Ciele štúdie: Cieľom tejto štúdie je sledovať kraniálne parametre pacientov so sagitálnou kraniosynostózou. Zameriame sa predovšetkým na rozdiely medzi endoskopickou a otvorenou chirurgickou liečbou a ich vplyv na zmeny kraniálnych parametrov u pacientov s kraniosynostózou sagitálneho švu. Kraniosynostóza má rôzne dôsledky, vrátane zníženého sebavedomia a problémov zapadnúť do detského kolektívu v dôsledku kraniofaciálnej deformity. Preto je dôležité sledovanie estetických výsledkov liečby kraniosynostózy u detských pacientov. Pacienti a metódy: Vzorka pacientov zaradených do tejto štúdie sa skladá z pacientov sledovaných neurochirurgom na Klinike detskej neurochirurgie Národného ústavu detských chorôb v Bratislave. Na sledovanie kraniálnych rozmerov boli použité klasické antropometrické metódy a nástroje. Výsledky: V našej štúdii sme nezaznamenali žiadne rozdiely v estetických výsledkoch medzi otvorenou a endoskopickou chirurgickou liečbou. Chirurgická liečba však bez ohľadu na typ zvolenej liečby priniesla požadované estetické výsledky a tieto výsledky sa časom zlepšovali. Záver: Prínosom práce bude longitudinálne sledovanie rastu detskej lebky, zhodnotenie efektivity chirurgickej liečby u pacientov s poruchami rastu neurokránia a prevencia neskorých následkov porúch rastu.

Objective: The aim of this study is to monitor the cranial parameters of patients with sagittal craniosynostosis. We will mainly focus on the differences between endoscopic and open-surgical treatment and their influence on changes in cranial parameters in patients with craniosynostosis of the sagittal suture. Craniosynostosis has various consequences, including reduced self-confidence and problems fitting in among other children due to craniofacial deformity. Therefore, monitoring aesthetic results of craniosynostosis treatment in pediatric patients is important. Patients and Methods: The sample of patients included in this study comes from patients monitored by the neurosurgeon at the Department of Paediatric Neurosurgery of the National Institute of Child Diseases in Bratislava, Slovakia. Standardized anthropometric methods and tools to monitor cranial dimensions were used. Results: In our study, we noted no differences in aesthetic results between open and endoscopic surgical treatment. However, surgical treatment, regardless of the type of chosen treatment, produced the desired aesthetic results, and these results improved over time. Conclusion: The benefit of the work will be the longitudinal monitoring of the growth of children‘s cranium, and the evaluation of the effectiveness of surgical treatment in patients with neurocranial growth disorders and the prevention of late consequences of growth disorders.

• MeSH
• antropometrie * metody   přístrojové vybavení   MeSH
• endoskopie klasifikace   metody   MeSH
• hodnocení výsledků zdravotní péče klasifikace   MeSH
• kojenec MeSH
• kraniosynostózy * chirurgie   diagnóza   klasifikace   MeSH
• kraniotomie metody   MeSH
• lidé MeSH
• počítačová rentgenová tomografie metody   MeSH
• předškolní dítě MeSH
• výsledek terapie MeSH
• zákroky plastické chirurgie metody   MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• klinická studie MeSH
• práce podpořená grantem MeSH

OBJECTIVES: This study aimed to determine the metabolic syndrome (MS) prevalence in a sample of adolescents, to calculate their continuous metabolic syndrome scores, and to determine the associations of continuous metabolic syndrome score with overweight/obesity and selected cardiometabolic and lifestyle factors. METHODS: We enrolled a sample of 2,590 adolescents (1,180 males, mean age 17.1 ± 1.04 years) from 14 grammar schools and 48 secondary schools in the Bratislava Self-Governing Region, Slovakia. Data were collected from a standard anthropometric examination, biochemical analysis of fasting venous blood, blood pressure measurement, physical fitness assessment, and a comprehensive questionnaire focused on selected lifestyle characteristics. Continuous metabolic syndrome score and paediatric simple metabolic syndrome scores were calculated. RESULTS: The criteria for the MS diagnosis according to the International Diabetes Federation (IDF) guidelines for children and adolescents were fulfilled in the whole sample by 38 (1.4%) adolescents; all were classified as overweight/obese. In the obese subgroup (n = 270), the MS prevalence rose to 13.3%. The largest number of adolescents was in the group without any of the MS components (67.5%). In the groups with 1, 2 or 3 MS components, males predominated; 0.6% of males and no females had 4 components of MS. The increasing number of individual components of MS is accompanied by a continuous increase (in the case of HDL-cholesterol - a decrease) of mean values mostly of blood lipid levels. Mean values of blood pressure (BP) and anthropometric parameters were highest in the group with three MS components. Significant correlations with body fat content or with selected lifestyle factors were not found. Using the continuous MS score calculation we found 31 adolescents, of whom 14 (45.2%) had only 1 or at most 2 MS components, i.e., they did not meet the criteria for the MS diagnosis. CONCLUSION: From the point of view of atherosclerosis prevention and early intervention, it is extremely important to monitor the MS prevalence in children and adolescents, especially in the current obesity pandemic. The paediatric MS score calculation is simple and accurate, allowing assessment of the severity of cardiometabolic risk in individuals even before the diagnosis of MS. The continuous MS score is useful in identifying individuals at increased risk and in the management of preventive health care for children and youth.

• MeSH
• antropometrie MeSH
• hodnocení rizik metody   MeSH
• kardiovaskulární nemoci epidemiologie   MeSH
• lidé MeSH
• metabolický syndrom * epidemiologie   MeSH
• mladiství MeSH
• nadváha epidemiologie   MeSH
• prevalence MeSH
• průzkumy a dotazníky MeSH
• rizikové faktory kardiovaskulárních chorob MeSH
• rizikové faktory MeSH
• životní styl MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Slovenská republika MeSH