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EN
Introduction. A systematic increase in the frequency of excessive body mass in young Poles is an argument supporting the need for identification persons with the increased risk. It is justified to test the level of comparability of the applied screening methods and criteria of diagnosing excessive body mass and body fat in the adolescent group. Aim. To assess the comparability of the results in terms of frequency of diagnosing of overweight and body fat excessive content depending on the method and assessment criteria in 18-year-olds. Material and methods. The study comprised 141 secondary school students (100 women and 41 men), with the age median of 17.8 ± 0.5 years. The measurements included height and body mass (to calculate the BMI) and assessment of the percentage of body fat content with two methods of bioelectric impedance in two bipolar versions: Tanita BC-570 and Omron BF-306. Results. Excessive body mass, as defined by the BMI, was found in 12.1% of students. The incidence of diagnosing excessive contents of body fat in the organism depended on the method of measurement and criteria of results interpretation; 20.6% with the Tanita and 28.3% with the Omron method. The measurements with Tanita BC-570 scales demonstrated stronger correlation with BMI value (p<0.001; r2=0.34) than measurements with the Omron BF-306 (p<0.001; r2=0.16). Conclusions. In young adults: 1. the diagnosis of excessive body mass by BMI and measurement with use of the bioelectric impedance methods with two bipolar versions (Tanita BC-570, Omron BF-306) provided inconsistent results. 2. The proportion of young people with excessive body fat was greater than indicated by the BMI norms. 3. The measurement with Tanita BC-570 scales demonstrated stronger correlation with BMI values than by the ones with the Omron. 4. Critical approach to the applied methods is indispensable in screening studies of nutrition level among adolescents.
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Introduction: Hashimoto thyroiditis (HT) is one of the most common autoimmune thyroid disorders and o the most common cause of hypothyroidism, but the relation between TSH and body mass is still unclear. Material and methods: The group studied consisted of 53 patients with HT in euthyreosis and 28 healthy individuals. All the patients underwent thyroid ultrasonography and body mass analysis with the use of a medical analyzer INBODY 200. Blood samples were also analyzed for TSH and anti-thyroid antibodies. Results: The patients with HT had higher body mass (p=0.008), body mass index (BMI) (p=0.02), Waist-Hip Ratio (WHR) (0.01) and fat mass (p=0.02) than had the controls. In HT group increased body mass was observed in 72% of the patients (overweight in 38% and obesity in 35% of them), as compared with 38% of overweight/obesity in the control group. Thyroid volume was significantly lower (p=0.01) and anti-peroxidase antibodies level was two times higher in the group with the treatment period > 2 years, but the patients with relatively short treatment period were 7 kg heavier and their fat mass was 6 kg higher than in the subjects treated longer than 2 years. Conclusions: Our results suggest that the patients with HT, even in euthyreosis, have significantly higher body mass, BMI, WHR and fat mass than healthy individuals, which is probably associated with previous disturbances that led to the increase in fat mass at the stage of hypothyroidism. The observed changes tend to normalize during L-thyroxine replacement therapy.
EN
Development of the walking ability and self-care of patients with Down syndrome is affected by their body weight determining their lifestyle to a great extent. Objectives: The study aimed at the determination of body mass index for persons living in residential institutions and families, exploration its impact on walking and self-care as two, objective factors of life quality. Method: Data collection of persons aged 3-35 with Down syndrome living in families covered seven counties, while those of living in residential institutions covered thirteen counties in Hungary. In the 183 cases studied 76 people in residential institutions, 107 people lived in families. The cross-sectional study was processed by non-random sample selection. The questionnaires were filled out by health visitors and care takers edited by their own. Results: 50.6% of adults and 26.1% of children belonged to the overweight or obese category. Their residence showed a significant correlation with the body mass index (p< 0.001). Overweight and obese persons in families, while thin ones were more prevalent in institutions. Regarding the walking ability and self-care of the persons living in families a significantly higher level of development was achieved (p< 0.001). Walking ability (p = 0.001) and self-care (p = 0,008) were worsened by less body weight significantly, while overweight or obesity influenced it less negatively. Discussion: The claim is not further acceptable whereas persons with Down syndrome are more prone to obesity than average people. However unfavourable weight gain in adults draws attention to the necessity to a healthy diet and regular exercise. The people living in residential institutions with significantly lower body mass index and the associated low development of walking ability and self-care envisages an urgent reform of residential institutions. Life in the institutions negatively affects the walking ability and self-care, and thus significantly reduces the quality of life of persons with Down's syndrome.
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Content available Night shift work and modifiable lifestyle factors
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EN
Objectives: Night shift work has been linked to some chronic diseases. Modification of lifestyle by night work may partially contribute to the development of these diseases, nevertheless, so far epidemiological evidence is limited. The aim of the study was to explore association between night shift work and lifestyle factors using data from a cross-sectional study among blue-collar workers employed in industrial plants in Łódź, Poland. Material and Methods: The anonymous questionnaire was self-administered among 605 employees (236 women and 369 men, aged 35 or more) - 434 individuals currently working night shifts. Distribution of the selected lifestyle related factors such as smoking, alcohol drinking, physical activity, body mass index (BMI), number of main meals and the hour of the last meal was compared between current, former, and never night shift workers. Adjusted ORs or predicted means were calculated, as a measure of the associations between night shift work and lifestyle factors, with age, marital status and education included in the models as covariates. Results: Recreational inactivity (defined here as less than one hour per week of recreational physical activity) was associated with current night shift work when compared to never night shift workers (OR = 2.43, 95% CI: 1.13-5.22) among men. Alcohol abstinence and later time of the last meal was associated with night shift work among women. Statistically significant positive relationship between night shift work duration and BMI was observed among men (p = 0.029). Conclusions: This study confirms previous studies reporting lower exercising among night shift workers and tendency to increase body weight. This finding provides important public health implication for the prevention of chronic diseases among night shift workers. Initiatives promoting physical activity addressed in particular to the night shift workers are recommended.
EN
According to American Obesity Medicine Association obesity is a chronic, relapsing, multifactorial, neurobehavioral disease, wherein an increase in body fat promotes adipose tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biomechanical, and psychosocial health consequences. Obesity has been renowned as a risk factor of cardiovascular, endocrinological, orthopedic and many other diseases. But for the last two decades, there have been many reports of beneficial influence of overweight or obesity on patients with coronary heart disease. This phenomenon got a name of obesity paradox. It’s existence is a matter of lively discussion in medical world, and even if true, the protecting mechanisms of obesity need much deeper understanding.
EN
Introduction. Rheumatoid arthritis (RA) is a progressive joint condition that leads to joints destruction and complications in the internal organs and significantly affects the a patient’s functional, physical, psychological and social condition. Over the last few years, research into the quality of life (QoL) in people with chronic disease has been conducted to assess the results of treatment. Aim. The aim of the study was to assess QoL in various areas of life in regards to physical and mental functioning, social relations, and environmental influences in people with RA. Material and methods. The study group (subjects with RA) and the control group (subjects without RA) consisted of 48 people each. Subject age ranged from 19 to 68. In order to assess QoL, the WHOQOL-BREF questionnaire was used, while socio-demographic data were assessed with a questionnaire developed by the authors. Results. QoL in people with RA was lower than that of healthy individuals. The worst QoL was observed in the physical domain. No statistically significant association was found between BMI and QoL. It was found, however, that subjects with RA and a higher level of physical activity had a better QoL than those with a lower level of physical activity. Conclusion. There was no association between the body mass of RA patients and QoL assessment. However, an association was found between the level of physical activity in people with RA and QoL in the physical and environmental domain.
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2013
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tom 3
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nr 1
54-60
EN
Introduction: Overweight and obesity are the fifth leading risk for global deaths. It is not only the degree of excess fat that is important, but also its distribution in the body that determines the health risks associated with the condition. The aim of the study is to assess the knowledge of medical students pertaining to obesity. Methods: A cross-sectional descriptive study was conducted among first-year medical students in March of 2013. A universal sampling method was employed, and all first-year students were included as subjects in the study. The total sample included 138 students. After obtaining informed consent, a pre-tested semi-structured questionnaire was admini-stered to each of the participants. Utmost care was taken to maintain privacy and confidentiality. Statistical analysis was done using SPSS version 17. Frequency distributions and percentages were calculated for all the variables. Results: A lack of physical activity and the presence of stress were identified as the most common risk factors for obesity development. Approximately, 73(52.9%) students were of the incorrect opinion that gynaecoid obesity was more dangerous than android obesity. The most common strategy cited by 107(77.5%) respondents for prevention of obesity was regular exercise. Conclusion: The study revealed that although the majority of the medical students were aware of the risk factors of obesity, many gaps, which need to be bridged, were identified in their knowledge. These medical students could be actively involved in awareness campaigns for delaying the onset of lifestyle diseases.
EN
Background: This study was carried out among undergraduate students at the University of Tuzla (Bosna and Herzegovina) with the objective of examining gender differences in the body mass index (BMI) and the level of Physical Activity (PA) among respondents. Material/Methods: This study was conducted to: determine the body mass index (BMI) and the average weekly number of hours of sport activity in the last six months (PA). A research sample was made of female students (n = 330) in the chronological age of 19.3+1.5 yrs, 60.7%, and of male students (n = 213) in the chronological age of 20.0+1.8 yrs, 39.2%. Results: On average, the students (both female and male) spend 5.60 (5.03) hours on physical activity per week. Female students spend 4.05 (4.32) hours, while male students dedicate 8.11 (5.30) hours to physical activities. It can be concluded that in principle the students practice physical activities and recreation, but still 1/5 of all students are inactive. The obtained results for the BMI show that the majority of students are in the zone of normal values: female - 278 (84.2%); male - 157 (73.7%). Correlations between BMI and PA amount to (R = .214; p < 0.01) and (R2 = .046; p < 0.01). The results of the T-test show a more significant statistical variable of differences between female and male students at the level of p < 0.05. In comparison to female students, male students have 2.35 kg/m2 higher BMI, and they are more active in physical activities for 4.06 hours in comparison to women. Conclusions: The focus should be directed to the education of young people, because they can easily adopt healthy habits that should be maintained for life. These results point out the necessity of an integrated approach to prevention and control of risk factors, particularly among youth.
XX
Background: In 2020, Polish experts recommended the use of the guidelines of the American Association of Clini cal Endocrinologist and the American College of Endocrinology (AACE/ACE) in the diagnosis of obesity instead of the 1998 WHO criteria. Thus, obesity can be also diagnosed in patients with BMI 25.0-29.9 if there are complicaitons related to the excess body weight including infertility and hypogonadism, asthma, sleep apnea, gastroesophageal reflux disease, stress urinary incontinence, osteoarthritis and depression. Material and methods: The aim of the study was to assess the prevalence of obesity diagnosed according to the new criteria in the group of Polish social media users. Results: Among the respondents, 9.7% had a BMI below 18.5 kg/m2, 63.9% declared normal BMI, and 18.8% had BMI 25.0-29.9 kg/m2. The value of BMI ≥ 30 kg/m2, equivalent to the diagnosis of obesity according to WHO, was found in 7.6% of the respondents. For comparison, the prevalence of obesity according to the AACE/ACE criteria was more than twice as high (17.2%, p < 0.05). Conclusions: Concluding, according to the new criteria, more respondents were diagnosed with obesity compared to WHO criteria. The results of the study indicate that the application of the new diagnostic criteria may enable earlier diagnosis and thus earlier treatment of obesity. Samek G, Szulc A, Dardzińska JA. The prevalence of obesity diagnosed by diefrent diagnostic criteria in Polish social-media users. Eur J Transl Clin Med. 2023;6(1):25-30.
PL
Krioterapia ogólnoustrojowa (WBC - whole body cryotherapy) opiera się na oddziaływaniu na organizm bodźcem termicznym o krańcowo niskiej temperaturze, od -100 °C do -160 °C, w czasie nieprzekraczającym 2-3 min. Jedną z bezinwazyjnych metod obiektywizacji skutków kriotera-pii ogólnoustrojowej jest analiza termowizyjna. Celem badań była próba określenia zależności pomiędzy średnią temperaturą w obrębie wyznaczonych obszarów (R01-R28) a wskaźnikiem masy ciała BMI (Body Mass Index). Badaniami objęto 36 zdrowych mężczyzn w wieku od 22 do 49 lat (średnia wieku 31,8 +/- 3,1), wskaźnik BMI wynosił od 20 do 32 (średni BMI 25,8 +/- 6,2). Metodyka badania opierała się na poddaniu badanych osób jednokrotnemu, 3-minutowemu zabiegowi krioterapii ogólnoustrojowej, a następnie wykonaniu termowizyjnej rejestracji temperatury powierzchni ciała przed zabiegiem krioterapii, w pierwszej minucie po wyjściu z kriokomory, po 40 min oraz po 3 godzinach. Stopień wychłodzenia powierzchni ciała na skutek oddziaływania temperatur kriogenicznych nie koreluje w istotny sposób z wartością współczynnika BMI. Niemniej, odnotowano ujemne istotne statystycznie korelacje pomiędzy wartością współczynnika BMI a wartością temperatury w obrębie niektórych z badanych obszarów mierzonej zaraz po zabiegu oraz 40 min po zabiegu kriostymulacji ogólnoustrojowej.
EN
Whole-body cryotherapy (WBC) is a therapy modality relying on the extreme cold exposure, within the range from -100 °C to -160 °C and duration not exceeding 2-3 minutes. One of the non-invasive methods of objectivization of systemic cryotherapy effects is thermovisual analysis The aim of this study was to assess the temperature changes of specific body regions in subjects exposed to whole--body cryotherapy in reference to the value of the BMI (body mass index). 36 healthy male volunteers aging from 22 to 49 (31,8 +/-3,1), body mass index ranging from 20 to 32 (25,8 +/- 6,2) were once exposed to WBC. Peripheral body temperature was measured by means of thermovision camera before 1 minute, 40 minutes as well as within 3 hours after WBC. Analyzed body thermograms were divided into 28 areas (marked R01-R28). Results suggest that there is no statistically significant correlation between the body mass index and peripheral temperature of selected areas. However, the statistically significant negative correlations between BMI and peripheral temperature values within some selected areas measured just after and 40 minutes after WBC, were noticed.
EN
Introduction and aim. Given the potential relationship between oxidative stress and fibromyalgia and well-documented antioxidant efficacy of zinc, the present study aimed to determine serum zinc concentration in FM patients as compared to healthy controls, as well as to identify the correlation of serum zinc concentration with the body mass index (BMI) and sleep quality. Material and methods. In this case-control study, 54 fibromyalgia patients were consecutively recruited between October 01, 2021 and December 01, 2021. The control group consisted of 54 age- and sex-matched healthy controls. Results. Fibromyalgia group had significantly lower zinc concentration, higher body mass index, and lower sleep quality scores as compared to the healthy control group. The correlation analysis revealed a significantly negative correlation between serum zinc concentration and body mass index and a significantly positive correlation between serum zinc concentration and sleep quality both in fibromyalgia and healthy control groups. Conclusion. Our results both support the hypothesis that low serum zinc concentration plays a role in the pathophysiology of fibromyalgia and indicate that fibromyalgia may lead to weight gain and poor sleep quality, which needs to be confirmed in large-cohort studies.
EN
The objective of the study was to verify whether or not FTO rs9939609, rs9926289 and TMEM18 rs4854344, rs6548238, rs2867125 variants are important risk factors for overweight and/or obesity in Polish children aged 6-16 (n=283). FTO rs 9939609 and rs9926289 exhibited a strong codominant obesity-predisposing effect of genotypes homozygous for minor alleles (OR=5.42, 95% CI: 2.04-14.39, p=0.0006). The important finding of the study is increased risk of overweight (OR=5.03, 95% CI: 1.15-21.93, p=0.0306) in individuals homozygous for the minor alleles rs4854344, rs6548238 and rs2867125 in the recessive inheritance model, while no other significant associations between TMEM18 variants and risk of obesity were found. Given the identified interaction TMEM18 genotype × BMI category (p=0.0077), it seems that the effect of homozygous for the minor alleles may be compared to a “weight guard”, which significantly increases the risk of overweight, but not of obesity, because it promotes weight gain only up to the threshold of obesity. Conclusion: The proposed hypothetical effect (“weight guard”) of homozygous for the minor alleles in the TMEM18 based on a rather small sample is a possible explanation of the effects of minor alleles, which minimize the risk of obesity.
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Content available Physical activity in perimenopausal women
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EN
Introduction. The menopausal age of women is characterized by a high probability of health problems related with oestrogen deficiency and reduced ovarian hormonal activity. The most significant element in the therapy of the menopausal problems is to take part in physical activity on at least a moderate level, which is sufficient to maintain health. Objective. To investigate the effect of physical activity on the severity of the symptoms of menopause and body mass index BMI, which can decisively influence menopause. Material and methods. A group of respondents consisting of 210 women aged between 45–65 who were not using hormone replacement therapy, and staying at a rehabilitation centre. The study was conducted in 2013–2014 in the provinces of Silesia, Podlasie and Malopolska. Research tools consisted of a self-designed survey questionnaire and the Menopause Rating Scale (MRS). Results. Mean BMI indicated overweight of the women and their infrequency and low level participation in physical activity. The intensity of menopausal symptoms increased with BMI, and low physical activity of the respondents decreased with age. Increase in the intensity of physical activity decreased the severity of symptoms characteristic for menopausal age. Conclusions. Physical activity can play an important role in reducing menopausal symptoms and preventing the most frequently occurring diseases of menopausal age.
EN
Obesity is of significant and growing concern among Australian Aboriginal children, and is linked to patterns of child growth. The aim of this paper is to show diverse patterns of growth and obesity emergence among Australian Aboriginal children using historical anthropometric data. Child growth in height, weight and body mass index (BMI) is reanalysed for children aged 2 to 19 years in Australian Aboriginal communities spanning two distinct time periods (the 1950s and 1960s; and the 1990s and 2000s) and six different geographical locations: Yuendumu, Haast’s Bluff, Beswick, Kalumburu, Gerard, and Raukkan. Comparisons of stature and BMI between the earlier and later years of measurement were made, and the proportion of children classified as overweight or obese by the International Obesity Task Force criteria estimated, to allow international comparison. Aboriginal children in the 1990s and 2000s were heavier, with higher BMI than those in the 1950s and 1960s, differences in height being less marked. While no children were classified as overweight or obese in the earlier period, 15% of males and 3% of females were classified so in the later period. The data suggests that the period of onset of the epidemic of overweight and obesity among rural Australian Aboriginal children was likely to have been between the 1960s and 1980s.
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tom 14
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nr 1
107-128
EN
Apart from breast-feeding, socio-economic and biological factors, maternal health also influences the length or distribution of waiting time to conception. The main objective of this paper is to examine the linkages between maternal nutritional status (measured by body mass index-BMI) and postpartum amenorrhea among currently breast-feeding women in India and its region. Further, the probability to remain amenorrheic through simulative approach has been estimated to get better understanding of the impact of maternal nutritional status on postpartum amenorrhea. Using National Family Health Survey-2 data, women who were not pregnant, who were breast-feeding and who were not using any hormonal contraceptives at the time of the survey were included in the analysis. Missing cases for body mass index and child nutritional status were imputed by fitting the linear regression equation. There was no significant difference existing between mean BMI of each region of India before and after imputation of missing cases. The interaction term between maternal nutritional status and duration of breast-feeding (child’s age) was significantly associated with the likelihood of having resumed menstruation after controlling for breast-feeding practices, child nutritional status and socio-economic and demographic covariates. The effect of maternal nutritional status on lactational amenorrhea was not found to be significant when women were breast-feeding since last 12 months except in the northern region of India. However, after 12 months of breast-feeding, the probability of undernourished women to remain amenorrheic was likely to be greater and this trend was highly consistent across all the six regions included in the analysis.
PL
Bazując na wynikach analiz metod statystyki wielowymiarowej przeprowadzono klasyfikację grupy badanych pacjentów ze względu na grupę badanych cech. Celem analizy jest próba wyodrębnienia charakterystycznych grup czynników wśród pacjentów chorujących na raka jelita grubego w różnym stopniu zaawansowania klinicznego. Analizie poddano wybrane dane epidemiologiczne pochodzące z dokumentacji medycznej chorych z ustalonym rozpoznaniem - rak jelita grubego. Do analizy wykorzystano zmienne jakościowe: płeć, stopień zaawansowania klinicznego choroby, typ i złośliwość histopatologiczną, podział na osoby z wagą prawidłową, nadwagą i otyłością, podział ze względu na stężenie glukozy na czczo w surowicy krwi oraz współistnienie występowania innych chorób.
EN
In this paper a classification o f examined patients was carried out based on results o f multivariate analysis using classification trees. The aim o f the analysis was to identify characteristic factors describing groups o f patients suffering from colorectal cancer with different stage o f disease. Clinical data from medical documentation o f the patients with colon cancer were analyzed. Qualitative variables such as sex, clinical stage, histopathology type o f cancer and malignancy, weight class, glucose level class and coexistence with other illnesses were used in the analysis.
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Purpose. The aim of this study was to verify and analyze the association between anthropometric indicators and serum lipid profiles in adolescents. Methods. The study included 250 adolescents aged 11-17 years from both sexes. The anthropometric variables measured were body weight, height and waist circumference. Body mass index and waist circumference were used to calculate a nutritional status rating (whether normal weight or overweight) and abdominal obesity, respectively. Total cholesterol, high-density lipoproteins, low-density lipoprotein and triglyceride levels were determined by an enzymatic colorimetric method using automatic spectrophotometry and were categorized according to cutoff points established by the III Brazilian Guidelines on Dyslipidemia and Atherosclerosis Prevention from the Brazilian Society of Cardiology. Results. The overweight and abdominal obesity prevalence was found to be 23.6% and 40.0%, respectively. Undesirable total cholesterol, high-density lipoprotein, low-density lipoprotein and triglyceride levels were found in 40.8%, 8.4%, 36.0% and 13.6% of the studied adolescents, respectively. Overweight adolescents were 2.29 (CI 95%, 1.07-4.91) times more likely to have high triglyceride levels, and those with abdominal obesity were 2.47 (CI 95%, 1.14-5.37) times more likely to show high triglyceride levels. Conclusions. A high prevalence of overweight and abdominally obese adolescents, with high levels of serum lipid profiles, were observed. Moreover, overweight and abdominally obese adolescents were more likely to have high triglyceride levels.
EN
Background. This study aims to analyse the relationship between physical activity (PA) and body mass index (BMI) in undergraduate university students of three fields of study from the four Visegrad Group countries – Slovakia, the Czech Republic, Poland, and Hungary. Material and methods. The research was conducted in 2015 on adolescent undergraduate university student populations in three fields of study – humanities, medical, and technical sciences. The sample included 2,484 students in total. The data was collected using the extended version of the standardised International Physical Activity Questionnaire (IPAQ). Students completed the questionnaire via the INDARES online system. Results. The results confirmed significant differences in PA between sexes in favour of males both in its overall manifestation and in the individual levels of PA intensity (p<0.05). The comparison of the four countries revealed significant differences in PA in males and females in all PA domains (p<0.05). The evaluation of the total BMI, as well as the one measured in individual countries confirmed a significant difference between sexes in favour of males (p<0.05). The study of the relationship between PA and BMI did not reveal a statistically significant dependence in any of the tested domains. This conclusion applies both to males and females. Conclusions. Males are generally more physically active than females overall and in individual fields of study. Also, males exhibit higher BMI in all the studied categories. No significant relation between PA intensity and volume and BMI was found in either sex.
PL
Wprowadzenie. Celem badania jest analiza związku pomiędzy aktywnością fizyczną (PA) a wskaźnikiem masy ciała (BMI) u studentów studiów licencjackich z trzech kierunków z czterech krajów Grupy Wyszehradzkiej - Słowacji, Czech, Polski i W ęgier. Materiał i metody. Badania przeprowadzono w 2015 r. Na studiach dla młodzieży z trzech kierunków: humanistycznym, medycznym i technicznym. Próba obejmowała ogółem 2484 studentów. Dane zebrano za pomocą długiej wersji standardowego Międzynarodowego Kwestionariusza Aktywności Fizycznej (IPAQ). Studenci wypełniali ankietę za pośrednictwem systemu internetowego INDARES. Wyniki. Wyniki p otwierdziły i stotne r óżnice w PA m iędzy p łciami n a korzyść mężczyzn zarówno w ich ogólnej aktywności, jak i w poszczególnych poziomach intensywności PA (p<0,05). Porównanie czterech krajów wykazało istotne różnice w PA u mężczyzn (z wyjątkiem PA w czasie wolnym), a także u kobiet we wszystkich obszarach PA (p <0,05). Najbardziej aktywni fizycznie spośród badanych grup byli polscy mężczyźni i słowackie kobiety. Ocena BMI ogółem oraz w poszczególnych krajach potwierdziła istotną różnicę między płciami na korzyść mężczyzn (p <0,05). Badanie zależności między PA i BMI nie wykazało statystycznie istotnej zależności w żadnej z kategorii. Wniosek ten dotyczy zarówno mężczyzn, jak i kobiet. Wnioski. Mężczyźni są fizycznie bardziej aktywni niż kobiety ogólnie i na poszczególnych kierunkach. Mężczyźni mają również wyższy BMI we wszystkich badanych kategoriach. Nie stwierdzono istotnej zależności między intensywnością i objętością PA a BMI u obu płci.
EN
Background. Cardiovascular disease is currently one of the leading causes of death in the world, and a major contributing factor is the increasing incidence of excessive body mass. On the other hand, reduction of body mass in patients who have experienced a myocardial infarction significantly reduces the risk of a second episode of cardiovascular disease. This in turn increases lifespan, improves quality of life, and reduces the number of premature deaths. Material and methods. The study included 41 people (14 women with an average age of 62.5 years and 27 men with an average age of 61.2 years) who experienced a cardiac incident between January 2015 and February 2016 and who were qualified for the second stage of cardiac rehabilitation conducted in accordance with applicable standards. Results. BMI did not correlate with the results of exercise tests. The training improved the fitness and endurance of the subjects and allowed reduction of body mass. Conclusions. After 8 weeks of the second stage of cardiac rehabilitation, there were significant changes in the BMI in patients undergoing the study. Exercise tolerance and physical capacity in all the groups was improved.
PL
Wprowadzenie. Choroba sercowo-naczyniowa jest obecnie jedną z głównych przyczyn zgonów na świecie. Narastającym problemem jest zbyt duża masa ciała, która jest jednym z głównych czynników powodujących stany sercowo-naczyniowe. U pacjentów po zawale mięśnia sercowego zmniejszenie BMI znacznie redukuje ryzyko drugiego zaostrzenia choroby sercowo-naczyniowej, co zwiększa długość i komfort życia oraz zmniejsza liczbę zgonów. Materiał i metody. Badaniem objęto 41 osób - 14 kobiet (62,5 roku) i 27 mężczyzn (61,2 lat), u których doszło do incydentu kardiologicznego między styczniem 2015 r. a lutym 2016 r., i które zakwalifikowano do drugiego etapu rehabilitacji kardiologicznej prowadzonego zgodnie z obowiązującymi standardami. Wyniki. BMI nie koreluje istotnie z wynikami badań wysiłkowych. Ukończony trening poprawił kondycję i wytrzymałość uczestników oraz pozwolił zmniejszyć masę ciała. Wnioski. Po 8 tygodniach drugiego etapu rehabilitacji kardiologicznej wystąpiły istotne zmiany w BMI u pacjentów poddanych badaniu. Poprawiono tolerancję wysiłkową i wydolność fizyczną we wszystkich badanych grupach.
EN
Background: This study was carried out among undergraduate students at the University of Tuzla (Bosna and Herzegovina) with the objective of examining gender differences in the body mass index (BMI) and the level of Physical Activity (PA) among respondents. Material/Methods: This study was conducted to: determine the body mass index (BMI) and the average weekly number of hours of sport activity in the last six months (PA). A research sample was made of female students (n = 330) in the chronological age of 19.3+1.5 yrs, 60.7%, and of male students (n = 213) in the chronological age of 20.0+1.8 yrs, 39.2%. Results: On average, the students (both female and male) spend 5.60 (5.03) hours on physical activity per week. Female students spend 4.05 (4.32) hours, while male students dedicate 8.11 (5.30) hours to physical activities. It can be concluded that in principle the students practice physical activities and recreation, but still 1/5 of all students are inactive. The obtained results for the BMI show that the majority of students are in the zone of normal values: female – 278 (84.2%); male – 157 (73.7%). Correlations between BMI and PA amount to (R = .214; p < 0.01) and (R2 = .046; p < 0.01). The results of the T-test show a more significant statistical variable of differences between female and male students at the level of p < 0.05. In comparison to female students, male students have 2.35 kg/m2 higher BMI, and they are more active in physical activities for 4.06 hours in comparison to women. Conclusions: The focus should be directed to the education of young people, because they can easily adopt healthy habits that should be maintained for life. These results point out the necessity of an integrated approach to prevention and control of risk factors, particularly among youth.
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