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Nutrition knowledge of people with eating disorders

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Background: Eating disorders are an increasingly common health problem that is a major therapeutic challenge. For many years, the basic form of therapy used to be psychiatric and psychotherapeutic treatment, but now it is postulated that the dietetician should also be part of the therapeutic teams. Objective: The main purpose of the study is to assess nutrition knowledge of people with eating disorders with consideration to their age, place of living, education, BMI, type of disease, participation in dietary consultations and in therapy. Material and methods: Nutrition knowledge of the respondents was assessed by means of an author’s survey questionnaire. The questionnaire was published in one of the social portals in the “Eating disorders – tackling” group gathering people with different types of eating disorders. The survey questionnaire consisted in 33 questions. Arithmetic mean and standard deviation for the number of correct answers provided by the respondents by the selected criteria. Results: In terms of age, the least nutrition knowledge was attributable to the persons below 20 years of age (25.24 points in average). When considering the place of living, the least nutrition knowledge was revealed among the subjects living in medium cities (between 20 and 100 thousand of population) i.e. 25.31 points. In terms of education, the least nutrition knowledge was recorded in people with vocational education (24.83 points). When classifying the respondents by BMI, the highest average score was gained by the respondents with normal body mass index (BMI) (26.42 points). Conclusions: The study on the level of nutrition knowledge among the people with eating disorders demonstrated that this knowledge was selective and insufficient to provide rational nutrition. It aimed at teaching the rules of healthy lifestyle and nutrition and thorough discussing of all nutrients, their functions and effect on the body.
Background. Obesity is considered a disease. The treatment of obesity should include the modification of health behaviors in order to achieve long-term weight loss. Objectives. The comparison between traditional weight loss treatment with and without a motivational therapy. Materials and Methods. The study included 104 overweight women or women with obesity with a median age of 34. They were under the supervision of a dietician. The patients were divided into two groups: the standard group which was on an individualized and low-calorie diet developed by a dietitian and received substantial support, and the study group which additionally used motivational techniques. Results. Mean weight loss, mean reduction in waist measurement and body fat after a 5-month treatment were calculated. The mean body weight loss in control group was 10.56 kg (± 8.65), the waist measurement was 11.84 cm (± 10.62), and fat loss was 5.11 (± 3.17) kg on average - it corresponds to 8.02% (±6.55). The study in which additional motivational techniques were used, the mean weight loss was 17.31 kg (± 9.29), the waist measurement was 15.25 cm (± 8.28), and fat loss was 8.34 kg - it corresponds to 12.19% (± 7.32) of adipose tissue. All the differences between treatment results in both groups were statistically significant (p <0.05). Conclusions. The dietary treatment process employing motivational techniques has greater therapeutic efficacy than a traditional approach.
Background. In childhood and adolescence, adequate nutrition is vital for ensuring correct physical, mental and emotional development as well as effective learning ability. Thus, the acquiring of such healthy lifestyle behaviour is also important later in adult health. Objectives. To assess and compare the dietary habits of pupils attending middle school in Poland and the Czech Republic, who live in the border regions between these countries. Material and methods. The study tool was a nutrition questionnaire dived into a section on socio-economic status and one on detailed dietary habits. Subjects were 202 pupils recruited from Poland and 202 from the Czech Republic. Statistical analyses were performed by the Statistica Ver. 9.0 software, where the Chi2 test was used to evaluate the significance of differences between the data, taking p<0.5asthe critical value. Results. There were 47% of pupils eating 4-5 meals daily and 49% and 50% ate breakfast and lunch respectively. Milk or dairy drinks were daily drunk by 24% pupils daily and 14% ate hard or processed cheese. Fish was consumed 1-2 times weekly by 46% subjects and fruit and vegetables were daily eatenby 49% and 36% of pupils respectively. Conclusions. Pupil’s dietary habits were found to be unfavourable in both countries. There were significant differences between the countries tested, especially in how frequently breakfast and lunch were eaten, as well as in the intakes of milk and dairy products and in the consumption of fast-food and sugary drinks.
Background: Psychological old age is considered a developmental process in which there is a juxtaposition of profit and loss. Developmental changes are multi-faceted and include biological, psychological and social spheres. The quality of human life diminishes as mobility lessens, and this compromises self-perception. The biological changes of old age are retroactive. Poor nutritional status and other negative behaviors like addictions contribute to the physiological regression of aging. Interest in nutrition amongst the elderly is heightened because of the aging population in Poland and internationally. There is also interest in the application of proper nutrition to prevent diseases in this age group. Proper nutrition is one of the main factors determining ideal human function and positively affects the natural processes within it. Analysis of food composition gives the opportunity to eliminate nutritional errors, which in turn contributes to improving the quality of life and delaying the aging process in the examined age group. Aim of the study: The aim of this study was to evaluate the content of selected vitamins in 10 seasonal menus applied at a Social Welfare Home. Material and methods: This study included 40 decade menus, prepared over four seasons of a year for the residents of a Social Welfare Home. The vitamin content of the meals was assessed quantitatively using the computer program, Diet 5. The selected vitamins were those considered most essential to the elderly diet because of the common appearance of their deficiencies. Taking into consideration physical activity of the elderly (1,4 physical activity level ) and utilizing the norms developed by the Food and Nutrition Institute, the average norms of the analyzed nutrients were calculated for people over 60 years of age. For this purpose the formula (K+M)/2 was used, where K is the norm for women and M is the norm for men. The results obtained were compared with the calculated mean values of the norm for elderly at the level of the estimated average requirements (EAR). The results were analyzed statistically giving the mean value (X) and the median. The calculations were performed using Microsoft Excel. Results: Deficiencies in vitamin D were found. The menu content of vitamins E and C was correct in all seasons. The amount of vitamins A, B₂, B₁₂ and PP was excessive in all the seasons. Conclusions: The evaluated menus showed errors in the supply of the assessed vitamins.
Otyłość powstaje w wyniku utrzymującego się przez dłuższy czas, dodatniego bilansu energetycznego, niezrównoważenia spożytej energii z wydatkami energetycznymi. Celem badań była ocena sposobu żywienia i stanu odżywienia kobiet ze Śląska w dwu grupach wiekowych. Badaniami objęto 79 kobiet w przedziale wiekowym 26-60 lat (grupa A) oraz 68 kobiet powyżej 60 lat (grupa B). Oceny sposobu żywienia dokonano na podstawie 24- godzinnego wywiadu żywieniowego przeprowadzonego zgodnie z wytycznymi Instytutu Żywności i Żywienia. Uzyskane wywiady żywieniowe posłużyły do oceny ilościowego składu diety: zawartości białka, tłuszczów, węglowodanów oraz kaloryczności jadłospisów. Stan odżywienia określano na podstawie badania antropometrycznego. Wyniki badań dowodzą, iż mimo tej samej podaży kalorii, jak w innych grupach, w grupie osób po 60 roku z BMI30 zostało przekroczone zalecane spożycie tłuszczu. Nadmiernej podaży tłuszczu towarzyszył niedobór węglowodanów. W jadłospisach wszystkich badanych grup zawartość węglowodanów kształtowała się na poziomie 50% energii ogółem.
Background. Excess body weight is one of the most common health and economic problems of the contemporary world. According to the assessments of the World Health Organization (WHO), almost billion adults are overweight and at least 300 million were diagnosed with clinical obesity. Health consequences of overweight are: ischemic heart disease, congestive cardiac failure, hypertension, arteriosclerotic vascular disease, diabetes mellitus type 2, tumours, degenerative joint disease and many more. Objective. The aim of the study was to evaluate the effectiveness of the low-energy diet used in the period of 5 months by women and men treated from overweight or obesity in the diet centre. Material and Methods. The research included 296 overweight or obese patients, treated in the diet centre: (1) 104 women without co-morbidities, between 18 to 61 years old; (2) 58 women with the accompanying insulin resistance between 19 to 61 years old; (3) 49 women additionally suffering from hypothyroidism, between 19 to 61 years old; (4) 85 men without co-morbidities, between 19 to 62 years old. Treated patients were recommended the use of the low-energy diet, where 20% of energy came from protein, 30% of energy from fat and 50% of energy from carbohydrates. The energy content of the diet was considered to be dependent on the individual daily demand that was estimated taking into consideration the physical activity and that was reduced with 1000 kcal. Patients applied suggested reductive diet for 5 months. Results. The use of diet in each group brought positive results. In all groups, body fat decreased significantly after 5 months of dietary treatment. It has been shown to increase the average percentage of water content in the body of subjects. There was also an average reduction in total cholesterol, LDL, TG, glucose levels and increasing HDL for each group. Conclusions. Diet proceedings consisting in reduced energy value of the diet has a beneficial effect on reducing body mass, metabolic age, reducing BMI and influences the percentage change in body fat, causing its reduction, change in percentage of water content, leading to a slight increase in its levels in the body . In addition, favourably nutritional proceedings influenced the changes in blood levels of lipid indicators, thus reducing risk factors for coronary heart disease.
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Background: The aging of the population in Poland and globally has increased interest in nutrition for the elderly. Their diets are inappropriate, but modifications should be introduced gradually. This is important in hospital settings, sanatoriums or social care homes, where patients have few choices. Aim of the study: The study aimed to assess the content of the selected mineral salts in ten day menus offered by the Social Welfare Home based on season of the year. Material and methods: The study included 40 menus offered in four seasons of the year for the residents of the Social Welfare Home in Lower Silesia. The mineral content of the foods on the menus were assessed. We considered the physical activity of the elderly (1.4—Physical Activity Level) using norms developed by the Food and Nutrition Institute, and calculated the average norms of the analysed nutrients for people over 60 years of age. Results: The diets were low in minerals such as calcium and potassium, and contained an excessive amount of phosphorus, sodium, iron and zinc in all seasons. Although magnesium levels in the spring and summer were appropriate, deficits appeared in autumn and winter diets. Conclusions: The evaluated menus showed inadequate supplies of the assessed mineral salts. More analysis and adjustments to planned meals is recommended.
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