{"id":64815,"date":"2026-08-23T15:03:58","date_gmt":"2026-08-23T13:03:58","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=64815"},"modified":"2026-08-23T15:04:14","modified_gmt":"2026-08-23T13:04:14","slug":"chirurg-o-potravinach-i-obezite","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=64815","title":{"rendered":"Chirurg o potravin\u00e1ch i obezit\u011b"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u010cesk\u00fd rozhlas <br \/> po\u0159ad Leonardo Plus<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pozv\u00e1n\u00ed p\u0159ijal chirurg Martin Fried, dobr\u00fd den. budeme se v\u011bnovat nov\u00fdm poznatk\u016fm v oboru v\u00fd\u017eivy a l\u00e9\u010dby obezity. Co nov\u00e9ho l\u00e9ka\u0159sk\u00e1 v\u011bda v\u00ed o p\u016fsoben\u00ed tzv. ultra zpracovan\u00fdch nebo pr\u016fmyslov\u011b zpracovan\u00fdch potravin na na\u0161e t\u011blo, na na\u0161e zdrav\u00ed? Jak\u00e9 \u00fa\u010dinky m\u00e1 tzv. semaglutid, l\u00e1tka, na kter\u00e9 je zalo\u017eena modern\u00ed metodika l\u00e9\u010dby obezity? Tak to jsem vybrala alespo\u0148 dva body, kter\u00e9 se budou t\u00fdkat prvn\u00ed \u010d\u00e1sti na\u0161eho po\u0159adu. U mikrofonu je Martina Ma\u0161kov\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pane profesore, t\u00e9ma, kter\u00fdm otev\u0159eme vlastn\u011b by m\u011blo b\u00fdt bl\u00edzk\u00e9 nebo aspo\u0148 trochu zn\u00e1m\u00e9 n\u00e1m v\u0161em, proto\u017ee osv\u011bta v t\u00e9 oblasti pracuje pr\u016fb\u011b\u017en\u011b, ale p\u0159esto podle nejnov\u011bj\u0161\u00edch studi\u00ed my jsme se dozv\u011bd\u011bli, \u017ee ty Ultra zpracovan\u00e9 potraviny po\u0161kozuj\u00ed v\u0161echny d\u016fle\u017eit\u00e9 org\u00e1ny v na\u0161em t\u011ble, tak to je takov\u00fd mo\u017en\u00e1 opravdu bud\u00ed\u010dek, alarm. Co tomu \u0159\u00edk\u00e1te vy jako l\u00e9ka\u0159, chirurg, odborn\u00edk, kter\u00fd se l\u00e9ta zab\u00fdv\u00e1 l\u00e9\u010dbou obezity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:02:08<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ty potraviny, kter\u00e9 dneska m\u00e1me k dispozici a m\u016f\u017eeme si koupit a nebo n\u011bjak\u00fdm zp\u016fsobem jin\u00fdm obstarat, abychom je mohli j\u00edst, m\u016f\u017eeme rozd\u011blit velmi zhruba do t\u0159ech a\u017e \u010dty\u0159ech skupin. Ta prvn\u00ed skupina jsou ty tzv. neprocesovan\u00e9 nebo minim\u00e1ln\u011b procesovan\u00e9 potraviny, ovoce, zelenina a takov\u00e9 ty \u00fapln\u011b b\u011b\u017en\u00e9 potraviny, do kter\u00fdch se ve sv\u00e9 podstat\u011b nep\u0159id\u00e1v\u00e1, nic krom\u011b t\u00e9 podstaty, kter\u00e1 je sama tvo\u0159\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:02:38<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00e1 se to t\u0159eba trochu i zjednodu\u0161it tak, \u017ee to je mnohdy to, co si neuva\u0159\u00edme doma my sami, co si prost\u011b nakoup\u00edme a je to n\u011bjak u\u017e p\u0159edzpracovan\u00e9. Ano.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:02:48<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do t\u011bch procesovan\u00fdch nebo ultraprocesovan\u00fdch potravin se potom p\u0159id\u00e1vaj\u00ed r\u016fzn\u00e9 ingredience do t\u00e9 druh\u00e9 skupiny t\u011bch procesovan\u00fdch potravin se p\u0159id\u00e1v\u00e1 p\u0159edev\u0161\u00edm s\u016fl, n\u011bjak\u00e9 oleje a podobn\u011b a pak nast\u00e1v\u00e1 ta f\u00e1ze t\u011bch ultraprocesovan\u00fdch potravin, a to jsou potraviny, kter\u00e9 opravdu obsahuj\u00ed n\u011bco, co bychom asi t\u011b\u017eko sami doma nebo i v obchod\u011b hledali, co\u017e jsou r\u016fzn\u00e9 zv\u00fdraz\u0148ova\u010de chuti barev, m\u00e1me tam r\u016fzn\u00e9 stabiliz\u00e1tory, prost\u011b jsou to p\u0159\u00eddavky, kter\u00e9 se do t\u011bch potravin p\u0159id\u00e1vaj\u00ed proto, aby nap\u0159\u00edklad ty potraviny hodn\u011b dlouho vydr\u017eely v uvozovk\u00e1ch \u010derstv\u00e9, nebo se do t\u011bch potravin p\u0159id\u00e1vaj\u00ed proto, aby zv\u00fdraznily tu chu\u0165 a tud\u00ed\u017e, aby \u010dlov\u011bk m\u011bl velmi brzy touhu j\u00edst znovu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:03:42<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u010cili j\u00edme o\u010dima.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:03:43<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">J\u00edme o\u010dima, ale j\u00edme i t\u011bmi chu\u0165ov\u00fdmi bu\u0148kami a pr\u00e1v\u011b ty zv\u00fdraz\u0148ova\u010de chuti a podobn\u011b nebo zv\u00fdraz\u0148ova\u010de barvy, to je na o\u010di a zv\u00fdraz\u0148ova\u010di chuti jsou na ty chu\u0165ov\u00e9 bu\u0148ky zp\u016fsobuj\u00ed to, \u017ee sn\u00edme t\u00e9 potraviny mnohem v\u00edce, ne\u017e bychom j\u00ed sn\u011bdli tehdy, kdy\u017e by nebyla t\u00edmto zp\u016fsobem upraven\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:04:05<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ono p\u0159i b\u011b\u017en\u00e9m shonu si mnoz\u00ed z n\u00e1s ani t\u0159eba neuv\u011bdomuj\u00ed, \u017ee to, co konzumujeme, nen\u00ed ide\u00e1ln\u00ed, nen\u00ed vhodn\u00e9. Tak\u017ee z toho, jak poslouch\u00e1m to va\u0161e vysv\u011btlen\u00ed, tak mo\u017en\u00e1 ty pestr\u00e9 barvy m\u016f\u017eou b\u00fdt tak trochu vod\u00edtkem, \u017ee tam jsou n\u011bjak\u00e1 ta aditiva, um\u011bl\u00e1 sladidla, barviva, mo\u017en\u00e1 dokonce mikroplasty.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:04:25<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mo\u017en\u00e1 dneska hodn\u011b t\u011bchto v\u011bc\u00ed a informac\u00ed m\u016f\u017eeme si p\u0159e\u010d\u00edst na etiket\u00e1ch t\u011bch potravin a t\u011bch obalech, nicm\u00e9n\u011b mus\u00edme si \u0159\u00edct, \u017ee ty etikety, a to p\u00edsmo b\u00fdv\u00e1 pov\u011bt\u0161inou velmi mal\u00e9, i kdy\u017e m\u00e1 n\u011bjakou p\u0159edepsanou velikost, ale b\u00fdv\u00e1 velmi mal\u00e9 a nav\u00edc up\u0159\u00edmn\u011b \u0159e\u010deno, kdy\u017e m\u00e1me ud\u011blat velk\u00fd n\u00e1kup, tak kdo z n\u00e1s bude ka\u017edou potravinu, ne\u017e ji str\u010d\u00ed do n\u00e1kupn\u00edho ko\u0161e, studovat z hlediska slo\u017een\u00ed. i kdy\u017e to lze a ur\u010dit\u011b to nen\u00ed nic \u0161patn\u00e9ho, proto\u017ee \u010dlov\u011bk se m\u016f\u017ee vyvarovat takov\u00fdch t\u011bch nejk\u0159iklav\u011bj\u0161\u00edch v\u011bc\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:05:00<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mo\u017en\u00e1 by se hodil n\u011bjak\u00fd skener, \u017ee, kter\u00fd by jako dok\u00e1zal ode\u010d\u00edst v\u011bt\u0161\u00edm p\u00edsmem to, co jako v t\u00e9 potravin\u011b je. Kdy\u017e u\u017e jste se dotkl t\u00e9 my\u0161lenky toho marketingu, ta studie z \u010dasopisu Lance, co\u017e je presti\u017en\u00ed l\u00e9ka\u0159sk\u00fd \u010dasopis a t\u00fdk\u00e1 se t\u011bch Ultra zpracovan\u00fdch potravin, tak se pr\u00e1v\u011b dot\u00fdk\u00e1 i t\u00e9hle t\u00e9 z\u00e1le\u017eitosti a dot\u00fdk\u00e1 se i v\u011bc\u00ed, jako je marketing t\u011bch nezdrav\u00fdch potravin, auto\u0159i toho \u010dl\u00e1nku doporu\u010duj\u00ed omezit reklamy zam\u011b\u0159en\u00e9 na d\u011bti nebo zak\u00e1zat tyhle Ultra zpracovan\u00e9 potraviny ve ve\u0159ejn\u00fdch instituc\u00edch typu \u0161koly, nemocnice. Co tomu \u0159\u00edk\u00e1te?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:05:33<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">J\u00e1 nejsem moc velk\u00fd p\u0159\u00edtel z\u00e1kaz\u016f a p\u0159\u00edkaz\u016f, ale z druh\u00e9 strany asi f\u00e9rov\u011b a objektivn\u011b informovat toho spot\u0159ebitele, co si kupuje, je velmi d\u016fle\u017eit\u00e9. Cht\u011bl bych taky mo\u017en\u00e1 \u0159\u00edct, \u017ee ty Ultra zpracovan\u00e9 potraviny nejsou \u017e\u00e1dnou novinkou. Bramborov\u00e9 lup\u00ednky a solen\u00e9 ara\u0161\u00eddy. A spoustu dal\u0161\u00edch v\u011bc\u00ed tady m\u00e1me po n\u011bkolik des\u00edtek let. Ale hlavn\u00edm probl\u00e9mem je ta skladba t\u00e9 na\u0161\u00ed stravy, proto\u017ee jestli\u017ee se cel\u00e1 posunuje sm\u011brem k t\u011bmto typ\u016fm potravin, pak je to \u0161patn\u011b z druh\u00e9 strany, pokud ty potraviny konzumujeme \u010das od \u010das\u016f, tak ve sv\u00e9 podstat\u011b se nic tak dramatick\u00e9ho a \u0161patn\u00e9ho ned\u011bje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:06:21<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ano, kdy\u017e prost\u011b v\u00fdjime\u010dn\u011b na n\u011bjak\u00e9 p\u00e1rty si \u010dlov\u011bk d\u00e1 trochu bramb\u016frku, tak z toho se \u00fapln\u011b z pohledu odborn\u00edka na l\u00e9\u010dbu obezity nest\u0159\u00edl\u00ed, ale v okam\u017eiku, kdy je to, \u0159ekn\u011bme, n\u011bjak\u00e1 ka\u017edodenn\u00ed sou\u010d\u00e1st na\u0161eho j\u00eddeln\u00ed\u010dku, tak pak je alarm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:06:36<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ano, j\u00e1 zast\u00e1v\u00e1m tento n\u00e1zor, v p\u0159\u00edpadech nutri\u010dn\u00edch, zast\u00e1v\u00e1m tento n\u00e1zor a velmi podobn\u00fd. T\u0159eba v p\u0159\u00edpadech ob\u00e9zn\u00edch nemocn\u00fdch obezitou, kte\u0159\u00ed se l\u00e9\u010d\u00ed jin\u00fdmi metodami, \u017ee nejhor\u0161\u00ed je tomu \u010dlov\u011bku zcela zak\u00e1zat n\u011bjakou potravinu, o to v\u011bt\u0161\u00ed chu\u0165 a hlad na to bude m\u00edt, tak\u017ee p\u0159esn\u011b, pokud si i tyto potraviny konzumujeme s m\u00edrou a ob\u010das nic se ned\u011bje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:07:04<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mo\u017en\u00e1 stoj\u00ed za to pokusit se o n\u011bjak\u00e9 srovn\u00e1n\u00ed, by\u0165 nem\u00e1me vysloven\u011b tabulky te\u010f p\u0159ed o\u010dima, ale uva\u017eovali jsme o tom, kdy\u017e jsme se p\u0159ipravili na n\u00e1\u0161 po\u0159ad v Brit\u00e1nii nebo ve Spojen\u00fdch st\u00e1tech. Ty pr\u016fmyslov\u011b zpracovan\u00e9 potraviny tvo\u0159\u00ed v\u00edce ne\u017e polovinu obvykl\u00e9ho j\u00eddeln\u00ed\u010dku. M\u011b to docela p\u0159ekvapilo. A sice to m\u00e1me spojeno t\u0159eba, j\u00e1 nev\u00edm, je\u0161t\u011b \u010daj d\u00edv\u00e1 na filmy z toho prost\u0159ed\u00ed, tak se s t\u00edm \u010dasto setk\u00e1. Ale stejn\u011b, jak je to u n\u00e1s, j\u00edme zdrav\u011bji nebo ne.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:07:31<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Podle dostupn\u00fdch \u00fadaj\u016f \u010cesko pat\u0159\u00ed, dejme tomu, n\u011bkam do pr\u016fm\u011bru t\u00e9 Evropy, co se t\u00fd\u010de skladby potravin a zastoupen\u00ed t\u011bch ultraprocesovan\u00fdch potravin. Pokud se nem\u00fdl\u00edm, je to n\u011bkde mezi 30, 35 procenty, na rozd\u00edl od t\u011bch Spojen\u00fdch st\u00e1t\u016f a Brit\u00e1nie, kde to p\u0159esahuje 50 nebo jde k 60 procent\u016fm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:07:52<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedy ty pr\u016fmyslov\u011b zpracovan\u00e9 potraviny tvo\u0159\u00ed 30, 35 % na\u0161eho j\u00eddeln\u00ed\u010dku.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:07:57<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ano, \u010desk\u00e9ho.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:08:00<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A tam jsme na pr\u016fm\u011bru Evropy, tak kter\u00e9 \u010d\u00e1sti obyvatel, kdybyste si ud\u011blal prost\u011b t\u0159eba to v\u011bkov\u00e9 spektrum nebo obyvatel\u00e9 m\u011bsta venkova n\u011bco takov\u00e9ho? Existuj\u00ed na to n\u011bjak\u00e9, k tomu n\u011bjak\u00e9 informace, studie, kter\u00e9 je \u010d\u00e1sti obyvatelstva, se tedy nej\u010dast\u011bji t\u00fdk\u00e1. Tohle riziko.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:08:16<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To riziko se t\u00fdk\u00e1 nap\u0159\u00edklad d\u011bt\u00ed, kter\u00e9 jsou velmi vn\u00edmav\u00e9 na r\u016fzn\u00e9 reklamy, to je ten marketing v t\u011bch Ultra zpracovan\u00fdch potravin\u00e1ch, a tam bych byl proto omezit ten vliv reklamy na d\u011bti, opravdu je pak velmi t\u011b\u017ek\u00e9 d\u00edt\u011bti odm\u00edtat n\u011bco, kdy\u017e jde do samoobsluhy nebo do n\u011bjak\u00e9ho obchodu a vid\u00ed tam potravinu, na kterou neust\u00e1le sly\u0161\u00ed reklamy a jejich idoly propaguj\u00ed ty d\u011btsk\u00e9 idoly, propaguj\u00ed tyto potraviny, tak to jedna skupina obyvatelstva, druh\u00e1 skupina je potom lid\u00ed s ni\u017e\u0161\u00edmi p\u0159\u00edjmy, a to zejm\u00e9na proto, \u017ee ty Ultra zpracovan\u00e9 potraviny jsou levn\u011bj\u0161\u00ed, jsou p\u0159ipraven\u00e9 tak, aby dlouho vydr\u017eely, \u010dili je velmi jaksi snadn\u00e9 a je velmi pohodln\u00e9 ty potraviny nakoupit, ale p\u0159edev\u0161\u00edm je to snadn\u00e9 nebo pohodln\u011bj\u0161\u00ed z hlediska finan\u010dn\u00edho. A tam se dost\u00e1v\u00e1me do situace, kdy vlastn\u011b si m\u016f\u017eeme polo\u017eit ot\u00e1zku, jak tomu napomoci, aby t\u0159eba tyto potraviny nebyly tak l\u00e1kav\u00e9 pro tu skupinu obyvatelstva s ni\u017e\u0161\u00edmi p\u0159\u00edjmy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:09:26<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pr\u00e1v\u011b j\u00e1 jsem o tom taky p\u0159em\u00fd\u0161lela, co by pomohlo. Zaujalo m\u011b, \u017ee jsem se do\u010detla, \u017ee neziskov\u00e9 organizace, kter\u00e9 pracuj\u00ed, obyvatele n\u011bjak\u00fdch znev\u00fdhodn\u011bn\u00fdch oblast\u00ed, \u017ee t\u0159eba \u0159\u00edkali, jak ohromn\u011b pomohlo to, \u017ee d\u011blaj\u00ed pro d\u011bti \u0161koln\u00ed sn\u00eddan\u011b jednoduch\u00e1 v\u011bc, jako \u017ee se to d\u00edt\u011b nasn\u00edd\u00e1 n\u011bjak tak zdrav\u011b, tak pomohla \u0161koln\u00ed doch\u00e1zce v\u00fdrazn\u011b a d\u011bti se taky c\u00edt\u00ed v\u00edc jako n\u011bjak p\u0159ijat\u00e9, tak\u017ee to m\u011blo hned v\u00edcero efekt\u016f nebo n\u011bjak pracovat s t\u011bmi rodinami, \u017ee by t\u0159ebas, nev\u00edm, soci\u00e1ln\u00ed pracovn\u00edci nebo prost\u011b ti lid\u00e9, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed nej\u010dast\u011bji do kontaktu s rodinami v t\u011bch vylou\u010den\u00fdch lokalit\u00e1ch, tak\u017ee by m\u011bli mo\u017enost n\u011bjak\u00e9 edukace pr\u00e1v\u011b rodin v t\u00e9hle v\u011bci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:10:02<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">J\u00e1 jsem pro a jsem zast\u00e1nce takov\u00e9 edukace, i kdy\u017e mus\u00edme si zdroje strany \u0159\u00edci, \u017ee takov\u00e1 edukace je v\u011bc velmi dlouhodob\u00e1 a lid\u00e9 j\u00ed zt\u011b\u017eka p\u0159ij\u00edmaj\u00ed. V\u00edme to nap\u0159\u00edklad, kdy\u017e u\u017e jsou t\u0159eba nemocn\u00ed obezitou, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed pro n\u011bjakou radu a te\u010f ty rady dostanou od nutri\u010dn\u00edch terapeut\u016f a od dal\u0161\u00edch od l\u00e9ka\u0159\u016f a podobn\u011b. Ale byly ud\u011bl\u00e1ny studie, kter\u00e9 hodnot\u00ed, kolik si ten \u010dlov\u011bk toho odn\u00e1\u0161\u00ed z takov\u00e9 konzultace a bylo zji\u0161t\u011bno, \u017ee po prvn\u00ed konzultaci tohoto typu si odn\u00e1\u0161\u00ed zhruba asi 17 % z toho, co sly\u0161el. To je jedna str\u00e1nka v\u011bci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:10:47<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A to jsme mo\u017en\u00e1 v\u0161ichni na tom. Tak jedn\u00edm uchem tam druh\u00fdm uchem ven, jo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:10:50<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A druh\u00e1 v\u011bc je je\u0161t\u011b, \u017ee vlastn\u011b vy mus\u00edte bojovat i proti tomu, pokud chcete edukovat, \u017ee ty potraviny, ty Ultra zpracovan\u00e9 potraviny jsou velmi, velmi chutn\u00e9, to znamen\u00e1, tam je dvoj\u00ed v\u011bc minim\u00e1ln\u011b. A k tomu se p\u0159id\u00e1v\u00e1 je\u0161t\u011b ta ekonomick\u00e1 str\u00e1nka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:11:09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Poslouch\u00e1te Leonardo Plus. M\u00fdm hostem, hostem tohoto po\u0159adu je dnes chirurg Martin Fried, kter\u00fd se specializuje zejm\u00e9na na l\u00e9\u010dbu obezity. Poslouch\u00e1te Leonardo plus nad\u010dasov\u00e9 rozhovory s v\u00fdjime\u010dn\u00fdmi osobnostmi nejen ze sv\u011bta v\u011bdy. Najdete ho tak\u00e9 na webu plus rozhlas. CZ v aplikaci M\u016fj rozhlas a v dal\u0161\u00edch podcastov\u00fdch aplikac\u00edch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nezdrav\u00e1 v\u00fd\u017eiva tedy souvis\u00ed s epidemi\u00ed obezity, ale i cukrovky druh\u00e9ho typu, srde\u010dn\u00edmi nemocemi a dokonce depresemi, jak\u00e1 prevence je na m\u00edst\u011b? Proto\u017ee v tom okam\u017eiku, kdy u\u017e tedy jste v t\u00e9 situaci, \u017ee p\u0159ijde ten budouc\u00ed pacient, \u010dlov\u011bk s obezitou, tak u\u017e tu prevenci jsme z\u0159ejm\u011b zme\u0161kali.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:11:51<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Z\u00e1le\u017e\u00ed ale tak\u00e9 na fyzick\u00e9 aktivit\u011b doty\u010dn\u00e9ho \u010dlov\u011bka nebo t\u011bch skupin obyvatelstva. A tam je d\u016fle\u017eit\u00e9 \u0159\u00edct, \u017ee se nejedn\u00e1 o \u017e\u00e1dnou z\u00e1vodn\u00ed atletickou \u010dinnost \u00fapln\u011b v t\u00e9 pohybov\u00e9 aktivit\u011b, zejm\u00e9na pro za\u010d\u00e1tek, pro n\u011bjak\u00e9 zah\u00e1jen\u00ed t\u00e9 pohybov\u00e9 aktivity sta\u010d\u00ed oby\u010dejn\u00e1 ch\u016fze, nap\u0159\u00edklad si prodlou\u017eit denn\u00ed ch\u016fzi o 500 m, 500 krok\u016f, o 1000 krok\u016f je \u00fa\u017easn\u00fd za\u010d\u00e1tek.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:12:19<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kolikr\u00e1t to sly\u0161\u00edme, vi\u010fte? A jsme stejn\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:12:22<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Po\u0159\u00e1d jsme stejn\u00ed, mus\u00edme si tak\u00e9 uv\u011bdomit, \u017ee ta fyzick\u00e1 aktivita by m\u011bla b\u00fdt dosa\u017eiteln\u00e1 jak ve smyslu toho, co vlastn\u011b k n\u00ed pot\u0159ebuji a ch\u016fzi nepot\u0159ebujete v\u016fbec nic. A za druh\u00e9, mus\u00ed b\u00fdt dosa\u017eiteln\u00e1 i z hlediska fyzick\u00fdch schopnost\u00ed toho \u010dlov\u011bka, proto\u017ee nemocn\u00ed obezitou mus\u00ed vyd\u00e1vat mnohem v\u011bt\u0161\u00ed energii, aby ud\u011blali stejn\u00fd pohyb nebo u\u0161li stejnou vzd\u00e1lenost jako jejich neob\u00e9zn\u00ed prot\u011bj\u0161ky. \u010cili tam mus\u00edme b\u00fdt velmi opatrn\u00ed a vlastn\u011b indikovat a doporu\u010dovat fyzickou aktivitu tak, abychom toho \u010dlov\u011bka neodradili.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:12:56<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No, \u010dili on m\u016f\u017ee b\u00fdt brzo vy\u010derpan\u00fd a \u00fapln\u011b s t\u00edm skon\u010dit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:13:00<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ano, to je jedna v\u011bc a druh\u00e1 v\u011bc je, kdy\u017e n\u011bkomu doporu\u010dil, aby p\u011btkr\u00e1t nebo t\u0159ikr\u00e1t za t\u00fdden chodil do n\u011bjak\u00e9ho fitness centra, tak je t\u00e9m\u011b\u0159 jasn\u00e9, \u017ee tam chodit nebude.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:13:11<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Obezita je nemoc, u\u017e, mysl\u00edm, osv\u011bta v tomhle sm\u011bru je pom\u011brn\u011b rozs\u00e1hl\u00e1, velk\u00e1, v\u00edme to a jak\u00fd, jak\u00fd pod\u00edl na jej\u00edm rozvoji maj\u00ed na\u0161e geny a m\u00e1 n\u00e1\u0161 zp\u016fsob \u017eivota. Jako kdybyste to m\u011bl porovnat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:13:26<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">J\u00e1 si mysl\u00edm, \u017ee je to zhruba nap\u016fl asi tak, kde opravdu ta genetick\u00e1 v\u00fdbava \u010dlov\u011bka hraje svoji roli a bylo to n\u011bkolikr\u00e1t ji\u017e opakov\u00e1no, \u017ee ta genetick\u00e1 v\u00fdbava lidsk\u00e1 je uzp\u016fsobena ur\u010dit\u00fdm obdob\u00edm hojnosti a obdob\u00edm hladu. Z minulosti. Tis\u00edce let zp\u00e1tky, kdy opravdu bylo pro toho \u010dlov\u011bka velmi d\u016fle\u017eit\u00e9 v dob\u011b hojnosti se dob\u0159e naj\u00edst a co nejv\u00edc t\u00e9 energie si uchr\u00e1nit v t\u011ble, to znamen\u00e1 opravdu tloustnout, p\u0159ibrat n\u011bco. Proto\u017ee pak m\u011bl mnohem v\u011bt\u0161\u00ed \u0161anci na to p\u0159e\u017e\u00edt v obdob\u00ed hladu, proto\u017ee z t\u011bch z\u00e1sob mohl \u010derpat a tuto genetickou informaci a z\u00e1t\u011b\u017e si neseme spolu po\u0159\u00e1d d\u00e1l a bohu\u017eel se teda za\u010dala kombinovat s mnoha dal\u0161\u00edmi faktory \u017eivotn\u00edho zp\u016fsobu, \u017eivotn\u00edho stylu, a\u0165 u\u017e pr\u00e1v\u011b zm\u00edn\u011bnou n\u00edzkou fyzickou aktivitou, vysed\u00e1v\u00e1n\u00ed u po\u010d\u00edta\u010d\u016f nebo nap\u0159\u00edklad i t\u00edm, \u017ee m\u00e1me neust\u00e1le k dispozici a mo\u017enost si j\u00edt koupit Ultra zpracovan\u00e9 potraviny, ty r\u016fzn\u00e9 zmra\u017een\u00e9 instantn\u00ed z\u00e1le\u017eitosti a m\u00e1me mo\u017enost si je j\u00edt koupit sedm dn\u00ed v t\u00fddnu, 24 hodin denn\u011b ve sv\u00e9 podstat\u011b, a tak\u017ee kdykoliv m\u00e1m chu\u0165, hlad, tak se m\u016f\u017eu sebrat a j\u00edt si n\u011bco koupit, pokud u\u017e to nem\u00e1m doma v lednici.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:14:53<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No, a v t\u00e9hle situaci medic\u00edna p\u0159i\u0161la na pomoc s pom\u011brn\u011b \u00fa\u010dinn\u00fdm l\u00e9kem. J\u00e1 jsem vid\u011bla takov\u00e9 grafy, mysl\u00edm, \u017ee to bylo bu\u010f v n\u011bjak\u00fdch mezin\u00e1rodn\u00edch studi\u00edch, kter\u00e9 ukazovaly, jak\u00fdm pr\u016flomem je, nebo za\u010dala b\u00fdt modern\u00ed l\u00e9\u010dba zalo\u017een\u00e1 na lace zvan\u00e9 semaglutid, poslucha\u010di mo\u017en\u00e1 budou sp\u00ed\u0161 zn\u00e1t ty komer\u010dn\u00ed n\u00e1zvy l\u00e9k\u016f, kde je \u00fa\u010dinnou l\u00e1tkou, toti\u017e l\u00e9k\u016f ozempi nebo Vegovi, kter\u00e9 se pr\u00e1v\u011b pod\u00e1vaj\u00ed pacient\u016fm s obezitou? Jak\u00fd je princip \u00fa\u010dinku toho semaglutidu, co d\u011bl\u00e1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:15:30<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tak princip \u00fa\u010dink\u016f ve sv\u00e9 podstat\u011b n\u011bkoliker\u00fd. Jde p\u0159edev\u0161\u00edm o to, \u017ee sv\u00fdm zp\u016fsobem zvy\u0161uje produkci inzulinu ve slinivce b\u0159i\u0161n\u00ed a ten m\u00e1 zase vliv na sn\u00ed\u017een\u00ed hladiny cukru v krvi, d\u00e1le tyto l\u00e1tky maj\u00ed i vliv na zv\u00fd\u0161en\u00ed tzv. inzulinov\u00e9 vn\u00edmavosti tk\u00e1n\u00ed toho t\u011bla a v neposledn\u00ed \u0159ad\u011b ty l\u00e1tky. A j\u00e1 velmi zjednodu\u0161uji, ale tyto l\u00e1tky maj\u00ed vliv i na rychlost vyprazd\u0148ov\u00e1n\u00ed \u017ealudk\u016f, to znamen\u00e1, \u017ee zpomaluj\u00ed vyprazd\u0148ov\u00e1n\u00ed \u017ealudk\u016f a \u010dlov\u011bk se c\u00edt\u00ed d\u00e9le nasycen\u00fd, tak\u017ee tyto l\u00e1tky se pou\u017e\u00edvaj\u00ed nejenom pro l\u00e9\u010dbu obezity, naopak jenom n\u011bkter\u00e9 z nich maj\u00ed ofici\u00e1ln\u00ed ur\u010den\u00ed, \u017ee pro l\u00e9\u010dbu obezity a pro redukci v\u00e1hy jin\u00e9 z nich se pou\u017e\u00edvaj\u00ed zejm\u00e9na p\u0159i l\u00e9\u010db\u011b diabetu druh\u00e9ho typu a jako v\u00edtan\u00fd vedlej\u0161\u00ed \u00fa\u010dinek t\u011bchto l\u00e1tek b\u00fdv\u00e1 sn\u00ed\u017een\u00ed hmotnosti v\u00e1hy toho \u010dlov\u011bka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:16:40<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jak tenhle ten modern\u00ed typ l\u00e9k\u016f ovlivnil v\u00e1\u0161 obor, l\u00e9\u010dbu obezity? Proto\u017ee j\u00e1 to vid\u00edm jako opravdu i podle mno\u017estv\u00ed t\u011bch \u010dl\u00e1nk\u016f, kter\u00e9 vych\u00e1zej\u00ed, \u017ee to z\u00e1sadn\u00ed bylo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:16:52<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Z\u00e1sadn\u00ed to je, a j\u00e1, p\u0159esto\u017ee jsem chirurg, tak\u017ee inklinuji k tomu rad\u011bji nemocn\u00e9 operovat, tak mus\u00edm \u0159\u00edct, \u017ee jsem tyto l\u00e9ky p\u0159iv\u00edtal, proto\u017ee j\u00e1 je nevn\u00edm\u00e1m jako konkurenty, ale vn\u00edm\u00e1m je jako v\u00edtan\u00e9 pomocn\u00edky p\u0159i l\u00e9\u010db\u011b obezity, vysv\u011btl\u00edm to asi tak, \u017ee jestli\u017ee chceme n\u011bkoho a pot\u0159ebujeme n\u011bkoho l\u00e9\u010dit obezitou, tak bu\u010f mu m\u016f\u017ee nasadit relativn\u011b velk\u00e9 d\u00e1vky l\u00e9k\u016f, kter\u00e9, by\u0165 jsou velmi \u00fa\u010dinn\u00e9, tak nejsou prosty n\u011bkter\u00fdch vedlej\u0161\u00edch mo\u017en\u00fdch \u00fa\u010dink\u016f a nav\u00edc se mus\u00ed pod\u00e1vat celo\u017eivotn\u011b. Tak bu\u010f jsem odk\u00e1z\u00e1n na takovouhle takov\u00fdto zp\u016fsob l\u00e9\u010dby, anebo m\u016f\u017eu prov\u00e9st n\u011bjakou nap\u0159\u00edklad velkou operaci, kter\u00e1 mu zas\u00e1hne do za\u017e\u00edvac\u00edho traktu, aby zredukoval svoji v\u00e1hu a tyto l\u00e9ky umo\u017e\u0148uj\u00ed nyn\u00ed velmi dob\u0159e spolupracovat a vlastn\u011b pou\u017e\u00edt oboj\u00ed p\u0159\u00edstup, ale ve sn\u00ed\u017een\u00e9m mno\u017estv\u00ed nebo ve sn\u00ed\u017een\u00e9m d\u00e1vkov\u00e1n\u00ed t\u011bch l\u00e9k\u016f a chirurgick\u00e9 l\u00e9\u010den\u00ed, nap\u0159\u00edklad v mnohem m\u00e9n\u011b agresivn\u00edch invazivn\u00edch operac\u00edch a spojit tyto \u00fa\u010dinky dohromady a z\u00edskat vlastn\u011b stejn\u00fd v\u00fdsledek, ale se z\u00e1sadn\u00edm sn\u00ed\u017een\u00edm vedlej\u0161\u00edch \u00fa\u010dink\u016f obou t\u011bchto l\u00e9\u010debn\u00fdch Postup\u016f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> jsou pacienti, pro kter\u00e9 ten semaglutid nen\u00ed vhodn\u00fd. Kdo by se m\u011bl d\u00e1vat pozor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:18:30<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tak absolutn\u00ed kontraindikace. Existuje jich jenom m\u00e1lo a je to nap\u0159\u00edklad prok\u00e1zan\u00e1 alergie na tu l\u00e1tku, jinak samoz\u0159ejm\u011b potom je nutn\u00e9 za\u010d\u00ednat s ni\u017e\u0161\u00ed d\u00e1vkou a zvy\u0161ovat ty d\u00e1vky, aby se vid\u011blo, jak ten organismus na toto Farmakum.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:18:49<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reaguje a tam se to, mysl\u00edm, tak\u00e9 mus\u00ed pak u\u017e br\u00e1t cel\u00fd \u017eivot. Je to tak. Kdy\u017e u\u017e n\u011bkdo za\u010dne s t\u00edm ozempikem nebo Vegovi, tak u\u017e mus\u00ed u toho z\u016fstat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:18:55<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pokud ty \u00fa\u010dinky maj\u00ed p\u0159etrv\u00e1vat, tak u toho mus\u00ed z\u016fstat. Obezita toti\u017e jako takov\u00e1 je definov\u00e1na jako onemocn\u011bn\u00ed, ale jako chronick\u00e9 onemocn\u011bn\u00ed a se sklonem k relapsu, to znamen\u00e1 k opakov\u00e1n\u00ed se k n\u00e1vratu. Tak\u017ee vlastn\u011b i kdy\u017e je ten \u010dlov\u011bk ob\u00e9zn\u00ed, vyl\u00e9\u010den\u00fd nebo diabetik, je takzvan\u011b v remisi, tak po\u0159\u00e1d z\u016fst\u00e1v\u00e1 diabetikem v sou\u010dasn\u00e9 dob\u011b bez diabet\u016f, nicm\u00e9n\u011b je po\u0159\u00e1d t\u0159eba jej sledovat a br\u00e1t n\u011bjakou l\u00e1tku nebo m\u00edt ten opera\u010dn\u00ed z\u00e1krok, kter\u00fd vlastn\u011b zajist\u00ed tot\u00e9\u017e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:19:34<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Podle nejnov\u011bj\u0161\u00edch zji\u0161t\u011bn\u00ed v\u011bdc\u016f ten semaglutik, to je sou\u010d\u00e1st\u00ed tou \u00fa\u010dinnou l\u00e1tkou ve zm\u00edn\u011bn\u00fdch l\u00e9\u010divech. Chr\u00e1n\u00ed tak\u00e9 srdce, dokonce jako pom\u00e1h\u00e1 se z\u00e1n\u011bty. Ani\u017e by to ale vlastn\u011b p\u0159edpokl\u00e1dalo tu nutnost chodit v\u00e1hu, tak to mn\u011b p\u0159i\u0161lo tak\u00e9 dost jako zaj\u00edmav\u00e9, \u017ee se zaraduj\u00ed i kardiologov\u00e9, jak z\u00e1sadn\u00ed zji\u0161t\u011bn\u00ed to je z va\u0161eho pohledu?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:19:54<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ur\u010dit\u011b jsou l\u00e9ky A se magluty, do nich pat\u0159\u00ed, \u017ee poskytuj\u00ed ur\u010ditou ochranu srde\u010dn\u00edmu svalu a v\u016fbec ob\u011bhov\u00e9 soustav\u011b. Nicm\u00e9n\u011b aby zase jsme v\u0161echno dali do spr\u00e1vn\u00e9ho \u00fahlu pohledu a perspektivy. Neznamen\u00e1 to, \u017ee bychom m\u011bli l\u00e9ky, kter\u00e9 umo\u017en\u00ed \u010dlov\u011bku m\u00edt vysokou nadv\u00e1hu nebo obezitu, sed\u011bt u televize. Op\u011bt zjednodu\u0161uji. J\u00edst ty \u010dipsy nebo bramb\u016frky a podobn\u011b, sledovat n\u011bjak\u00fd po\u0159\u00e1d a p\u0159itom nem\u00edt komplikace ve smyslu t\u00e9 nadv\u00e1hy, obezity, anebo komplikace spojen\u00e9 s t\u00edm. Ano, tyto l\u00e9ky sv\u00fdm zp\u016fsobem ochr\u00e1n\u00ed ur\u010ditou \u010d\u00e1st populace nebo sn\u00ed\u017e\u00ed v\u00fdskyt t\u011bch p\u0159\u00edhod kardiovaskul\u00e1rn\u00edch, ale neznamen\u00e1 to, \u017ee by to byla magick\u00e1 pilulka nebo magick\u00e1 injekce, kter\u00e1 umo\u017en\u00ed chovat se zcela norm\u00e1ln\u011b b\u011b\u017en\u011b, to znamen\u00e1, jak to vedlo k onemocn\u011bn\u00ed obezitou a p\u0159itom b\u00fdt chr\u00e1n\u011bn a b\u00fdt na tom zdravotn\u011b velmi dob\u0159e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:21:02<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ale p\u0159esto tohle je, mysl\u00edm, takov\u00e1 v\u00fdborn\u00e1 vest medic\u00edn\u011b, kdy\u017e se na to p\u0159ijde, \u017ee po \u010dase n\u011bjak pou\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, na ur\u010dit\u00e9ho typu pacient\u016f, si najednou zjist\u00ed, \u017ee nev\u00edm, n\u011bkdo t\u0159eba roztrou\u0161enou skler\u00f3zu. A ta v\u011bc v\u00fdrazn\u011b pom\u016f\u017ee. To si mysl\u00edm, \u017ee jako je pozoruhodn\u00e9, stoj\u00ed to za zm\u00ednku a \u017ee ty kombinace, jen jak \u010dasto b\u00fdvaj\u00ed ty va\u0161i pacienti komorbidn\u011bji, jinak se to \u0159\u00edk\u00e1, b\u00fdvaj\u00ed v\u00edce komplikac\u00ed jako jin\u00e9ho druhu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:21:24<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u00edvaj\u00ed velmi \u010dasto, to znamen\u00e1, \u017ee s tou obezitou se opravdu v\u00e1\u017e\u00ed dal\u0161\u00ed z\u00e1va\u017en\u00e9 komplikace a k nim bezesporu pat\u0159\u00ed cukrovka druh\u00e9ho typu. Pat\u0159\u00ed k nim i vysok\u00fd krevn\u00ed tlak. Pat\u0159\u00ed k nim nap\u0159\u00edklad i, co\u017e se ne tak \u010dasto zmi\u0148uje. Velmi obt\u00ed\u017en\u00e9 ot\u011bhotn\u011bn\u00ed u mlad\u00fdch \u017een, kter\u00e9 by si p\u0159\u00e1ly ot\u011bhotn\u011bt, ale ta obezita je spojena tedy s touto infertilitou a pat\u0159\u00ed k nim i bohu\u017eel zv\u00fd\u0161en\u00fd v\u00fdskyt n\u011bkter\u00fdch n\u00e1dorov\u00fdch onemocn\u011bn\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:21:57<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No, tak\u017ee potom tahle pomocn\u00e1 l\u00e9\u010dba i chirurgovi d\u00e1v\u00e1 n\u011bjakou berli\u010dku, n\u011bjakou pomoc v tom postupu, pokud tedy je tak stra\u0161n\u011b obt\u00ed\u017en\u00e1 ta samotn\u00e1 zm\u011bna \u017eivotn\u00edho stylu, to je podstata v\u011bci, \u017ee jo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:22:08<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ano. Podstata v\u011bci je m\u00edt mo\u017enost tomu \u010dlov\u011bku nemocn\u00e9mu obezitou pomoci k tomu, aby byl schopen zm\u011bnit ten \u017eivotn\u00ed styl. A jsou p\u0159\u00edstupy, a\u0165 u\u017e tedy nap\u0159\u00edklad zmi\u0148ovan\u00e1 farmakoterapie nebo bariatrick\u00e1 metabolick\u00e1 chirurgie, anebo jejich kombinace, co\u017e je moment\u00e1ln\u011b, si mysl\u00edm, to nejlep\u0161\u00ed, co existuje, jsou p\u0159\u00edstupy, kter\u00e9 tomu nemocn\u00e9mu velmi zjednodu\u0161\u00ed zm\u011bnu toho \u017eivotn\u00edho stylu a hubnut\u00ed bez z\u00e1sadn\u00edch pocit\u016f, hladu a chuti k j\u00eddlu, co\u017e ty pocity hladu a chut\u00ed k j\u00eddlu jsou jedny z t\u011bch nejz\u00e1va\u017en\u011bj\u0161\u00edch, kter\u00e9 vlastn\u011b vedou zp\u00e1tky toho \u010dlov\u011bka i po redukci v\u00e1hy k tomu, aby znovu za\u010dal p\u0159ib\u00edrat. Tak\u017ee to jsme dneska schopni velmi dob\u0159e ovlivnit a sn\u00ed\u017eit tyto pocity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">00:23:06<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">mluv\u010d\u00ed 4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sou\u010d\u00e1st po\u0159adu Leonardo Plus v\u011bnoval profesor Martin&lt;unk>ied, chirurg, odborn\u00edk na l\u00e9\u010dbu obezity. D\u011bkuju, \u017ee jste p\u0159i\u0161el.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cesk\u00fd rozhlas po\u0159ad Leonardo Plus Pozv\u00e1n\u00ed p\u0159ijal chirurg Martin Fried, dobr\u00fd den. budeme se v\u011bnovat nov\u00fdm poznatk\u016fm v oboru v\u00fd\u017eivy a l\u00e9\u010dby obezity. Co nov\u00e9ho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=64815\" title=\"Chirurg o potravin\u00e1ch i obezit\u011b\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14556,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-64815","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\/64815","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=64815"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64815\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14556"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}