Abstract | Debljina je kronična metabolička bolest koja se javlja kod disbalansa unosa i potrošnje energije kroz dulji period vremena i karakterizirana je prekomjernim nakupljanjem masnog tkiva u organizmu. U kliničkoj praksi se procjenjuje indeksom tjelesne mase, a za dodatnu procjenu nakupljanja visceralnog masnog tkiva, koje predstavlja veći rizik za nastanak kardiovaskularnih i metaboličkih bolesti, koristi se mjera opsega struka. Suvremeni način života s dominatno sjedilačkim aktivnostima te široka dostupnost prerađene hrane s visokim udjelom masti i jednostavnih ugljikohidrata itekako utječe na razvoj debljine.
Debljina je složeno stanje koje mogu uzrokovati razni čimbenici poput genetike, prehrambenih navika, tjelesne neaktivnosti te okolišnih, socioekonomskih i psiholoških čimbenika kao i određena zdravstvena stanja i lijekovi. Debljina se također povezuje s brojnim zdravstvenim problemima kao što su kardiovaskularne bolesti, dijabetes, respiratorni problemi, problemi muskuloskeletnog sustava, hormonski problem te problemi mentalnog zdravlja, stoga su prevencija i liječenje medicinskih komplikacija debljine najvažniji ciljevi terapije kod mladih i sredovječnih odraslih osoba, dok je poboljšanje fizičke funkcije i kvalitete života najvažniji cilj terapije kod starijih odraslih osoba.
Dijete se preporučuju kao intervencija za suzbijanje debljine te se odnose na smanjivanje unosa kalorija, poboljšavanje kvalitete prehrane, smanjivanje porcija i učestalosti obroka, no mršavljenje mora biti povezano s tjelesnom aktivnosti koja ne samo da pridonosi uspješnosti mršavljenja već pomaže pri smanjivanju boli i povećanju mobilnosti. |
Abstract (english) | Obesity, or being overweight, is a chronic metabolic disease that occurs due to an imbalance between energy intake and expenditure over an extended period of time and is characterized by excessive accumulation of fat tissue in the body. In clinical practice, it is assessed using the body mass index (BMI), and for an additional evaluation of visceral fat accumulation—which poses a higher risk for the development of cardiovascular and metabolic diseases—waist circumference measurement is used. The modern lifestyle, dominated by sedentary activities and the widespread availability of processed foods high in fats and simple carbohydrates, significantly contributes to the development of obesity.
Obesity is a complex condition that can be caused by various factors such as genetics, dietary habits, physical inactivity, environmental, socioeconomic, and psychological factors, as well as certain medical conditions and medications. Obesity is also associated with numerous health problems, such as cardiovascular diseases, diabetes, respiratory issues, musculoskeletal disorders, hormonal problems, and mental health issues. Therefore, the prevention and treatment of the medical complications of obesity are the primary therapeutic goals for young and middle-aged adults, while improving physical function and quality of life is the main therapeutic goal for older adults.
Diets are recommended as an intervention to combat obesity, focusing on reducing calorie intake, improving diet quality, and decreasing portion sizes and meal frequency. However, weight loss must be paired with physical activity, which not only contributes to the success of weight loss but also helps reduce pain and increase mobility. |