{"id":56990,"date":"2025-05-06T12:31:18","date_gmt":"2025-05-06T10:31:18","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=56990"},"modified":"2025-05-06T12:31:21","modified_gmt":"2025-05-06T10:31:21","slug":"tuk-zatezuje-srdce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=56990","title":{"rendered":"Tuk zat\u011b\u017euje srdce"},"content":{"rendered":"\n<p><em>To nezvl\u00e1d\u00e1 pumpovat a onemocn\u00ed<\/em><\/p>\n\n\n\n<p><strong>Praha\/Brno, 5. 5. 2025 \u2013 Nadbyte\u010dn\u00e9 kilogramy zat\u011b\u017euj\u00ed srdce. Ka\u017ed\u00e9 kilo nav\u00edc znamen\u00e1 zv\u00fd\u0161enou n\u00e1mahu pro srde\u010dn\u00ed sval, kter\u00fd mus\u00ed velk\u00e9 t\u011blo z\u00e1sobit krv\u00ed a umo\u017enit jeho fungov\u00e1n\u00ed. Tuk je rovn\u011b\u017e rizikem pro celou \u0159adu d\u011bj\u016f, kter\u00e9 n\u00e1sledn\u011b po\u0161kozuj\u00ed spolu se srdcem i c\u00e9vy, ledviny a j\u00e1tra. Pro \u00fa\u010dinnou prevenci kardiovaskul\u00e1rn\u00edch chorob je proto velmi d\u016fle\u017eit\u00e9 udr\u017eovat si p\u0159im\u011b\u0159enou v\u00e1hu. <\/strong><\/p>\n\n\n\n<p><strong>O propojen\u00ed obezity a nemoc\u00ed srdce budou odborn\u00edci diskutovat krom\u011b dal\u0161\u00edch t\u00e9mat na XXXIII. v\u00fdro\u010dn\u00edm sjezdu \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti, kter\u00fd kon\u010d\u00ed 6. kv\u011btna na brn\u011bnsk\u00e9m v\u00fdstavi\u0161ti. \u00a0<\/strong><\/p>\n\n\n\n<p>\u201e<em>S obezitou jdou toti\u017e ruku v\u00a0ruce dal\u0161\u00ed negativn\u00ed faktory, jako je nap\u0159\u00edklad vysok\u00fd tlak a vznik ateroskler\u00f3zy, kdy doch\u00e1z\u00ed k\u00a0ukl\u00e1d\u00e1n\u00ed tukov\u00fdch \u010d\u00e1stic do c\u00e9vn\u00edch st\u011bn. A to v\u0161e v\u00fdrazn\u011b zvy\u0161uje riziko ischemick\u00e9 choroby srde\u010dn\u00ed \u010di srde\u010dn\u00edho selh\u00e1n\u00ed,\u201c <\/em>nasti\u0148uje p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti prof. MUDr. Petr O\u0161\u0165\u00e1dal. V\u00a0\u010desk\u00e9 populaci m\u00e1 podle statistik p\u0159ibli\u017en\u011b 40\u00a0% lid\u00ed nadv\u00e1hu a t\u00e9m\u011b\u0159 20 % je ob\u00e9zn\u00edch. Ro\u010dn\u011b na nemoci srdce a c\u00e9v p\u0159ipad\u00e1 v\u00a0tuzemsku p\u0159es 40 % v\u0161ech \u00famrt\u00ed. P\u0159itom podle \u0159ady studi\u00ed stoj\u00ed za srde\u010dn\u00edmi infarkty z\u00a0velk\u00e9 \u010d\u00e1sti rizikov\u00e9 faktory, jako jsou kou\u0159en\u00ed, nedostatek pohybu \u010di nezdrav\u00e9 stravov\u00e1n\u00ed. <\/p>\n\n\n\n<p><em>\u201eDvojice posledn\u011b jmenovan\u00fdch faktor\u016f vede ve velk\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f k\u00a0obezit\u011b, n\u00e1sledn\u011b \u010dasto i k\u00a0cukrovce a dal\u0161\u00edm komplikac\u00edm, co\u017e je v\u0161eobecn\u011b zn\u00e1m\u00e1 rovnice. A p\u0159esto na to v\u011bt\u0161ina \u010cech\u016f nechce sly\u0161et. Ani v\u00a0prim\u00e1rn\u00ed prevenci, ani pot\u00e9, kdy u\u017e skon\u010dili kv\u016fli srde\u010dn\u00edm probl\u00e9m\u016fm v\u00a0p\u00e9\u010di l\u00e9ka\u0159\u016f. D\u0159\u00edv jsme poukazovali na to, \u017ee pasivn\u00ed p\u0159\u00edstup k vlastn\u00edmu zdrav\u00ed je d\u011bdictv\u00edm komunismu, bohu\u017eel tak\u00e9 mnoz\u00ed z t\u011bch, kte\u0159\u00ed za\u017eili totalitu jen jako d\u011bti, se k\u00a0vlastn\u00edmu zdrav\u00ed chovaj\u00ed stejn\u011b mace\u0161sky<\/em>,\u201c up\u0159es\u0148uje prof.\u00a0O\u0161\u0165\u00e1dal.<\/p>\n\n\n\n<p> Kardiologov\u00e9 p\u0159ipom\u00ednaj\u00ed, \u017ee kdy\u017e nemoci srdce propuknou, zt\u011b\u017euj\u00ed pacient\u016fm sport a fyzickou aktivitu obecn\u011b. <em>\u201e\u0160patn\u011b funguj\u00edc\u00ed org\u00e1n nezvl\u00e1d\u00e1 \u201aut\u00e1hnout\u2018 rychlej\u0161\u00ed pohyb, a tak se dost\u00e1v\u00e1me do za\u010darovan\u00e9ho kruhu,\u201c<\/em> vysv\u011btluje p\u0159ednosta II. intern\u00ed kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze prof. MUDr. Ale\u0161 Linhart.<\/p>\n\n\n\n<p>Alarmuj\u00edc\u00ed je i fakt, \u017ee p\u0159ib\u00fdv\u00e1 ob\u00e9zn\u00edch d\u011bt\u00ed. B\u011bhem a po obdob\u00ed covidov\u00e9ho lockdownu se jejich po\u010det v\u00fdrazn\u011b zv\u00fd\u0161il. Podle dostupn\u00fdch dat se n\u00e1r\u016fst t\u011blesn\u00e9 hmotnosti u d\u011bt\u00ed projevuje v&nbsp;obdob\u00ed p\u0159echodu z&nbsp;p\u0159ed\u0161koln\u00edho v\u011bku k&nbsp;mlad\u0161\u00edmu \u0161koln\u00edmu v\u011bku. Nejv\u00edce ob\u00e9zn\u00edch chlapc\u016f se nap\u0159\u00edklad vyskytuje v&nbsp;obdob\u00ed mezi 11. a 13. rokem v\u011bku, u d\u011bv\u010dat nast\u00e1v\u00e1 tento n\u00e1r\u016fst o n\u011bco d\u0159\u00edve, p\u0159ibli\u017en\u011b kolem 9. roku v\u011bku.<\/p>\n\n\n\n<p>Podle l\u00e9ka\u0159\u016f se pacienti mnohdy v&nbsp;ordinac\u00edch br\u00e1n\u00ed tvrzen\u00edm, \u017ee je lep\u0161\u00ed m\u00edt kila nav\u00edc \u201apro jistotu\u2018. <em>\u201eV kardiologii sice opravdu m\u016f\u017eeme mluvit o tzv. paradoxu obezity, kdy se lidem s u\u017e rozvinut\u00fdm onemocn\u011bn\u00edm da\u0159\u00ed vzhledem k&nbsp;energetick\u00e9 rezerv\u011b zd\u00e1nliv\u011b l\u00e9pe ne\u017e t\u011bm, kte\u0159\u00ed v&nbsp;d\u016fsledku zdravotn\u00edch probl\u00e9m\u016f nemaj\u00ed \u017e\u00e1dnou tukovou z\u00e1sobu. Tato \u201a\u0161t\u00edhlost\u2018, \u010di sp\u00ed\u0161e vyhublost v\u0161ak b\u00fdv\u00e1 jen zn\u00e1mkou choroby samotn\u00e9, zat\u00edmco obezita stoj\u00ed na po\u010d\u00e1tku a je spou\u0161t\u011b\u010dem mnoha d\u011bj\u016f, kter\u00e9 k&nbsp;srde\u010dn\u00edmu onemocn\u011bn\u00ed vedou. Ale paradoxn\u00ed v\u00fdhoda vy\u0161\u0161\u00ed v\u00e1hy \u010di vy\u0161\u0161\u00edho tlaku nap\u0159\u00edklad u&nbsp;nemocn\u00fdch s rozvinut\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm oproti t\u011bm, kte\u0159\u00ed kila nav\u00edc nemaj\u00ed, nen\u00ed dobr\u00fdm argumentem, pro\u010d si nehl\u00eddat t\u011blesnou hmotnost, tlak a cholesterol, dokud jsme zdrav\u00ed,\u201c <\/em>uzav\u00edr\u00e1 prof. Linhart.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>To nezvl\u00e1d\u00e1 pumpovat a onemocn\u00ed Praha\/Brno, 5. 5. 2025 \u2013 Nadbyte\u010dn\u00e9 kilogramy zat\u011b\u017euj\u00ed srdce. Ka\u017ed\u00e9 kilo nav\u00edc znamen\u00e1 zv\u00fd\u0161enou n\u00e1mahu pro srde\u010dn\u00ed sval, kter\u00fd mus\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=56990\" title=\"Tuk zat\u011b\u017euje srdce\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":56991,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-56990","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56990","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=56990"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/56990\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/56991"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}