Povezanost antropometrijskih vrijednosti i prehrambenih navika u dijabetičara

master's thesis

• Title (english): Association between anthropometric values and nutritional habits of diabetic patients
• Author: Lucija Palatinuš
• Mentor: Velimir Altabas (mentor)
• Committee member: Neven Baršić (predsjednik povjerenstva)
• Committee member: Ivančica Delaš (član povjerenstva)
• Committee member: Velimir Altabas (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2019-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Šećerna bolest je heterogena skupina kroničnih metaboličkih poremećaja koji nastaju zbog apsolutnog ili relativnog nedostatka hormona inzulina i jedna je od najčešćih endokrinoloških bolesti u svijetu. Klasifikacija uključuje šećernu bolest tipa 1, šećernu bolest tipa 2, gestacijsku šećernu bolest te ostale, specifične tipove šećerne bolesti, a svima je zajednička hiperglikemija koja s vremenom dovodi do razvoja akutnih i kroničnih komplikacija. Šećerna bolest tipa 2 može se pojaviti u svim dobnim skupinama, a u njezinom nastanku sudjeluju nasljedni i okolišni čimbenici od kojih je jedan od najvažnijih povećana tjelesna masa definirana indeksom tjelesne mase većim od 25,0 kg/m2. Prema podacima Svjetske zdravstvene organizacije, povećana tjelesna masa uključena je u 10 vodećih čimbenika rizika za razvoj bolesti na globalnoj razini, a smatra se posljedicom suvremenih navika i načina života. U razvoju bolesti povezanih s debljinom, veći značaj se pridaje abdominalnom masnom tkivu koje je manje osjetljivo na inzulin te otpušta veće količine nekih adipokina. Česti komorbiditeti udruženi sa šećernom bolesti i debljinom su hipertenzija, dislipidemija i poremećaji prehrane od kojih je najčešći poremećaj prejedanja obilježen ponavljajućim epizodama prejedanja koje nisu praćene povraćanjem ili uporabom laksativa, emetika i diuretika. Saznanja o povezanosti antropometrijskih vrijednosti i prehrambenih navika u dijabetičara od iznimne su važnosti zbog planiranja terapije koja, osim farmakološke regulacije glukoze u plazmi, mora uključivati i promjene prehrambenih navika bolesnika, a po potrebi i suradnju s psihijatrom.

Abstract (english)

Diabetes mellitus is a heterogeneous group of chronic metabolic disorders resulting from an absolute or relative lack of insulin and is one of the most common endocrine diseases in the world. Classification includes type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes and other, specific types of diabetes, all resulting in hyperglycemia, commonly associated with the development of acute and chronic complications. Type 2 diabetes mellitus may occur in all age groups, where inherited and environmental factors play a role in its emergence. One of them which is supposed to have the most impact is increased body mass defined by a body mass index greater than 25.0 kg/m2. According to World Health Organization data, increased body mass is included in the 10 leading risk factors for disease development globally and is considered a consequence of modern habits and lifestyles. The occurrence of diseases associated with obesity is due to the excess abdominal fat tissue that is less sensitive to insulin and releases larger amounts of some types of adipokines. Frequent comorbidities associated with diabetes mellitus and obesity are hypertension, dyslipidemia and eating disorders, the most common being Binge Eating Disorder, characterized by recurrent episodes of overeating without the use of laxatives, emetics and diuretics afterwards. Knowledge of the association of anthropometric data and dietary habits in diabetics is of great importance for planning a therapy that, besides pharmacological regulation of plasma glucose, should also involve changes in the dietary habits of patients and, if necessary, the co-operation with a psychiatrist.

• Keywords: šećerna bolest tip 2; pretilost; poremećaj prehrane
• Keywords (english): type 2 diabetes mellitus; obesity; eating disorder
• Language: croatian
• URN:NBN: urn:nbn:hr:105:417657
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-10-21 12:11:59