Cukrovka, demence, onemocn\u011bn\u00ed srdce nebo pohybov\u00e9ho apar\u00e1tu \u2013 to jsou
nej\u010dast\u011bj\u0161\u00ed neduhy znep\u0159\u00edjem\u0148uj\u00edc\u00ed st\u00e1\u0159\u00ed \u010desk\u00fdch senior\u016f. P\u0159esto\u017ee o\u010dek\u00e1van\u00fd v\u011bk do\u017eit\u00ed je
u mu\u017e\u016f t\u00e9m\u011b\u0159 77 a u \u017een a\u017e 83 let, pr\u016fm\u011brn\u00fd v\u011bk, kdy se mohou radovat ze \u017eivota v pln\u00e9m
zdrav\u00ed, je v p\u0159\u00edpad\u011b mu\u017e\u016f pouze 51,8 roku a 54,5 roku u \u017een.<\/p>\n\n\n\n
Znamen\u00e1 to, \u017ee p\u0159ibli\u017en\u011b t\u0159etinu sv\u00e9ho \u017eivota pro\u017eij\u00ed s chronick\u00fdm onemocn\u011bn\u00edm. Nap\u0159\u00edklad kv\u016fli chorob\u00e1m srdce str\u00e1v\u00ed v nemocnici 2\u20133\u00d7 del\u0161\u00ed dobu ne\u017e ve \u0160v\u00e9dsku, Finsku nebo \u0160v\u00fdcarsku. Podle l\u00e9ka\u0159\u016f p\u0159itom nen\u00ed zdrav\u00e9 st\u00e1\u0159\u00ed ot\u00e1zkou financ\u00ed ani \u201ez\u00e1zra\u010dn\u00fdch\u201c produkt\u016f. Jak si uchovat vitalitu i v pokro\u010dil\u00e9m v\u011bku, rad\u00ed p\u0159edseda \u010cesk\u00e9 spole\u010dnosti pro ateroskler\u00f3zu prof. MUDr. Michal Vrabl\u00edk, a p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f \u010cR MUDr. Petr \u0160onka.<\/p>\n\n\n\n
Vyu\u017eijte \u0161t\u011bdrosti \u010desk\u00e9ho zdravotn\u00edho syst\u00e9mu<\/p>\n\n\n\n
Chronick\u00e1 onemocn\u011bn\u00ed, kter\u00e1 pozd\u011bji komplikuj\u00ed \u017eivot pacient\u016f, se rozv\u00edj\u00ed postupn\u011b. Lze je tak
zachytit p\u0159i preventivn\u00edm vy\u0161et\u0159en\u00ed u praktick\u00fdch l\u00e9ka\u0159\u016f. \u010ce\u0161i na n\u011b maj\u00ed n\u00e1rok ka\u017ed\u00e9 dva roky.
\u201eZ\u00e1jem o preventivn\u00ed prohl\u00eddky se posledn\u00ed dobou zvy\u0161uje, st\u00e1le tu v\u0161ak m\u00e1me p\u0159ibli\u017en\u011b 40 % osob,
kter\u00e9 je nevyu\u017e\u00edvaj\u00ed. Zv\u00fd\u0161en\u00fd cholesterol, cukrovka nebo onemocn\u011bn\u00ed ledvin p\u0159itom prob\u00edh\u00e1 bez
p\u0159\u00edznak\u016f, a bez pravideln\u00e9 kontroly na n\u011b pacient nep\u0159ijde. V\u010dasn\u00e1 l\u00e9\u010dba t\u011bchto nemoc\u00ed m\u016f\u017ee
odd\u00e1lit nevratn\u00e9 \u0161kody, kter\u00e9 se na kvalit\u011b \u017eivota ve st\u00e1\u0159\u00ed negativn\u011b odraz\u00ed,\u201c varuje MUDr. \u0160onka.
Krom\u011b preventivn\u00edch prohl\u00eddek funguje v \u010cesku tak\u00e9 \u0159ada screeningov\u00fdch program\u016f, kter\u00e9
pom\u00e1haj\u00ed v\u010das odhalit nejen nebezpe\u010dn\u00e1 n\u00e1dorov\u00e1 onemocn\u011bn\u00ed.<\/p>\n\n\n\n
V d\u00e1vkov\u00e1n\u00ed d\u016fv\u011b\u0159ujte l\u00e9ka\u0159\u016fm<\/p>\n\n\n\n
\u201ePokud p\u0159edepisuji l\u00e9ky na vy\u0161\u0161\u00ed cholesterol nebo tlak, je to proto, abych zabr\u00e1nil ateroskler\u00f3ze
nebo kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm. S pacienty m\u00e1m dohodu, \u017ee jim preventivn\u00ed l\u00e9\u010dba nesm\u00ed
p\u0159in\u00e1\u0161et \u017e\u00e1dn\u00e9 subjektivn\u00ed pot\u00ed\u017ee. Kdy\u017e se n\u011bco objev\u00ed, d\u00e1vaj\u00ed mi hned v\u011bd\u011bt. Sna\u017e\u00edm se tak zabr\u00e1nit
tomu, \u017ee pacienti l\u00e9\u010dbu samovoln\u011b vysad\u00ed nebo si uprav\u00ed d\u00e1vkov\u00e1n\u00ed,\u201c vysv\u011btluje profesor Vrabl\u00edk,
pro\u010d je d\u016fle\u017eit\u00e9 u\u017e\u00edvat l\u00e9\u010div\u00e9 p\u0159\u00edpravky podle doporu\u010den\u00ed l\u00e9ka\u0159e. Podle n\u011bj panuje u \u0159ady lid\u00ed myln\u00e1
informace o tom, \u017ee n\u011bkter\u00e9 l\u00e9ky s sebou nesou zna\u010dn\u00e9 riziko ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f, p\u0159edev\u0161\u00edm pak
ve vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch.<\/p>\n\n\n\n
\u201eNe\u017e\u00e1douc\u00ed \u00fa\u010dinky se t\u00fdkaj\u00ed skute\u010dn\u011b minima pacient\u016f. Pokud pacient nem\u00e1
\u017e\u00e1dn\u00e9 obt\u00ed\u017ee s ni\u017e\u0161\u00ed d\u00e1vkou l\u00e9ku na sn\u00ed\u017een\u00ed cholesterolu, s nejv\u011bt\u0161\u00ed pravd\u011bpodobnost\u00ed je nebude m\u00edt
ani p\u0159i vy\u0161\u0161\u00edm d\u00e1vkov\u00e1n\u00ed,\u201c dod\u00e1v\u00e1 prof. Vrabl\u00edk. Podle n\u011bj je d\u016fle\u017eit\u00e9 nikdy l\u00e9\u010dbu neupravovat bez
porady s l\u00e9ka\u0159em \u2013 jen ten zn\u00e1 celkov\u00fd zdravotn\u00ed stav pacienta, v\u010detn\u011b dal\u0161\u00edch diagn\u00f3z nebo
u\u017e\u00edvan\u00fdch l\u00e9k\u016f. \u201eVysazen\u00ed nebo \u00fapravy d\u00e1vkov\u00e1n\u00ed pacientem mohou v\u00e9st ke zbyte\u010dn\u00fdm
komplikac\u00edm,\u201c upozor\u0148uje profesor Vrabl\u00edk.<\/p>\n\n\n\n
Pomozte si krej\u010dovsk\u00fdm metrem<\/p>\n\n\n\n
Jednoduch\u00fdm ukazatelem zdrav\u00ed je podle l\u00e9ka\u0159\u016f obvod pasu. Vy\u0161\u0161\u00ed mno\u017estv\u00ed podko\u017en\u00edho tuku
v t\u00e9to oblasti toti\u017e \u00fazce souvis\u00ed s objemem tzv. viscer\u00e1ln\u00edho tuku. Ten se tvo\u0159\u00ed kolem \u017eivotn\u011b
d\u016fle\u017eit\u00fdch org\u00e1n\u016f, jako jsou j\u00e1tra, slinivka b\u0159i\u0161n\u00ed nebo ledviny. \u201eViscer\u00e1ln\u00ed tuk m\u00e1 v\u011bt\u0161\u00ed z\u00e1n\u011btlivou
aktivitu. V jej\u00edm d\u016fsledku doch\u00e1z\u00ed k po\u0161kozen\u00ed c\u00e9v a n\u00e1sledn\u011b pak i rozvoji kardiovaskul\u00e1rn\u00edch
onemocn\u011bn\u00ed. Z\u00e1rove\u0148 p\u0159isp\u00edv\u00e1 viscer\u00e1ln\u00ed tuk tak\u00e9 k inzulinov\u00e9 rezistenci, kter\u00e1 je spojen\u00e1 se
vznikem cukrovky II. typu,\u201c objas\u0148uje profesor Vrabl\u00edk. Podle l\u00e9ka\u0159sk\u00fdch doporu\u010den\u00ed by objem pasu
nem\u011bl p\u0159es\u00e1hnout 102 cm u mu\u017e\u016f a 88 cm u \u017een,5 bez ohledu na jejich v\u00fd\u0161ku.<\/p>\n\n\n\n
Sladk\u00e9ho pom\u00e1lu<\/p>\n\n\n\n
Hromad\u011bn\u00ed podko\u017en\u00edho tuku je zpravidla v\u00fdsledkem nezdrav\u00e9ho stravov\u00e1n\u00ed. Zat\u00edmco je\u0161t\u011b
v 19. stolet\u00ed byl cukr luxusn\u00ed komoditou pro bohat\u00e9, dnes spot\u0159ebuje ka\u017ed\u00fd \u010cech pr\u016fm\u011brn\u011b 33,8 kg
rafinovan\u00e9ho cukru ro\u010dn\u011b a p\u0159ibli\u017en\u011b 19 kg \u010dokol\u00e1dov\u00fdch \u010di jin\u00fdch cukrovinek. Kombinace
nevhodn\u00e9ho stravov\u00e1n\u00ed a nedostatku pohybu vede k tomu, \u017ee p\u0159ib\u00fdv\u00e1 lid\u00ed s nadv\u00e1hou a obezitou.
\u201eObezita s sebou p\u0159in\u00e1\u0161\u00ed minim\u00e1ln\u011b 220 r\u016fzn\u00fdch chorobn\u00fdch stav\u016f, tak\u017ee tudy cesta ke zdrav\u00e9mu
st\u00e1\u0159\u00ed nevede. Na druhou stranu nen\u00ed vhodn\u00e9 pou\u0161t\u011bt se ani do striktn\u00edch diet. P\u0159esto\u017ee n\u011bkter\u00e9
z nich mohou p\u0159in\u00e1\u0161et zdravotn\u00ed benefity, m\u00e1lokdo je zvl\u00e1dne dlouhodob\u011b udr\u017eet,\u201c upozor\u0148uje
profesor Vrabl\u00edk.
Lep\u0161\u00ed v\u00fdsledky podle n\u011bj p\u0159in\u00e1\u0161\u00ed kalorick\u00e1 restrikce neboli m\u00edrn\u00e9 hladov\u011bn\u00ed, kdy denn\u00ed v\u00fddej kalori\u00ed
lehce p\u0159evy\u0161uje jejich p\u0159\u00edjem. \u201eZe studi\u00ed v\u00edme, \u017ee kalorick\u00e1 omezen\u00ed prokazateln\u011b prodlu\u017euj\u00ed \u017eivot.
Pro zachov\u00e1n\u00ed celkov\u00e9ho zdrav\u00ed v\u0161ak nesta\u010d\u00ed jen po\u010d\u00edtat kalorie. Na na\u0161em tal\u00ed\u0159i by m\u011bla p\u0159evl\u00e1dat
zelenina, kvalitn\u00ed proteiny v podob\u011b ryb nebo b\u00edl\u00e9ho masa a sp\u00ed\u0161e rostlinn\u00e9 tuky ne\u017e ty \u017eivo\u010di\u0161n\u00e9.
P\u0159\u00edkladem vhodn\u00fdch tuk\u016f jsou nap\u0159\u00edklad o\u0159echy, kter\u00e9 obsahuj\u00ed nenasycen\u00e9 mastn\u00e9 kyseliny, je\u017e
prosp\u00edvaj\u00ed ob\u011bhov\u00e9mu syst\u00e9mu. Sn\u00ed\u017eit bychom pak m\u011bli p\u0159edev\u0161\u00edm mno\u017estv\u00ed jednoduch\u00fdch cukr\u016f,
pr\u016fmyslov\u011b zpracovan\u00fdch potravin, tedy polotovar\u016f, a soli,\u201c rad\u00ed prof. Vrabl\u00edk.<\/p>\n\n\n\n
Pohybem nejen proti demenci<\/p>\n\n\n\n
Podle posledn\u00edch dat \u010cesk\u00e9ho statistick\u00e9ho \u00fa\u0159adu se pravideln\u011b, alespo\u0148 jednou t\u00fddn\u011b, v\u011bnuje
pohybu jen 25,4 % mu\u017e\u016f a 30,8 % \u017een. P\u0159\u00edle\u017eitostn\u011b si zasportuje 17,8 % mu\u017e\u016f a 15,4 % \u017een.
Naproti tomu t\u0159etina mu\u017e\u016f a o n\u011bco v\u00edce \u017een p\u0159izn\u00e1v\u00e1, \u017ee nesportuj\u00ed za \u017e\u00e1dn\u00fdch okolnost\u00ed.
\u201eDosp\u011bl\u00ed by se m\u011bli v\u011bnovat pohybu alespo\u0148 30 minut denn\u011b nebo 150 minut za t\u00fdden. Fyzick\u00e1
zdatnost m\u00e1 pozitivn\u00ed vliv na hodnoty tlaku i cholesterolu. Ze studi\u00ed v\u00edme, \u017ee fyzicky zdatn\u00fd \u010dlov\u011bk
s nadv\u00e1hou se do\u017eije vy\u0161\u0161\u00edho v\u011bku ne\u017e fyzicky nezdatn\u00fd huben\u00fd,\u201c p\u0159ipom\u00edn\u00e1 profesor Vrabl\u00edk.
Pravideln\u00e1 fyzick\u00e1 aktivita spolu s vyv\u00e1\u017eenou, st\u0159\u00eddmou stravou sni\u017euje krom\u011b rizika
kardiovaskul\u00e1rn\u00edch nemoc\u00ed, cukrovky nebo ledvin tak\u00e9 riziko demence.
\u201eMezin\u00e1rodn\u011b uzn\u00e1van\u00fd odborn\u00fd magaz\u00edn The Lancet loni publikoval \u010dl\u00e1nek, ve kter\u00e9m l\u00e9ka\u0159i popsali demenci jako celot\u011blov\u00fd probl\u00e9m. Jej\u00ed rozvoj ovliv\u0148uje \u0161patn\u00e1 strava, obezita, sedav\u00fd zp\u016fsob \u017eivota i vysok\u00e1 hladina LDL cholesterolu,\u201c dopl\u0148uje z\u00e1v\u011brem profesor Vrabl\u00edk.<\/p>\n","protected":false},"excerpt":{"rendered":"
Cukrovka, demence, onemocn\u011bn\u00ed srdce nebo pohybov\u00e9ho apar\u00e1tu \u2013 to jsounej\u010dast\u011bj\u0161\u00ed neduhy znep\u0159\u00edjem\u0148uj\u00edc\u00ed st\u00e1\u0159\u00ed \u010desk\u00fdch senior\u016f. P\u0159esto\u017ee o\u010dek\u00e1van\u00fd v\u011bk do\u017eit\u00ed jeu mu\u017e\u016f t\u00e9m\u011b\u0159 77 a u […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14531,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-60320","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60320","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=60320"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60320\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14531"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}