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Since the mid-eighties, the Polish society has witnessed a steady increase in the 65+ population. This demographic trend calls for a change in the organisation of health services and healthcare for this segment of the society. Old age is a difficult period in human life, especially if one has not been prepared for it. Individuals experience a number of health restrictions, while the quality of life at that stage of life depends mostly on the accuracy of identifying health needs, their types and the quality of the available solutions. The following paper aims to present literature on the most common health problems amongst the elderly in Poland. Numerous scientific centres in Poland (and abroad) which work with seniors have confirmed that the health situation of this age group is highly unsatisfactory. Seniors often face problems which affect their functioning, independence and self-care. Impairment may be caused by geriatric disorders, which include cardiovascular diseases (the most common cause of death in Poland among persons aged 65+), cancer, diabetes, balance disorders, impaired mobility, falling down, dementia, depression, insomnia, incontinence, soiling, impaired vision and hearing, lower limb muscle cramps at night, and bedsores. The rapid ageing of the society poses numerous challenges for healthcare organisers, educators and doctors with regard to educating, preventing and treating seniors in Poland.
Starzenie się ludności Polski będzie stanowić jedno z najważniejszych wyzwań polityki zdro-wotnej i społecznej w nadchodzących latach. Obecnie uważa się, że aktywność fizyczna jest jed-nym z najważniejszych czynników gwarantujących osobom w okresie starości szansę na zdrowe i pomyślne starzenie się. Celem niniejszej pracy jest przedstawienie w świetle literatury przedmiotu znaczenia aktywno-ści fizycznej w profilaktyce i leczeniu wybranych schorzeń w okresie starości. Prezentowana praca przedstawia informacje dotyczące prewencyjnego wpływu aktywności fi-zycznej na wybrane schorzenia wieku starczego; ćwiczenia dla osób w okresie starczym z choro-bami układu krążenia (w nadciśnieniu tętniczym i niewydolności mięśnia sercowego) oraz ćwi-czenia w chorobie zwyrodnieniowej stawów i w osteoporozie. Podkreślono w niniejszej pracy fakt, iż pozytywne efekty przynosi jedynie regularne podejmo-wanie aktywności fizycznej. Istnieje coraz więcej dowodów wskazujących na to, że aktywność fi-zyczna może zapobiegać lub opóźniać występowanie wielu schorzeń wieku starczego.
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Proper nutrition is a decisive factor of growth and development of a young organism. It has also a major impact on athletic performance. The aim of this paper is to discuss the basic principles of nutrition in sports training and health training. The size, composition and times of meals may have a huge impact on sports performance. Good dietary practices allow athletes to train hard, regenerate quickly, adapt better, while reducing the risk of illness and injury. Athletes should use appropriate nutritional strategies before and after their performances, so as to achieve the best results. They should pay special attention to the amounts of carbohydrates, proteins, fats, vitamins, minerals in their food:, as well as the amount of consumed fluids.
Unfavorable living conditions of the population, particularly in rural areas, and the relatively low level of health culture, expressed by bad nutrition, insufficient physical activity, alcohol abuse, and smoking, are not conducive to maintaining the health of the population. The health status of the population, including children and young people, is assessed as highly unsatisfactory. The aim of this study was to evaluate the research on health behavior, serving as a basis for formulation of health education programs in rural areas. Literature reports seem to indicate that this sphere of life and education is a bit neglected, probably highly diverse and determined by the influence of various factors, both environmental and individual. Therefore, identification of hazards, understanding their life situation, diagnosing the situation, especially in a group of school children, is particularly desirable and expected. The development of health promotion and prevention programs among adolescents must be based on a fully reliable diagnosis of social situation, documented and monitored. Circulating information from newspaper reports and the school environment suggests the need for particular actions in the field of school health education, conducted by prepared, authoritative staff of educators. Such are the expectations and needs of young people and those who consider the health issues of children significant. The problem of great importance is the issue of research on the health behavior of young people, including rural areas, and the development of compatible research tools. The lack of such tools makes the comparison of the results obtained by different authors difficult. The acquired theoretical knowledge and implementation of various health programs have often failed to produce practical results. What is needed are the actual steps to promote health in schools and homes, and the skills to use the existing knowledge to make the analysis and search for the determinants of health behavior of young people. The skillful linking of thinking, action and knowledge of the determinants of health behavior, will prevent from one-sided trends in education, and will bring more focus on the skills and versatility in the harmonious development of young people. To develop the action strategy for health education, addressed to a group of children and young people of school age in rural areas, it is important to know the perception of health in this environment.
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Background. Breast cancer is the most common malignant tumour in women in Poland. To reduce the risk of breast cancer, appropriate prevention is necessary. Numerous studies conducted over many years in Poland and throughout the world have demonstrated a significant effect of selenium on prevention of disease, including breast cancer in women. The following paper aims to present the literature on effects of selenium (Se) on prevention of breast cancer in women. Material and methods. Based on national and international literature, the paper presents information on the role of selenium (Se) in prevention of breast cancer in women. Results. Numerous studies conducted in research centres in Poland and abroad have shown that female patients with breast cancer and individuals with gastrointestinal cancer have significantly lower selenium concentration in their blood serum and whole blood, as well as significantly lower GSH - Px activity in plasma and red blood cells, compared to healthy women. Low selenium concentration may indicate an increased risk of breast cancer. Selenium is an essential co-factor in the production of antioxidant enzymes and may affect the development of cancer. Clinical trials which assessed selenium content in food showed that its supplementation reduced cancer mortality. Conclusions. Results of numerous national and prospective international studies indicate that low selenium intake and/or concentration in serum/plasma/nails is a high-risk marker of the majority of cancers, including breast cancer in women.
Background. Persistently high incidence of ‘diseases of affluence’ (including cancer) motivates numerous research teams to look for causes of morbidity, as well as to search for preventive methods and effective therapeutic measures. The paper aims to present the literature on effects of selenium (Se) on prevention of gastrointestinal and lung cancer. Material and methods. Based on national and international literature, the paper presents information on the role of selenium (Se) in prevention of cancer – with special consideration given to gastrointestinal and lung cancer. Results. The results of national and international research show the importance of selenium in prevention and treatment of cancerous diseases, including digestive tract cancer and lung cancer. Numerous studies have shown that the risk of cancer for people with low selenium levels is twice as high as for people with high levels of selenium in blood serum. The most prominent relationship between low selenium level in serum and cancer is observed in gastrointestinal cancer, lung cancer, breast cancer in women, and prostate cancer. Conclusions. Many clinical and experimental studies carried out nationally and internationally gathered evidence which indicate the vital role played by selenium in prevention and treatment of diseases – especially of cancer. It should be emphasised that the intake of selenium in amounts necessary for proper functioning - given numerous deficiencies (first in the soil, then in food products coming from selenium-deficient soil) – is merely the first step, as it has already been proven in numerous publications that carbohydrates (especially simple sugars, sweets, cakes, etc.) ‘destroy’ selenium in the human body.
Introduction and objective. Until recently, depression and anxiety during pregnancy were a neglected medical problem. The purpose of this study was to determine the prevalence of symptoms of anxiety and depression during pregnancy and identification of the socio-demographic and psychosocial factors. Material and methods. The study was prospective and longitudinal, and the research group consisted of 314 adult pregnant women. To assess the prevalence of anxiety symptoms and depression, the Hospital Anxiety and Depression Scale (HADS) was applied. To assess the psychosocial variables the Rosenberg Self-Assessment Scale, Marital Communication Questionnaire and the Berlin Social Support Scale and authors’ Socio-demographical questionnaire were used. To assess the normal distribution the Shapiro-Wilk test was used. For non-parametric tests the Mann Whitney U test and Kruskal Wallis ANOVA were used due to the distribution of the variables tested against the intergroup comparisons that deviate from the normal distribution. Results and conclusions. Co-existence of anxiety and depression in different trimesters amounted relatively to 12.7% in the first trimester, 10.8% in the second trimester and 12.4% in the third trimester of pregnancy. Symptoms of anxiety were often experienced by unmarried women, non-working women, and those respondents who estimated their housing and financial situation as being worse. Those most susceptible to depressive symptoms were tested women with primary education and those who assessed as worse their financial and housing situation. Higher self-esteem, good communication in a relationship, satisfying social support was associated with a lower incidence of anxiety symptoms during pregnancy. Higher self-esteem, good communication in a relationship, and satisfying social support was associated with a lower incidence of anxiety symptoms during pregnancy.
The first study was conducted in 1996 in 10 (i.e. all) nurseries and 11 randomly selected preschools in Szczecin. The study involved 526 children (257 boys and 269 girls) aged 1–4 years, and 865 children from preschools (448 boys and 417 girls) aged 4–7 years. In 2006, the study was repeated in seven nurseries (i.e. all nurseries that existed in Szczecin at the time) and 11 preschools in the city of Szczecin, i.e. the same as in 1996. The study involved 314 children attending nurseries: 169 boys and 145 girls aged 1.5–4 and 887 preschool children (461 boys and 426 girls) aged 4–6 years. Motor development of nursery children was assessed based on the Denver test in two selected areas. The level of motor development in preschool children was assessed on the basis of a modified Wrocław Physical Fitness Test developed by B. Sekita. Comparison of the results helped answer the question whether and what developmental changes took place over a decade. The results indicated that the level of motor development of children in Szczecin, compared with children examined 10 years earlier, showed no significant differences.
Health care of children and young people is part of a system of care of the so called “developmental age population.” In this system, prevention plays a key role. The aim of the study was, basing on the obtained results, to develop guidelines for the regional pro-family policy in care of a rural child. The study included children and young people of school age, from 14 to 19 years of age. Overall the analysis included 6,971 children and adolescents and 6,971 parents. Organization of health care of children and school adolescents depended on the solutions approved by individual founding bodies of Health Care Units and Regional Patients’ Funds. The withdrawal of nurses from school was observed. The tasks of prevention character performed previously by nurses employed at schools began to be implemented within the framework of primary health care in the child’s place of residence. For proper implementation of the tasks of school nurses and the proper development of school hygiene, it is important to establish a uniform and maximum number of pupils per one nurse, taking into account all circumstances, and to develop standards of care for the student, taking into account the age of the student, school type, and the region.
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