The current situation in the management of obese patients in Slovakia: the concept of national comprehensive obesity management in the Slovak Republic

Česká verzia

Authors: Ľubomíra Fábryová
Authors place of work: Špecializovaná lipidologická ambulancia MED PED centrum, Bratislava ; Ambulancia pre diabetológiu, poruchy látkovej premeny a výživy
Published in the journal: Forum Diab 2018; 7(2): 89-97
Category: Přehledová práce

Summary

Obesity is currently a global epidemic (pandemic) and the most common metabolic disorder affecting not only adults but also children and adolescents worldwide. Increase in overweight/ obesity – as a chronic relapsing disease associated with multiple complications (metabolic, structural, inflammatory, neoplastic, degenerative) contributes significantly to the negative numbers characterizing the Slovak population (low life expectancy, lagging in terms of healthy life years at birth). Manners of managing obese people vary across the European Union. Many of European countries have developed recommendations for the management of obesity in the adult (some in the child and adolescent) population (these recommendations are still lacking in our country). The care of obese patients is very limited in everyday clinical practice. Of course, it causes more (lack of systematic collection of overweight / obesity prevalence data and its complications, less effective or ineffective national prevention programs and action plans, lack of information in the professional and lay public about the preparation, but also about the results of national programs and action plans, insufficient understanding of obesity as a chronic disease, no existing infrastructure of care for obese individuals, no or insufficient coverage of the care for obese patients from public health insurance, limited access to innovative antiobesity therapies, bariatric/metabolic surgery). The possibility for improving the situation in Slovakia is to implement the concept of multi-level multidisciplinary management of obesity. Effective obesity management depends on us, health care providers who need clear support from government and health authorities.

Key words:

centers for obesity management education multi-level obesity management obesity overweight

Zdroje

Uerlich MF, Yumuk V, Finer N et al. Obesity Management in Europe: Current Status and Objectives for the Future. Obes Facts 2016; 9(4): 273–283. Dostupné z DOI: <http://dx.doi.org/10.1159/000445192>.
Hainer V, Tsigos C, Toplak H et al. Comment on the Paper by Uerlich et al. Obesity Management in Europe: Current Status and Objectivs for th Future. Obesity Facts 2016;9: 273–283. Obes Facts 2016;9(6): 392–396. Dostupné z DOI: <http://dx.doi.org/10.1159/000452249>.
Hebebrand J, Holm JC, Woodward E et al. A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology, Degree of Adiposity and Health Risk. Obes Facts 2017; 10(4): 284–307. Dostupné z DOI: <http://dx.doi.org/10.1159/000479208>.
Smatana M, Pažitný P, Kandilaki D et al. Slovakia: Health system review. Health Syst Transit 2016; 18(6):1–210. Dostupné z WWW: <http://www.healthobservatory.eu>.
Avdičová M, Francisciová K, Ďateľová M. Monitorovanie rizikových faktorov chronických chorôb v SR. RÚVZ so sídlom v Banskej Bystrici za podpory WHO – regionálnej úradovne v Kodani: 2012. ISBN 978–80–971096–0-8.
Currie C, Zanotti C, Morgan A et al (eds). Social determinants of health and well-being among young people: Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. WHO Regional Office for EuropeCopenhagen: 2012 (Health Policy for Children and Adolescents, No. 6). Dostupné z WWW: <http://www.euro.who.int/__data/assets/pdf_file/0003/163857/Social-determinants-of-health-and-well-being-among-young-people.pdf>. ISBN 978 92 890 1423 6.
Vitáriušová E, Košťálová Ľ, Pribilincová Z et al. Problems of metabolic syndrome diagnostics in children. Endocr Regul 2010; 44(4): 115–120. Erratum in Endocr Regul 2010; 44(4): 164.
Národný akčný plán v prevencii obezity na roky 2015 – 2025. Dostupné z WWW: <http://www.uvzsr.sk/docs/info/podpora/NAPPO_2015–2025.pdf>.
Pollack A. AMA recognizes obesity as a disease. New York Times 2013. Dostupné z WWW: <https://www.nytimes.com/2013/06/19/business/ama-recognizes-obesity-as-a-disease.html>.
Hauner H, Koster I, von Ferber L. Frequency of `obesity‘ in medical record and utilization of out-patient health care by obese‘ subjects in Germany. An analysis of health insurance data. Int J Obes Relat Metab Disord 1996; 20(9): 820–824.
Vyhláška Ministerstva zdravotníctva Slovenskej republiky z 2. mája 2014, ktorou sa ustanovuje zoznam chorôb, pri ktorých sa poskytuje poistencovi z verejného zdravotného poistenia dispenzarizácia, frekvencia vyšetrení a poskytovatelia zdravotnej starostlivosti vykonávajúci dispenzarizáciu. Zbierka zákonov č. 127/2014 Čiastka 42. 988–989. Dostupné z WWW: <www.zbierka.sk>.
Tsigos C, Hainer V, Basdevant A et al. [Obesity Management Task Force of the European Association for the Study of Obesity]. Management of obesity in adults: European clinical practice guidelines. Obes Facts 2008; 1(2): 106–116. Dostupné z DOI: <http://dx.doi.org/10.1159/000126822>.
Yumuk V, Frühbeck G, Oppert JM et al. [Executive Committee of the European Association for the Study of Obesity]. An EASO position statement on multidisciplinary obesity management in adults. Obes Facts 2014; 7(2): 96–101. Dostupné z DOI: <http://dx.doi.org/10.1159/000362191>.
Yumuk V, Tsigos C, Fried M et al. [Obesity Management Task Force of the European Association for the Study of Obesity]. European guidelines for obesity management in adults. Obes Facts 2015; 8(6): 402–424. Dostupné z DOI: <http://dx.doi.org/10.1159/000442721>.
Fried M, Yumuk V, Oppert JM et al. [European Association for the Study of Obesity; International Federation for the Surgery of Obesity – European Chapter]. InterdisciplinaryEuropean guidelines on metabolic and bariatric surgery. Obes Facts 2013; 6(5): 449–468. Dostupné z DOI: <http://dx.doi.org/10.1159/000355480>.
Hainer V. How should the obese patient be managed? Possible approaches to a national obesity management network. Int J of Obesity 1999; 23(Suppl 4): S14-S18; discussion S18–9.
Hainer V, Finer N, Tsigos C et al. Management of obesity in adults: project for European primary care. Int J Obes Relat Metab Disord 2004; 28(Suppl 1): S226–S231.
Tsigos C, Hainer V, Basdevant A et al. Criteria for EASO-Collaborating Centers for Obesity Management. Obes Facts 2011; 4(4): 329–333. Dostupné z DOI: <http://dx.doi.org/10.1159/000331236>.