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Nursing care of morbidly obese patients
Buřičová, Iva ; Di Cara, Veronika (advisor) ; Vaňková, Milena (referee)
According available studies the number of obese people is growing worldwide, we can speak about so called pandemic obesity. Obese patients can be mostly found in hospitals and it is needed to react to this fact in medical and nursing care. Subject of this thesis is nursing process of morbidly obese patient. Thesis is formed into case study, which describes in detail nursing case of patient, who has undergone stomach palsy due to third degree of obesity. All attempts for conservative treatment were tried. Research was done on clinic specialized in obesity treatment. Information for both theoretical and practical section were based on czech and internatinonal literatures and researches. In practical section interview was done with staff of the clinic and patient of the clinic. Goal of the thesis is detailed description of nursing process according functional health models by Margaret Gordon, gathering most important facts in nursing care of obese patient on specialized clinic and suggestion how to use these facts even out of the clinic. By analyzing the nursing process I found out, that nurses of the clinic follow given standards. In discussion chapter I am describing in detail, how the clinic is structured, which tools has the staff to their disposal and what are my suggestion for improving the...
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The influence of 3-month exercise program on postural stability in individuals after bariatric surgery
Mašková, Kateřina ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The effect of movement program on static postural stability in individuals after bariatric surgery Aims: The aim of this diploma thesis was to find out whether a three-month regular exercise program including strenght and aerobic training has an impact on static postural stability in obese individuals who underwent bariatric surgery. Methodology: The special part was written on the basis of data obtained from posturographic measurement of obese patients who underwent bariatric surgery. The static postural stability was measured using pressure plate a MobileMat from Tekscan. Participants were measured before surgery and approximately 4 months after surgery. A total of 30 subjects aged 31-65 years with BMI values between 35-55 kg/m2 (obesity class II and III) who underwent initial and exit examination including stabilometry, were included in this diploma thesis. They were divided into 2 groups, first group participating in a three-month exercise program (n = 10; age 51 ± 7.3 years; BMI 41.7 ± 6.4 kg/m2 ) and a group undergoing bariatric surgery only (n = 20; age 48 ± 9, 4 years; BMI 43.6 ± 6.5 kg/m2 ). The exercise program included exercise three times a week: once a week one-hour strength training and one-hour aerobic group training, and at least once a week home intervention. Results: In...
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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 influence of 3-month exercise program on postural stability in individuals after bariatric surgery
Mašková, Kateřina ; Daďová, Klára (advisor) ; Vilikus, Zdeněk (referee)
Title: The effect of movement program on static postural stability in individuals after bariatric surgery Aims: The aim of this diploma thesis was to find out whether a three-month regular exercise program including strenght and aerobic training has an impact on static postural stability in obese individuals who underwent bariatric surgery. Methodology: The special part was written on the basis of data obtained from posturographic measurement of obese patients who underwent bariatric surgery. The static postural stability was measured using pressure plate a MobileMat from Tekscan. Participants were measured before surgery and approximately 4 months after surgery. A total of 30 subjects aged 31-65 years with BMI values between 35-55 kg/m2 (obesity class II and III) who underwent initial and exit examination including stabilometry, were included in this diploma thesis. They were divided into 2 groups, first group participating in a three-month exercise program (n = 10; age 51 ± 7.3 years; BMI 41.7 ± 6.4 kg/m2 ) and a group undergoing bariatric surgery only (n = 20; age 48 ± 9, 4 years; BMI 43.6 ± 6.5 kg/m2 ). The exercise program included exercise three times a week: once a week one-hour strength training and one-hour aerobic group training, and at least once a week home intervention. Results: In...
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Nursing care of morbidly obese patients
Buřičová, Iva ; Di Cara, Veronika (advisor) ; Vaňková, Milena (referee)
According available studies the number of obese people is growing worldwide, we can speak about so called pandemic obesity. Obese patients can be mostly found in hospitals and it is needed to react to this fact in medical and nursing care. Subject of this thesis is nursing process of morbidly obese patient. Thesis is formed into case study, which describes in detail nursing case of patient, who has undergone stomach palsy due to third degree of obesity. All attempts for conservative treatment were tried. Research was done on clinic specialized in obesity treatment. Information for both theoretical and practical section were based on czech and internatinonal literatures and researches. In practical section interview was done with staff of the clinic and patient of the clinic. Goal of the thesis is detailed description of nursing process according functional health models by Margaret Gordon, gathering most important facts in nursing care of obese patient on specialized clinic and suggestion how to use these facts even out of the clinic. By analyzing the nursing process I found out, that nurses of the clinic follow given standards. In discussion chapter I am describing in detail, how the clinic is structured, which tools has the staff to their disposal and what are my suggestion for improving the...
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The genetic background of obesity and its treatment with bariatric surgery
Lischková, Olga ; Bendlová, Běla (advisor) ; Šeda, Ondřej (referee) ; Mráz, Miloš (referee)
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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Awareness of overweight people and people without overweight on the risk of cardiovascular dise
Hladíková, Lenka ; Marádová, Eva (advisor) ; Hanušová, Jaroslava (referee)
This thesis deals with awareness of overweight and non-overweight people about of the risk of cardiovascular diseases. The goal is to determine the level of knowledge of both groups in the section of cardiovascular diseases and their interest in this issue. Next goal is to determine the degree of difference in awareness in this issue between the sexes. The theoretical part provides information about obesity (causes, symptoms, complications, treatment). It also deals with frequent cardiovascular diseases - hypertension, atherosclerosis, myocardial infarction, ischemic heart disease, cerebrovascular accident, and dyslipidemia. One of chapters is devoted to projects that address prevention of obesity and cardiovascular diseases. The practical part of work describes examined group that participated in the survey. Analysis of the results shows that people who are not overweight or obese are more informed about the risks of cardiovascular disease than overweight and obese people, because they are less interested in this issue. Women are better informed in the section of cardiovascular diseases than men. 14 individuals out of 89 members of research is interested in the issue of cardiovascular diseases. Only 12 individuals is adequately informed of the issue of cardiovascular disease. Work includes eating plan...
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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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