About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

Wednesday, 18 May 2016

DOI: 10.21045/2071-5021-2016-48-2-3
Demicheva T.P., Shilova S.P.

Perm State Medical University named after Academician E.A. Wagner, Perm

Contacts:Tatyana Demicheva, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. The study significance is substantiated by the need for objective information on prevalence of endocrine disorders. True prevalence is a basic requirement for planning and developing a comprehensive system of preventive measures.

The study purpose was to conduct a comparative analyze of informativity of different sources of data on prevalence of endocrine disorders.

Methods: official statistics of the Perm territory (form #12) for 2000-2014. The authors analyzed incidence and prevalence based on care seeking that reflects prevalence rates. Data on medical examinations as part of additional regular medical examination of the working population in which the author participated as endocrinologist are provided. The number of people examined in 2006-2010 added up to 8 122. Then, according to Orders #1344n and #1011 of the Ministry of Health organization of medical examinations was changed (the author did not participate in such examinations). Since medical examinations are targeted at working population, the authors conducted a special ônarrow focusö study on detecting endocrine disorders among people over 60. A total of 3á884 people were examined.

Results. In the Perm territory the disease prevalence based on care seeking totaled to 68.3 per 1000 population in 2014, while the disease incidence was 5.5 times lower. The structure of disease prevalence was determined by diabetes mellitus, thyroid gland disorders and obesity.

For 15 years the indicators increased by 1.7, 2.5 and 4.3 times respectively. In adult population the indicators reach 35.2, 23.7 and 0.9 per 1000 population. Incidence of endocrine disorders detected during medical examinations added up to 314.2 per 1000 examined, including: diabetes mellitus - 17.4; thyroid gland disorders - 133.8 and obesity ľ 163.0. In people over 60 the incidence was 223.8 per 1000. The share of patients with diabetes mellitus estimated 58.2%; thyroid gland disorders - 18.7%, and obesity ľ 8.6%.


1. Official statistics canĺt serve as the only information source to assess the true prevalence of endocrine disorders i.e. incidence of endocrine disorders by care seeking is 4 times lower than the same by medical examinations.

2. Official reporting doesnĺt provide in-depth characteristics of morbidity suggesting the need for improvement or use of other information sources.

3. Dynamics of care seeking is characterized by negative trends. For 15 years in the Perm territory the obesity prevalence increased by 4.8 times which is significantly higher than growth rates of prevalence of diabetes mellitus and thyroid gland disorders.

Keywords: prevalence of endocrine disorders; dynamics; information sources; medical examinations of the working population and the senior age groups.


  1. Burkov S.G., Ivleva A.Ya. Izbytochnyy ves i ozhirenie ľ problema meditsinskaya, ne kosmeticheskaya. [Overweight and obesity is a medical, rather than cosmetic problem]. Ozhirenie i metabolizm 2010; (3): 15-17. (In Russian)
  2. Dedov I.I., Shestakova M.V. Klinicheskie rekomendatsii źAlgoritmy spetsializirovannoy meditsinskoy pomoshchi bol'nym sakharnym diabetom╗ [ôAlgorithms of special medical care to diabetes mellitus patientsö. Clinical manual]. Problemy endocrinologii 2015; (1): 7-8. (In Russian)
  3. Kasatkina E.P., Samsonova L.N. Effektivnost' yodnoy profilaktiki v Rossii: puti optimizatsii [Efficiency of iodine prophylaxis in Russia: ways of optimization]. Problemy endocrinologii 2009; 55(1): 8-13. (In Russian)
  4. Manakov, L.G., Drozdova E.A, Kolodina I.A. Epidemiologiya sakharnogo diabeta na territorii Amurskoy oblasti. [Epidemiology of diabetes mellitus in Amur region]. Byulleten' fiziologii i patologii dykhaniya 2006; (23) (Suppl.): 97-99. (In Russian)
  5. Rzhannikova E.N. Rasprostranennost' bolezney endokrinnoy sistemy sredi vzroslogo naseleniya Orenburgskoy oblasti [Prevalence of endocrine system diseases among adult population of Orenburg region]. Informatsionnyy arkhiv 2009; 2(5): 65-67. (In Russian)
  6. Suntsov Yu.I., Bolotskaya L.L., Maslova O.V., Kazakov I.V. Epidemiologiya sakharnogo diabeta i prognoz ego rasprostranennosti v Rossiyskoy Federatsii [Epidemiology of diabetes mellitus and prognosis for its prevalence in the Russian Federation]. Sakharnyy diabet 2011; (1): 15-18. (In Russian)
  7. Troshina E.A. Zabolevaniya, svyazannye s defitsitom yoda: uroki istorii i vremya prinyatiya resheniy [Diseases related to iodine deficit: historical lessons and time for decision-making]. Problemy endocrinologii 2011; 57(1): 60-65. (In Russian)
  8. Shal'nova S.A. Deev A.D. Massy tela u muzhchin i zhenshchin (rezul'taty obsledovaniya rossiyskoy, natsional'noy, predstavitel'noy vyborki naseleniya). [Body mass in men and women (results of the survey of Russian national representative population sample)]. Kardiovaskulyarnaya terapiya i profilaktika 2008; 7(6): 60-63. (In Russian)
  9. Shestakova M.V. Kommentarii endokrinologa k rekomendatsiyam po sakharnomu diabetu, preddiabetu i serdechno-sosudistym zabolevaniyam esc-easd 2007 [Endocrinologist's comments to guides on diabetes mellitus, pre-diabetes, and cardiovascular diseases esc-easd 2007]. Sakharnyy diabet 2008; (10): 97-99. (In Russian)
  10. Lavie C.J., Milani R.V., Artham S.M. et al. The obesity paradox, weight loss, and coronary disease. Am.J. Med. 2009; (12): 1106-1114.

Views: 11747

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Tuesday, 31 May 2016 )
< Prev   Next >
home contact search contact search