{"id":58492,"date":"2025-06-16T13:00:25","date_gmt":"2025-06-16T11:00:25","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=58492"},"modified":"2025-06-16T13:03:17","modified_gmt":"2025-06-16T11:03:17","slug":"obezita-zpusobuje-neplodnost","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=58492","title":{"rendered":"Obezita zp\u016fsobuje neplodnost"},"content":{"rendered":"\n<p><em>Probl\u00e9m\u016fm \u010del\u00ed st\u00e1le v\u00edce \u017een v&nbsp;produktivn\u00edm v\u011bku<\/em><\/p>\n\n\n\n<p><strong>V\u00edce ne\u017e t\u0159etina \u010desk\u00fdch \u017een trp\u00ed nadv\u00e1hou a dal\u0161\u00edch 18 % se pot\u00fdk\u00e1 s&nbsp;obezitou. Ta krom\u011b onemocn\u011bn\u00ed srdce a c\u00e9v a \u0159ady dal\u0161\u00edch komplikac\u00ed zp\u016fsobuje tak\u00e9 probl\u00e9my s ot\u011bhotn\u011bn\u00edm. Po\u010det \u017een s&nbsp;obezitou p\u0159itom za\u010d\u00edn\u00e1 strm\u011b stoupat pr\u00e1v\u011b ve v\u011bku, kdy uva\u017euj\u00ed o zalo\u017een\u00ed rodiny. Podle odborn\u00edk\u016f se ka\u017ed\u00fdm shozen\u00fdm kilem \u0161ance na po\u010det\u00ed d\u00edt\u011bte zvy\u0161uje \u2013 kl\u00ed\u010dov\u00e1 je v\u0161ak dlouhodob\u00e1 zm\u011bna \u017eivotn\u00edho stylu. O vlivech obezity na \u017eensk\u00e9 reproduk\u010dn\u00ed zdrav\u00ed dnes debatovali odborn\u00edci v\u202fr\u00e1mci odborn\u00e9ho semin\u00e1\u0159e na p\u016fd\u011b Poslaneck\u00e9 sn\u011bmovny P\u010cR.&nbsp;<\/strong><\/p>\n\n\n\n<p>\u201e<em>V dob\u011b, kdy se v tuzemsku pot\u00fdk\u00e1me s neust\u00e1le klesaj\u00edc\u00ed porodnost\u00ed, p\u0159edstavuje toto dal\u0161\u00ed z\u00e1sadn\u00ed oblast, na kterou je t\u0159eba se zam\u011b\u0159it, aby k\u0159ivka poklesu po\u010dtu narozen\u00fdch d\u011bt\u00ed nebyla v budoucnu je\u0161t\u011b strm\u011bj\u0161\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 m\u00edstop\u0159edseda V\u00fdboru pro zdravotnictv\u00ed Poslaneck\u00e9 sn\u011bmovny PharmDr. Petr Fifka (ODS), organiz\u00e1tor a moder\u00e1tor kulat\u00e9ho stolu s&nbsp;n\u00e1zvem Vliv obezity a \u017eivotn\u00edho stylu na plodnost.<\/p>\n\n\n\n<p>Podle dat \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky (\u00daZIS) m\u00e1 zdravou v\u00e1hu 59 % obyvatel ve v\u011bku 16 a\u017e 34 let, od 35 let v\u00fd\u0161e u\u017e ale tento pod\u00edl kles\u00e1 na pouh\u00fdch 37 %. Odborn\u00edci na l\u00e9\u010dbu neplodnosti se shoduj\u00ed, \u017ee obezita m\u00e1 negativn\u00ed vliv na schopnost po\u010d\u00edt d\u00edt\u011b. Nadbytek tuku zp\u016fsobuje v&nbsp;\u017eensk\u00e9m t\u011ble hormon\u00e1ln\u00ed nerovnov\u00e1hu, ztr\u00e1tu ovulace a nepravideln\u00fd menstrua\u010dn\u00ed cyklus, \u010d\u00edm\u017e br\u00e1n\u00ed po\u010det\u00ed. Obezita tak\u00e9 komplikuje n\u00e1slednou l\u00e9\u010dbu neplodnosti. <em>\u201eU pacientek s&nbsp;BMI nad 30\u201335, co\u017e ozna\u010dujeme jako obezitu prvn\u00edho stupn\u011b, v\u00fdrazn\u011b kles\u00e1 \u00fasp\u011b\u0161nost asistovan\u00e9 reprodukce. Hormon\u00e1ln\u00ed injekce maj\u00ed ni\u017e\u0161\u00ed \u00fa\u010dinek a hroz\u00ed komplikace p\u0159i anestezii i samotn\u00e9m odb\u011bru vaj\u00ed\u010dek,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. \u0160t\u011bp\u00e1n Macha\u010d, p\u0159edseda Sekce asistovan\u00e9 reprodukce \u010cesk\u00e9 gynekologicko-porodnick\u00e9 spole\u010dnosti \u010cLS JEP, a dod\u00e1v\u00e1: <em>\u201eP\u0159itom u n\u011bkter\u00fdch pacientek s&nbsp;polycystick\u00fdmi vaje\u010dn\u00edky m\u016f\u017ee u\u017e 5% pokles hmotnosti znovu nastartovat ovulaci.\u201c<\/em><\/p>\n\n\n\n<p>\u017deny, kter\u00fdm se neda\u0159\u00ed p\u0159irozen\u011b po\u010d\u00edt d\u00edt\u011b, bojuj\u00ed tak\u00e9 s&nbsp;\u010dasem. Zejm\u00e9na po 35. roku v\u011bku za\u010d\u00edn\u00e1 skokov\u011b klesat kvalita vaj\u00ed\u010dek a \u0161ance na ot\u011bhotn\u011bn\u00ed se zmen\u0161uj\u00ed. Odborn\u00edci v\u0161ak z\u00e1rove\u0148 d\u016frazn\u011b varuj\u00ed p\u0159ed p\u0159ekotn\u00fdm hubnut\u00edm, kdy \u017eena rychle ztr\u00e1c\u00ed nadbyte\u010dn\u00e1 kila t\u00edm, \u017ee se dostane do tzv. stavu ket\u00f3zy. <em>\u201eExtr\u00e9mn\u00ed diety l\u00e9\u010dbu \u010dasto je\u0161t\u011b zhor\u0161\u00ed, proto\u017ee je t\u011blo ve stresu. Doch\u00e1z\u00ed k&nbsp;hormon\u00e1ln\u00ed dysbalanci a naru\u0161en\u00ed menstrua\u010dn\u00edho cyklu. Pacientk\u00e1m doporu\u010duji hubnout pod dohledem odborn\u00edk\u016f, tedy l\u00e9ka\u0159e, nutri\u010dn\u00edho terapeuta a fyzioterapeuta \u010di tren\u00e9ra,\u201c<\/em> vysv\u011btluje specialista na l\u00e9\u010dbu neplodnosti MUDr. Marcel \u0160telcl,&nbsp;vedouc\u00ed l\u00e9ka\u0159 reproduk\u010dn\u00ed kliniky ReproGenesis.<\/p>\n\n\n\n<p>Pr\u00e1v\u011b dlouhodob\u00e1 a komplexn\u00ed l\u00e9\u010dba je cestou, jak obezitu porazit. Nejde jen o \u0161patn\u00fd \u017eivotn\u00ed styl nebo nedostatek v\u016fle, ale o nemoc, kterou trp\u00ed v\u00edce ne\u017e t\u0159etina \u010desk\u00fdch \u017een. Rizikov\u00fdm pacientk\u00e1m s\u202fobezitou, kter\u00e9 nemohou ot\u011bhotn\u011bt, m\u016f\u017ee pomoci terapie modern\u00edmi l\u00e9ky. <em>\u201eT\u00e9m\u011b\u0159 v\u0161ichni pacienti s obezitou maj\u00ed za sebou opakovan\u00e9 snahy zhubnout a zm\u011bnit \u017eivotn\u00ed styl, ale boj s&nbsp;vlastn\u00edm t\u011blem prohr\u00e1vaj\u00ed. Obezita je nemoc, s n\u00ed\u017e je nutn\u00e9 bojovat v\u0161emi prost\u0159edky, kter\u00e9 m\u00e1me k&nbsp;dispozici, v\u010detn\u011b farmakoterapie. Ta, kterou m\u00e1me v&nbsp;sou\u010dasn\u00e9 dob\u011b k&nbsp;dispozici, m\u016f\u017ee d\u00edky sv\u00e9 \u00fa\u010dinnosti pacient\u016fm se sni\u017eov\u00e1n\u00edm hmotnosti v\u00fdrazn\u011b pomoci,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Martin Haluz\u00edk, p\u0159edseda \u010cesk\u00e9 obezitologick\u00e9 spole\u010dnosti \u010cLS JEP.<\/p>\n\n\n\n<p>Za rozvojem obezity zpravidla stoj\u00ed hned n\u011bkolik faktor\u016f. Roli hraje krom\u011b nespr\u00e1vn\u00fdch stravovac\u00edch n\u00e1vyk\u016f i psychika, genetick\u00e1 predispozice, jin\u00e9 onemocn\u011bn\u00ed, ale nap\u0159\u00edklad tak\u00e9 \u0161patn\u00e9 vzorce p\u0159ej\u00edman\u00e9 z&nbsp;d\u011btstv\u00ed. <em>\u201e\u010cast\u00fdm m\u00fdtem je, \u017ee se \u017een\u00e1m s&nbsp;p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem zpomaluje metabolismus, ale nen\u00ed tomu tak. V\u00edme, \u017ee mezi 20 a\u017e 60 lety je naopak velmi stabiln\u00ed. Probl\u00e9m je sp\u00ed\u0161e v&nbsp;\u017eivotn\u00edm stylu, sedav\u00e9m zp\u016fsobu zam\u011bstn\u00e1n\u00ed a v&nbsp;nedostatku pohybu. V&nbsp;minulosti jsme museli vynalo\u017eit fyzick\u00e9 \u00fasil\u00ed, abychom si zajistili potravu, dnes si j\u00eddlo objedn\u00e1me online. A m\u00edsto kvalitn\u00edch surovin \u010dasto vol\u00edme sp\u00ed\u0161e pr\u016fmyslov\u011b zpracovan\u00e9 potraviny, kter\u00e9 obsahuj\u00ed velk\u00e9 mno\u017estv\u00ed kalori\u00ed, ale nezasyt\u00ed n\u00e1s,\u201c<\/em> popisuje nutri\u010dn\u00ed terapeut Bc. Miloslav \u0160indel\u00e1\u0159.<\/p>\n\n\n\n<p>P\u0159esto\u017ee je v&nbsp;boji s&nbsp;obezitou d\u016fle\u017eit\u00e9 tak\u00e9 sportovat, nevhodn\u00fd j\u00eddeln\u00ed\u010dek kompenzovat pohybem nelze \u2013 z\u00e1sadn\u00ed je pr\u00e1v\u011b v\u00fd\u017eiva. U \u017een m\u016f\u017ee hubnut\u00ed komplikovat p\u0159irozen\u00e9 kol\u00eds\u00e1n\u00ed hormon\u016f b\u011bhem menstrua\u010dn\u00edho cyklu. <em>\u201eHormony nejsou p\u0159\u00edmou p\u0159\u00ed\u010dinou obezity, ale ovliv\u0148uj\u00ed p\u0159\u00edjem a v\u00fddej energie. Plat\u00ed to samoz\u0159ejm\u011b i pro mu\u017ee. Pokud jsme v&nbsp;chronick\u00e9m stresu a p\u0159ej\u00edd\u00e1me se, tak nutn\u011b p\u0159ibereme,\u201c<\/em> dod\u00e1v\u00e1 \u0160indel\u00e1\u0159 s&nbsp;t\u00edm, \u017ee je podstatn\u00e9, aby \u017eeny nejen zhubly, ale zdravou v\u00e1hu si tak\u00e9 udr\u017eely.<\/p>\n\n\n\n<p>Pr\u00e1v\u011b dlouhodob\u00e9 zdrav\u00ed \u017een \u0159e\u0161\u00ed tak\u00e9 l\u00e9ka\u0159i v&nbsp;l\u00e9\u010db\u011b neplodnosti. Jejich c\u00edlem toti\u017e nen\u00ed pouze to, aby \u017eena ot\u011bhotn\u011bla, ale tak\u00e9 aby porodila zdrav\u00e9 d\u00edt\u011b, o kter\u00e9 zvl\u00e1dne plnohodnotn\u011b pe\u010dovat. Ob\u00e9zn\u00ed \u017eeny maj\u00ed v t\u011bhotenstv\u00ed probl\u00e9my s&nbsp;diabetem a vysok\u00fdm krevn\u00edm tlakem, nav\u00edc maj\u00ed a\u017e o&nbsp;t\u0159etinu vy\u0161\u0161\u00ed riziko nedono\u0161en\u00ed d\u00edt\u011bte.<\/p>\n\n\n\n<p> <em>\u201eOb\u00e9zn\u00ed pacientky rod\u00ed v\u011bt\u0161\u00ed d\u011bti, \u010dasto c\u00edsa\u0159sk\u00fdm \u0159ezem, kter\u00fd s&nbsp;sebou nese rizika pro matku i d\u00edt\u011b. Nav\u00edc se u \u017een s vy\u0161\u0161\u00ed hmotnost\u00ed h\u016f\u0159e hoj\u00ed opera\u010dn\u00ed r\u00e1ny. Nekon\u010d\u00ed to ale ani porodem. V\u00edme, \u017ee predispozice k&nbsp;obezit\u011b se p\u0159en\u00e1\u0161\u00ed z&nbsp;matky na d\u00edt\u011b,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.&nbsp;Macha\u010d.<\/p>\n\n\n\n<p><strong>Vliv obezity a \u017eivotn\u00edho stylu na plodnost<\/strong><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Porodnost v \u010cesk\u00e9 republice<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>V roce\u00a0<strong>2023<\/strong>\u00a0se \u017eiv\u011b narodilo\u00a0<strong>91,1 tis\u00edce d\u011bt\u00ed<\/strong>, co\u017e bylo\u00a0<strong>o 10,2 tis\u00edc m\u00e9n\u011b ne\u017e v roce 2022<\/strong>.<\/li>\n\n\n\n<li>V roce\u00a0<strong>2024<\/strong>\u00a0se \u017eiv\u011b narodilo\u00a0<strong>84,3 tis\u00edce d\u011bt\u00ed<\/strong>, tedy o\u00a0<strong>dal\u0161\u00edch 6,8 tis\u00edc m\u00e9n\u011b ne\u017e v roce 2023<\/strong>.<\/li>\n\n\n\n<li>Jde o\u00a0<strong>dva v\u00fdrazn\u00e9 meziro\u010dn\u00ed poklesy v \u0159ad\u011b<\/strong>, s celkov\u00fdm \u00fabytkem t\u00e9m\u011b\u0159 17 tis\u00edc narozen\u00fdch b\u011bhem dvou let.<\/li>\n\n\n\n<li>\u00dahrnn\u00e1 plodnost v roce\u00a0<strong>2023 klesla na 1,45 d\u00edt\u011bte na \u017eenu<\/strong>.<\/li>\n\n\n\n<li>Pr\u016fm\u011brn\u00fd v\u011bk \u017eeny p\u0159i narozen\u00ed\u00a0<strong>prvn\u00edho d\u00edt\u011bte vzrostl za posledn\u00edch 10 let o 0,8 roku <\/strong><strong>na<\/strong> <strong>28,9 let<\/strong>.<br \/><em>Zdroj: \u010cesk\u00fd statistick\u00fd \u00fa\u0159ad, 2025<\/em><\/li>\n<\/ul>\n\n\n\n<p><strong>Hormon\u00e1ln\u00ed nerovnov\u00e1ha a ovulace<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vysok\u00fd BMI naru\u0161uje\u00a0<strong>pravidelnou ovulaci<\/strong>\u00a0a\u00a0<strong>prodlu\u017euje dobu pot\u0159ebnou k ot\u011bhotn\u011bn\u00ed<\/strong>.<\/li>\n\n\n\n<li>\u017deny s BMI nad 27 maj\u00ed\u00a0<strong>t\u0159ikr\u00e1t vy\u0161\u0161\u00ed pravd\u011bpodobnost<\/strong>, \u017ee nebudou ovulovat oproti \u017een\u00e1m s norm\u00e1ln\u00ed hmotnost\u00ed.<\/li>\n\n\n\n<li>Nadbyte\u010dn\u00fd t\u011blesn\u00fd tuk zvy\u0161uje hladinu\u00a0<strong>leptinu<\/strong>, co\u017e m\u016f\u017ee v\u00e9st k naru\u0161en\u00ed menstrua\u010dn\u00edho cyklu.<\/li>\n\n\n\n<li>Vy\u0161\u0161\u00ed mno\u017estv\u00ed b\u0159i\u0161n\u00edho tuku zvy\u0161uje riziko\u00a0<strong>hormon\u00e1ln\u00edch poruch<\/strong>\u00a0spojen\u00fdch s plodnost\u00ed.<\/li>\n\n\n\n<li>\u017deny s obezitou maj\u00ed vy\u0161\u0161\u00ed v\u00fdskyt\u00a0<strong>inzul\u00ednov\u00e9 rezistence<\/strong>\u00a0a ni\u017e\u0161\u00ed hladinu\u00a0proteinu <strong>SHBG<\/strong>, kter\u00fd ovliv\u0148uje pohlavn\u00ed hormony \u2013 androgeny a estrogeny.<\/li>\n<\/ul>\n\n\n\n<p><strong>Nepravideln\u00fd cyklus<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vy\u0161\u0161\u00ed BMI je spojeno s\u00a0<strong>rizikem nepravideln\u00fdch menstrua\u010dn\u00edch cykl\u016f<\/strong>.<\/li>\n\n\n\n<li>Dle studie m\u011bly \u017eeny s\u00a0obezitou mnohem men\u0161\u00ed pravd\u011bpodobnost ot\u011bhotn\u011bn\u00ed do 1 roku po vysazen\u00ed antikoncepce ne\u017e \u017eeny s\u00a0norm\u00e1ln\u00ed v\u00e1hou.\n<ul class=\"wp-block-list\">\n<li><strong>66,4 % \u017een s obezitou<\/strong>\u00a0ot\u011bhotn\u00ed do 12 m\u011bs\u00edc\u016f po vysazen\u00ed antikoncepce<\/li>\n\n\n\n<li><strong>81,4 % \u017een s norm\u00e1ln\u00ed hmotnost\u00ed <\/strong>ot\u011bhotn\u00ed do 12 m\u011bs\u00edc\u016f po vysazen\u00ed antikoncepce.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>Sn\u00ed\u017een\u00e1 kvalita vaj\u00ed\u010dek a pravd\u011bpodobnost ot\u011bhotn\u011bn\u00ed<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vy\u0161\u0161\u00ed BMI sni\u017euje\u00a0<strong>kvalitu vaj\u00ed\u010dek<\/strong>\u00a0i u \u017een, kter\u00e9 ovuluj\u00ed.<\/li>\n\n\n\n<li>Ka\u017ed\u00e1 jednotka BMI nad 29\u00a0<strong>sni\u017euje \u0161anci na ot\u011bhotn\u011bn\u00ed do 1 roku o cca 4 %<\/strong>.\n<ul class=\"wp-block-list\">\n<li>BMI 35 \u2192 o\u00a0<strong>26 % ni\u017e\u0161\u00ed \u0161ance na ot\u011bhotn\u011bn\u00ed <\/strong>ve srovn\u00e1n\u00ed s BMI 21\u201329<\/li>\n\n\n\n<li>BMI 40 \u2192 o\u00a0<strong>43 % ni\u017e\u0161\u00ed \u0161ance<\/strong>\u00a0<strong>na ot\u011bhotn\u011bn\u00ed <\/strong>ve srovn\u00e1n\u00ed s BMI 21\u201329<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>Klesaj\u00edc\u00ed \u00fasp\u011b\u0161nost IVF<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vy\u0161\u0161\u00ed BMI sni\u017euje \u0161ance na \u00fasp\u011bch p\u0159i<strong> IVF<\/strong>:\n<ul class=\"wp-block-list\">\n<li>o\u00a0<strong>9 % u \u017een s nadv\u00e1hou<\/strong><\/li>\n\n\n\n<li>o\u00a0<strong>20 % u \u017een s\u00a0obezitou<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><em>Zdroj:<br \/>Neal Mahutte MD, Carole Kamga-Ngande MD, PhD, Arya Sharma MD, Camille Sylvestre MD, Obesity and Reproduction, Journal of Obstetrics and Gynaecology<br \/>Minambres I., de Hollanda A., Vilarrasa N., Pellitero S., Rubio M.A., Flores L. f, Caix\u00e0s A., Lobo S., Martinez Salamanca J.I., Acevedo B., Moiz\u00e9 V., Andreu A., Escalada J., Obesity and fertility. Position statetment, Endocrinolog\u00eda, Diabetes y Nutric\u00edon 70, 2023<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Probl\u00e9m\u016fm \u010del\u00ed st\u00e1le v\u00edce \u017een v&nbsp;produktivn\u00edm v\u011bku V\u00edce ne\u017e t\u0159etina \u010desk\u00fdch \u017een trp\u00ed nadv\u00e1hou a dal\u0161\u00edch 18 % se pot\u00fdk\u00e1 s&nbsp;obezitou. 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