Pretilost i fibrilacija atrija. (Bosnian)

Obesity and atrial fibrillation. (English)

As a health disorder, obesity is associated with many chronic diseases. Most study results indicate a positive association between pathophysiological processes in persons with excess body weight and the development of atrial fibrillation (AF), AF complications, and treatment success. Increased cardiac volume load in obesity and excess accumulation of epicardial adipose tissue are considered to be the main reasons for the development of AF. Additionally, some other conditions such as obstructive sleep apnea can influence treatment results and AF incidence. However, some studies have reported contradicting results. The results of this study performed at the Clinic for Cardiovascular Diseases at the Zagreb University Hospital Centre showed that a structured plan of body weight loss reduced cardiometabolic risk and thus also insulin resistance as well as inflammatory processes in the body that are considered to be an important factor for the development of AF. We believe that changing lifestyle habits, primarily through increased physical activity and reducing the sedentary lifestyle, could achieve a reduction of AF incidence in patients with increased body mass. [ABSTRACT FROM AUTHOR]

Pretilost se kao zdravstveni poremećaj povezuje s brojnim kroničnim bolestima. Rezultati većine istraživanja pokazuju pozitivnu povezanost patofizioloških procesa u osoba prekomjerne tjelesne mase s nastankom fibrilacije atrija (FA), njezinih komplikacija te uspješnosti liječenja. Povećano volumno opterećenje srca pri pretilosti te prekomjerno nakupljanje epikardijalnoga masnoga tkiva smatraju se glavnim uzrocima za nastanak FA-a. Osim toga, neka druga stanja poput opstruktivne apneje u spavanju mogu utjecati na ishode liječenja i učestalost pojavnosti FA-a. Ipak, postoje istraživanja koja daju oprečne rezultate. Rezultati istraživanja provedenog na Klinici za bolesti srca i krvnih žila Kliničkog bolničkog centra Zagreb pokazali su da strukturni plan gubitka tjelesne mase smanjuje kardiometabolički rizik, a samim time i inzulinsku rezistenciju, te upalne procese u tijelu za koje se vjeruje da su bitan čimbenik nastanka FA-a. Vjerujemo kako bi se promjenom životnih navika, prije svega povećanjem tjelesne aktivnosti i smanjenjem sjedilačkog načina života, u bolesnika s povišenom tjelesnom masom moglo postići i smanjenje incidencije FA-a. [ABSTRACT FROM AUTHOR]

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