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The first Obesity Unit in Czechoslovakia was established twenty years ago


Authors: V. Hainer 1;  M. Kunešová 1;  V. Štich 2
Authors place of work: Endokrinologický ústav, Praha 1;  Univerzita Karlova v Praze, 3. lékařská fakulta, Oddělení tělovýchovného lékařství 2
Published in the journal: Čas. Lék. čes. 2009; 148: 179-183
Category: History of Medicine

Summary

The first Obesity Unit in former Czechoslovakia was established at the Fourth Department of Internal Medicine of the Faculty of General Medicine and Faculty Hospital I twenty years ago. Both personal resources (physicians specialized in metabolism and obesity, psychologist, dietician, physiatrist and medical nurses trained in the care of obese patients) and diagnostic tools (body composition assessment by hydrodensitometry, determination of energy expenditure by indirect calorimetry, evaluation of energy and nutrient intake by PC assessment of dietary records, hormonal and biochemical examinations etc.) enabled comprehensive examinations of obese patients. Obesity unit included a specialized in-patient department where the patients with severe and complicated obesity underwent a comprehensive treatment programme which consisted of very low energy diet developed in collaboration with the Obesity Unit. The article summarizes not only clinical experiences of the unit but also its engagement in education on obesity, in research projects and international collaboration over the past 20-years period. Obesity unit succeeded to keep its continuity in spite of repeated moving between 1997–2002. Since 2002 Obesity Unit has been a part of the Institute of Endocrinology which provided additional modern facilities for hormonal and molecular genetic examinations.

Key words:
the first obesity unit, obesitology, Institute of Endocrinology.


Zdroje

1. Hainer V, Pařízková J, Kunešová M, Štich V. Antropometrická vyšetření u obézních pacientů. Čas Lék čes 1990; 129: 936–939.

2. Kunešová, M, Hainer, V, Hergetová H. et al. Simple anthropometric measurements – relation to body fat mass, visceral adipose tissue and risk factors of atherogenesis. Sb Lek 1995; 96: 257–267.

3. Hainer V, Pařízková J, Štich V, Kunešová M. Bestův kaliper modifikovaný pro vyšetřování obézních. Čas Lék čes 1990; 129: 875–877.

4. Hainer V, Kunešová M, Pařízková J, et al. Body fat assessment by a new bioimpedance instrument in normal weight and obese women. Sb Lek 1995; 96: 249–256.

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6. Hainer V, Kunešová M, Štich V, et al. Very low energy formula diet in the treatment of obesity. Int J Obes 1989; 13(Suppl 2): 185–188.

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16. Kunešová M, Hainer V, Obenberger J, et al. Adipose tissue distribution in obese females. Relationship to androgens, cortisol, growth hormone and leptin. Sb Lék 2002; 103: 477–485.

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21. Hainer V, Stunkard AJ, Kunešová M, et al. A twin study of weight loss and metabolic efficiency. Int J Obes Relat Metab Disord 2001; 25: 533–537.

22. Hainer V, Kunešová M, Stunkard AJ, et al. The within-pair resemblance in serum levels of androgens, sex-hormone binding globulin and cortisol in female obese identical twins – effect of negative energy balance induced by very low-calorie diet. Horm Metab Res 2001; 33: 417–422.

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24. Kunešová M, Phinney S, Hainer V, et al. The responses of serum and adipose Fatty acids to a one–year weight reduction regimen in female obese monozygotic twins. Ann NY Acad Sci 2002; 967: 311–323.

25. Hainer V, Kunešová M, Pařízková J, et al. Serum cortisol and sex hormone binding globulin (SHBG) levels, body fat distribution and the role of genetic factors in obese females. Sb Lék 2002; 103(4): 471–475.

26. Mikulová-Braunerová R, Hainer V, Kunešová M, et al. Influence of vitamin A consumption on resting metabolic rate and fasting respiratory quotient in severely obese subjects. Med Princ Pract 2003; 12: 189–192.

27. Kabrnová-Hlavatá K, Hainer V, Gojová M, et al. Calcium intake and the outcome of short-term weight management. Physiol Res 2008; 57: 237–245.

28. Hainer V, Kunešová M, Bellisle F, et al. Psychobehavioral and nutritional predictors of weight loss in obese women treated with sibutramine. Int J Obes (Lond) 2005; 29: 208–216.

29. Hainer V, Kunešová M, Bellisle F, et al. The Eating Inventory, body adiposity and prevalence of diseases in a quota sample of Czech adults. Int J Obes (Lond) 2006; 30: 830–836.

30. Hainer V, Kabrnová K, Aldhoon B, et al. Serotonin and norepinephrine reuptake inhibition and eating behavior. Ann NY Acad Sci 2006; 1083: 252–269.

31. Kunešová M, Braunerová R, Hlavatý P, et al. :The influence of n-3 polyunsaturated fatty acids and very low calorie diet during a short-term weight reducing regimen on weight loss and serum fatty acid composition in severely obese women. Physiol Res 2006; 55: 63–72.

32. Kormanová K, Fried M, Hainer V, Kunešová M. Is laparoscopic adjustable gastric banding a day surgery procedure? Obes Surg 2004; 14: 1237–1240.

33. Hajniš K, Kunešová M. Vývoj obvodu břicha a gluteu (pasu a boků) v dospělosti Čas Lék čes 2000; 139: 537–543.

34. Hajniš K, Kunešová M. Obvod břicha a gluteu (pasu a boků) – diagnostický marker rozložení tuku v dětství a dospívání. Sborn Lék 2000; 101: 43–49.

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37. Kunešová M, Hainer V, Tvrzická E. Složení mastných kyselin v séru a v tukové tkáni a obezita. DMEV 1998; 1: 180–190.

38. Hainer V. How should the obese patient be managed? Possible approaches to a national obesity management network. Int J Obes Relat Metab Disord 1999; 23(Suppl 4): S14–S18.

39. Mikulová R, Hainer V. Uncoupling proteiny. Čas Lék čes 2001; 140: 387–391.

40. Kabrnová K, Hainer V. Úloha nutričních faktorů v léčbě obezity. Čas Lék čes 2005; 144: 529–533.

41. Hlavatý P, Kunešová M. Acylaci stimulující protein – vliv na metabolismus tukové tkáně. Čas Lék čes 2006; 145: 14–18.

42. Hainer V, Toplak H, Mitrakou A. Treatment modalities of obesity: what fits whom? Diabetes Care 2008; 31(Suppl 2): S269–S277.

43. Pařízková J. Impact of education on food behaviour, body composition and physical fitness in children. Brit J Nutr 2008; 99(Suppl 1): S26-S32.

Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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