DYNAMIC CHANGES IN CUMULATIVE DISABILITY INDICATORS CAUSED BY ENDOCRINOPATHIES, NUTRITIVE DYSFUNCTIONS, AND METABOLIC DISORDERS AMONG ADULT RESIDENTS OF MOSCOW IN COMPARISON WITH DATA FROM THE CENTRAL FEDERAL DISTRICT OVER A FIVE-YEAR PERIOD (2017-2021)

Asriyan Artyom Yuryevich, Sokurov Andrey Vladimirovich, Zapariy Natalia Sergeevna, Polyakov Mikhail Igorevich

This paper examines the specific features of disability dynamics caused by endocrinological pathologies, nutritional imbalances, and metabolic disorders among adult residents of the Russian capital over a five-year interval from 2017 to 2021. The research results indicate that in temporal projection, a substantial increase in the absolute number of persons with disabilities due to these causes was recorded with a growth rate of +25.6%; an increase in the cumulative disability coefficient from 4.0±0.08 to 5.0±0.08 per 10 thousand adult population; prevalence in the nosological composition of persons who were not assigned disability status for the first time, with a distinct tendency toward increasing their proportional weight and intensity of disability while simultaneously reducing the share of those initially recognized as disabled; in the demographic distribution by age groups in Moscow, there is a predominance of middle-aged disabled persons with a tendency toward decreasing their percentage share, whereas the Central Federal District is characterized by the predominant presence of disabled persons above working age; prevalence of Group III disabled persons, with their proportional ratio in the structure being higher than similar indicators for the Central Federal District, while the relative number of Group I-II disabled persons in the Moscow region demonstrates lower values compared to district-wide data.

Keywords:accumulated disability, diseases of the endocrine system, eating disorders, metabolism, structure, age groups, level, disability groups.