2026 / 02

DOI: 10.24075/rbh.2026.167
Copyright: © 2026 by the authors. Licensee: Pirogov University.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (CC BY).

OPINION

Nutrition optimization and educational technologies in the system of personalized prevention of obesity complications: hygienic aspects

Lapik IA1 , Tarmayeva IYu1 , Nikityuk DB1,2
About authors

1 Federal Research Center for Nutrition, Biotechnology and Food Safety, Moscow, Russia

2 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Correspondence should be addressed: Irina A. Lapik
Ustinsky proezd, 2/14, Moscow, 109240, Russia; ur.xobni@_kipaL

About paper

Funding: the study was conducted within the framework of the State Assignment FGMF-2026-0014.

Author contribution: Lapik IA — study concept and design, article authoring; Tarmaeva IYu — editing; Nikityuk DB — approval of the final version of the article; all authors are responsible for the integrity of all of its parts.

Received: 2026-04-09 Accepted: 2026-05-21 Published online: 2026-06-29
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  1. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet. 2024; 403 (10431): 1027–50. DOI: 10.1016/S0140-6736(23)02750-2.
  2. GBD 2021 Obesity Forecasting Collaborators. Global, regional, and national prevalence of adult overweight and obesity, 1990–2021, with forecasts to 2050. Lancet. 2025; 405 (10481): 813–38. DOI: 10.1016/S0140-6736(25)00355-1.
  3. Martinchik AN, Lajkam KE, Kozyreva NA, Keshabyants EE, Mikhajlov NA, Baturin AK, et al. Rasprostranenie ozhireniya v razlichnykh sotsialʹno-demograficheskikh gruppakh naseleniya Rossii. Voprosy pitaniya. 2021; 90 (3): 67–76 (in Rus.). DOI: 10.33029/0042-8833-2021-90-3-67-76.
  4. Ahmed SK, Mohammed RA. Obesity: prevalence, causes, consequences, management, preventive strategies and future research directions. Metabol Open. 2025; (27): 100375. DOI: 10.1016/j.metop.2025.100375.
  5. Zajtseva NV, Alekseev VB, Klejn SV, Maj IV, Glukhikh MV, Kiryanov DA. Gigienicheskij analiz i tsifrovoe prognozirovanie kak instrument upravleniya sanitarno-epidemiologicheskim blagopoluchiem dlya dostizheniya tselevykh pokazatelej ozhidaemoj prodolzhitelʹnosti zhizni naseleniya Rossijskoj Federatsii. Gigiena i sanitariya. 2026; 105 (1): 68–77 (in Rus.). DOI: 10.47470/0016-9900-2026-105-1-68-77.
  6. Efimova NV, Bogdanova OG. Otsenka riska zdorovʹyu i sotsialʹno-ekonomicheskikh poterʹ, assotsiirovannykh s neinfektsionnymi alimentarno-zavisimymi zabolevaniyami. Analiz riska zdorovʹyu. 2024; (2): 67–76 (in Rus.). DOI: 10.21668/health.risk/2024.2.07.
  7. Tutelyan VA, Nikityuk DB. Klyuchevye problemy v strukture potrebleniya pishchevoj produktsii i proryvnye tekhnologii optimizatsii pitaniya dlya zdorovʹesberezheniya naseleniya Rossii. Voprosy pitaniya. 2024; 93 (1): 6–21 (in Rus.). DOI: 10.33029/0042-8833-2024-93-1-6-21.
  8. Mukaneeva DK, Kontsevaya AV, Karamnova NS, Drapkina OM. Mery populyatsionnoj profilaktiki, napravlennye na uvelichenie potrebleniya ovoshchej i fruktov: mezhdunarodnyj opyt i perspektivy vnedreniya v Rossijskoj Federatsii. Profilakticheskaya meditsina. 2020; 23 (6): 129–36 (in Rus.). DOI: 10.17116/profmed202023061129.
  9. Hartmann-Boyce J, Theodoulou A, Oke JL, Butler AR, Bastounis A, Dunnigan A, et al. Long-term effect of weight regain following behavioral weight management programs on cardiometabolic disease incidence and risk: Systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2023; 16 (4): e009348. DOI: 10.1161/CIRCOUTCOMES.122.009348.
  10. Hartmann-Boyce J, Cobiac LJ, Theodoulou A, Oke JL, Butler AR, Scarborough P, et al. Weight regain after behavioural weight management programmes and its impact on quality of life and cost effectiveness: Evidence synthesis and health economic analyses. Diabetes Obes Metab. 2023; 25 (2): 526–35. DOI: 10.1111/dom.14895.
  11. Elizabeth L, Machado P, Zinöcker M, Baker P, Lawrence M. Ultra-processed foods and health outcomes: a narrative review. Nutrients. 2020; 12 (7): 1955. DOI: 10.3390/nu12071955.
  12. Lapik IA, Gapparova KM. Personalizirovannyj podkhod k terapii ozhireniya na osnove identifikatsii polospetsifichnykh metabolicheskikh fenotipov s ispolʹzovaniem bioimpedansometrii i nepryamoj kalorimetrii. Effektivnaya farmakoterapiya. Endokrinologiya. 2025; 21 (46): 14–20 (in Rus.). DOI: 10.33978/2307-3586-2025-21-46-14-20.
  13. Mirzai S, Carbone S, Batsis JA, Kritchevsky SB, Kitzman DW, Shapiro MD. Sarcopenic obesity and cardiovascular disease: an overlooked but high-risk syndrome. Curr Obes Rep. 2024; 13 (3): 532–44. DOI: 10.1007/s13679-024-00571-2.
  14. Qiu H, Zheng W, Zhou X, Liu Q, Zhao X. Training modalities for elder sarcopenic obesity: a systematic review and network meta-analysis. Front Nutr. 2025; (12): 1537291. DOI: 10.3389/fnut.2025.1537291.
  15. Glavas C, Scott D. Sarcopenic obesity: pathogenesis, epidemiology and management in older adults. Expert Rev Endocrinol Metab. 2025; 20 (6): 461–9. DOI: 10.1080/17446651.2025.2543811.
  16. Mora-Plazas M, Higgins ICA, Gomez LF, Hall MG, Parra MF, Bercholz M, et al. Impact of nutrient warning labels on Colombian consumers' selection and identification of food and drinks high in sugar, sodium, and saturated fat: A randomized controlled trial. PLoS One. 2024; 19 (6): e0303514. DOI: 10.1371/journal.pone.0303514
  17. Tutelyan VA, Tarmaeva IYu, Kade MA, Nikityuk DB. Meditsina budushchego: rolʹ iskusstvennogo intellekta v optimizatsii pitaniya dlya zdorovʹesberezheniya naseleniya Rossii. Voprosy pitaniya. 2024; 93 (4): 6–13 (in Rus.). DOI: 10.33029/0042-8833-2024-93-4-6-13.
  18. Tutelyan VA, Nikityuk DB, Tarmaeva IYu. Formirovanie obshcherossijskoj sistemy obrazovaniya v oblasti zdorovogo pitaniya naseleniya. Gigiena i sanitariya. 2023; 102 (10): 1012–8 (in Rus.). DOI: 10.47470/0016-9900-2023-102-10-1012-1018.
  19. Khiri N, Howells K. Nutritional education in medical curricula and clinical practice: A scoping review on the knowledge deficit amongst medical students and doctors. J Hum Nutr Diet. 2025; 38 (2): e70031. DOI: 10.1111/jhn.70031.
  20. Patel P, Kassam S. Evaluating nutrition education interventions for medical students: A rapid review. J Hum Nutr Diet. 2022; 35 (5): 861–71. DOI: 10.1111/jhn.12972.
  21. Nikooyeh B, Yari Z, Hariri Z, Baghdadi G, Yazdani H, Motlagh ME, et al. Which school-based interventions work better to combat obesity in children? A network meta-analysis. Syst Rev. 2025; 14 (1): 125. DOI: 10.1186/s13643-025-02871-7.
  22. Gato-Moreno M, Martos-Lirio MF, Leiva-Gea I, Bernal-López MR, Vegas-Toro F, Fernández-Tenreiro MC, et al. Early nutritional education in the prevention of childhood obesity. Int J Environ Res Public Health. 2021; 18 (12): 6569. DOI: 10.3390/ijerph18126569.
  23. Faiz A, Nawaz S, Raza Q, Imran K, Batool R, Firyal S, et al. Effectiveness of nutrition education on weight loss and body metrics among obese adults: An interventional study. Cureus. 2024; 16 (11): e74373. DOI: 10.7759/cureus.74373.
  24. Navidad L, Padial-Ruz R, González MC. Nutrition, physical activity, and new technology programs on obesity prevention in primary education: a systematic review. Int J Environ Res Public Health. 2021; 18 (19): 10187. DOI: 10.3390/ijerph181910187.
  25. Chong B, Jayabaskaran J, Kong G, Chan YH, Chin YH, Goh R, et al. Trends and predictions of malnutrition and obesity in 204 countries and territories: An analysis of the Global Burden of Disease Study 2019. EClinicalMedicine. 2023; (57): 101850. DOI: 10.1016/j.eclinm.2023.101850.
  26. Seguin-Fowler RA, Graham ML, Demment M, Uribe ALM, Rethorst CD, Szeszulski J. Multilevel interventions targeting obesity: state of the science and future directions. AnnuRevNutr. 2024; 44 (1): 357–81. DOI: 10.1146/annurev-nutr-122123-020340.
  27. Anderson LN, Smith BT, Birken CS. Reimagining a population strategy for obesity control. Can J Public Health. 2023; 114 (1): 156–7. DOI: 10.17269/s41997-022-00713-w.
  28. Koliaki C, Dalamaga M, Liatis S. Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten? Curr Obes Rep. 2023; 12 (4): 514–27. DOI: 10.1007/s13679-023-00527-y.
  29. Kumanyika SK. Advancing health equity efforts to reduce obesity: changing the course. Annu Rev Nutr. 2022; (42): 453–80. DOI: 10.1146/annurev-nutr-092021-050805.
  30. Di Vincenzo O, Marra M, Di Gregorio A, Pasanisi F, Scalfi L. Bioelectrical impedance analysis (BIA)-derived phase angle in obesity: a systematic review. Clinical Nutrition ESPEN. 2021; 40 (9): 5238–48. DOI: 10.1016/j.clnu.2021.07.035.
  31. Vybornaya KV, Nikityuk DB. Bioimpedansnyj analiz v sportivnoj i klinicheskoj praktike: vliyanie alʹternativnykh uslovij izmereniya na pokazateli sostava tela. Voprosy pitaniya. 2025; 94 (1): 6–20 (in Rus.). DOI: 10.33029/0042-8833-2025-94-1-6-20.
  32. Soshina MS, Lapik IA, Tarmaeva IYu, Gapparova KM, Korotkova TN. Personalizirovannaya meditsina v profilaktike ozhireniya: geneticheskie aspekty. Voprosy detskoj dietologii. 2025; 23 (5): 38–46 (in Rus.). DOI: 10.20953/1727-5784-2025-5-38-46.
  33. Loos RJF, Yeo GSH. The genetics of obesity: from discovery to biology. Nat Rev Genet. 2022; 23 (2): 120–33. DOI: 10.1038/s41576-021-00414-z.
  34. Gebremariam A, Kent K, Charlton K. The association between community food environments and health outcomes in high-income countries: A systematic literature review. Curr Nutr Rep. 2025; 14 (1): 74. DOI: 10.1007/s13668-025-00662-z.