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Physical activity in perimenopausal women

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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.
The article aims at the increasing of knowledge among young people coming from the country, studying at various types of schools – from the aspect of frequency of their drinking, age of alcohol initiation and preferences towards alcoholic drinks. We examined 5,000 young people from rural areas in Lublin province between the ears 2002- 2004. A screening questionnaire that included AUDIT test (the Alcohol Use Disorders Identifi cation Test) was used. The AUDIT was developed by the WHO to identify hazardous and harmful alcohol consumption. The results showed that both frequency and alcohol initiation age were related to type of school and sex of young people. We found that young people from rural areas of Lublin province do not differ from all-Polish trends in relation to these patterns. Some changes in the alcohol consumption model in Polish villagers were noted. Young people in the country clearly prefer beer drinks. Restrictions regarding alcohol sales to young people are not complied with. In almost half of the group we found alcoholism in families. Our fi ndings show that antialcoholic prophylaxis should be initiated in the fi rst years of childrens’ education. Preventive programmes should be based not only on school, but also on the family.
Introduction. Depression is a major public health problem. Magnesium (Mg2+) is involved in many metabolic processes as an activator of over 300 different enzymes. For the last 60 years lithium (Li+) compounds have been used in psychiatry. Li+ salts are regarded as the first choice medicine in the treatment of affective disorders and are also applied as an adjuvant intensifying the therapy in drug-resistant depression patients. Objective. The objective of the study was an analysis of the relationship between the levels of magnesium, lithium, and education and place of residence of patients hospitalized due to depression. Material and methods. Patients with bipolar affective disorders undergoing lithium therapy during their stay in the Department of Psychiatry at the Medical University in Lublin were examined. Patients were divided into three groups according to education level and were also analyzed according to place of residence. Results. In the group of patients in the study, a significantly lower level of magnesium was found (p=0.02) in blood plasma of patients with secondary education level, compared to those who had elementary education. There was also a significantly higher level of magnesium (p=0.01) in blood plasma of patients who lived in urban areas, compared to rural inhabitants. No statistically significant differences were noted between lithium level in plasma, and the patients’ place of residence (p=0.34). Conclusion. Significantly higher plasma magnesium levels were observed among city than village inhabitants, there was also a relationship between type of education and magnesium level in blood plasma of the patients in the study. Further studies including larger groups of patients should be performed to enable a final conclusion.
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Introduction. In psychology, the way in which we perceive our body is what is called “body image”, a concept which is associated with our social and psychical functioning. A positive image of one’s own body is connected with being attractive, having high self-esteem, high self-confidence and general satisfaction with life [1]. Therefore, contentment, or lack thereof, of one’s body comprises an emotional element of body image [2]. The feelings we have towards our body are changing all the time, as well as other behaviours and are conditioned by individual circumstances and mood. Nevertheless, our relationship with the body and its main components are a relatively stable construction [3]. Aim of the study. Recognition of the emotional component of body image of the polled women, and observation of behaviours concomitant with dissatisfaction, lead to improvement of body appearance. Methods and materials. The study was conducted in 2014, in which 200 women of child-bearing age – students of Medical University in Lublin, Poland, participated. The applied measurement tools were a questionnaire and a scale for assessing one’s body, both designed by the authors of the study. Results. The average age of respondents – 22; BMI – 21.1840. In the general “one’s body assessment” scale, the highest mean values were achieved in the subscale of “Aspirations for attaining an ideal figure”. There is a statistically significant correlation between the status of relationship, diet, and aspiration for an ideal figure. Conclusions. Most of the surveyed women were satisfied with their appearance and had a high self-esteem. No statistically significant relations were observed between BMI and the subscales of “General body assessment.” The “Cult of Thin” created by the mass media did not influence the subjective perception of one’s body.
The Premenstrual Syndrome (PMS) is described as a cyclical disorder related to the hormonal changes during a menstrual cycle, which affects the emotional and physical health of many women during their reproductive period of life. The PMS can obviously change the quality of life. The syndrome is characterized by a complex group of symptoms, such as depression, irritability, mood swings, anxiety, abdominal discomfort. These signs occur during the luteal phase of a menstrual cycle and disappear after the onset of menses. Some studies suggest that a variety of nutrients may play an important role in the mood swings which occur cyclically during the course of the premenstrual syndrome and that some can have a beneficial impact, especially on the estrous phase of a menstrual cycle. The aim of the paper is to review the results of some studies concerning the role of bioelements in patients with the PMS. Concentrations of magnesium, zinc, selenium and manganese are the highest during menses and the lowest in the ovulatory phase. Fluctuations of the magnesium concentration during a menstrual cycle and the involvement of this element in many cellular pathways and neuromuscular activities obviously affect the incidence or intensity of the PMS symptoms. However, we lack firm evidence that magnesium supplementation can have a positive effect on alleviating the the PMSrelated ailments. Some relationship between the PMS and bone demineralization or depressed calcium concentration in blood has been identified. However, further studies are necessary to examine how the calcium concentration in a human body can decrease the intensity of the PMS symptoms.
Lithium is a medicine of the first choice in the preventive treatment of bipolar affective disorder. It is also used to enhance the treatment of drug resistant depression. How excatly this element acts is not yet fully understood. Lithium influences the transportation of sodium via cellular membranes (sodium-potassium ATPase dependant), has an inhibitory influence on the second transmitter system (connected with phosphatidylinositol), thus probably acting as a stabiliser of inter cellular processes. Lithium does not associate with plasmatic proteins and is almost entirely excreted by kidneys. The side effects of the medicine are linked to its influence on the central nervous system and on the renal transportation of electrolytes as well as the narrow therapeutic index of the medicine, which can cause intoxication if the recommended doses are not when medical recommendations are not observed. The undesirable effects are more intensive when the level of lithium in the blood plasma increases. Among the most common side effects are stomachaches, nausea, diarrhoea, lack of appetite, polydipsia, polyuria, shaking hands, headaches, sleepiness or deterioration of memory. Complications during lithium therapy listed in literature are ataxia, dysarthria, nystagmus and extrapyramidal symptoms, but the most severe complication is lithium poisoning. Lithium can be applied for a long-term maintenance treatment, which limits recurrence of the disease and improves the patient’s family, social and occupational life. The inferior quality of life among patients with affective disease can result from the disorder itself or can develop on the somatic grounds, appear due to abuse of tobacco or alcohol, or else be a side effect of other medicines taken by the patient. Good co-operation with the patient during the therapy can lessen the pronouncement of undesirable symptoms and complications of a lithium treatment, and this in turn can improve of the quality of the patient’s life.
Introduction. Nowadays, preventive vaccination is still the most effective method of countering and combating infectious diseases. Objective. The objective of the present study was to take into consideration the education of the respondents while learning about their views and attitudes towards both compulsory and recommended preventive vaccination in Poland. Materials and methods. An interview survey was conducted among 370 respondents – students and young parents residing in the Lublin province of eastern Poland. The research tools were an authors’ questionnaire and a Life Orientation Questionnaire (SOS-29). Results. The majority of respondents with secondary education (77.40%), undergraduate education (63.71%), and graduate education (55.07%) stated that sometimes preventive vaccination may have life-threatening consequences. A very small percentage of both groups of respondents with secondary and undergraduate education expressed the opinion that such situations often happen (1.69% vs. 1.61%), but this opinion was not shared by any of the respondents with graduate education. Analyzing the dependency between the sense of coherence and one’s level of education, a significant difference between the respondents with secondary education and undergraduate education was observed. Although differences between respondents with graduate education and respondents with undergraduate education existed, they were not very significant. Conclusions. The educational background of the respondents has an impact on their opinions on preventive vaccination. The great majority of respondents believed that vaccination is necessary in order to avoid many dangerous diseases. Respondents with graduate education evaluated preventive vaccination in a positive or a very positive way. The subjects differed in their global sense of coherence together with its components. The general sense of coherence stood at an average level, with the mean of 129.02 points. The highest results were obtained by the respondents in the area of resourcefulness, which is a belief that they had at their disposal remedial resources, including preventive vaccination.
Anorexia nervosa and bulimia are emotional disorders which are a serious hazard to the physical health or life. They most often affect girls and young women and disorganize their mental and social life. In this paper, complications caused by eating disorders as a result of deficiency or excessive loss of bioelements by an organism are reviewed along their influence on the quality of life. The symptoms of anorexia nervosa are the following: weight loss over 15% of the standard body mass for the age and height, severe fear of body weight gain despite clear evidence of weight deficiency. The main symptoms of bulimia involve uncontrolled overeating and counteracting weight gain which could occur after overeating episodes by self-induced vomitting or overuse of laxatives and diuretics. Medical complications of bulimia are related to the method and frequency of purgation, while in anorexia they are caused by starvation and weight loss. The following deviations are observed in both restrictive and bulimic forms on anorexia: hypokalemia, hypocalcemia, hypophosphatemia and sometimes also hyponatremia, hypomegnesemia and hypochloremic alkalosis. Many electrolytic and acid abnormalities are found in bulimia depending on the method for laxation (self-induced vomitting, misuse of laxatives or diuretics). Most patients adapt well for a relatively long time to low levels of potassium in plasma but sometimes the situation may cause life threatening consequences, like dysrhythmia, paralytic ileus, neuropathy, muscle weakness and paresis. Physicians and patients should understand that anorexia nervosa is a systemic disease and can affect all body organs. Full knowledge about possible complications of anorexia nervosa allows physicians to achieve precise assessment and conduct appropriate treatment of patients when the diagnosis has already been made.
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