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Obesity

Obesity is a chronic condition characterized by an excess of body fat, assessed using the Body Mass Index (BMI). The key to successful treatment lies in your firm decision and lasting lifestyle change.

Globally, and especially in the Czech Republic, obesity is becoming an increasingly significant health issue. Over 63% of the population in the Czech Republic is overweight, and nearly 27% suffer from obesity. It’s not just an aesthetic concern—obesity is linked to over 30 serious diseases, such as type 2 diabetes, cardiovascular diseases, certain types of cancer, and joint problems. It also accelerates premature aging and shortens life expectancy by several years.

Often, we encounter patients who don’t feel direct negative effects of obesity, who exercise regularly and are content with their weight. Even in these cases, it’s beneficial to reduce body weight, as the negative consequences of obesity tend to appear only over time.

What are the Treatment Options for Obesity?

Treating obesity requires a comprehensive approach and an individual plan tailored to the patient’s specific needs. The key is to ensure the patient is sufficiently motivated and collaborates long-term—only then can lasting results be achieved without the yo-yo effect.

1. Dietary Habits and Weight Loss Diet

A balanced weight loss diet is an essential part of treatment. It should be tailored to the patient’s age, gender, energy expenditure, and personal preferences. The correct diet is not about starving but adopting a healthier eating pattern for the long term.

2. Physical Activity

Regular physical activity is crucial for successful weight loss and maintaining a healthy body. We recommend starting gradually, for example with 15 minutes per day, and progressively increasing the duration. Ideal activities include:

Walking or Nordic walking
Cycling or using a stationary bike
Swimming

Long-term, it’s recommended to engage in physical activity 3–4 times a week for 40–50 minutes. Keep in mind that adapting to physical exertion takes at least 4–6 weeks.

3. Pharmacotherapy

Pharmacological treatment can be a helpful support. The most commonly prescribed medication is Saxenda, which is injected once daily. The cost is paid by the patient and typically amounts to a few thousand Czech crowns per month. Effectiveness is measured by a weight loss of at least 5% within three months of use.

4. Bariatric Surgery

Surgical treatment is intended for patients with severe obesity (BMI over 40 or BMI over 35 with serious health complications). Operations, such as gastric bypass surgery, are always part of a comprehensive treatment plan, which includes ongoing lifestyle modifications. Bariatric surgery is covered by public health insurance when specific criteria are met.

Obesity and Spa Treatment

Spa treatments for obesity are only covered for children. In some cases, patients must lose weight before being approved for a spa stay. For example, in the VII/7 group for hip and knee osteoarthritis, a weight loss of 5% from the last visit is required for reimbursement. For patients with BMI over 35, a 10% weight loss is required. The same rule applies to patients with musculoskeletal problems or conditions like hypertension or diabetes, where obesity and worsening health are closely related.

Why Start Now?

Losing weight not only improves your health but also has psychological benefits—better physical condition, higher self-esteem, and reduced risk of serious illnesses. If you don’t know where to start, we’re here to help.

In a personal consultation, we’ll review your situation and create a plan that is realistic, effective, and tailored to your needs.

Useful Links and Resources:

Quitting Smoking

Let’s explore the benefits your decision to quit smoking can bring to your future:

Health Benefits

Health is the most valuable asset we have, so it’s essential to highlight the health advantages first. Quitting smoking significantly reduces the risk of developing many types of cancer, including breast, lung, pancreatic, laryngeal, oral cavity, and bladder cancers. It also lowers the risk of heart disease, stroke, erectile dysfunction in men, and other health problems. Quitting smoking is proven to extend your lifespan and improve the quality of life—giving you more healthy years to enjoy.

Improved Fitness and Performance

When you stop smoking, your lung capacity and ability to oxygenate blood improve. This leads to increased physical performance and overall fitness, making it easier to carry out daily activities or enjoy your favorite sports.

Better Appearance

Smoking accelerates the aging process due to the production of free radicals, which directly damage cellular DNA. By quitting, you can enjoy healthier skin, whiter teeth, and fresher breath. This can boost your confidence and overall sense of well-being.

Financial Savings

Smoking is an expensive habit, and quitting can save you a significant amount of money in the long run. While the quitting process may incur some costs (e.g., for medications or nicotine replacement products), successfully quitting will free up funds for other things, such as vacations, entertainment, or savings.

Can I Quit Smoking on My Own?

Quitting smoking is a significant step that requires strong willpower. Whether you can quit smoking on your own depends on your motivation, willpower, support from others, and individual circumstances. Some people successfully quit on their own, while others need assistance and support.

If you decide to quit smoking independently but find it challenging, you can use nicotine replacement products like patches or gum. These deliver nicotine in gradually decreasing doses, helping to alleviate withdrawal symptoms, so you can focus on breaking the habit itself. Often, smoking is tied to rituals or social situations—such as calming down, relaxing with coffee, or spending time with friends. For many people, overcoming social dependency is harder than tackling physical addiction.

There’s also an over-the-counter product called Defumoxan, which acts as a natural nicotine substitute and reduces cravings.

If quitting smoking all at once feels too overwhelming, you can gradually reduce the number of cigarettes you smoke. Everyone is different, and what works for one person may not work for another.

Alternative nicotine sources, such as heated tobacco products, are not suitable for smoking cessation.

What If I Struggle to Quit?

If you’re having trouble quitting smoking, don’t hesitate to reach out for help. Studies show that success rates for quitting smoking significantly increase when the process is supported by a specialist, often at smoking cessation centers. There are also prescription medications available to help you achieve abstinence. The standard treatment lasts 12 weeks and is fully paid for by the patient, although most health insurance companies offer financial contributions.

Helpful Resources

National Smoking Cessation Helpline: 800 350 000 (Mon–Fri, 10:00–18:00)