ОСОБЛИВОСТІ РЕАБІЛІТАЦІЇ ХВОРИХ З МЕТАБОЛІЧНИМ СИНДРОМОМ ВРАХОВУЮЧИ SET POINT

Тетяна ТЕМЕРІВСЬКА

doi:10.31891/pcs.2026.1.31

Authors

Tetiana TEMERIVSKA Yuriy Fedkovych Chernivtsi National University https://orcid.org/0000-0002-4040-4371

DOI:

https://doi.org/10.31891/pcs.2026.1.31

Keywords:

set point, metabolic syndrome, leptin, ghrelin, insulin

Abstract

The mechanism of the development of metabolic syndrome is not fully understood. Rehabilitation of patients is a rather complex task and requires comprehensive diagnosis and rehabilitation with an individual approach to each patient. In some cases, a healthy lifestyle - proper nutrition, physical activity reduces the risk of developing serious diseases. The risk group consists of people who suffer from obesity, lead a sedentary lifestyle, people over 60 years old, patients with type 2 diabetes or those whose relatives suffer from this disease, people with cardiovascular diseases, high blood pressure.

Metabolic adaptation occurs, i.e., when caloric intake is reduced, the body slows down the metabolism (energy saving) and a "plateau" effect occurs, and the weight stays at certain indicators, despite the diet. When you overeat, your metabolism speeds up to compensate for the excess calories. These mechanisms interact to create a feedback system that maintains body weight close to the set point.

Set point is the weight that is maintained throughout life with a maximum preservation of health, without which there would be no human actions from the outside. A person has his programmed weight, which changes from time to time. These changes are provided by homeostasis - the body's desire for balance, a feedback system and are vital to return the weight to a given value. And if the patient has increased weight for a long time, he will try to restore it.

The use of knowledge about the set point in rehabilitation practice helps to individualize dietary programs, physical activity and increase the efficiency of recovery of people with metabolic syndrome, obesity, type II diabetes. The systematic approach allows you to gradually "move" the set point down, making the maintenance of the new weight realistic and stable. You need to focus on changing your lifestyle, and not just on reducing calories: a balanced diet, regular physical activity.

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