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Current exercise prescription and physical activity guidelines recommend preschool children to perform at least 60 minutes of moderate to vigorous structured physical activity and at least 60 minutes of unstructured physical activity every day. The purpose of this study was to extend knowledge about the volume of physical activity in 5- to 7-year-old children in relation to their body composition. Also, we recorded the course of growth changes and physical activity levels in 6-year-old children in the previous half century. The sample consisted of 69 pre-school age children (5 - 7 years) attending selected kindergartens located in the area of Presov self-governing region. Of 69 children, 36 were girls and 33 were boys. The volume and intensity of physical activity performed by children during their stay in kindergartens was measured using heart rate monitoring system POLAR Team 2 Pro. Body composition was assessed using direct segmental multi-frequency bioelectric impedance analysis (DSM-BIA) device InBody 230. Parameters of somatic development corresponding with the secular trend are disproportionate to children’s physical activity, which is considered to be an irreplaceable factor underlying health of children. However, the physical activity levels of children are decreasing. The volume of physical activity does not meet the minimum standard recommended by NASPE (Prokopec et al. 1986) and average intensity of physical activity expressed by heart rate does not reach the medium intensity zone.
A group of 173 obese men with asymptomatic hyperuricaemia or gout was observed. 123 of them were treated with low-purine low-calorie diet (LPLCD) in a hospital ward for 21 days. 50 patients (a control group) were put on an ordinary low-caloric diet (LCD). The results showed the evident hypouricaemic effect of LPLCD, The serum uric acid decreased by 25% in patients with asymptomatic hyperuricaemia and by 18% in the gouty patients. Body mass and serum lipids concentration were also significantly reduced. The nitrogen balance, negative at the beginning of the diet, was normalized at the end of treatment. LPLCD is recommended as a principal method in treatment of purine metabolism disturbances in obese hyperlipaemic patients.
Background. Obesity is well known cause of various diseases. However, there are only a few studies which enable to compare directly the magnitude of risk in different groups of chronic diseases. Objectives. The aim of presented paper was to identify a magnitude of the risk of chronic diseases attributable to overweight and obesity on the basis of data on weight and height self-reported by respondents. Material and methods. The survey was conducted among 402 Warsaw inhabitants selected by non-random method. Overweight and obesity was measured by Body Mass Index (BMI) on the basis of the data of weight and height reported by respondents. According to WHO criteria the normal weight is defined as BMI 18.5 - 24.9 kg/m2, overweight as BMI 25.0 - 29.9 kg/m2, and obesity as BMI 30 kg/m2 or more. The following groups of chronic diseases were included: cancer, diabetes and other endocrine diseases, mental disorders, cardiovascular diseases, respiratory diseases, digestive diseases, arthritis and allergy disorder. Results. Obesity measured by self-reported method was recognised as significant risk factor for diabetes (OR=9.6, Cl: 2.0152.8), respiratory diseases (OR=10.6, Cl: 3,0-333,7), cardiovascular diseases (OR=5.2, Cl: 1.9-108.3), arthritis (OR=6.3, Cl: 2.4-266.7), digestive diseases (OR=3,8, Cl: 1.3-83.6) and mental disorders (OR=5.8, Cl: 1.5-29.1), while overweight significantly increased the risk of diabetes (OR=4.4, Cl: 1.2-10.8), respiratory diseases (OR=3.2, Cl: 1.4-22.2), cardiovas- culardiseases (OR=2.9, Cl: 1.2-6.4) andarthritis (OR=3.0, Cl: 1.1-9.6) Conclusions. Our findings showed that data on weight and height collected by survey method provide some information about the magnitude of the risk regarding particular groups of diseases attributable to overweight and obesity, nevertheless, underestimation ofBMI calculated in this way should be taken into account.
Background. The workplace is one of many areas of life where obese people are unfairly treated. According to the literature obese women are particularly susceptible to discrimination in employment. There is a lack of polish researches of this subject. Objective. The main objective of this study was to analyze personal, subjective experiences related to weight bias and discrimination against obese people in the workplace of obese Polish women. Material and Methods. The study was carried out in a hospital clinic for obesity management. A total of 420 women with BMI>30, aged 21 to 72, participated in group interviews focused on the weight bias and discrimination against obese people in the workplace. Results. In the group of clinically obese women, 5.3% of subjects had experienced employment discrimination and 10.5% had been victims of verbal and social abuse in the workplace. The most common psycho-physical consequences of the weight stigma were emotional problems, lack of motivation and overeating in response to stress. Conclusions. Weight-based discrimination in the workplace poses a problem in Poland. The weight stigma and occupational discrimination lead to psycho-physical discomfort which exacerbates overeating and obesity.
Introduction. Elevated uric acid (UA) is associated with arterial hypertension (AH), obesity, dyslipidemia and insulin resistance. However, its association with body components has not been previously investigated. Objective. The aim of this study was to evaluate the relationship between UA and cardiovascular risk factors, anthropometric parameters and body composition in patients with AH. Materials and method. In 138 patients with AH the following parameters were evaluated: UA, low and high density lipoproteins (LDL-C, HDL-C), triglycerides (TG), fasting glucose (FG), creatinine; body mass index (BMI), waist circumference (WC), fat mass (FM), fat free mass (FFM) and total body water (TBW). Results. Positive correlations were shown between UA and LDL-C (p=0.041), TG (p<0.001), FG (p=0.025) and creatinine (p<0.001) and negative between UA and HDL-C (p<0.001). Significant associations between UA and anthropometric parameters and body components, such as WC (p<0.001), BMI (p<0.001), FFM (p<0.001) and TBW (p<0.001), were also observed. In the multiple regression model, independent predictors of UA concentration were serum creatinine and TBW (R2=0.45; p<0.001). Conclusions. In patients with AH, uric acid was significantly related to cardiovascular risk factors, including obesity. However, the main anthropometric determinant of plasma UA concentration is FFM. The consideration of body composition in the interpretation of UA concentration appears to be justified, but the verification of this hypothesis requires further studies.
The aim of this study was to analyse incidence and efficacy of revisional surgery for failed vertical banded gastroplasty among 458 patients who underwent primary surgery between 1993 and 2003. Staple line disruption was diagnosed in 29 patients and was an indication for restoration of gastroplasty in 10 cases and a conversion to Roux-en-Y gastric bypass in 19 patients. In two cases of outlet stenosis the band was exchanged to enlarge the collar. In two cases of psychological intolerance of restriction the band was removed because of refusion by patients the conversion to Roux-en-Y gastric bypass. A substantial weight reduction without statistical differences between restoration and conversion group was recognized. In two patients (20%) after restoration and three patients (15.8%) after conversion we observed weight regain (p=0.57). In cases with removed band weight regained up to its value recorded before surgery. In patients with exchanged band weight was under control. No serious complications were observed. We could conclude that patients with weight regain after vertical banded gastroplasty should be offered conversion to Roux-en-Y gastric bypass. When malabsorption is refused, restoration of vertical banded gastroplasty could be also performed. Both of procedures are technically difficult but safe.
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Bariatric surgery in Poland from 1993 to 2003

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Morbid obesity affects about 300, 000 patients in Poland. The number and type of bariatric procedures performed between 1993 and 2003 has been based on data collected from Polish surgeons active in this field. During the years 1993 - 2003, 1285 primary bariatric procedures were performed in total. Amongst these 79.1% were, commonly done as restrictive ones, including vertical banded gastroplasty-76.3%, laparoscopic adjustable gastric banding-17.7% and silastic ring vertical gastroplasty-5.5% and at last non-adjustable gastric band with 0.5%. Less popular are malabsorptive procedures - 20.9%, with Roux-en-Y gastric bypass - 79.1% and biliopancreatic diversion 20.9%. During last year 2003: malabsorptive procedures represented one third of all primary procedures and the laparoscopic approach was utilised in 18 % of operations. 61 revisions were reported. There are only three centres with experience in treating more than 100 patients (one of them treated over 600). Two centres have experience in carrying out bariatric surgery for longer than five years. During 1993 - 1997 216 operations were performed. Between 1998 - 2002: 724 procedures, and during last year 345. Patients were treated during last year in ten surgical departments. The number of morbidly obese patients treated surgically in Poland is increasing, but it is still inadequate to meet the growing demand.
Helicobacter pylori is a Gram-negative spiral-shaped bacterium, member of ε-Proteobacteria specifically colonizing the gastric epithelium of humans. It causes one of the most common infections worldwide, affecting about half of the world’s population. However, it should be noted that the prevalence of H. pylori, particularly in the Western world, has significantly decreased coinciding with an increase of some autoimmune and allergic diseases, such as asthma. Various epidemiological studies have also documented a negative association between H. pylori colonization and the presence of GERD (gastroesophageal re/ux disease) and risk of esophageal cancer. Additionally, an upward trend of obesity recently observed in inhabitants of developed countries raised a question about the relationship between H. pylori infection and the human body mass index. The first part of this review describes common, recommended anti-H. pylori treatments. The second part, presents the results of recent experiments aimed at evaluating the association between H. pylori infections and gastro-esophageal diseases, the level of stomach hormones, the human body mass index and allergic diseases. Although some studies suggest an inverse association of H. pylori infection with some health problems of the modern world such as asthma, obesity or GERD, H. pylori should be considered as a harmful human pathogen responsible for serious and sometimes lethal diseases. Thus, many scientists advocate the eradication of H. pylori.
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.
In a group of 129 obese men and women asymptomatic hyperuricaemia was found in 49 and gout in 30 patients. Moderate positive correlation between serum uric acid level and body mass index was observed. Serum uric acid level was higher in all groups of obese patients than in the control group. The mean rate clearance was significantly decreased in obese patients with hyperuricaemia and gout. The most prevalent was the metabolic type of hyperuricaemia found in 58% of males and in 43% of females, followed by the mixed type (in 27% of males and in 29% of females). The renal type of hyperuricaemia was found in 15% of men and 28% of women. A significant increase in beta2-microglobulin in serum and urine of patients with hyperuricaemia and gout was determined by the radioimmunologic test. These results point to the incipient kidney lesions.
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Sleep study in patients with overweight and obesity

86%
Obstructive sleep apnea syndrome (OSAS) is a disorder characterized by repetitive collapse of the pharyngeal airway during sleep, which leads to oxygen desaturation, sleep fragmentation and daytime somnolence. Obesity is one of the most important risk factor for the development of OSAS. The exact mechanisms responsible for the relationship between obesity and OSAS are still unclear. The fat deposits in the pharynx region as well as the reduction in the lung volume have been considered as factors that might be responsible for the increase of the upper airway collapsibility. The aim of our study was to evaluate the correlation between the Body Mass Index (BMI) and sleep study parameters in overweight and obese patients suffering from breathing disturbances during sleep. We studied a group of 106 consecutive obese or overweight patients with a primary complaint of snoring or other breathing disturbances during sleep. In all cases, BMI and sleep studies (PolyMESAM) were examined. We evaluated relationship between the BMI and sleep study parameters such as Respiratory Disturbance Index (RDI), Apnea Index (AI), Desaturation Index (DI) and Average of Lowest Saturation (LSAT). The results showed the lack of significant statistical correlations between BMI and all the sleep parameters studied in the overweight patients and the statistical positive correlation between the BMI and RDI in the obese cases. We conclude that BMI determination may be considered as a simple, yet important predictor, of the OSAS in the group of obese patients.
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