile gastrointestinale 71,66% (86), afecţiunile cardiovasculare 65,83% (79), DZT2-28,33% (34), hiperuricemia 16,66% (20) şi cancerul 6,66% (8). Diferenţa semnificativă statistică între bărbaţi şi femei a fost observată doar pentru hiperuri-cemie (p<0,05), fiind mai frecventă la bărbaţi. Concluzii. La toate persoanele incluse în studiu au fost identificate comorbidităţi, cele mai multe având câte 5 comorbidităţi. Cele mai frecvente comorbidităţi (prezente la peste 70% din pacienţi) au fost: hipertensiunea arterială, bolile gastrointestinale, dislipidemia şi MASLD.
Introduction. Type 2 diabetes mellitus (T2DM), cardiovascular diseases, metabolic syndrome, chronic kidney disease, hyperlipidemia, arterial hypertension (AH), metabolic dysfunction-associated steatotic liver disease (MASLD), certain types of cancer are the most common conditions associated with obesity. Objective. Assessment of adult people with obesity from a rural area in the Republic of Moldova to identify the most common comorbidities/ complications associated with obesity. Material and methods. This cross-sectional study included 120 adults with grade I-III of obesity (60 men and 60 women), with a mean age of 61.93 ± 11.43 years, under the care of a family physician during the year 2024 in a rural area of the Republic of Moldova. Data were extracted from outpatient medical records, with the informed consent of the patients. Results. All individuals included in the study had comorbidities: 4.16% (5) with one comorbidity, 10.83% (13) with two, 14.16% (17) with three, 20.83% (25) with four, 30.83% (37) with five, 18.33% (22) with six, and 0.83% (1) with seven and eight comorbidities. The most common diseases were MASLD 99.16% (119), HTA 80.83% (97), dyslipidemia 72.5% (87), gastrointestinal diseases 71.66% (86), cardiovascular diseases 65.83% (79), DZT2-28.33% (34), hyperuricemia 16.66% (20) and cancer 6.66% (8). The statistically significant difference between men and women was observed only for hyperuricemia (p<0.05), being more common in men. Conclusion. All participants in the study were identified of having at least one comorbidity, with the majority of them presenting 5 comorbidities The most common comorbidities (present in over 70% of patients) were: hypertension, gastrointestinal diseases, dyslipidemia, and MASLD.
