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@article{1786741,
author = {Pavlovska, Iuliia and Polcrová, Anna and Mechanick, J. I. and Broz, Jan and InfanteandGarcia, M. M. and NietoandMartinez, R. and Neto, G. A. M. and Kunzová, Šárka and Skladaná, Mária and Novotny, Jan S. and Pikhart, Hynek and Urbanova, Jana and Stokin, G. B. and MedinaandInojosa, J. R. and Vysoký, Robert and GonzalezandRivas, J. P.},
article_location = {Switzerland},
article_number = {7},
doi = {http://dx.doi.org/10.3390/nu13072338},
keywords = {adiposity; cardiometabolic risk; cardiovascular disease; chronic disease; dysglycemia; insulin resistance; nutrition; obesity; type 2 diabetes},
language = {eng},
issn = {2072-6643},
journal = {Nutrients},
title = {Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health},
url = {https://www.mdpi.com/2072-6643/13/7/2338},
volume = {13},
year = {2021}
}
TY - JOUR
ID - 1786741
AU - Pavlovska, Iuliia - Polcrová, Anna - Mechanick, J. I. - Broz, Jan - Infante-Garcia, M. M. - Nieto-Martinez, R. - Neto, G. A. M. - Kunzová, Šárka - Skladaná, Mária - Novotny, Jan S. - Pikhart, Hynek - Urbanova, Jana - Stokin, G. B. - Medina-Inojosa, J. R. - Vysoký, Robert - Gonzalez-Rivas, J. P.
PY - 2021
TI - Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health
JF - Nutrients
VL - 13
IS - 7
SP - 1-17
EP - 1-17
PB - MDPI
SN - 20726643
KW - adiposity
KW - cardiometabolic risk
KW - cardiovascular disease
KW - chronic disease
KW - dysglycemia
KW - insulin resistance
KW - nutrition
KW - obesity
KW - type 2 diabetes
UR - https://www.mdpi.com/2072-6643/13/7/2338
N2 - In contrast to the decreasing burden related to cardiovascular disease (CVD), the burden related to dysglycemia and adiposity complications is increasing in Czechia, and local drivers must be identified. A comprehensive literature review was performed to evaluate biological, behavioral, and environmental drivers of dysglycemia and abnormal adiposity in Czechia. Additionally, the structure of the Czech healthcare system was described. The prevalence of obesity in men and diabetes in both sexes has been increasing over the past 30 years. Possible reasons include the Eastern European eating pattern, high prevalence of physical inactivity and health illiteracy, education, and income-related health inequalities. Despite the advanced healthcare system based on the compulsory insurance model with free-for-service healthcare and a wide range of health-promoting initiatives, more effective strategies to tackle the adiposity/dysglycemia are needed. In conclusion, the disease burden related to dysglycemia and adiposity in Czechia remains high but is not translated into greater CVD. This discordant relationship likely depends more on other factors, such as improvements in dyslipidemia and hypertension control. A reconceptualization of abnormal adiposity and dysglycemia into a more actionable cardiometabolic-based chronic disease model is needed to improve the approach to these conditions. This review can serve as a platform to investigate causal mechanisms and secure effective management of cardiometabolic-based chronic disease.
ER -
PAVLOVSKA, Iuliia, Anna POLCROVÁ, J. I. MECHANICK, Jan BROZ, M. M. INFANTE-GARCIA, R. NIETO-MARTINEZ, G. A. M. NETO, Šárka KUNZOVÁ, Mária SKLADANÁ, Jan S. NOVOTNY, Hynek PIKHART, Jana URBANOVA, G. B. STOKIN, J. R. MEDINA-INOJOSA, Robert VYSOKÝ a J. P. GONZALEZ-RIVAS. Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health. \textit{Nutrients}. Switzerland: MDPI, 2021, roč.~13, č.~7, s.~1-17. ISSN~2072-6643. Dostupné z: https://dx.doi.org/10.3390/nu13072338.
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