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Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural/Social Determinants of Health
I. Pavlovska, A. Polcrova, JI. Mechanick, J. Brož, MM. Infante-Garcia, R. Nieto-Martínez, GA. Maranhao Neto, S. Kunzova, M. Skladana, JS. Novotny, H. Pikhart, J. Urbanová, GB. Stokin, JR. Medina-Inojosa, R. Vysoky, JP. González-Rivas
Language English Country Switzerland
Document type Journal Article, Review
Grant support
CZ.1.05/1.1.00/02.0123
European Regional Development Fund
LQ1605
National Program of Sustainability II (MEYS CR)
CZ.02.1.01/0.0/0.0/16_019/0000868
ENOCH
NT13434-4/2012
Ministerstvo Zdravotnictví Ceské Republiky
NLK
Free Medical Journals
from 2009
PubMed Central
from 2009
Europe PubMed Central
from 2009
ProQuest Central
from 2009-01-01
Open Access Digital Library
from 2009-01-01
Open Access Digital Library
from 2009-01-01
Health & Medicine (ProQuest)
from 2009-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2009
PubMed
34371848
DOI
10.3390/nu13072338
Knihovny.cz E-resources
- MeSH
- Adiposity ethnology MeSH
- White People statistics & numerical data MeSH
- Chronic Disease epidemiology ethnology MeSH
- Diabetes Mellitus, Type 2 epidemiology ethnology MeSH
- Diet adverse effects ethnology MeSH
- Health Status Disparities MeSH
- Adult MeSH
- Dyslipidemias epidemiology ethnology MeSH
- Hypertension epidemiology ethnology MeSH
- Cardiometabolic Risk Factors MeSH
- Cardiovascular Diseases epidemiology etiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Metabolic Syndrome epidemiology ethnology MeSH
- Obesity epidemiology ethnology MeSH
- Glucose Intolerance epidemiology ethnology MeSH
- Prediabetic State epidemiology ethnology MeSH
- Prevalence MeSH
- Sedentary Behavior ethnology MeSH
- Social Determinants of Health ethnology MeSH
- Feeding Behavior ethnology MeSH
- Health Literacy MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Geographicals
- Czech Republic MeSH
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.
Department of Epidemiology and Public Health University College London London WC1E6BT UK
Department of Health Support Faculty of Sport Studies Masaryk University 62500 Brno Czech Republic
Department of Public Health Faculty of Medicine Masaryk University 62500 Brno Czech Republic
International Clinical Research Centre 65691 Brno Czech Republic
LifeDoc Health Memphis TN 38119 USA
Marriott Heart Disease Research Program Mayo Clinic Rochester MN 55905 USA
Research Centre for Toxic Compounds in the Environment Masaryk University 62500 Brno Czech Republic
References provided by Crossref.org
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