20.500.12556/ReVIS-13487 Vloga fizioterapije pri obravnavi otrok s prekomerno telesno maso diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija Teoretična izhodišča: Prekomerna telesna teža in debelost v otroštvu postajata vedno večja javnozdravstvena težava, povezana s povečanim tveganjem za pojav presnovnih, srčno-žilnih in mišično-skeletnih zapletov. Otroci s prekomerno težo pogosto kažejo slabšo telesno pripravljenost, omejitve pri gibanju in bolečine, kar vpliva na njihovo delovanje in kakovost življenja. Fizioterapija ima v multidisciplinarni obravnavi pomembno vlogo, saj s terapevtsko vadbo, izobraževanjem in podporo družine prispeva k zmanjšanju zdravstvenih tveganj in spodbujanju zdravih navad. Metoda: Izvedli smo sistematični pregled strokovne in znanstvene literature, objavljene med letoma 2000 in 2025, v angleškem ali slovenskem jeziku, dostopne v celotnem besedilu. Iskali smo v podatkovnih bazah PubMed, PEDro, Google Scholar in COBISS. Uporabili smo ključne besede, povezane s pediatrično debelostjo, fizioterapijo in terapevtsko vadbo. Vključene so bile raziskave, ki so preučevale otroke ali mladostnike s prekomerno telesno maso in vključevale fizioterapevtske oziroma vadbene intervencije. Izključeni so bili nerecenzirani prispevki, raziskave brez gibalnih intervencij in študije z nizko metodološko kakovostjo. V analizo smo vključili 7 raziskav. Rezultati: Pregledani članki so poročali o pozitivnih učinkih vadbenih programov in fizioterapevtskih pristopov. Ugotovljeno je bilo izboljšanje telesne pripravljenosti, ravnotežja, mišične moči, vzdržljivosti ter zmanjšanje bolečin in mišično-skeletnih težav. Raziskave poudarjajo pomen aktivnega vključevanja družine in doslednosti pri izvajanju vadbe. Razprava: Rezultati potrjujejo, da zgodnje in strukturirano delovanje fizioterapevta prispeva k zmanjševanju zdravstvenih posledic debelosti v otroštvu. Vodena vadba in izobraževanje se izkazujeta kot ključna terapevtska pristopa, saj vplivata na spremembe življenjskega sloga, ki so nujne za dolgoročno uspešnost obravnave. Kljub pozitivnim učinkom so zaradi majhnih vzorcev in metodoloških razlik potrebne nadaljnje raziskave. Theoretical background: Overweight and obesity in childhood are becoming an increasingly serious public health problem, associated with an increased risk of metabolic, cardiovascular, and musculoskeletal complications. Overweight children often show poorer physical fitness, limited mobility, and pain, which affects their functioning and quality of life. Physical therapy plays an important role in multidisciplinary treatment, as it contributes to reducing health risks and promoting healthy habits through therapeutic exercise, education, and family support. Method: We conducted a systematic review of professional and scientific literature published between 2000 and 2025 in English or Slovenian, available in full text. We searched the PubMed, PEDro, Google Scholar, and COBISS databases. We used keywords related to pediatric obesity, physical therapy, and therapeutic exercise. Studies that examined overweight children or adolescents and included physical therapy or exercise interventions were included. Unreviewed articles, studies without exercise interventions, and studies of low methodological quality were excluded. We included 7 studies in the analysis. Results: The reviewed articles reported positive effects of exercise programs and physiotherapy approaches. Improvements in physical fitness, balance, muscle strength, endurance, and reductions in pain and musculoskeletal problems were observed. The studies emphasize the importance of active family involvement and consistency in exercise implementation. Discussion: The results confirm that early and structured intervention by a physical therapist contributes to reducing the health consequences of childhood obesity. Guided exercise and education are key therapeutic approaches, as they influence the lifestyle changes necessary for long-term treatment success. Despite the positive effects, further research is needed due to small sample sizes and methodological differences. pediatrična debelost terapevtska vadba mišično-skeletne spremembe fizioterapija pediatric obesity therapeutic exercise musculoskeletal changes physical therapy true false false M. Krajšek Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-04-07 14:35:11 2026-04-07 14:35:12 2026-04-08 03:07:11 0000-00-00 00:00:00 2025 0 Maribor 2025 Maribor 50 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.82-053.2-056.257(043.2) 274415875 https://d.cobiss.net/repository/si/files/274415875/176126/Kraj%C5%A1ek_Martina_dd_2025.pdf 1 39635ca7-327e-11f1-b7aa-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16078 Krajsek_Martina_dd_2025.pdf Krajsek_Martina_dd_2025.pdf 1 67B318B1D106074A5E345F0795D3A84D 2d2fa6ded2e51ae927513f808e4034b3d715ed33c2234ead345a5edd84ec998e 5d2b8b8b-327e-11f1-b7aa-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16079 Univerza Alma Mater Europaea 0 0 0