J 2021

Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health

PAVLOVSKA, Iuliia, Anna POLCROVÁ, J. I. MECHANICK, Jan BROZ, M. M. INFANTE-GARCIA et. al.

Basic information

Original name

Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health

Authors

PAVLOVSKA, Iuliia (804 Ukraine, guarantor, belonging to the institution), Anna POLCROVÁ (203 Czech Republic, belonging to the institution), J. I. MECHANICK, Jan BROZ (203 Czech Republic), M. M. INFANTE-GARCIA, R. NIETO-MARTINEZ, G. A. M. NETO, Šárka KUNZOVÁ (203 Czech Republic), Mária SKLADANÁ (703 Slovakia, belonging to the institution), Jan S. NOVOTNY (203 Czech Republic), Hynek PIKHART (203 Czech Republic, belonging to the institution), Jana URBANOVA (203 Czech Republic), G. B. STOKIN, J. R. MEDINA-INOJOSA, Robert VYSOKÝ (203 Czech Republic, belonging to the institution) and J. P. GONZALEZ-RIVAS

Edition

Nutrients, Switzerland, MDPI, 2021, 2072-6643

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30308 Nutrition, Dietetics

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 6.706

RIV identification code

RIV/00216224:14110/21:00122110

Organization unit

Faculty of Medicine

UT WoS

000676674700001

Keywords in English

adiposity; cardiometabolic risk; cardiovascular disease; chronic disease; dysglycemia; insulin resistance; nutrition; obesity; type 2 diabetes

Tags

International impact, Reviewed
Změněno: 27/1/2022 22:13, Mgr. Michaela Hylsová, Ph.D.

Abstract

V originále

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.