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Affect of bariatric treatment of diabetes compensation
Zemčáková, Simona ; Matoulek, Martin (advisor) ; Mráz, Miloš (referee)
This bachelor thesis deals with problems of obesity, diabetes mellitus and subsequent medical complications. We will focus on topic of obesity in the theoretical part. Obesity has become a global epidemic. In this thesis we will focus on the treatment of obesity and the follow up topic of diabetes mellitus in great detail. Diabetes mellitus counts as a disease of obesity. Diabetes mellitus causes grave illness when we do not keep to regime measures. Successful changes lifestyle, eating habits and increased physical activity have a positive impact on the health of the patient. If these measure do not help to improve the patient's health, then we turn to surgical treatment. We will compare the affect of different methods with metabolic parameters. The 54 patients participated in the scientific research, there of 33 diabetics and 21 nondiabetics. It was caused by a significiant decrease in weight reduction in both groups. The method of gastric bypass showed the biggest affect in weight reduction by group of diabetics. The weight loss is 32,6 kg after two years. The method of sleeve gastrectomy reduced blood glucose the best in the years after the surgical intervetion. From blood glucose 7,27 mmol/l to 5,62 mmol/l. The same method has a good affect in decrease of glycated hemoglobin. From 6,09 % to...
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Monitoring of blood glucose levels during training in response to a specific caloric intake before training unit
Bohnerová, Beáta ; Matoulek, Martin (advisor) ; Tuka, Vladimír (referee)
Introduction: This bachelor's thesis focuses on the compensation of type 1 diabetes during and after physical activity. It is important to understand the effect of insulin, be familiar with food's glycemic index or glycemic load and primarily perform selfmonitoring, in order to prevent hypoglycemia. Object: The aim of this study is to find out, how physical activity affects glucose level and insulin consumption, find out whether athletes with 1 type DM can correctly estimate insulin dosage and glucose income before and during and after physical activity. Methods : Obtained information were arranged in case interpretation in tables for three patients with 1 DM, each table describes day's course of patients, information of glucose levels, insulin dosage, calorie intake and type of physical activity. Results: Patients with 1 type diabetes are aware of the need to adjust insulin dose before exercise, but they aren't certain, how to achieve it correctly .Taking too much insulin effectively causes hypoglycemia, one patient had 4 hypoglycemia in one day. Conclusion: Sometime it is very difficult to recognize hypoglycemia during exercise, but it is important to prevent hypoglycemia and its complications. Keywords: 1 type diabetes, diabetes and physical activity, hypoglycemia during and after exercise,...
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The predictor of the weight
Sadílková, Aneta ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Introduction: Conservative reduction mode still represents an essential element in treatment of obesity. It is based on inducing a negative energy balance by reducing energy intake and increasing energy expenditure. Objective: Create a test database using collected data and implement a Weight Predictor web application that predicts real body weight loss for people intending to lose weight. Methods: The sample included 45 subjects, 31 female and 14 male, visiting the obesity clinic of Third Department of Internal Medicine of the General University Hospital. Using the prospective method, we have collected data documenting the development of weight loss in these subjects in the first month of reduction. Changes in weight and changes in waist and hip circumference were recorded in direct connection with the real energy intake and expenditure. The collected data was analyzed in terms of its completeness and validity in order to select a suitable sample for testing the Weight Predictor application. Statistical evaluation of the data was performed in order to evaluate the overall success of weight loss in the subjects. Results: The overall success rate of the reduction mode was assessed as 67%. This means that 30 patients out of 45 were able to lose weight at least in the first month of the program. In...
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The Effect of Bariatric Operations on the Compensation of Diabetes Mellitus
Horáková, Jitka ; Matoulek, Martin (advisor) ; Haluzík, Martin (referee)
This bachelor thesis deals with the problem of obesity and diabetes mellitus in today's society. The theoretical part brings a closer look at the problem of obesity, the complications resulting from it and the possible ways of therapy. Further it discusses the problem of diabetes mellitus and the influence of obesity on diabetes mellitus type 2 that causes serious health complications. The thesis describes the treatment options of the mentioned diseases, especially focusing on lifestyle changes (dietary regimen, physical activity) and bariatric surgery that significantly contributes to weight reduction and reduction of complications risks. The practical part of the thesis deals with the research in this area, comparing a group of diabetic and non-diabetic patients undergoing the bariatric surgery. Furthermore, it focuses on the impact of the bariatric surgery on the compensation of diabetes mellitus. Keywords: obesity, diabetes mellitus, dietary treatment, bariatric operations
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Reduction Modes to 3rd Medical Department in the Treatment of Obesity and Metabolic Syndrome and their Effect on the Outcome of Bariatric Operations
Jungová, Ivana ; Matoulek, Martin (advisor) ; Haluzík, Martin (referee)
(teze): Úvod: Redukční režimy na 3. interní klinice VFN Praha v léčbě obezity a metabolického syndromu a jejich vliv na úbytek hmotnosti po bariatrické operaci při aplikaci těsně před zákrokem. Metody: Porovnávání shromážděných dat týkajících se redukce hmotnosti v době před a 1 rok po bariatrickém zákroku pro dvě skupiny pacientů. Jedna skupina absolvovala těsně před operativním výkonem redukční pobyt. Druhá skupina byla přijata k operačnímu řešení z ambulantního režimu. Výsledky: Obě skupiny pacientů ve sledované době (1 rok po operaci) svou hmotnost významně redukovaly, vyšší úbytek v kilogramech po roce od zákroku byl zaznamenán u skupiny s redukčním pobytem (23,02 kg), u skupiny bez redukčního pobytu byl průměrný úbytek hmotnosti 21,17 kg. Po porovnání úbytku hmotnosti z průměrné hodnoty životního maxima skupin má významně vyšší redukci skupina s redukčním pobytem (51,9 kg), skupina bez redukčního pobytu redukovala ze svého životního maxima průměrně o 32 kg. Hodnota EWL (Excess Weight Loss) jeden rok po operaci byla vyšší u skupiny bez redukčního pobytu (39,36 %), u skupiny s redukčním pobytem dosáhla hodnoty 33,509 %. Stejně tak hodnotu EBMIL (Excess BMI Loss) měla skupina bez redukčního pobytu vyšší než skupina s redukčním pobytem. Procentuální roční úbytek hmotnosti byl u obou skupin...
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Constitution of interested persons in physical activity and their aims in reconditioning center of VŠTJ MEDICINA PRAHA
Svobodová, Eva ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Title: Constitution of interested persons in physical aktivity and their aims in reconditioning center of VŠTJ MEDICINA PRAHA Objectives: The first aim of this work is to find out, what is the main motivation of the patiens with the metabolic syndrome in the beginning of the physical excercise. The second aim is through analysis of clients of reconditioning center for assuring sufficient professionally led classes of physical aktivity. Methods: Socio-epidemiologic research on sample of clients of reconditioning center of VŠTJ MEDICINA PRAHA at first class. For research questionnaires were used. Results: The survey involved 84 new clients, 69 women and 15 men whose average age was 48.6 ± 13.8 years. The largest group, 64%, consisted of respondents with secondary education. As the main motivation of 62 respondents reported weight loss. In the comparison with the current population is in the file higher incidence of diabetes and hypertension. Keywords: metabolic syndrome, obesity, hypertension, diabetes, motivation
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Influence of Physical Activity on Psychological Aspects and Eating Habits in Overweight Persons
Frančeová, Anna ; Matoulek, Martin (advisor) ; Chalupová, Eva (referee)
Work title: Influence of physical activity on psychological aspects and eating habits in overweight persons. Work objectives: 1) to asses the influence ofphysical activity on psychological aspects and eating habits in overweight persons, 2) to find correlations between possible changes of selected psychological parameters and changes of BMI. Methods: Three types of standardized questionnaires (BDI-II, WHOQOL-BREF and TFEQ) were used for evaluation of changes of depression, life quality and eating habits in 34 overweight persons (with BMI ~ 26 kg.m-2 ), who participated at 3-month aerobic exercise program. The results ofinput questionnaires (at the beginning of the program) and output questionnaires (at the end of the program) and values of BMI of respondents were compared and statistically evaluated. Results: Regular physical activity positively affected emotional well-being, quality of life and eating habits of respondents. The results of the study show that depression decreased, life quality increased and eating habits positively changed (more consistent dieting) in the majority of participants. Changes of BMI correlated with changes of health-related quality of life but not with ether psychological parameters (depression, mental and social-related quality oflife). Key words: physical activity,...
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The comparison of different methods of body fat measuring by ensemble of adult women devided into five groups according to the BMI level
Šebková, Jana ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Title: The comparison of different methods of body fat measuring by ensemble of adult women devided into five groups according to the BMI level. Objectives: The aim of this thesis is to compare values of gained percentage of total body fat by descriptive method such as bioelectrical impedance analysis and skinfolds measuring in comparison with "gold standard method" DEXA and to evaluate the usability of each method of body composition measuring by five groups of women, devided according to BMI level (in range 20-47 kg/m2 ). The purpose of this thesis is to find the most useful method especially for the overweight and obese women (BMI over 30 kg/m2 ) and to estimate the equation for the whole group. The other part of this thesis is the theoretical conclusion of the matters of body composition assessing and the importance of good knowledge about this topic for physiotherapists. Methods: The study was realizing from January of 2010 to March of 2011. There were 136 women, who were clients of Fitness center of VŠTJ Medicina Praha and jointed to the group voluntarely. The criteria of choosing the subjects into the study were: age 18 - 75 years, BMI 20 ≤ 45 kg/m2 , relatively healthy without accute disease. Women with cardiostimulator, pregnant women or nursing mothers were excluded. The monitored...
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Impact of bariatric surgery on Diabetes mellitus
Skalická, Iva ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
This bachelor project is focused on the issues of obesity, diabetes mellitus and its influence after the performed bariatric surgery, it is divided into two parts, theoretical and practical. Theoretical part deals with obesity and its treatment, consider the obesity complications, especially the accompanying metabolical complication so called diabetes mellitus of the second type. Moreover it introduces various types of bariatric surgery with positive influence on health status of second type diabetes patients. It also describes new trends in this field and takes into account activities before and after bariatric surgery such as preparation for the operation or post operational care. Practical part is dealing with the influence of bariatric surgery on body mass and metabolical parameters of the patients. For purpose of this study the research was conducted, representative sample of 162 patients was chosen, 68 people suffered from diabetes, the rest did not. Patients of both groups have reduced their weights significantly after the bariatric surgery of all kinds. The surgery with the biggest second type diabetes mellitus compensation is gastric bypass. The results confirmed the positive impact of bariatric surgery for the obesity treatment namely the weight reduction and metabolical parameters,...
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