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Trends in premature mortality rates among the Polish population due to cardiovascular diseases

100%

Moryson W. , Stawińska-Witoszyńska B.

International Journal of Occupational Medicine and Environmental Health

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2021

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tom 35

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nr 1

27-38

EN

ObjectivesAt the end of the 20th century, after years of negligence in the prevention of cardiovascular diseases, Poland was struggling with very high premature mortality. The period of 1991–2005 brought significant improvements since the general public introduced beneficial dietary modifications. This paper aims to analyze the changes in the rate of premature mortality due to tobacco-dependent cardiovascular diseases in Poland in 2008–2017.Material and MethodsThe time trends of deaths occurring under the age of 65 years caused by ischemic heart disease, cerebrovascular disease, atherosclerosis and aortic aneurysm were analyzed. Both standardized and crude premature mortality rates were used, as well as mortality rates for patients grouped into 5-year age ranges with a breakdown by gender. The joinpoint model was used to determine these time trends.ResultsPremature mortality due to the analyzed cardiovascular diseases decreased linearly in 2008–2017. In the case of ischemic heart disease and cerebrovascular diseases, the decrease amounted to approx. 5% per year, both in the female and male population. However, in the case of atherosclerosis and aortic aneurysms, the rate of mortality reduction ranged 4–7% per year. The reduction concerned all the examined age groups, but with different dynamics. The most considerable annual decrease was observed in the group of patients aged 40–44 years (7.9% for females and 8.9% for males). Along with the increase in age, the dynamics of reduction decreased.ConclusionsIn 2008–2017, Poland experienced a decline in premature mortality due to tobacco-related cardiovascular diseases, particularly in the age group of 40–44 years. The decline may have been associated, among other things, with a reduction in exposure to tobacco smoke, one of the cardiovascular risk factors.

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Validation of questionnaire used in epidemiological blood pressure studies

70%

Stawińska-Witoszyńska B. , Kowalska M. , Krzyżaniak A. , Krzywińska-Wiewiorowska M. , Krzych Ł.

Open Medicine

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2012

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tom 7

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nr 5

680-684

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Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR

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Krzyżaniak A. , Stawińska-Witoszyńska B. , Kaczmarek M. , Krzywińska-Wiewiorowska M. , Siwińska A.

Anthropological Review

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2015

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tom 78

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nr 1

91-106

EN

Recent upward trends toward elevated blood pressure and increased weight expressed in terms of body mass index in children and adolescents call for regular monitoring of their physical growth and age-related changes in blood pressure. This requires adequate tools - reference values of a normal blood pressure range. The main objective of this study was to provide sex- and BMI-specific percentile reference values for systolic and diastolic blood pressure based on the adolescent Polish population, participants in the ADOPOLNOR study. A cross-sectional survey was carried out on a representative, randomly selected cohort of 4,941; 2,451 male and 2,490 female students aged 10-18 years, residents in Wielkopolska province and its capital, the city of Poznań. All examinations were performed in school nursery rooms during morning hours according to standard procedures. Body height and weight were measured and BMI was calculated. Blood pressure was measured twice on each occasion on the right arm using a fully calibrated TECH MED TM-Z mercury gauge sphygmomanometer with sets of exchangeable cuffs and a clinical stethoscope. The blood pressure classification was determined using the surveillance method. For each participant, the mean of measurements taken on each of the three occasions was calculated and served as his/her final blood pressure value. Using the LMS method, fitted percentile curves were created for BMI-related systolic and diastolic blood pressure. The findings revealed that age related blood pressure pattern was similar in boys and girls. It showed a steady increase of systolic and diastolic blood pressure with age. There was a positive correlation between the systolic and diastolic blood pressure indicating that when systolic blood pressure increased so diastolic did (r=0.61 at p<0.01). Boys were likely to have relatively higher mean values of systolic and diastolic blood pressure and steeper slope for BMI-related change in blood pressure than girls. Similar pattern was found for age-related changes in BMI. The quotation of 3rd, 5th, 10th, 15th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th at any given BMI between 12 kg/m2 and 35 kg/m2 provided indication of the entire variation in blood pressure of adolescent males and females aged 10-18 years. The sex- and BMI-specific reference values and charts for systolic and diastolic blood pressure may be a useful tool in monitoring blood pressure for early detection of its abnormal level and treatment of children and adolescents with high blood pressure.

4

Comorbidities in patients over 60 years of age treated at the rehabilitation clinic

70%

Pietrzyńska M. , Stawińska-Witoszyńska B. , Krzyżaniak A. , Łańczak-Trzaskowska M. , Nowak K.

Anthropological Review

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2015

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tom 78

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nr 3

309-316

EN

Patients aged above 60 represent a very diversified population group with respect to their health condition. This may result from multimorbidity. In the rehabilitation process of elderly patients it is especially crucial to identify not only the underlying diseases which constituted the grounds for referral to the rehabilitation clinic, but also the comorbidities that have to be taken into consideration while planning their rehabilitation. The aim of the present paper is the assessment of comorbidities in patients of the rehabilitation clinic. The study population included 1616 patients (447 man and 1169 women) treated at the rehabilitation clinic. The factors put through analysis were the age and gender of the patient, the main diagnosed (underlying) illness subject to rehabilitation treatment, as well as comorbidities. All diseases, both the underlying conditions and the comorbidities have been classified according to the International Statistical Classification of Diseases and Related Health Problems (10th revised edition). The main reasons for the treatment at the rehabilitation outpatient clinic were arthrosis of the spine, knee and hip joints, polyarthritis, osteoporosis, diseases of the central nervous system diseases and paralytic syndromes as consequences of strokes, hypertension or atherosclerosis, as well as post-traumatic conditions. The most frequent comorbidities occurring in patients of the rehabilitation clinic were cardiovascular diseases (irrespective of the age group and the underlying disease). In the age group of 60-64, the subsequent comorbidities were gastrointestinal and cancers, and in the age of 65-74, neoplasms were the most frequently occurring comorbidities. The performed analysis resulted in the following conclusions: The majority of patients diagnosed and treated at the rehabilitation centre suffered from irregularities in the muscular, articular and skeletal system or the connective tissue (those were mainly the arthrosis of the spine, hip and knee joints as well as osteoporosis). The most frequently observed comorbidities in patients of the rehabilitation clinic were cardiovascular and gastrointestinal diseases, as well as neoplasms.

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Trends in smoking among secondary school and high school students in Poland, 2009 and 2011

51%

Wojtyła-Buciora P. , Stawińska-Witoszyńska B. , Żukiewicz-Sobczak W. , Wojtyła C. , Biliński P. , Urbaniak M. , Wojtyła A. , Marcinkowski J. T. , Wojciechowska M.

International Journal of Occupational Medicine and Environmental Health

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2017

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tom 30

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nr 5

763-773

EN

Objectives To determine the age and the most common circumstances for smoking initiation along with smoking rates and to evaluate smoking trends for secondary and high school students in Poland during 2009 and 2011. Material and Methods In 2009, a pilot study was conducted in districts of Poland on high school students and their parents. For statistical analysis, correctly completed questionnaires from 999 students and 667 parents were qualified for use. After the pilot study, a nationwide study of secondary school students and their parents was also conducted in 2009. For statistical analysis, correctly completed questionnaires were used from 9360 students and 6951 from their parents. The research tool was a questionnaire developed by the Chief Sanitary Inspectorate. These studies were then compared to the nationwide research study from 2011. Questionnaires were obtained from a survey of 3548 students from secondary schools and 4423 of those from high schools. Results Smoking initiation usually begins at ages 12–15 years. Rates of secondary school student smoking at least once in their lifetime were about the same level in the surveyed years (2009 – 9%, 2011 – 11%), whereas rates of high school student smoking increased (2009 – 15%, 2011 – 24%). Moreover, 34% of secondary school student smoked less than once a week, whereas in 2009, only 8% of students had done so. For high school students, a 1/2 smoked every day; similar to 2009. Students usually smoked in parks, on streets or any other open space areas. Conclusions From analyzing the smoking trends over the survey period it can be concluded that the problem of smoking increases with respondent age. Int J Occup Med Environ Health 2017;30(5):763–773

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Authors’ response (December 7, 2017) to the letter to the Editor concerning the paper “Trends in smoking among secondary school and high school students in Poland, 2009 and 2011”

51%

Wojtyła-Buciora P. , Stawińska-Witoszyńska B. , Żukiewicz-Sobczak W. , Wojtyła C. , Biliński P. , Urbaniak M. , Wojtyła A. , Marcinkowski J. T. , Wojciechowska M.

International Journal of Occupational Medicine and Environmental Health

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2018

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tom 31

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nr 4

541-542