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EN
Introduction: Diabetes is a disease whose course is strongly determined by self-monitoring and self-care. Ensuring metabolic control of diabetes is not only important for the current state of health, it also allows to maintain the body in the best condition despite the existing chronic disease. Purpose: To assess the relationship between sociodemographic factors and depression symptoms and the level of disease acceptance in diabetes. Materials and methods: The study used a diagnostic survey method with a questionnaire, the Beck Depression Inventory, and the Acceptance of Illness Scale. The study group consisted of 43 women (51%) and 41 men (49%). A total of 67% of respondents had diagnosed type 2 diabetes, 24% type 1 diabetes, and 6% LADA. Average disease duration was 15 years. Results: In the studied group, 15% of patients had diagnosed symptoms of depression; while according to the Beck Depression Inventory, depressive episodes occurred more often in mild (30%) and moderate (23%) severity. They were observed more often in people over 50 years old. Depression symptoms were significantly more common in the group of overweight and obese people (p=0.022, r(X,Y)=0.2490). Conclusions: The problem of depression increases with disease duration. People diagnosed with type 2 diabetes have lower levels of disease acceptance. Disease acceptance is a factor that eliminates the occurrence of depressive disorders of varying severity.
EN
Introduction: The industrial and socio-economic development is the direct cause of changes in major health threats in highly developed societies. Diabetes is a civilization disease and it depends on the impaired action of insulin. Together with its complications, it is a significant cause of deaths all over the world. Purpose: To assess the level and trends of potential years of life lost (PYLL) due to diabetes in Poland in the years 2002-2013. For specific purposes, it is necessary to assess the PYLL level and the dynamics of PYLL rates due to diabetes and comparison with all causes of death. Materials and Methods: The research material consists of data from generally available databases from the Polish Statistical Office. Potentially lost years of life were calculated using the method proposed by J-M Romeder. Premature deaths have been defined as deaths occurring before the age of 70. Trends in PYLL coefficients were generated by the computer program Joinpoint Regression Programme. Results: The results of the conducted analysis unambiguously indicate the increase in the PYLL ratio due to diabetes was observed in both the general population and the male population. The higher rate of PYLL growth and its much higher level in the male population, compared to the female population, point out to the fact that men die much younger because of diabetes. The dynamics of the PYLL coefficient trends connected with all causes of death indicate the reduction of premature mortality.
EN
Diabetes mellitus (DM) is a group of metabolic disorders of multiple etiologies characterized by hyperglycemia. In 2014 it affected approximately 422 million individuals worldwide. Unfortunately, it is associated with a set of co-morbidities that contribute to a significantly reduced, i.e. 5-10 years, life expectancy. The following review will discuss the most common long-term complications of diabetes. For practical reasons we decided to narrow our interests to its very widespread, even 90-95% of the cases, form - type 2 diabetes mellitus. During the discussion particular emphasis will be placed on the salivary glands function since previous investigation has confirmed its relation to many burdensome oral diseases, while the effective medical care over diabetic patients requires better understanding of pathomechanisms of its (i.e. diabetic) oral manifestations.
EN
Objectives: The aim of this study was to analyze the level of physical activity in people with diabetes, depending on their characteristics. Methods: The sample consisted of 81 participants with type 1 and type 2 diabetes and belonging to a diabetes care association. First of all, the participants completed the short version of the International Physical Activity Questionnaire and the Mediterranean Diet Adherence Questionnaire online. Subsequently, they indicated their sex, age, type of diabetes, the presence of other complications and the years since diagnosis. In addition, data on consumption of tobacco and alcohol, glycosylated hemoglobin and fasting glucose were collected. For the analysis of the data, t-test for independent samples was used to compare means between categories, always with a level of significance of p <.05. Furthermore, effect size was calculated through Cohen’s d. Finally, the frequency and the percentage of the variables were calculated. Findings: The results showed in all the categories an average level of physical activity higher than the recommendations of physical activity for people with diabetes, being the level of physical activity predominantly moderate. Although women also complied with the recommendations for physical activity, their level of physical activity was significantly lower than the level of men Conclusions: It is recommended to expand the research on the barriers and motivations found by people with diabetes to practice physical activity, playing special attention to women with diabetes.
EN
The genetic basis of diabetes is associated with genes that predispose to obesity development. There are also variants of genes that change the metabolism and distribution of glucose in the body tissues. Others regulate the lipid profile or affect insulin resistance, directly or indirectly affecting the risk of developing diabetes. Polyphenols are a group of compounds that have a protective effect on pancreatic cells. Thanks to their antioxidant activity, they protect cells against apoptosis, improve glucose metabolism and reduce hyperglycemia. The aim of the review was to discuss the mechanisms of bioactive food compounds influence on the human genome and to demonstrate their relationship between diabetes prevention and treatment.
EN
Objectives: The objective of the present study was to perform an analysis of the barriers to the practice of physical activity and diet in people with diabetes mellitus residing in Spain. Methods: Ninety participants (40 men and 50 women) with type 1 diabetes mellitus (71) and type 2 diabetes mellitus (19) residing in Spain, and aged between 12 and 80 years (average age 41.12 ± 17.04) were part of the present study. The participants were asked about the sociodemographic variables of sex and age, as well as the type of diabetes, the presence of other associated pathologies and the years elapsed since their diagnosis. The participants were also asked about the consumption of tobacco and alcohol. Afterwards, the barriers or difficulties perceived in relation to physical exercise were assessed through the Barriers Self-Report for the Practice of Physical Activity (BSPPA) and the diet with the Questionnaire of Adherence to the Mediterranean Diet (MEDAS-14). Then, the participants provided information regarding their last blood test with respect to the levels of glycosylated hemoglobin (HbA1c) and fasting glucose. A descriptive analysis was carried out to present the characteristics of the sample as well as the barriers for the practice of physical activity presented by the sample studied. Finally, a comparison analysis of means was carried out using the Student's t test for independent samples, showing the significant differences between the barriers for the practice of physical activity according to the characteristics of the sample. Findings: The data showed how the Obligations / Lack of time factor represents the main barrier to the practice of physical activity in this population, especially in women, in those under 65 and in people with type 1 diabetes. Conclusions: In general, it is observed that all those categories that may indicate a less healthy lifestyle have a greater degree of agreement with the perceived barriers.
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