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Veleučilište Lavoslav Ružička u Vukovaru Dislocirani stručni studij fiziozterapije u Pregradi

Kolegij: Specijalne teme u fizioterapiji:

METABOLIČKI SINDROM U DJEČJOJ DOBI

Marko Kudeljnjak
Sadržaj
1. Uvod 2. Od čega se sastoji

Uvod

Metabolički sindrom je skupina metaboličkih poremećaja koji se očituju kao inzulinska rezistencija nakupljanje masnog tkiva u području trbuha (abdominalna ili centralna pretilost), visoka razina kolesterola i povišen krvni tlak. Ovaj je sindrom u velikoj mjeri uzrokovan pogrešnim stilom života. Nepravilna i neredovita prehrana s velikim udjelom ugljikohidrata, tjelesna neaktivnost, glavna su obilježja života danas. Smatra se da upravo takav način života uz genetsku predispoziciju, pridonosi razvoju metaboličkog sindroma.

Kako nastaje metabolički sindrom:
Ovaj je sindrom u velikoj mjeri uzrokovan pogrešnim stilom života. Nepravilna i neredovita prehrana s velikim udjelom ugljikohidrata, tjelesna neaktivnost, glavna su obilježja života danas. Smatra se da upravo takav način života uz genetsku predispoziciju, pridonosi razvoju metaboličkog sindroma. Dijeca su ovdje posebno pogođena budući da živimo u vremenu napredne tehnologije gdje su prisutni razno razni uređaji poput (kompjutera, pametnih mobitela video igrica itd.) i dijeca se radije zabavjlaju takvim stvarima umjesto da se bave nekom fizičkom aktivnošću. Tu je još i problem prehrane jer nam je u današnje vrijeme sve više i više dostupan tzv. Junk food koji dijeca više preferiraju od zdrave mamine kuhinje.

Klinička slika

Metabolički sindrom se očituje kao skupina poremečaja a to su:
-Inzulinska rezistencija koja dovodi do dijabetesa
- pretilost
-povišen krvni tlak uzrokovan kolesterolom.

Inzulinska rezistencija
To je otpornost, tj. relativna neosjetljivost perifernih tkiva na djelovanje inzulina. U pravilu je povezana sa povišenom razinom inzulina u krvi, centralnim tipom pretilosti (tzv."trbušni tip"), povišenim krvnim tlakom, povišenom razinom šećera u krvi, bolešću koronarnih arterija, povišenom razinom masnoće (triglicerida) u plazmi, itd.
Najčešći uzrok je debljina, pa je to i prvi problem koji treba terapijski rješavati.

Pretilost
Pretilost (ili još debljina i gojaznost) (latinski: obesites), kronična bolest koja nastaje prekomjernim nakupljanjem masti u organizmu i povećanjem tjelesne težine. Svako povećanje 10% više od idealne težine smatra se gojaznošću.

Kolesterol

Pretjerane količine kolesterola opterećuju stanice koje sudjeluju u njegovom transportu i metabolizmu, a najosjetljivije stanice na povišenu razinu kolesterola su stanice koje se nalaze na unutrašnjoj strani krvnih žila – endotelne stanice. Stoga je povišen kolesterol prepoznat kao rizični faktor za nastajanje krvožilnih i srčanih bolesti.

Šečerna bolest
Šećerna bolest ili dijabetes (lat. diabetes mellitus), poremećaj je povećavanja razine šećera u krvi žlijezde gušterače (pankreas), koji se zbiva kada gušterača prestane potpuno ili djelomično proizvoditi hormon inzulin ili proizvedeni inzulin nije djelotvoran u organizmu. U tom slučaju stanice ne dobivaju hranu potrebnu za život. Debljina u djece
Prevalencija debljine u djece je u porastu širom svijeta. Uzroci epidemije su brojni, među ostalim to su promjene prehrambenih navika, vrsata hrane i njezine raspoloživosti te promjene načina života vezanog uz smanjenje potrošnje energije. Kako se debljina povećava tako i zdrastvene posljedice koja ona donosi sa sobom postaju sve teže i očitije. Debljina je povezana sa začajnim zdrastvenim problemima u pedijatrijskoj populaciji i važan je faktor rizika morbiditeta i mortaliteta u odrasloj dobi. U djece i adolescenata debljina može dovesti do pojave inzulinske rezistencije, dijabetesa tipa 2, steatoze jetre, ortopedskih komplikacija itd.

Lječenje

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