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The work presents results of investigations addressing the evaluation of motor capabilities of children and adolescents with dysfunctions of the hearing organ originating from areas of eastern Poland. Results collected depict, in some part, the current health status of the examined subjects, manifested in the effectiveness of the functioning of internal systems and organs. The study was diagnostic in character, and the research method applied was a diagnostic survey. It was conducted by means of a technique of participant observation based on a questionnaire and an interview questionnaire. The level of motor capability of the subjects was evaluated based on the International Physical Fitness Test. The survey enabled evaluating the general level of motor capabilities of the pupils examined. According to guidelines of the test, three levels of motor capabilities were adopted in the study, i.e. high, medium and low. Results obtained were compared with results of the nation-wide surveys conducted for children and adolescents. The protocol of the study was approved by the Bioethics Commission for Scientific Research at the Academy of Physical Education in Katowice (Resolution No. 3/2006 of the 27th of April 2006).
Background. Physical inactivity is also a significant problem in East-Central Europe and Hungary where 20% of the population does sports regularly while 53% of them never, in turn, 24% of the people does sports few times monthly. Insufficient physical activity is an increasing public health problem among young people and adolescents. Several types of research examined the quality and extent of physical activity related to different factors (social demographic, psychosocial, and lifestyle, etc.). Material and methods. Interviewing was carried out from April to June 2015 at the same time in each Visegrad country. IPAQ extended physical activity questionnaire and a self-edited questionnaire were used to assess nutritional and activity habits (In order to evaluate data, INDARES software, and paper-based questionnaires were used for 2145 persons from different secondary schools). Results. In low PA level category, male students were rather found while in high PA level category, male students showed higher ratios than females. From 56.7% to 77.8% of male students occurred in high PA level category opposite to female students where this rate was from 42.4% to 67.4%. We found significant gender differences in total MET/week values (p<0.001) in the V4 countries. Conclusions. We found significant differences in the Visegrad countries and between sexes. These differences draw the attention to improving deficiencies in physical activity of secondary school students with well-defined risk group interventions.
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Methods used by adolescents for reducing body mass

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Background. During adolescence teenagers undergo dynamic physical and mental changes which are accompanied by an increasing interest in changes to their external appearance. Often teens are concerned about such changes, leading to attempts at managing body mass reduction. Adolescent slimming more commonly arises due to a subjective appraisal of body mass rather than using any objective BMI indicators. Objective. To evaluate nutritional status of 13 year old boys and girls living in Szczecin, Poland and to analyse the methods used for achieving body mass reduction. Materials and Methods. Subjects were 1,342 adolescents consisting of 679 girls and 663 boys. Nutritional assessment was performed by anthropometric measurements; calculated BMI (Body Mass Index) and WC (Waist Circumference index). A questionnaire was also used to determine how the subjects lost body mass, their satisfaction levels, mood changes and physical activity. Results. Only 73% subjects had an adequate/normal nutritional status. It was found that half of those declaring that they had used various means of losing body mass (13.04%), of whom the majority were girls, had normal BMI indicators. The most frequently used method of losing body mass were; reducing foodstuff portions and dishes, abstaining from dinner, 1-3 starvation days, increasing physical activity, reducing sweets consumption, abstaining altogether from sweets and increasing fruit and vegetable consumption. Slimming diets were undertaken by 13.1% subjects, consisting mainly of 1000-1300 kcal diets, vegetarian diets or ones recommended by a physician. Conclusions. Adolescents living in Szczecin showed similar rates of adopting slimming diets for reducing body mass when compared to other regions of Poland and the rest of Europe. The methods used for this purpose were mainly either antior pro-healthy nutritional behaviour, but less often using physical activity or through slimming diets. It thus appears that monitoring nutritional status in adolescents, as well as providing education in pro-healthy nutrition, is necessary.
Introduction: Eating snacks is common among Poles and it is an important element of everyday diet, especially for the young. Easier to acquire than a regular meal, snacks make it possible to maintain the regularity of eating throughout the day. Purpose of the study: The purpose of the study is to learn about the motivations of Polish society, determining the choice of snacks. Data and methods of analysis: The figures presented in the study come from three sources: 1) research on the eating habits of Poles conducted by Ipsos on a representative sample of Poles, 15-year-old or older, covering the whole Poland. The size of the sample in subsequent years was respectively: in 2009: N = 821, in 2010: N = 824, in 2011: N = 825, in 2012: N = 839. 2) “Needstates” research on consumer needs segments conducted in 2014 on Poles by TNS Poland on the sample of the dairy product consumers among 15 - 75-year-old respondents, and 0 - 14-year old children, covering the whole Poland. The size of the sample was respectively: 15 - 75-year-old consumers: N = 1600, 0-14-year-old children: N = 800. 3) “Omnibus” public opinion poll conducted in 2015 by TNS Poland on a representative sample of Poles, 15-year-old or more, covering the whole Poland. The size of the sample was N = 1000. It was a direct questionnaire survey, conducted at respondents’ homes. Results: Breakfast, lunch and supper are the basic meals for the vast majority of Poles (83 - 90%), but even 1/3 of Poles eats a snack between the above at least once a day. In recent years, we can observe a constant increase in the share of unhealthy kinds of snacks: crisps/ nachos/salty cookies, chocolate, dry smoked pork sausages, frankfurters, instant meals, fast- food snacks or chocolate!hazelnut spread. Meanwhile, there is also a beneficial increase in the consumption of healthy snacks: fresh fruit and vegetables, fruit yogurt eaten with spoon, cream cheese, kefir, buttermilk, hard cheese or blue cheese, which are both tasty and healthy. This allows us to hope that the strategy of increasing the quality and nutritional value of snacks through directing the attention of Poles to proper categories can be more effective than fighting the habit of eating snacks as such, and it can bring about positive results. Conclusions: The analysis of the eating motivations among the consumers of dairy products indicated that the key incentive for eating them is the taste. It is the taste and the pleasure of eating that can be most effective in making the Poles chose healthy snacks, thus lowering the share of the unhealthy snacks. The second important group of motivations is connected with health. The categories that can be most reliable in encouraging the Poles to eat healthy snacks are: fruit and vegetables, dried and processed fruit, cereal products, dairy products (yogurts, cheese cream, milk desserts), various kinds of cheese (quark, hard cheese and other kinds of cheese), cottage cheese.
Background. Changes to the body and its proportions, especially body mass, are frequently and critically assessed by the young according to peer pressure and opinions prevalent in their living and home surroundings, as well as through role models created by the media; particularly those promoting fashions for having a slim figures. The desire to achieve this ideal, is thus responsible for adolescents undertaking a variety of actions/behaviour to regulate their body weight. Objective. To compare healthy lifestyle behaviour in secondary school pupils living in towns and the countryside who have variable weights and heights associated with a self-assessment of body mass. Material and Methods. Subjects were n=1,279 pupils aged 13-15 years, attending secondary school. Those from the countryside environments were n=273 (136 boys and 137 girls), whilst those from urban areas, (towns) were n=1,006 (512 boys and 494 girls). Both weights and heights were measured and the Body Mass Index (BMI) determined. Threshold values for overweight, obesity and underweight, were used to assign BMI groups according to the procedure of Cole et al. Perceptions on how subjects assessed their body weight and remedial actions so arising, were surveyed using the Youth Risk Behaviour Survey (YRBS) questionnaire. The relationships between the factors studied were subjected to log-linear analysis and their significance evaluated by Chi2 test using a significance level of p≤ 0.05. Results. No significant differences were found in the observed frequencies of overweight, obesity and underweight groups between students from the different environments studied. Pupils having a normal body mass constituted 68.9% of total subjects. There were also no differences seen in body weight perception between the various environments. Approximately 70% of subjects properly assessed their own body mass, however the methods of its assessment differed between boys and girls. The main ways adopted for regulating body mass was found to be exercise and diet in both student groups. Significantly more girl pupils living in towns, (54.9%) did physical exercises, aimed at weight reduction, compared to those living in the countryside (43.8%). Conclusions. Only small differences in observed frequencies of height-weight were seen between urban and rural dwelling pupils; the same being true for lifestyle behaviour in controlling weight. Irrespective of residence, two thirds of pupils, aged 13-16 years, correctly assessed their own body mass. In children and adolescents, improving self-awareness of body proportions can be achieved through educating on what the significance of having a healthy BMI is, effective ways of its estimation and safe methods for regulation.
There is a 10–30% prevalence of HP infection in the general pediatric population in Poland. This study aimed to determine its prevalence in T1DM children in Upper Silesia, Poland and estimate its influence on metabolic control of patients. We studied 149(82♀) children with T1DM (duration > 12 months, mean HbA1c) and 298(164♀) age-matched controls. In all cases height and weight z-scores and Cole’s index were assessed. In T1DM patients additionally glycated hemoglobin A1c and T1DM duration were analyzed. Presence of HP infection was determined using 13C-isotope-labeled urea breath test (UBT) (fasting and 30min after ingestion 75 mg of 13C urea). HP infection was present in 17 (11.4%) T1DM patients and in 49 (16.4%) controls (p > 0.05). T1DM patients presented higher values of anthropometric parameters than healthy controls (weight SDS 0.25[–0.46÷0.84] vs. –0.25[–1.06÷0.26], height SDS 0.09[–0.60÷0.69] vs. –0.31[–1.17÷0.48]and Cole’s index 103%[93÷111%] vs. 97%[86÷106%]; for all p < 0001). Within both groups – T1DM children and controls – no differences regarding sex, age and any of the anthropometric parameters were determined. T1DM duration and HbA1c showed no relationto prevalence of HP infection. Prevalence of HP infection in pediatric T1DM patients is similar to that of healthy peers and shows no relation to glycemic control.
Background. Despite the efforts of health systems, the prevalence of malnutrition reflected by weight status still poses challenges for many countries around the world. In fact, with the decrease in undernutrition, excess weight and obesity are gradually increasing in parallel with that of chronic diseases. Among school-going adolescents, however, weight status is less studied, particularly in developing countries. Objective. The objective of this research is to examine the situation and the determinants of the weight status of adolescents in the province of El Jadida in Morocco. Material and methods. The study was carried out on a sample of 463 students from the province of El Jadida of which 58.1% are boys and 41.9% girls, ages 9 and 17. Nutritional status was assessed by anthropometric measurements including height, weight and waist and hip circumference. Body mass index (BMI) was calculated to determine underweight, overweight and general obesity and waist circumference and the waist circumference to hip circumference ratio were used to determine abdominal obesity. Results. The results indicate that only 59.6% of students had normal weight status, 40.4% had abnormal BMI values corresponding to thinness in 18.8% and overweight (overweight and obesity) in 21.6%. A significant difference in the prevalence of abnormal weight status by sex and level of physical activity was found. The results of the present study reveal an abnormal weight status in a large proportion of adolescents linked in addition to the peculiarities of the puberty phase to the sedentary lifestyle in the study population. Conclusions. The results obtained revealed the coexistence of over-nutrition and undernutrition which require a prevention policy based on regular monitoring of weight status as well as on nutritional education and the promotion of physical activity for children and parents.
Background. Patients with obesity, including morbid obesity, commit numerous dietary mistakes. They prefer high-energy diets, but of poor nutritional value. Patients qualified for bariatric procedures show deficiencies in vitamins and minerals due to insufficient intake of vegetables, fruit and whole grain products. Objective. Analysis of dietary habits in morbidly obese patients prepared for bariatric surgery, including assessment of eating style and frequency of consumption of certain products. Material and methods. The study group contained 39 people aged 18 - 65 years, who were surveyed with a questionnaire elaborated in the Department of Clinical Dietetics and Nutrition, Medical University of Bialystok. The following factors were assessed: number of meals, snacking between meals and eating at night, types of snacks eaten, and frequency of consumption of certain foods. Results were analyzed using Statistica 9.0. Results. The majority of surveyed men (41.7%) ate three meals a day, whereas most women (40.7%) had at least 4 meals a day. Nearly 85% of the respondents admitted snacking between meals, mainly eating fruit, sweets and sandwiches. Whole grain cereal, milk and dairy products, fish, fruit, vegetables and pulses appeared in diet of patients qualified for treatment of obesity very rarely. Conclusions. Dietary habits of obese patients qualified for bariatric procedures are not consistent with recommendations. Therefore, these patients should receive nutritional education in order to foster proper eating habits that will help in the postoperative nutrition.
Introduction. Appropriate diet and physical activity are vital determinants of psychophysical development in children and adolescents. Objective. The aim of the study was to analyse an association between dietary habits and physical activity levels of adolescents from post-grammar schools. Material and methods. The study included 110 girls and 65 boys between 16 and 19 years of age from two post-grammar schools in Biała Podlaska in Poland. They were subjected to a diagnostic survey providing information on their diet (number of meals a day, their regularity, frequency of bread, dairy, meat, fish, sweet, fruit, vegetable and fast food consumption, preferred ways of food processing). Physical activity levels were determined with the International Physical Activity Questionnaire – Short Form (IPAQ-SF). Based on these data, the respondents were stratified to high, moderate and low physical activity groups. Due to small number of participants presenting with low physical activity levels, we did not include this group in further analyses. The significance of differences in the dietary habits of adolescents presenting with high and moderate physical activity levels was verified with the χ2 test. Results. Most girls and boys presented with high levels of physical activity. However, we did not find an evident relationship between dietary habits and physical activity levels. Girls from high and moderate physical activity groups differed solely in terms of the number of daily meals, frequency of meat and sweet consumption, and significant intergroup differences observed among boys pertained to the frequencies of whole-wheat bread, meat and fast food consumption. The abovementioned food products were consumed more often by girls and boys presenting with high physical activity levels. Conclusions. The dietary mistakes observed in physically active adolescents from post-secondary schools justify intensification of their dietary education programs.
Background. Numerous studies attest to the role that inappropriate food product groups in the human diet, including children and adolescents diet, leading to abnormal intakes of many important nutrients, such as minerals. Objectives. These studies were undertaken to assess the coverage of the recommended values for chosen minerals by 205 children and adolescents between the ages of 4 and 20 years, grown up in Krakow orphanages. Materials and Methods. Sodium, magnesium, zinc, iron, copper, calcium and potassium concentrations in 112 diets of children and adolescents from 7 selected orphanages in Krakow in every season of the year were performed using AAS method. Results obtained were compared to recommended standards in Poland. Results. Intakes of calcium and potassium were usually too low whilst adequate levels of dietary magnesium and calcium were seen only for the youngest children. Recommended dietary levels of zinc were met in all cases and mostly also for iron and copper. Sodium intakes were however excessive. Conclusions. The study demonstrates that regular a monitoring and adjusting of the diet is necessary for the assessed children and adolescents in order to correct dietary abnormalities.
Introduction. An adequate mode of nutrition is among the most important environmental factors affecting the development of Man and maintenance of a good health status. An improper selection of nutrients and irregular consumption of meals may lead to overweight and obesity. Objective. The characteristics of health behaviours of the examined population of schoolchildren, with consideration of nutrition and body weight disorders. A comparison of the opinions of schoolchildren and their parents concerning health behaviours. Development of guidelines for educational programmes carried out in the place of residence of the population of schoolchildren and their parents. Materials and method. The survey covered a randomised group of schoolchildren attending elementary and secondary schools in the Kalisz Province and province of the city of Kalisz. The study was conducted in May and June 2009, in a randomly selected representative group of 1,100 boys and girls from classes V and VI of elementary schools, and 1,100 secondary school adolescents aged 16–19 and their parents. The studies of schoolchildren attending elementary and secondary schools were compared with the all-Polish studies of junior high school adolescents in the school year 2006–2007. Results. The respondents most often consumed 3–4 meals; however, as many as 26% of junior high school adolescents and 27% of secondary school adolescents admitted that they consume only one meal daily. The schoolchildren show inadequate nutritional habits concerning an insufficient consumption of fruits, vegetables and fish, in favour of high calorific meals and sweet snacks and drinks. Parents improperly assess the body weight of their children and perceive them as slimmer, which is not confirmed by the BMI value for age and gender. Conclusions. Systematic monitoring and analysis of changes in the health behaviours of adolescents should be a basis for planning health education and promotion programmes. Educational programmes concerning various aspects of health should be implemented in an organized and complementary way, directed not only at schools, but also at entire families and local communities. Knowledge, beliefs, skills and attitudes towards health acquired during the period of adolescence decide about life style in adulthood.
Leisure-time behavior, including tourist activity among contemporary adolescents has raised great interest of scientists and the representatives of the tourism industry. Not only it is important to estimate the rate of tourism activity among adolescents, but also it is necessary to bear in mind the analysis of behavior shaped on account of their gender, place of residence, or level of education. An attempt to conduct such a study was made on the basis of survey data obtained within the group of 1,067 junior high school students of the selected voivodeships in Poland. The results obtained clearly indicate that almost 1/4 of the students surveyed had not participated in tourist trips. This was particularly noticeable in the case of boys and students living in rural areas. It is important to take broader steps to stimulate young people’s needs for tourism and sightseeing. First of all, from the family which is considered a social institution, it is expected to raise young generations in the spirit of tourism and active leisure. Family’s contemporary problems: increasing poverty, or even its (partial) marginalization are commonly disregarded. A systemic approach (support for families by schools, social organizations, and government units) appears to be a successful solution, but it is a long-term and complex process.
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