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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">764</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2021-29-6-1433-1438</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The alteration of the structure of mortality of endocrine system diseases, nutrition disorders and metabolic disturbances in individuals of able-bodied age and older in conditions of pandemic</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Sabgayda</surname><given-names>T. P.</given-names></name><bio></bio><email>tsabgaida@mail.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Edeleva</surname><given-names>A. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tarasov</surname><given-names>N. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">The Federal State Budget Institution “The Central Research Institute for Health Organization and Informatics” of Minzdrav of Russia</aff><aff id="aff-2">The State Budget Institution “The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department”</aff><pub-date date-type="epub" iso-8601-date="2021-12-10" publication-format="electronic"><day>10</day><month>12</month><year>2021</year></pub-date><volume>29</volume><issue>6</issue><fpage>1433</fpage><lpage>1438</lpage><history><pub-date date-type="received" iso-8601-date="2021-12-11"><day>11</day><month>12</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>The elderly age and endocrine diseases are among death risk factors at contamination with new coronavirus infection. To reply the question of how the influence of these risk factors is summing up, differences were determined concerning patterns of changes in structure of mortality of endocrine system diseases, nutrition disorders and metabolic disturbances in individuals of able-bodied age and older against the background of COVID-19 pandemic.on the basis of information from the Moscow database of deaths of endocrine system diseases, nutrition disorders and metabolic disturbances, the changes in contribution of individual diseases to the death causes structure in 2019-2021 were analyzed. The groups of individuals of able-bodied age and older were compared.It was established that in both groups rate of indicating SARS-CoV-2 virus infection as concomitant disease decreased while rate of indicating concomitant diseases at death of COVID-19 increased. The group differences in changes of structure of death causes were established in 2021. The percentage of undetermined forms of diabetes and obesity in structure of death causes increased in the elderly, while in individuals of able-bodied age increased. The percentage of obesity as concomitant disease of death of COVID-19 in individuals of able-bodied age increased and did no change were detected in the elderly group. The input of poly-glandular dysfunction as consequence of old infection into mortality is five times higher among individuals of able-bodied age.On the basis of received results, assumption was made SARS-CoV-2 virus contamination ruinously affects development of pathological process under endocrine diseases regardless of age, while age affects spreading of endocrine diseases and degree of resistance to development of infectious process directly. The differences in patterns of changes of structure of death causes of population of able-bodied age and older are associated with low quality of diagnostics of death causes in individuals of elder age groups.</abstract><kwd-group xml:lang="en"><kwd>elderly age</kwd><kwd>death causes</kwd><kwd>quality of diagnosis</kwd><kwd>concomitant diseases</kwd><kwd>death risk</kwd><kwd>health</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>структура причин смерти</kwd><kwd>качество диагностики причин смерти</kwd><kwd>сопутствующие заболевания</kwd><kwd>риск смерти</kwd><kwd>внимание к здоровью пожилых</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Sun H., Ning R., Tao Y., Yu C., Deng X., Zhao C. Risk factors for mortality in 244 older adults with COVID-19 in Wuhan, China: a retrospective study. J. Am. Geriatr. 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