Endocrine Abstracts

Introduction: Health promotion of decreasing weight, giving up smoking, and regular physical activity could be helpful in the improvement of individual health.

Materials and methods: We analysed the attitude of obesity and high risks for severe COVID-19 for doctors involved in diagnosing and treating such patients in 2020-2022.

Results: We asked to admit what type of facility the correspondents represented. We found that 48,4% worked in the state clinics of Ministry of Health, 32.2% chose private clinics, and 16.1% worked in the facility of other ministries (Ministry of Defence, Internal Affairs etc.). 66.7% and 73.3% of doctors answered correctly, defining the criteria of obesity and 3rd degree of obesityabout 90,3% of responders admitted the significance of body weight modification in obese patients. Most of doctors assessed medical care during pandemic as ‘satisfactory’ (77.4%), while ‘enough good’ only 16.1% and ‘unsatisfactory’ 6.5% with average score 3.1 from 5 possible.

Discussion: Almost 97% confirmed that recommend patients to improve their phisical activity (very likely and likely in 77.4% & 19.4% correspondingly). We found significant correlation test results between the following parameters: strong positive direct correlation between age and experience (Rxy = 0,954) and presence of doctoral category (Rxy = 0,839), moderate negative correlation between age and positive attitude to vaccine effectiveness (Rxy = –0,337), mild negative correlation of age with correct answers on the definition of obesity (Rxy = – 0,326) and the grade 3rd obesity (Rxy = –0,239), mild positive correlation of age with attitude to the preventive hospitalisation (Rxy = 0,150) and improving of phisical activity (Rxy = 0,103). Young collegues more likely thought positively on the quality of health care during COVID-19 pandemics (Rxy = – 0,285) than their older collegues. Doctors who practiced in hospital or combined both varients of clinical practice more likely assessed positive influence of preventive hospitalisation (Rxy = 0,212) and more often answered correctly defining criteria of obesity and it’s degree (Rxy 0,206 and Rxy 0,118 correspondingly). It could be explained as more likely being concerned with body mass index and hospitalisation outcomes.

Practical recommendations: We propose to use a personalised lethality risk index for the assessment of risk groups of severe COVID-19, including obesity, that should be analysed (Gruzieva, T., & Antonyuk, O. (2023). Analysis of Risk factors for severe COVID-19. KIDNEYS, 12¹, 39–45. https://doi.org/10.22141/2307-1257.12.1.2023.393). In our pilot study we received positive answers on modifying obesity as a core risk factor.