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Physiotherapy for bariatric surgery patients
Kolmašová, Petra ; Cibulková, Natálie (advisor) ; Nováková, Petra (referee)
Title of thesis: Physiotherapy for bariatric surgery patients Abstract: This bachelor thesis is focused on physiotherapy for patients after bariatric surgery. The main aim of the study is to create a handbook for bariatric patients, which they will be able to exercise at home. Partial aim is to find out how the quality of life and pain perception of bariatric patients changes due to group exercise, individual physiotherapy and bariatric surgery itself. The SF-MPQ, DIBDA, map pain and IWQOL-Lite questionnaire were used to determine the results. The theoretical part describes the diagnosis and examination of obesity, health complications asociated with obesity and its treatment, both conservative and surgical. It also summarizes the indications and contraindications of bariatric-metabolic surgery and types of procedures. Furthermore, it focuses on physical activity in bariatric patients and the role of physiotherapist in bariatrics. The practical part contains case reports of two patients, who underwent bariatric surgery and then attended group exercise and individual physiotherapy for four weeks. The initial examination, including questionnaires, was performed about a week before the surgery. The same type of questionnaires was used in the final examination after four-week therapy, which started 3-4 weeks...
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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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Choice of bariatric procedures and their effect on the weight change of obese people
Vorudová, Jana ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
Introduction: Bariatric surgery is one of the methods of treatment of higher degrees of obesity. It helps patients to reduce the weight if conservative methods of treatment are not effective, or if it is still necessary to deepen its effect. Bariatric procedures are divided according to the the way how they are carried out - restriction, malabsorption and combined performance. Objective: The aim of this work was to determine who gave the incentive to the patients to undergo the bariatric treatment, where they received further information and how many times they managed in the time before the operation to lose weight. Further information was obtained on subjective patient satisfaction with the results of surgery and furter the weight loss data were assessed and compared the changes of BMI after bariatric surgery. Methods: An anonymous questionnaire was sent out to collect the necessary data from 39 patients after various bariatric surgery. These data were subsequently processed and analyzed. These data were subsequently evaluated and processed using graphs and tables for better clarity Results: It was found that the doctor was the one who gave the incentive to undergo bariatric performance in 79 % of patients. It was also confirmed that 80 % of patients reduced their weight of at least 5 kg before...
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The effect of different bariatric operations on the weight loss in the treatment of obesity
Janoušková, Eva ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Introduction: Bariatric procedures belong to modern methods of therapy of obesity, especially in patients with higher degree of obesity. Currently, different procedures are performed, among those gastric banding, sleeve gastrectomy and gastric bypass. Our research investigated the effect of various bariatric procedures on the weight loss and some other metabolic values in the treatment of obesity. Methods: The data collection for quantitative research was carried out at the 3rd medical department of 1st faculty of medicine of Charles University and General Faculty Hospital in Prague, partially retrospectively and mainly prospectively. We monitored the change of weight and compensation of type 2 diabetes mellitus in the first year after operation in group of 54 patients of which 32 patients had a two-year monitoring as well. For monitoring changes of weight throughout a particular period of time after operation, the conversion on % EWL a % EBMIL was used. The data was evaluated by basic statistical methods. Results 1: In our reference group (n=54) average value of EWL was found 37,58 % in the first year after the surgery. The value of EWL for sleeve gastrectomy was 47,52 %. The value of EWL for gastric bypass was 39,82 %. The value of EWL for gastric banding was 23,28 %. Results 2: In the subset of...
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The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery
Pacholíková, Pavlína ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery Objectives: The aim of this thesis is to evaluate the effect of a three-month physical intervention on the physical fitness and quality of life in patients after bariatric surgery. Compare the measured values from six-minute walk test (6MWT) and the questionnaire survey of quality of life between the group undergoing exercise program and the group of non-exercise patients. Methods: The diploma thesis was constructed as a quasi-experiment. A six-minute walk test, a visual analogue pain scale, a Borg scale and a standardized IWQOL-Lite questionnaire were used to asses physical fitness and quality of life. The study involved 28 patients (8 undergoing an exercise program, 20 non-excercisers). The groups were measured before the planned bariatric surgery and about 3-4 months after the surgery. For the analysis of final values, the Microsoft Excel and its add-in Realstatistics was used. Results: In patients undergoing the exercise program, the VAS on average decreased of 2,04 cm, 6MWT improved on average of 42,75 m, and quality of life of 34 points. In non-exercise patients there was an average decrease in VAS of 0,08 cm, an increase in 6MWT of 41,45 m and an increase in quality of life...
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Influence of physical intervention on the musculoskeletal system in patients before and after planned bariatric surgery
Cibulková, Natálie ; Matoulek, Martin (advisor) ; Angerová, Yvona (referee) ; Větrovský, Tomáš (referee)
Title: Influence of physical intervention on the musculoskeletal system in patients before and after planned bariatric surgery. Objectives: The main objective of this study was to evaluate the effect of three months physical intervention on the development of static postural stability, musculoskeletal pain, health-related quality of life and physical fitness of obese individuals before and after bariatric surgery. Methods: This is a monocentric prospective non-randomized study. The study included 25 patients of both sexes aged 40 to 57 years (BMI 36-49 kg/m2 ). The patients were divided into an intervention and a control group. The intervention group (INT, n = 7; age 48.9 ± 5.6 years; BMI 40.6 ± 5.5 kg/m2 ) underwent a 3-month resistance aerobic exercise program with a frequency of exercises 3 times a week. The control group (KON, n = 18; age 46.8 ± 12.7 years, BMI 44.2 ± 6.4 kg/m2 ) was not subjected to the exercise program. The level of static postural stability, perceived musculoskeletal pain, health-related quality of life and the level of physical fitness in the periods before and 3, 6 and 12 months after bariatric surgery were assessed. Results: The study showed that resistance aerobic physical intervention improves musculoskeletal pain and health-related quality of life in obese patients...
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The genetic background of obesity and its treatment with bariatric surgery
Lischková, Olga
Obesity is a frequent metabolic disease that causes many other health and socioeconomic complications. Obesity arises due to excessive energy intake and decrease in energy expenditure, which is a conseqence of contemporary lifestyle. Moreover, obesity has a strong genetic component. Common obesity is polygenic, multifactorial disease, in which individual genes interact with each other and with environmental factors. Genome-wide association studies, conducted between 2006-09, led to the discovery of dozens of gene loci that predispose individuals to obesity. The strongest signals were registered for polymorphisms in FTO (fat mass and obesity-associated) and near a gene MC4R (melanocortin 4 receptor). However, the contributions of these variations on the phenotype of obesity are very small, therefore, it is necessary to validate the results of such robust studies. It is very important to uncover the effects of genetic variants for understanding the molecular mechanisms of energy metabolism. The studies presented in this thesis refer about the impact of polymorphisms in selected genes on anthropometric and metabolic parameters of the patients of the Institute of Endocrinology and of healthy volunteers who underwent functional tests. Our cohort includes a representative sample of Czech children (COPAT...
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The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery
Pacholíková, Pavlína ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The Effect of Exercise Intervention on Physical Fitness and Quality of Life in Patients after Bariatric Surgery Objectives: The aim of this thesis is to evaluate the effect of a three-month physical intervention on the physical fitness and quality of life in patients after bariatric surgery. Compare the measured values from six-minute walk test (6MWT) and the questionnaire survey of quality of life between the group undergoing exercise program and the group of non-exercise patients. Methods: The diploma thesis was constructed as a quasi-experiment. A six-minute walk test, a visual analogue pain scale, a Borg scale and a standardized IWQOL-Lite questionnaire were used to asses physical fitness and quality of life. The study involved 28 patients (8 undergoing an exercise program, 20 non-excercisers). The groups were measured before the planned bariatric surgery and about 3-4 months after the surgery. For the analysis of final values, the Microsoft Excel and its add-in Realstatistics was used. Results: In patients undergoing the exercise program, the VAS on average decreased of 2,04 cm, 6MWT improved on average of 42,75 m, and quality of life of 34 points. In non-exercise patients there was an average decrease in VAS of 0,08 cm, an increase in 6MWT of 41,45 m and an increase in quality of life...
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Physiotherapy for bariatric surgery patients
Kolmašová, Petra ; Cibulková, Natálie (advisor) ; Nováková, Petra (referee)
Title of thesis: Physiotherapy for bariatric surgery patients Abstract: This bachelor thesis is focused on physiotherapy for patients after bariatric surgery. The main aim of the study is to create a handbook for bariatric patients, which they will be able to exercise at home. Partial aim is to find out how the quality of life and pain perception of bariatric patients changes due to group exercise, individual physiotherapy and bariatric surgery itself. The SF-MPQ, DIBDA, map pain and IWQOL-Lite questionnaire were used to determine the results. The theoretical part describes the diagnosis and examination of obesity, health complications asociated with obesity and its treatment, both conservative and surgical. It also summarizes the indications and contraindications of bariatric-metabolic surgery and types of procedures. Furthermore, it focuses on physical activity in bariatric patients and the role of physiotherapist in bariatrics. The practical part contains case reports of two patients, who underwent bariatric surgery and then attended group exercise and individual physiotherapy for four weeks. The initial examination, including questionnaires, was performed about a week before the surgery. The same type of questionnaires was used in the final examination after four-week therapy, which started 3-4 weeks...
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Nutritional profile in patients with bariatric metabolic surgery
Fišerová, Veronika ; Karbanová, Martina (advisor) ; Sadílková, Aneta (referee)
Introduction: Obesity is a major health problem that affects an individual's overall health. Bariatric metabolic surgery is most important and has permanent impact on weight loss in comparison with conservative therapy. The downside is that it often leads to a row nutritional deficiencies requiring long-term supplementation. Object: The aim of the thesis is to map the intake of nutrients in the diet of bariatric patients six months and one year after the procedure. The research is primarily focused on the intake of vitamin D and calcium in diet, vitamin D, parathyroid hormone and calcium levels are also evaluated. Marginally, laboratory values are assessed prior to surgery as deficiencies are known to occur before surgery. Methodology: The research sample consists of 30 respondents who are six months (M6) and one year (Y1) from the procedure. Micronutrients are evaluated from three-day dining records recorded by respondents for at least one week. The research laboratory data was used from the medical information system of the hospital information system. The evaluation parameters for vitamin D-25 (OH)D (limit level was established to > 30 ng/ml). To assess the parathyroid hormone concentration, a minimum limit is set to 1.58 pmol/l, calcium 2.00-2.75 (mmol/l). We were wondering if the profile of...
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