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Celem pracy było oszacowanie częstości występowania nadwagi i otyłości oraz ocena zachowań zdrowotnych sprzyjających występowaniu tego schorzenia u polskich nastolatków. W 2006 roku przeprowadzono badanie ankietowe wśród reprezentatywnej próby 530 dziewcząt oraz 518 chłopców w wieku 11-16 lat z terenu całej Polski. Występowanie nadwagi i otyłości notowano u 8,7% dziewcząt i u 10,2% chłopców. U badanych uczniów stwierdzono niską aktywność ruchową (60% chłopców i 70% dziewcząt nie osiągało zalecanego poziomu aktywności fizycznej) oraz dużą ilość czasu spędzanego przed ekranem telewizora lub komputera (4 godziny w dni powszednie oraz około 5,5 godziny w dni wolne od zajęć szkolnych). Zaobserwowano też negatywne nawyki żywieniowe: częste opuszczanie pierwszego śniadanie oraz zbyt częste spożywanie słodyczy, słodzonych napojów gazowanych oraz chipsów, a także, nabywanie w sklepikach szkolnych głównie artykułów niekorzystnych dla zdrowia.
Our paper aims to analyze the impact of factors determining self-rated health (SRH) at an early elderly age. The research study was conducted in a demonstrative area of the CINDI WHO program in the Górna district of Łódź. The program has been running since 1991. 768 study subjects aged 65-74 were qualified for the statistical analysis. In a multiple-factor logistic regression model, we found a statistically significant impact of the following variables on poor self-rated health at the confidence interval (CI) of 95%. Tertiary and secondary education contributed to a lower chance of poor SRH compared to primary education. A low number of medical consultations per year contributed to a lower chance of poor SRH compared to more than 10 medical consultations per year. High body mass index contributed to a higher chance of poor SRH compared to BMI<25. Coronary heart disease contributed to a higher chance of poor SRH compared to the lack of this disease. On the basis of a multiple logistic regression model, we found that good SRH depended on sex (less likely among females), education (more likely among university graduates), the number of reported medical consultations (more likely if fewer than 10 per year), BMI (more likely for overweight, but less likely for obese subjects), diabetes (negative impact), hypertriglicerydemia (negative impact), and coronary heart disease (negative impact). The subjective perception of one’s own health status is strongly correlated with the health results of the early elderly subpopulation in a big city environment.
Background. Many scientific reports have shown a decrease in total cerebrovascular disease (CeVD) mortality over the past few decades, but too little attention has been paid to premature mortality. CeVD accounted for 22.5% and 17.8% of premature cardiovascular disease deaths in Poland, in 2000 and 2016, respectively. Objective. The aim of the study was to analyse premature CeVD mortality in the Polish population in the recent years, the dynamics of its changes and the potential factors that may have contributed to the decline in mortality. The main goal of the study was to overview the levels and trends in premature CeVD mortality with an emphasis on haemorrhagic, ischaemic and unspecified (not specified as haemorrhagic or ischaemic) stroke. Material and methods. The analysis was based on a database of the Central Statistical Office of Poland and included data from 2000-2016 on premature cerebrovascular deaths occurring between 25 and 64 years of age (N=104,786). CeVD and haemorrhagic, ischaemic or unspecified stroke were coded with ICD-10 codes I60-I69, I61-I62, I63 and I64, respectively. The analysis included assessment of CeVD deaths distribution and evaluation of age-specific mortality rates in 10-year age groups and age-standardised mortality rates (SMR) in the age group 25-64 years, separately for men and women. Trends in SMRs have been studied in the period 2000-2016. Results. The number of CeVD deaths decreased by 32.8% in men and 48.8% in women. There was a two-fold decline in CeVD mortality: from 59 to 29 male and from 30 to 12 female per 100,000. In addition, a 2-year increase in the median age of CeVD death was observed (Men: 56.4 to 58.4 years, Women: 56.4 to 58.7 years, p<0.001). A statistically significant decline in mortality (per 100,000) was also noticed for haemorrhagic stroke (Men: 18.7 to 10.4; Women: 9.6 to 3.8), ischaemic stroke (Men: 11.8 to 8.4; Women: 4.7 to 3.0) and unspecified stroke (Men: 19.7 to 3.5; Women: 9.1 to 1.3). Conclusions. A substantial decline in premature CeVD mortality was observed in the period 2000-2016. Additionally, the number of deaths that could not be classified as haemorrhagic or ischaemic stroke death decreased significantly. The increasingly widespread use of new post-stroke therapies and their availability make it possible to expect a further decrease in CeVD mortality. However, the necessary actions should be taken to compensate for the disparities in CeVD mortality between men and women.
Background. It seems that one of the factors affecting the way of nutrition in Poland was the dietary habits of countries that in the late 18th century made partitions, ie. Russia, Prussia and Austria. Therefore, nutrition models in the areas of individual partitions have undergone significant changes. Objective. The aim of the study was to check whether after 85 years after regaining independence there were still differences in the way of feeding indigenous inhabitants of areas previously under Austrian, Prussian and Russian annexation. Material and methods. The data collected during the WOBASZ survey carried out in the years 2003-2005 were used for the analysis. Results. The greatest differences in the way of feeding were found in the area that was previously under the rule of Prussia. The nutrition model was still largely reminiscent of typical German cuisine. There was a large consumption of sausages and spreads, and small vegetables and fruit. Nutrition models in other areas were less characteristic. Conclusions. The way of feeding indigenous people living in areas that were once partitions of Poland is still diverse and similar to the cuisine of the occupying country.
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