41 KB59 KB39 KB200220262005Marušič, DorjanStarc, RadovanStarc, Sašaštevilka:4letnik:44str. 223-231ISSN:0351-0026COBISSID:1517029URN:URN:NBN:SI:doc-CEF0IGYTslInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvonenadna srčna smrttelesna aktivnostVpliv telesne dejavnosti na zdravje in nenadno smrt| The influence of physical exercise on health and on sudden death|Sudden death occurring during or immediately after sports activity in recreative sportsmen is rare. The authors deal with death that occurs suddenlyand unexpectedly during or immediately after sports activities in apparently healthy, asymptomatic and well-trained persons. The vast majority of sudden deaths are due do coronary artery disease in persons older than 30-35 years. The paper analyses beneficial effects of regular physical exercise on the cardiovascular system, and its role in reduced neuroendocrineresponse, more economical heart work, and reduced tendency to thrombosis, but also presents the risk of sudden death that may be triggered by sudden, strenuous physical activity in a person with a subclinical form of coronary artery disease. Risks of bad habits, "non-dangerous" recreational stimulants, drugs and diseases are described. It will never be possible to completely prevent sudden death. The authors promote habitual exercise and give some guidelines for safe physical activity. The paper is intended for medical students, physicians, coaches, fitness instructors and persons interested in sportNenadna smrt med ali po športni (telesni) dejavnosti pri rekreativnih športnikih je redek pojav. Gre za naravno smrt, ki je nastopila nenadoma in nepričakovano pri navidezno zdravi, asimptomatski in trenirani osebi. Poglavitni razlog za nenadno smrt v starosti nad 30-35 let je bolezen venčnih arterij. Prispevek razčlenjuje mnoge ugodne učinke redne telesne dejavnosti, predvsem učinke na obtočila, dejavnike tveganja za bolezen venčnih arterij, zmanjšan nevrohumoralni odziv, bolj ekonomično delo srca ob manjši kateholaminski stimulaciji in zmanjšano nagnjenost k strjevanju krvi. Za nenadno smrt je nevarna predvsem pretirana telesna dejavnosti pri osebah s subklinično obliko bolezni venčnih arterij. Avtorji opišejo pasti uporabe nekaterih razvad, nenevarnih rekreativnih poživil , zdravil in bolezni na nenadno smrt. Vseh nenadnih smrti ne bo mogoče nikoli preprečiti. Avtorji redno telesno dejavnost podpirajo in navajajo nekaj načelnih navodil varno telesno dejavnost. Prispevek je namenjen študentom medicine, zdravnikom, trenerjem, inštruktorjem in drugim zainteresiranim posameznikomTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS