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Eingeschränkte Fitness vs. Adipositas

Ihre Bedeutung für die Entstehung von metabolischem Syndrom, Diabetes und kardiovaskulären Erkrankungen

Impaired fitness or obesity

What is more important for the development of metabolic syndrome, diabetes and cardiovascular disease

  • Leitthema
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Der Diabetologe Aims and scope

Zusammenfassung

Die Prävalenz des metabolischen Syndroms und des Diabetes mellitus Typ 2 steigt weltweit an, daraus resultiert eine vorzeitige kardiovaskuläre Mortalität. Dies wird vor allem auf die steigende Adipositasprävalenz zurückgeführt. Allerdings konnte durch zahlreiche klinische und epidemiologische Studien gezeigt werden, dass hohe Fitnesslevel der Entwicklung dieser metabolischen Störungen entgegenwirken und zugleich die kardiovaskuläre Mortalität verringern. Beim Vergleich der beiden Parameter ist eine gute kardiorespiratorische Fitness in der Prävention des metabolischen Syndroms, des Diabetes mellitus Typ 2 und kardiovaskulärer Erkrankungen ein bedeutenderer Einflussfaktor als Übergewicht. Im Rahmen der Prävention kardiovaskulärer und metabolischer Erkrankungen ist es daher notwendig, durch Erhöhung der körperlichen Aktivität den Fitnesszustand zu verbessern.

Abstract

The prevalence of metabolic syndrome and type 2 diabetes mellitus is increasing worldwide, resulting in premature cardiovascular mortality. This has been attributed to the increasing prevalence of obesity. However, multiple clinical and epidemiologic studies have also shown that high levels of cardiorespiratory fitness protect against the development of these metabolic disorders and at the same time reduce cardiovascular mortality. When comparing both parameters, cardiorespiratory fitness has been shown to be a more powerful parameter in the prevention of metabolic syndrome, type 2 diabetes, and cardiovascular disease than obesity. Thus, to prevent cardiovascular disease, it is mandatory to promote physical activity that will increase physical fitness. An English fulltext version of this article is available under Springerlink as supplemental material.

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin: M. Halle: Vortragstätigkeit für Pharmafirmen MSD, Astra Zeneca, Berlin-Chemie, Roche, Sanofi-Aventis, Techniker Krankenkasse.

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Authors and Affiliations

  1. Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, Technische Universität München, Connollystr. 32, 80809, München, Germany

    K. Esefeld & M. Halle

  2. Department of Exercise Science and Epidemiology & Biostatistics Arnold School of Public Health, University of South Carolina, Columbia, USA

    S.N. Blair

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  1. K. Esefeld
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  2. M. Halle
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  3. S.N. Blair
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Correspondence to K. Esefeld.

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Esefeld, K., Halle, M. & Blair, S. Eingeschränkte Fitness vs. Adipositas. Diabetologe 7, 9–14 (2011). https://doi.org/10.1007/s11428-010-0614-7

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  • DOI: https://doi.org/10.1007/s11428-010-0614-7

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