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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.
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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.
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The nasal airway evaluation in morbid obesity

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The aim of the present study was to evaluate objectively the nasal patency in the obese patients. A total of 18 morbidly obese patients were recruited for the study. All of them were surgically treated because of morbid obesity using Bilo-Pancreatic Diversion (BPD) or Laparoscopic Gastric Banding (LGB) methods. The patients were free of nasal abnormalities, such as septum deviation, polyps, nasal concha hypertrophy and paranasal sinus diseases. This group comprised 10 men and 8 women aged from 17 to 54. The mean Body Mass Index (BMI) was 51.6 kg/m2, ranged from 34.7 to 61.8 kg/m2. In all of the patients the nasal patency was examined by active anterior rhinomanometry according International Standardization Rhinomanometric Committee using air pressure 75, 100 and 150 dPa. The results were compared to the healthy control group. The correlation between BMI and nasal airflow pressure was also examined. We found that inspiration values for 75, 100 and 150 dPa as well as the expiration values for 100 and 150 dPa in standard method and expiration values for 100 and 150 dPa in Broms method using anterior rhinomanometry in morbidly obese patients were statistically significant higher in comparison with the healthy controls. No statistical significant correlation between BMI of obese patients and the airflow pressure values was found. We conclude that in the morbide obesity the nasal patency is reduced as compared to the healthy controls.
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.
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.
Background. Obesity is a global-scale epidemic of the 21st century, leading to numerous psychophysical complications. The objective of this paper is to analyse the quality of life at perimenopausal age in the group of obese women, and to compare the findings with those obtained in the group of women with proper body mass. Material and methods. There were two equal research groups included in the study. In the first group there were 50 obese women BMI (m) = 36.5, patients of the Obesity Treatment Ward. In the other group, there were 50 normal-weight women BMI (m) = 24.1, primary care patients from Warminsko-Mazurskie Province. The research tool used in the study was The World Health Organization Quality-of-Life Scale − WHOQL-BREF. Results. Differences between the group of obese women and the one with healthy body mass turned out to be statistically significant p<0.05 in the general quality of life t(sd) = -3.21(98), general quality of health t(sd) =-3.96(98), physical health t(sd) = -3.11(98), psychological health t(sd) = -3.67(98), social relationship t(sd) = -2.76(98) and environment t(sd) = -2.86(98). Conclusions. Results of the study showed significantly lower quality of life in all measured domains in obese women in comparison to those with proper body mass.
The problem of relationships between the ultra-trace element content in a human organism and obesity has been poorly studied thus far. The primary objective of the current research has been to investigate the association between hair ultra-trace element content, body mass index and age in adult women. 1281 adult women participated in the survey. Hair ultra-trace element content (Ag, Au, Ga, Ge, La, Pt, Rb, Sb, Tl, W, Zr) was assessed by inductively coupled plasma mass spectrometry using a NexION 300D+NWR213 apparatus (Perkin-Elmer, USA). No significant association between the hair Ag, Au, Ga, Ge, La, and Pt content and body mass index (BMI) values was observed. The hair Rb levels in normal weight, overweight and obese women exceeded the respective values in underweight females by 33 (p < 0.001), 105 (p < 0.001), and 314% (p < 0.001). The hair Sb content in obese persons was 38 (p < 0.001), 38 (p < 0.001), and 22% (p = 0.022) higher in comparison to the values observed in underweight, normal weight and overweight subjects. A twofold increase in the hair Tl content was observed in obese females in comparison to the underweight (p < 0.001) and normal weight ones (p = 0.037). It has been observed that obese women were characterized by 33% higher hair W levels in comparison to the underweight (p < 0.001) and normal weight group values (p = 0.002). The results of correlation and multiple regression analyses partially confirmed these findings and indicated that hair Rb values were characterized by the closest association with the age and BMI. To our knowledge, it is the first report on a relationship between the hair ultra-trace element content and increased body weight. The data may be used as reference values of the content of ultra-trace element in hair of women with different body mass index. However, additional experimental and clinical studies are required to explore the mechanisms of such an association.
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.
Background. One of the reasons for the accumulation of fat tissue (including visceral fat tissue) in the body is an unbalanced diet in respect of the amount and the structure of carbohydrates and the value of the glycemic index (GI) and the glycemic load (GL). The research describing the dependence between the BMI (Body Mass Index), WC (Waist Circumference), WHtR (Waist-to-Height Ratio), and GI and GL indexes in adults exists but only a limited number of works discuss children during the pubertal spurt. Therefore the objective of this research is the evaluation of the State of nutrition of 13-year-old children with waist circumference > 90 percentile with various BMI, taking into consideration GL and GL of their meals. Material and methods. The State of nutrition (BMI, WC, WHtR) of 871 thirteen-year-old children of both sexes was evaluated and 230 children with WC > 90 percentile were selected (26.4% of the total number examined) and divided into three groups regarding the BMI. In 71 children (30.9% of the selected group) the method of nutrition, energy and nutritive value of menus, structure of consumption of food groups and GI and GL value were evaluated, on the basis of the analysis of their three day menus, which had been documented. Results. Significantly higher values of BMI and WC were ascertained in boys than in girls. No essential differences in values of WHtR index were ascertained between boys and girls. The analysis of children’s menus, in both sexes with a waist circumference > 90 percentile showed, regardless of BMI value, a low realisation of recommended energetic value of the diet and low realisation of recommended supply of: dietary fibre, fat, mineral components (K, Ca, P, Mg, Fe, Zn, Cu), vitamins (E, Bh PP) and liquids with simultaneous occurrence of protein in general and animal protein, sodium and vitamins (A, B2, B6) supply. A significantly higher supply of the most of aforementioned ingredients was ascertained in the boys’ diets. In the girls’ diets distinctive differences have been noticed dependent on the value of BMI index, in realisation of the recommended supply: Fe, vitamins A, B1; and for the boys in realization of recommended supply of dietary fibre, K, Ca, vitamins A, B2, C and liquids. The Glycemic Index and Glycemic Load of the basic meals - breakfasts, dinners and suppers - and an average GI and GL of meals from three days was significantly higher for the girls than for the boys. Depending on the BMI, the GI and GL value of basic meals and that of the average of three days were not statistically significant for the girls, although for obese boys they were significantly higher in breakfasts, dinners and suppers than for the boys with normal weight and overweight boys. Conclusions. In thirteen-year-old children with abdominal obesity, regardless of their BMI Index values, numerous dietary mistakes were ascertained, for example: improper number of meals during the day, resignation from basic meals and frequent snacking, unbalanced diet, improper consumption of basic food groups and medium GI and high GL of meals. Children’s diet might be the cause of the existing state of nourishment, including visceral obesity; it might predestine deeper disturbances in carbohydrate-lipid metabolism and that is why nutrition education in primary schools is necessary.
Background. Lifestyle is one of the key factors that determines the proper development of human body, its systems and functions. An appropriate level of physical activity and BMI are thus integral components of a healthy lifestyle. Material and methods. The study involved 333 female students of Ternopil State Medical University and 409 schoolgirls of Ternopil, western Ukraine. The International Physical Activity Questionnaire (IPAQ-L) was used as a research method. BMI and physical activity self-assessment rates were also considered. Results. The surveyed female students of Ternopil State Medical University and schoolgirls of Ternopil (western Ukraine) demonstrate a high level of total physical activity. Most of the surveyed female students (71.1%) and pupils (59.4%) had normal body weight. The schoolgirls’ self-assessment of physical fitness was lower and more adequate when compared to that of female students. Besides, both students and pupils who indicated that they had no free time spent it in a more reasonable way than those who considered that they had enough of it or not enough. Conclusions. The female students of medical university and female pupils of Ternopil are fully aware that physical activity is significant for their lives and that it constitutes a key factor to a healthy lifestyle.
Background: The objective of this study was to determine changes in the group size of girls and boys with proper BMI values and their peers with underweight, overweight and obesity in a twenty-year time span. Material/Methods: In 1985 and 1986,20,353 boys and girls were examined, and 20 years later, 10,705 students. Measurements of body height and body mass were taken, which enabled calculating values of the Body Mass Index (BMI). The statistical significance of differences between mean values obtained in 1986 and 2006 was verified with Student’s t-test for independent variables. The statistical significance of differences between the number of girls and boys classified to each group in respect of the whole group surveyed in 1986 and 2006 was determined with the χ² test. Results: The greatest generation changes in the mass-to-height proportions were noted in the youngest children from the Podlaskie Province. It was higher by 1.66% in pupils with 2nd degree underweight, and higher by 4.79% and 1.29% in pupils with overweight and obesity, respectively, while it was lower by 10.11% among boys with a normal BMI value. In girls the percentage with normal BMI values was observed to decrease by 8.95%, whereas among girls with overweight – to increase by 4.85%. Conclusions: The results may suggest that a greater percentage of the young generation will be characterized by improper mass-to-height proportions.
Background. Adequate nutrition and nutritional status during pregnancy are essential for mother’s health and foetus development. Due to increased demands, pregnant women are vulnerable to inadequate nutritional status and paradoxically it may also affect overweight women. Objective. The aim of the study was to evaluate energy and nutrients intake in the group of pregnant women in relation to nutritional standards and pre-pregnancy BMI. Material and methods. The study included 90 women, during the third trimester of pregnancy, recruited from Warsaw antenatal classes. The anthropometric data gathered in the research were used to calculate BMI value before pregnancy. Pre-pregnancy BMI was categorised as: normal weight (BMI=18.5-24.9 kg/m2, n=47) and overweight (BMI ≥25.0 kg/m2, n=43). The assessment of women’s nutrition was based on 3-days dietary record. Due to heterogeneous variances, differences between groups were assessed using Mann Whitney U test, p<0.05 was considered as significant. Results. The mean intake of energy, protein, fat and carbohydrates in the overweight women were significantly higher than in healthy weight women (p<0.05). Most of the healthy weight women did not reach EAR standard for vitamin D (79.5%), whereas in overweight group it was 41.3%. Conclusions. Despite the fact that intakes of energy and all nutrients were higher in overweight women than in normal weight ones, we observed that women in both groups had risk of insufficient supply of energy, iodine, potassium and vitamin D. For this reason, accurate nutritional assessment should be an integral part of obstetric care.
Background. The aim of the study was to compare chosen aspects of lifestyle of women aged 45-59 and 60-74. Material and methods. The study, carried out between 2013 and 2015, embraced 120 women who engaged in physical activity. Respondents were students of the University of the Third Age in Gorzów Wlkp. and the Elderly and Disabled Activation Center in Piła. Two age categories were distinguished: 45-59 and 60-74 years old. In the study a diagnostic survey was employed, with the use of the techniques of questionnaire, interview and observation. The qualitative and quantitative analysis was carried out with the employment of: frequency of characteristics, chi-squared independence test and multiple correspondence analysis. Results. Older women far more often chose positive health behaviors than those under 60 years of age. There were more current nonsmokers among them, as well as nondrinkers or those who drank less frequently and controlled their health more often. Younger women assessed their own health and physical fitness higher. There were no obese people among the subjects. Conclusions. There is a need for t he dissemination of healthy lifestyle among people aged 60+, especially in the situation of an aging population with unstable retirement age. Activation of people belonging to this age group is a chance to improve their life quality.
A significant increase in the incidence of obesity, which has taken place in recent years caused that began to talk about the epidemic of obesity. This problem is characteristic of highly developed countries. Increasingly, also occurs in developing countries, including Polish. It occurs in all age groups and in almost all social groups. The disease is currently diagnosed in almost 25% of the Polish population. Increasingly, it is also diagnosed in young women and pregnant women. The literature increasingly emphasized the importance of obesity in disorders of insemination and proper implantation the fertilized ovum. For women who are overweight and obese, more often than women with normal body weight, comes to ovulation disorders and disturbances in the proper implantation of the fertilized ovum. These disorders result from the accumulation of adipose tissue and hormonal disorders resulting from them. Influence on fertility of women have not only expressed as their body weight BMI, but also as the content in the body fat and its distribution. The higher the fat content in the body making it harder and longer may be infertility treatment. It also noted the relationship between fat distribution and duration of treatment of infertility and its effect. More and more often also emphasized the importance of incorrect diets in young women as a factor in reducing fertility. This article is an attempt to collect and characterize the major causes of infertility seen in young women who are overweight or obese.
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