{"id":1369311,"date":"2022-08-17T11:37:16","date_gmt":"2022-08-17T09:37:16","guid":{"rendered":"https:\/\/dnaera.mnt.webikon.sk\/cs\/?p=1369311"},"modified":"2022-10-03T12:53:03","modified_gmt":"2022-10-03T10:53:03","slug":"rozhovor-monika-kolar","status":"publish","type":"post","link":"https:\/\/dnaera.mnt.webikon.sk\/cs\/blog\/rozhovor-monika-kolar\/","title":{"rendered":"Rozhovor s nutri\u010dn\u00ed terapeutkou Monikou Kol\u00e1\u0159"},"content":{"rendered":"\n

Nutri\u010dn\u00ed terapeutka Monika Kol\u00e1\u0159ov\u00e1 je absolventkou <\/em>L\u00e9ka\u0159sk\u00e9 fakulty Masarykovy univerzity v Brn\u011b. Moment\u00e1ln\u011b je diplomantkou studijn\u00edho oboru „V\u00fd\u017eivov\u00e9 v\u011bdy se zam\u011b\u0159en\u00edm na Public Health“ na V\u00edde\u0148sk\u00e9 univerzit\u011b ve V\u00eddni. Zn\u00e1t ji m\u016f\u017eete d\u00edky jej\u00edmu profilu <\/em>@zdravieavyzivaonline<\/em><\/a>, kde tvo\u0159\u00ed vzd\u011bl\u00e1vac\u00ed obsah zam\u011b\u0159en\u00fd zejm\u00e9na na v\u00fd\u017eivu. <\/em><\/p>\n\n\n\n

Jak se d\u00edv\u00e1te na modern\u00ed preventivn\u00ed medic\u00ednu? <\/h5>\n\n\n\n

T\u011b\u0161\u00ed m\u011b, \u017ee preventivn\u00ed medic\u00edna z\u00edsk\u00e1v\u00e1 v kontextu glob\u00e1ln\u00edho n\u00e1r\u016fstu neinfek\u010dn\u00edch onemocn\u011bn\u00ed hromadn\u00e9ho v\u00fdskytu (tzv. \u201cciviliza\u010dn\u00edch onemocn\u011bn\u00ed\u201d) na v\u00fdznamu. Z hlediska nejen zdravotn\u00edho (na individu\u00e1ln\u00ed \u00farovni), ale i soci\u00e1ln\u00edho a ekonomick\u00e9ho je nesm\u00edrn\u011b d\u016fle\u017eit\u00e9 podporovat aktivity vedouc\u00ed k prevenci a v\u010dasn\u00e9mu z\u00e1chytu onemocn\u011bn\u00ed. <\/p>\n\n\n\n

\u0158ekn\u011bte n\u00e1m, pros\u00edm, v\u00edce o Va\u0161\u00ed pr\u00e1ci s optimalizac\u00ed stravov\u00e1n\u00ed jako formy prevence onemocn\u011bn\u00ed.<\/h5>\n\n\n\n

V m\u00e9 pr\u00e1ci se v souvislosti s prevenc\u00ed nej\u010dast\u011bji setk\u00e1v\u00e1m s nadv\u00e1hou, obezitou a prediabetem (tedy \u201cprest\u00e1diem\u201d cukrovky II. typu, kde je\u0161t\u011b m\u00e1me pom\u011brn\u011b dobrou \u0161anci zabr\u00e1nit pln\u00e9mu rozvoji onemocn\u011bn\u00ed). Nav\u00edc i p\u0159i rozvinut\u00fdch chronick\u00fdch onemocn\u011bn\u00edch jako diabetes, srde\u010dn\u011b-c\u00e9vn\u00ed choroby a dal\u0161\u00ed komplikace je mo\u017en\u00e9 spr\u00e1vn\u011b nastavenou stravou (a p\u0159im\u011b\u0159en\u00fdm \u017eivotn\u00edm stylem) alespo\u0148 \u010d\u00e1ste\u010dn\u011b zm\u00edrnit negativn\u00ed metabolick\u00e9 dopady a z\u00e1va\u017en\u011bj\u0161\u00ed pr\u016fb\u011bh onemocn\u011bn\u00ed. Ned\u00e1 sa mi nedodat, \u017ee i p\u0159es v\u0161udyp\u0159\u00edtomn\u00e1 z\u00e1zra\u010dn\u00e1 marketingov\u00e1 tvrzen\u00ed v\u00fd\u017eiva jako takov\u00e1 nen\u00ed absolutn\u00ed \u201cv\u0161el\u00e9k na v\u0161echno\u201d, av\u0161ak p\u0159i spr\u00e1vn\u00e9m nastaven\u00ed ur\u010dit\u011b sehr\u00e1v\u00e1 d\u016fle\u017eitou podp\u016frnou \u00falohu nejen v prevenci, ale i v terapii.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Jak\u00fdm \u010dast\u00fdm onemocn\u011bn\u00edm by se lid\u00e9 mohli vyhnout, pokud by (krom\u011b jin\u00e9ho) upravili svou stravu? <\/strong><\/p>\n\n\n\n

Dnes u\u017e nem\u00e1me pochybnosti o tom, \u017ee faktory \u017eivotn\u00edho stylu v\u010detn\u011b v\u00fd\u017eivy \u00fazce souvis\u00ed hlavn\u011b s rozvojem nadv\u00e1hy a obezity, srde\u010dn\u011b-c\u00e9vn\u00edmi a onkologick\u00fdmi chorobami i diabetem II. typu. Velmi intenzivn\u011b se tak\u00e9 diskutuje \u00faloha st\u0159evn\u00ed mikrobioty a mo\u017en\u00e9 souvislosti s rozvojem neurodegenerativn\u00edch onemocn\u011bn\u00ed a tak\u00e9 onemocn\u011bn\u00ed tr\u00e1v\u00edc\u00edho traktu na z\u00e1klad\u011b chronick\u00e9ho z\u00e1n\u011btu a zv\u00fd\u0161en\u00e9 st\u0159evn\u00ed propustnosti. <\/p>\n\n\n\n

Na va\u0161ich soci\u00e1ln\u00edch s\u00edt\u00edch se v\u011bnujete osv\u011bt\u011b a vzd\u011bl\u00e1v\u00e1n\u00ed na t\u00e9ma v\u00fd\u017eivy. Pokud byste m\u011bla d\u00e1t \u010dten\u00e1\u0159\u016fm z\u00e1kladn\u00edch 10 rad, co zlep\u0161it a implementovat do ka\u017edodenn\u00edho \u017eivota, co by to bylo? <\/h5>\n\n\n\n

P\u0159izn\u00e1m se, nen\u00ed jednoduch\u00e9 vybrat pouze 10 rad, proto\u017ee pro ka\u017ed\u00e9ho \u010dlov\u011bka m\u016f\u017ee b\u00fdt vhodn\u00e9 n\u011bco jin\u00e9ho, ale pokus\u00edm se vyjmenovat z\u00e1kladn\u00ed principy reflektuj\u00edc\u00ed \u010dast\u00e9 pot\u0159eby a nedostatky ve vztahu k j\u00eddlu na popula\u010dn\u00ed \u00farovni: <\/p>\n\n\n\n

  1. J\u00edst co nejv\u00edce prvopotravin (s jednoduch\u00fdm slo\u017een\u00edm)<\/li>
  2. J\u00edst v\u011bdom\u011b – vn\u00edmat chu\u0165, v\u016fni, texturu j\u00eddla<\/li>
  3. Vyhradit si na j\u00eddlo dostatek \u010dasu<\/li>
  4. J\u00edst dostatek ovoce a zeleniny <\/li>
  5. Za\u0159adit do ka\u017ed\u00e9ho hlavn\u00edho j\u00eddla zdroj b\u00edlkovin (nap\u0159. maso, ryby, vaj\u00ed\u010dka, lu\u0161t\u011bniny)<\/li>
  6. P\u00edt dostatek vody resp. n\u00e1poj\u016f bez obsahu (p\u0159idan\u00e9ho nebo p\u0159irozen\u011b se vyskytuj\u00edc\u00edho) cukru <\/li>
  7. Ned\u00e9monizovat potraviny. Ned\u011blat z jak\u00fdchkoliv potravin (v\u010detn\u011b cukru, lepku, ml\u00e9ka atd.) stra\u0161\u00e1ka.<\/li>
  8. Nep\u0159eh\u00e1n\u011bt to s konzumac\u00ed dopl\u0148k\u016f stravy. Jak\u00e9koliv dopl\u0148ky a vitam\u00edny by m\u011bly b\u00fdt indikov\u00e1ny rozumn\u011b – ide\u00e1ln\u011b na z\u00e1klad\u011b d\u016fkladn\u00e9 evaluace zdravotn\u00edho stavu.<\/li>
  9. Preferovat j\u00eddla va\u0159en\u00e1\/du\u0161en\u00e1, upravena \u0161etrn\u011b, v\u00edce ne\u017e j\u00eddla sma\u017een\u00e1. Konzumovat kvalitn\u00ed oleje a tuky. <\/li>
  10. Db\u00e1t na dostatek pohybu, kvalitu sp\u00e1nku a psychick\u00e9 zdrav\u00ed. <\/li><\/ol>\n\n\n\n

    <\/p>\n\n\n\n

    V p\u0159\u00edsp\u011bvc\u00edch otev\u00edr\u00e1te i kontroverzn\u011bj\u0161\u00ed t\u00e9mata z oblasti stravov\u00e1n\u00ed a \u010dasto vyvrac\u00edte r\u016fzn\u00e9 m\u00fdty. Co jsou podle v\u00e1s naj\u010dast\u011bj\u0161\u00ed m\u00fdty z oblasti v\u00fd\u017eivy, kter\u00fdm v\u011b\u0159\u00ed lid\u00e9 v na\u0161\u00ed demografii? <\/h5>\n\n\n\n

    O m\u00fdtech by se opravdu dala napsat kniha. \ud83d\ude42 Za nejne\u0161\u0165astn\u011bj\u0161\u00ed pova\u017euji striktn\u00ed d\u011blen\u00ed potravin na \u201czdrav\u00e9 a nezdrav\u00e9\u201d – dvouse\u010dn\u00e9 sm\u00fd\u0161len\u00ed a kategorizov\u00e1n\u00ed potravin podle r\u016fzn\u00fdch, \u010dasto odborn\u011b nepodlo\u017een\u00fdch a\u017e \u00fapln\u011b nesmysln\u00fdch krit\u00e9ri\u00ed uv\u00e1d\u00ed mnoho lid\u00ed do rozpak\u016f a v kone\u010dn\u00e9m d\u016fsledku ub\u00edr\u00e1 radost z j\u00eddla. <\/p>\n\n\n\n

    Jeliko\u017e jste sama absolvovala na\u0161i anal\u00fdzu DNA, konkr\u00e9tn\u011b DNA Complex test<\/a>, byli bychom r\u00e1di, kdyby jste shrnula Va\u0161i zku\u0161enost. Co v\u00e1s ve v\u00fdsledc\u00edch p\u0159ekvapilo?<\/h5>\n\n\n\n

    Predispozice pro rychlostn\u011b-silov\u00e9 sporty m\u011b v\u00edcem\u00e9n\u011b utvrdila v domn\u011bnce, \u017ee ze m\u011b asi nikdy nebude ide\u00e1ln\u00ed ultramaratonec – dlouh\u00e9 b\u011bhy jsem nikdy nem\u011bla v l\u00e1sce, ale o to v\u00edce se m\u016f\u017eu pokusit p\u0159ekon\u00e1vat samu sebe a d\u00e1t b\u011bhu (i kdy\u017e jen na krat\u0161\u00edch tras\u00e1ch) \u0161anci spolu se silov\u00fdm tr\u00e9ninkem. <\/p>\n\n\n\n

    Velmi m\u011b zaujala predispozice pro ledvinov\u00e9 kameny a diabetes II. typu, kterou anal\u00fdza DNA ERA  vyhodnotila jako \u201cz\u00e1va\u017enou\u201d. Ob\u011b diagn\u00f3zy se vyskytly u m\u00fdch bl\u00edzk\u00fdch p\u0159\u00edbuzn\u00fdch. Nevn\u00edm\u00e1m tuto informaci jako d\u016fvod pro obavy, sp\u00ed\u0161e pro m\u011b p\u0159edstavuje motivuj\u00edc\u00ed mo\u017enost reflektovat sv\u00e9 zdrav\u00ed z \u201cgenetick\u00e9ho \u00fahlu\u201d a podniknout aktivn\u00ed kroky proto, aby u m\u011b k rozvoji t\u011bchto onemocn\u011bn\u00ed nedo\u0161lo. Z pohledu nutri\u010dn\u00edho terapeuta m\u011b velmi zaujaly informace o predispozic\u00edch k ni\u017e\u0161\u00edm nebo vy\u0161\u0161\u00edm hladin\u00e1m konkr\u00e9tn\u00edch vitam\u00edn\u016f a miner\u00e1ln\u00edch l\u00e1tek. <\/p>\n\n\n\n

    P\u0159\u00edjemn\u011b m\u011b p\u0159ekvapil srozumiteln\u011b podan\u00fd informa\u010dn\u00ed i grafick\u00fd styl interpretace v\u00fdsledk\u016f, kter\u00e9 spolehliv\u011b pochop\u00ed i \u00fapln\u00fd laik v oblasti genetiky.<\/p>\n\n\n\n

    Ud\u011blala jste na z\u00e1klad\u011b v\u00fdsledk\u016f n\u011bjakou zm\u011bnu i vy? <\/h5>\n\n\n\n

    R\u00e1da bych se v\u00edce zam\u011b\u0159ila na systematick\u00fd silov\u00fd tr\u00e9nink. Vn\u00edm\u00e1m toto opat\u0159en\u00ed jako velmi dobrou investici do zdrav\u00ed s p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem. <\/p>\n\n\n\n

    Jak byste reagovala\/postupovala, kdyby klient p\u0159i\u0161el na sezen\u00ed s takov\u00fdmi informacemi o sv\u00e9m t\u011ble? Jak mohou v\u00fdsledky z anal\u00fdzy DNA pomoci p\u0159i sestavov\u00e1n\u00ed v\u00fd\u017eivov\u00fdch pl\u00e1n\u016f?<\/h5>\n\n\n\n

    Informace z anal\u00fdzy DNA mohou doplnit vstupn\u00ed informace o pacientovi (b\u011bhem anamnestick\u00e9m rozhovoru, dotazn\u00edku a z\u00e1znamech stravov\u00e1n\u00ed). Anal\u00fdza DNA nen\u00ed diagnostick\u00fdm n\u00e1strojem, m\u016f\u017ee ale v kontextu komunikovan\u00fdch v\u00fd\u017eivov\u00fdch doporu\u010den\u00ed pro klienta p\u0159edstavovat siln\u00fd dodate\u010dn\u00fd motiva\u010dn\u00ed faktor k uplatn\u011bn\u00ed zm\u011bn ve stravov\u00e1n\u00ed a \u017eivotn\u00edm stylu. Pro nutri\u010dn\u00edho terapeuta je to naopak mo\u017enost l\u00e9pe reflektovat pacient\u016fv zdravotn\u00ed stav a rodinnou anamn\u00e9zu (v prediktivn\u00ed rovin\u011b).<\/p>\n\n\n\n

    Jak\u00e1 je budoucnost pr\u00e1ce s v\u00fdsledky anal\u00fdzy DNA z pohledu nutri\u010dn\u00ed terapeutky? <\/h5>\n\n\n\n

    P\u0159edstavit si m\u016f\u017eeme ledacos. \ud83d\ude42 Mo\u017en\u00e1 jednou budeme ve st\u00e1diu, kdy anal\u00fdza DNA vzhledem k preventivn\u00edm faktor\u016fm \u017eivotn\u00edho stylu bude sou\u010d\u00e1st\u00ed b\u011b\u017en\u00e9 zdravotn\u00ed prohl\u00eddky s mo\u017enost\u00ed zapojen\u00ed do preventivn\u00edch program\u016f, kter\u00e9 by lidi dlouhodob\u011b aktivn\u011b nab\u00e1daly k prevenci a poskytly jim relevantn\u00ed informace, n\u00e1stroje a odborn\u00edky pro jejich uplatn\u011bn\u00ed v b\u011b\u017en\u00e9m \u017eivot\u011b.<\/p>\n\n\n\n

    \"DNA<\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"

    Nutri\u010dn\u00ed terapeutka Monika Kol\u00e1\u0159ov\u00e1 je absolventkou L\u00e9ka\u0159sk\u00e9 fakulty Masarykovy univerzity v Brn\u011b. Moment\u00e1ln\u011b je diplomantkou studijn\u00edho oboru „V\u00fd\u017eivov\u00e9 v\u011bdy se zam\u011b\u0159en\u00edm na Public Health“ na V\u00edde\u0148sk\u00e9 univerzit\u011b ve V\u00eddni. Zn\u00e1t ji m\u016f\u017eete d\u00edky jej\u00edmu profilu @zdravieavyzivaonline, kde tvo\u0159\u00ed vzd\u011bl\u00e1vac\u00ed obsah zam\u011b\u0159en\u00fd zejm\u00e9na na v\u00fd\u017eivu.  Jak se d\u00edv\u00e1te na modern\u00ed preventivn\u00ed medic\u00ednu?  T\u011b\u0161\u00ed m\u011b, \u017ee preventivn\u00ed […]<\/p>\n","protected":false},"author":6,"featured_media":1369314,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","inline_featured_image":false,"footnotes":""},"categories":[33],"tags":[61],"place-taxonomy":[],"class_list":["post-1369311","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-cs","tag-rozhovor"],"acf":[],"views":241,"_links":{"self":[{"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/posts\/1369311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/comments?post=1369311"}],"version-history":[{"count":5,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/posts\/1369311\/revisions"}],"predecessor-version":[{"id":1369367,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/posts\/1369311\/revisions\/1369367"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/media\/1369314"}],"wp:attachment":[{"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/media?parent=1369311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/categories?post=1369311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/tags?post=1369311"},{"taxonomy":"place-taxonomy","embeddable":true,"href":"https:\/\/dnaera.mnt.webikon.sk\/cs\/wp-json\/wp\/v2\/place-taxonomy?post=1369311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}