V 21. století budeme bez zácpy(Zácpa je syndrom nízkého serotoninu)
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Z. Bic 1,2,3; S. Bizal 3,4
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Department of Population Health and Disease Prevention, Public Health Program, College of Health Sciences, University of California, Irvine, USA http://www. cohs. uci. edu/publichealth/
1; The American College of Lifestyle Medicine, www. lifestylemedicine. org
2; Wellness Coaching Institute, USA www. wellnesscoachinginstitute. com
3; The Bizal Group, Inc., USA
4
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Gastroent Hepatol 2010; 64(4): 10-17
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Original Article
Zácpa je častý syndrom postihující miliony lidí – syndrom, který se brání definitivní léčbě, způsobuje miliony ročních návštěv lékařů, za léky bez lékařského předpisu se za ni utratí miliony dolarů ročně, je provázena ekonomickými následky pro komunitu i jedince a sníženou kvalitou života. Hypotéza: Může vhodná aplikace wellness a změny životního stylu snížit riziko vzniku zácpy, změnit již přítomnou zácpu a zlepšit kvalitu života? Metoda: Vyšetřili jsme problematiku zácpy z hlediska veřejného zdraví ve 21. století. Prohlédli jsme recentní literaturu o zácpě z hlediska epidemiologie, statistiky, ekonomických následků, geografické polohy, pohlaví, socioekonomické situace, úrovně vzdělání a zdravotnické osvěty, stravovacích návyků, fyzické aktivity, úrovně stresu, komorbidity, užívaných léků a základních přírodních principů. Dva recenzenti provedli hledání citací ve Scholar Google a na Medline. Výsledky: Vyvinuli jsme teoretický model zácpy – problém veřejného zdraví ve 21. století z hlediska rizikových faktorů, prevence, léčby a aplikace medicíny wellness/změna životního stylu (tab. 1). Závěry: Zácpu je třeba zkoumat z různých hledisek. Pro prevenci a léčbu zácpy doporučujeme nový styl wellness/změnu životního stylu. Je nezbytné, aby poskytovatelé léčebné péče začali aplikovat tento postoj do svého lékařského modelu léčby. Také navrhujeme, aby zácpa nebyla považována za samostatný syndrom, ale jako první signál potenciálního porušení biochemické tělesné rovnováhy, který může vést k vývoji chronických onemocnění.
Klíčová slova:
zácpa – serotonin – životní styl – wellness – výživa – fyzická aktivita – stres
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Paediatric gastroenterology Gastroenterology and hepatology SurgeryArticle was published in
Gastroenterology and Hepatology
2010 Issue 4
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