Search results

1

Exposure to particulate matter and cardiovascular disease risk

100%

Nowicka G.

Studia Ecologiae et Bioethicae

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2007

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vol. 5

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issue 1

75-80

PL

Badania epidemiologiczne wskazuję, że zarówno długotrwała jak i krótkotrwała ekspozycja na wysokie stężenia różnego typu zanieczyszczeń powietrza powoduje istotny wzrost incydentów klinicznych związanych z chorobami układu sercowo-naczyniowego. U podstaw tego związku leży bezpośredni oraz pośredni wpływ cząstek tworzących te zanieczyszczenia na procesy odgrywające kluczową rolę w rozwoju tych chorób. Zaostrzenie standardów czystości powietrza, a w efekcie zmniejszenie narażenia na działanie zanieczyszczeń powietrza, może w istotnie obniżyć ryzyko rozwoju chorób układu sercowo-naczyniowego i poprawić stan zdrowia populacji.

EN

Epidemiological studies clearly indicate that both long- and short-term exposure to several environmental air pollutants cause significant increase in the risk of cardiovascular events, the observed strong relation between particulate matter air level and cardiovascular diseases may be explained by indirect or direct influence of these particles on different biological processes involved in disease development. Improvement of air quality standards and lowering of particulate matter exposure can significantly diminish cardiovascular disease risk and improve public health status.

2

Cardiovascular diseases in the tropics

100%

Tomaszewski R.

Progress in Health Sciences

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2011

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vol. 1

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issue 2

217-219

EN

Cardiovascular diseases are widely distributed throughout the world. In Africa they account for about 15% hospital admissions and 10 - 20% fatalities. In the tropics, cardiovascular pathology can be divided into two groups: cardiovascular diseases typical of the tropics (group I) e.g.,: Chagas heart disease, endomyocardial fibrosis and cosmopolitan cardiovascular diseases (group II) e.g.,: arterial hypertension, rheumatic fever, infective endocarditis, peri-carditis or ischemic heart disease. Nutritional deficiencies, severe anemia, parasitic diseases and primary cardiomyopathies are most commonly implicated in the pathogenesis of group I diseases.

3

Knowledge of modifiable risk factors for cardiovascular diseases among university undergraduates in Ibadan, Nigeria

100%

Oyediran Emmanuel Oyewole O. E., Ayodele Solabi A.

European Journal of Clinical and Experimental Medicine

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2020

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issue 3

195-205

EN

Introduction. Undergraduates in many institutions live a lifestyle that could predispose them to non-communicable diseases (NCDs) including cardiovascular-related. Previous studies on modifiable risk factors (MRFs) against NCDs had focused mainly on adults, whereas young people should be prime targets for prevention programmes. Aim. This study was aimed at investigating knowledge of MRFs against cardiovascular diseases (CVDs) among university undergraduates in Ibadan, Nigeria. Material and methods. A descriptive cross-sectional design was adopted, where 500 undergraduates participated. Data were collected using Focus Group Discussion (FGD) guide and validated questionnaire. Data analyses were conducted using thematic approach and bivariate methods at 5% levels of significance, respectively. Results. Mean age was 22.8±3.0 years and 51.4% were females. The majority reported that their fathers (82.8%) and mothers (83.0%) had no hypertension history. The FGD revealed that students were knowledgeable of MRFs and preventive behaviours but still engaged in unhealthy lifestyle practices. The MRFs identified included excessive alcohol consumption (85.4%), unhealthy diet (77.6%), physical inactivity (75.2%) and smoking (70.2%). Respondents (56.4%) had good knowledge of MRFs against CVDs; 57.0% had fair lifestyle practices and 54.8% had good knowledge of preventive behaviour against CVDs. Conclusion. Gender was significantly associated with knowledge of CVDs preventive behaviours. Institutional-based lifestyle modification programmes, using peer group education is suggested.195-205

4

Health status and physical fitness of mines rescue brigadesmen

100%

Tomaskova H., Jirak Z., Lvoncik S., Buzga M., Zavadilova V., Trlicova M.

International Journal of Occupational Medicine and Environmental Health

|

2015

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vol. 28

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issue 3

613-623

EN

Objectives The aim of the study was to assess health status of regular and part-time mines rescue brigadesmen. Material and Methods A group of 685 mines rescue brigadesmen was examined within the preventive testing – a basic internal, biochemistry and anthropometric examination, physical fitness testing. Results The average age of the subjects was 41.96±7.18 years, the average exposure in mining was 20±8.1 years, out of that 11.95±7.85 years as mines rescue brigadesmen. Elevated levels of total serum cholesterol (T-CH) and low-density lipoprotein cholesterol (LDL-CH) were found in over 1/2 of the subjects. Systolic hypertension (systolic blood pressure (SBP) ≥ 140 mm Hg) was confirmed in 34%, overweight (body mass index (BMI) ≥ 25) in 62.3% and obesity (BMI ≥ 30) in 20.4% of the examined mines rescue brigadesmen. The metabolic syndrome was found in 15.2% of persons. The highest physical fitness was found in mines rescue brigadesmen and the lowest in mine officers. Limit values of maximum oxygen uptake ($\text{VO}_\text{2 max}$/kg) determined by the management of the mine rescue station were not reached by every 3rd of all mines rescue brigadesmen. Compared with the control group of the Czech and Slovak population, the rescuers are taller, have greater BMI, higher percentage of body fat in all age categories and proportionally to that they achieve a higher maximum minute oxygen uptake; however, in relative values per kg of body weight their physical fitness is practically the same as that of the controls. Conclusions The prevalence of risk factors of cardiovascular diseases and $\text{VO}_\text{2 max}$/kg in the group of the mines rescue brigadesmen is comparable with that in the general untrained Czech population.

5

Cardiovascular diseases and air pollution in Novi Sad, Serbia

88%

Jevtić M., Dragić N., Bijelović S., Popović M.

International Journal of Occupational Medicine and Environmental Health

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2014

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vol. 27

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issue 2

153-164

EN

Objectives: A large body of evidence has documented that air pollutants have adverse effect on human health as well as on the environment. The aim of this study was to determine whether there was an association between outdoor concentrations of sulfur dioxide (SO₂) and nitrogen dioxide (NO₂) and a daily number of hospital admissions due to cardiovascular diseases (CVD) in Novi Sad, Serbia among patients aged above 18. Material and Methods: The investigation was carried out during over a 3-year period (from January 1, 2007 to December 31, 2009) in the area of Novi Sad. The number (N = 10 469) of daily CVD (ICD-10: I00-I99) hospital admissions was collected according to patients' addresses. Daily mean levels of NO₂ and SO₂, measured in the ambient air of Novi Sad via a network of fixed samplers, have been used to put forward outdoor air pollution. Associations between air pollutants and hospital admissions were firstly analyzed by the use of the linear regression in a single polluted model, and then trough a single and multi-polluted adjusted generalized linear Poisson model. Results: The single polluted model (without confounding factors) indicated that there was a linear increase in the number of hospital admissions due to CVD in relation to the linear increase in concentrations of SO₂ (p = 0.015; 95% confidence interval (95% CI): 0.144-1.329, R² = 0.005) and NO₂ (p = 0.007; 95% CI: 0.214-1.361, R² = 0.007). However, the single and multi-polluted adjusted models revealed that only NO₂ was associated with the CVD (p = 0.016, relative risk (RR) = 1.049, 95% CI: 1.009-1.091 and p = 0.022, RR = 1.047, 95% CI: 1.007-1.089, respectively). Conclusions: This study shows a significant positive association between hospital admissions due to CVD and outdoor NO₂ concentrations in the area of Novi Sad, Serbia.

6

Choroby układu sercowo-naczyniowego – działania profilaktyczne i edukacyjne w ramach powiatowego programu profilaktyki i prewencji zdrowia „Razem dla serca” wśród mieszkańców powiatu bialskiego

75%

Ślifirczyk A.

Rozprawy Społeczne

|

2018

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vol. 12

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issue 4

75-80

PL

Wstęp. Choroby układu krążenia są najczęstszą przyczyną zgonów na świecie. Zmniejszenie poziomu tych czynników minimalizuje prawdopodobieństwo zachorowania, natomiast u chorych powoduje łagodniejszy przebieg dolegliwości i mniej powikłań (Kosobudzki, Bortkiewicz, 2012). Materiał i metody. Program profilaktyczny przeprowadzono wśród 2500 osób w wieku 40-60 lat z wysokim ryzykiem zachorowania na choroby układu krążenia. Do badań zakwalifikowano 1325 kobiet i 1175 mężczyzn. Wykorzystano kartę badania profilaktycznego składającą się z trzech etapów (pytania metryczkowe, badania obrazowe i analityczne oraz ankieta ewaluacyjna). Wyniki. U 76% osób biorących udział w projekcie potwierdzono wystąpienie zawału i udaru w rodzinie. Podejmowanie aktywności fizycznej potwierdziło jedynie 22% badanych. Niestety, aż 88,39% badanych mieszkańców powiatu bialskiego posiadało wskaźnik BMI mieszczący się w przedziale równym bądź przewyższający wartość 25. Badania analityczne wśród 88% badanych uznane zostały przez lekarzy za nieprawidłowe. Stosując algorytm SCORE blisko 60% osób poddanych badaniu zakwalifikowano do kategorii umiarkowanego ryzyka sercowo-naczyniowego. Wnioski. Zbadano, iż blisko 60% osób biorących udział w projekcie znajdowało się w umiarkowanej grupie ryzyka zgonu z powodu incydentu sercowo-naczyniowego. Najczęstszym zaleceniem lekarzy pracujących w poradniach POZ była kontrola w poradni kardiologicznej. Zalecenie to dotyczyło ponad 27% ogółu badanych.

EN

Introduction. Cardiovascular diseases are the most common cause of death in the world. The reduction of those risk factors minimizes the probability of disease, while in ill patients it causes a milder course of ailments and fewer complications (Kosobudzki, Bortkiewicz, 2012). Material and methods. The preventive program was conducted among 2500 people aged 40- 60 with a high risk of developing cardiovascular disease. 1325 women and 1175 men were qualified for the study. A prophylactic examination card consisting of three stages was used (metrics questions, image and analytical tests, and an evaluation questionnaire). Results. 76% of people participating in the project confirmed the occurrence of heart attack and stroke in the family. Physical activity was confirmed only by 22% of respondents. Unfortunately, as much as 88.39% of the surveyed inhabitants of the Biała Podlaska County had BMI index in the range equal to or above the value of 25. Analytical studies among 88% of respondents were considered as being incorrect by the doctors. Using the SCORE algorithm, nearly 60% of subjects were classified to the category of moderate cardiovascular risk. Conclusions. It was examined that nearly 60% of people participating in the project were in a group of moderate risk of death due to a cardiovascular incident. The control in cardiology clinics was the most frequent recommendation from doctors working in outpatient counselling centres. This recommendation related to more than 27% of all respondents.

7

Overall human mortality and morbidity due to exposure to air pollution

75%

Samek L.

International Journal of Occupational Medicine and Environmental Health

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2016

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vol. 29

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issue 3

417-426

EN

Objectives Concentrations of particulate matter that contains particles with diameter ≤ 10 mm ($\text{PM}_\text{10}$) and diameter ≤ 2.5 mm ($\text{PM}_\text{2.5}$) as well as nitrogen dioxide ($\text{NO}_{2}$) have considerable impact on human mortality, especially in the cases when cardiovascular or respiratory causes are attributed. Additionally, they affect morbidity. An estimation of human mortality and morbidity due to the increased concentrations of $\text{PM}_\text{10}$, $\text{PM}_\text{2.5}$ and $\text{NO}_{2}$ between the years 2005–2013 was performed for the city of Kraków, Poland. For this purpose the Air Quality Health Impact Assessment Tool (AirQ) software was successfully applied. Material and Methods The Air Quality Health Impact Assessment Tool was used for the calculation of the total, cardiovascular and respiratory mortality as well as hospital admissions related to cardiovascular and respiratory diseases. Data on concentrations of $\text{PM}_\text{10}$, $\text{PM}_\text{2.5}$ and $\text{NO}_{2}$, which was obtained from the website of the Voivodeship Inspectorate for Environmental Protection (WIOS) in Kraków, was used in this study. Results Total mortality due to exposure to $\text{PM}_\text{10}$ in 2005 was found to be 41 deaths per 100 000 and dropped to 30 deaths per 100 000 in 2013. Cardiovascular mortality was 2 times lower than the total mortality. However, hospital admissions due to respiratory diseases were more than an order of magnitude higher than the respiratory mortality. Conclusions The calculated total mortality due to $\text{PM}_\text{2.5}$ was higher than that due to $\text{PM}_\text{10}$. Air pollution was determined to have a significant effect on human health. The values obtained by the use of the AirQ software for the city of Kraków imply that exposure to polluted air can result in serious health problems.

8

Relationship between occupational stress and cardiovascular diseases risk factors in drivers

75%

Biglari H., Ebrahimi M. H., Salehi M., Poursadeghiyan M., Ahmadnezhad I., Abbasi M.

International Journal of Occupational Medicine and Environmental Health

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2016

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vol. 29

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issue 6

895-901

EN

Objectives Of all work stressors, occupational stress is the leading cause of many disorders among workers. Drivers are classified as a high risk group for work related stress. This study set out to determine the relationship between risk factors of cardiovascular diseases and occupational stress among drivers. Material and Methods Two hundred and twenty two Ilam’s intercity drivers were selected for the study. For measuring work stress, the Osipow work stress questionnaire was used. After a 10-h fasting period, systolic and diastolic blood pressure was recorded. Intravenous blood samples were taken to determine cholesterol, triglyceride and blood glucose levels. The independent samples t-test and Pearson’s correlation test were used to assess the relationship between variables and occupational stress. Results Seventy-one percent of the intercity drivers suffered from average to acute stress, and 3.1% of them suffered from acute stress. There was no significant relationship between occupational stress and diastolic blood pressure (p = 0.254) among the drivers. Nevertheless, the Pearson’s correlation test demonstrated a strong relationship between work stress and blood glucose (p < 0.01), while no strong correlation was found for blood triglycerides and cholesterol levels. Conclusions Based on the results, high rates of occupational stress were observed in the Ilam’s intercity drivers. Occupational stress may have effect on blood glucose levels but the results did not suggest a considerable relationship between risk factors of cardiovascular diseases and occupational stress among intercity drivers. Int J Occup Med Environ Health 2016;29(6):895–901

9

Outdoor particulate matter (PM) and associated cardiovascular diseases in the Middle East

75%

Nasser Z., Salameh P., Nasser W., Abou Abbas L., Elias E., Leveque A.

International Journal of Occupational Medicine and Environmental Health

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2015

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vol. 28

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issue 4

641-661

EN

Air pollution is a widespread environmental concern. Considerable epidemiological evidence indicates air pollution, particularly particulate matter (PM), as a major risk factor for cardiovascular diseases (CVD) in the developed countries. The main objective of our review is to assess the levels and sources of PM across the Middle East area and to search evidence for the relationship between PM exposure and CVD. An extensive review of the published literature pertaining to the subject (2000–2013) was conducted using PubMed, Medline and Google Scholar databases. We reveal that low utilization of public transport, ageing vehicle fleet and the increasing number of personal cars in the developing countries all contribute to the traffic congestion and aggravate the pollution problem. The annual average values of PM pollutants in the Middle East region are much higher than the World Health Organization 2006 guidelines (PM2.5 = 10 μg/m³, PM10 = 20 μg/m³). We uncover evidence on the association between PM and CVD in 4 Middle East countries: Iran, Kingdom of Saudi Arabia, Qatar and the United Arab Emirates. The findings are in light of the international figures. Ambient PM pollution is considered a potential risk factor for platelet activation and atherosclerosis and has been found to be linked with an increased risk for mortality and hospital admissions due to CVD. This review highlights the importance of developing a strategy to improve air quality and reduce outdoor air pollution in the developing countries, particularly in the Middle East. Future studies should weigh the potential impact of PM on the overall burden of cardiac diseases.

10

Wiedza pacjentów przychodni rejonowej POZ w Białej Podlaskiej na temat czynników ryzyka chorób układu sercowo-naczyniowego a ich zachowania zdrowotne

75%

Siedlecka M., Żukiewicz-Sobczak W.

Rozprawy Społeczne

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2018

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vol. 12

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issue 3

79-83

PL

Wstęp. Celem niniejszej pracy była ocena stanu wiedzy pacjentów rejonowej przychodni POZ na temat czynników ryzyka chorób układu sercowo-naczyniowego, a także ogólna charakterystyka czynników ryzyka chorób układu krążenia oraz metody zapobiegania tym schorzeniom. Materiał i metody. Badaniem objęto pacjentów rejonowej poradni na terenie powiatu bialskiego. Grupę badaną stanowiło 100 osób w tym 47 mężczyzn i 53 kobiety. Zastosowaną metodą badania była metoda sondażu diagnostycznego z wykorzystaniem kart ankiet autorskiego projektu. Uzyskane wyniki badań opracowano statystycznie przy użyciu programów statystycznych. Wyniki. Najważniejszym czynnikiem ryzyka wśród badanych respondentów był stres, brak aktywności fizycznej oraz niezdrowe i nieregularne odżywianie się, nadwaga, a także otyłość. Wnioski. Na podstawie przeprowadzonych badań wysunięto następujące wnioski: 1. W badanej populacji głównym czynnikiem ryzyka był stres. 2. Badani pacjenci wykazują dużą świadomość zasad zdrowego stylu życia oraz prawidłowego odżywiania.

EN

Introduction. The aim of this study was to assess the state of knowledge among patients in the local health care clinic about cardiovascular disease risk factors, as well as the general characteristics of risk factors for cardiovascular diseases and methods of preventing these diseases. Material and methods. The study included patients from the local counselling centre in the Biała Podlaska District. The study group consisted of 100 people, including 47 men and 53 women. The applied research method was the method of a diagnostic survey using questionnaire cards designed by the author. The obtained results were statistically analysed using statistical programs. Results. The most important risk factor reported by the respondents was stress, lack of physical activity as well as unhealthy and irregular nutrition, overweight as well as obesity. Conclusions. The following conclusions were made on the basis of the conducted research: 1. Stress was the main risk factor in the researched population. 2. Researched patients are highly aware of the principles of healthy lifestyle and appropriate nutrition.

11

Lag time structure of cardiovascular deaths attributed to ambient air pollutants in Ahvaz, Iran, 2008–2015

75%

Dastoorpoor M., Goudarzi G., Khanjani N., Idani E., Aghababaeian H., Bahrampour A.

International Journal of Occupational Medicine and Environmental Health

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2018

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vol. 31

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issue 4

459-473

EN

Objectives: There are few studies about the association between breathing polluted air and increased risk of cardiovascular diseases and cardiac death in the Middle East. This study aimed to investigate the relation between air pollutants and cardiovascular mortality (based on ICD-10) in Ahvaz. Material and methods: In this ecological study, the data about cardiovascular disease mortality and air pollutants from March 2008 until March 2015 was inquired from the Ahvaz City Authority and the Khuzestan Province Environmental Protection Agency. The quasi-Poisson, second degree polynomial constrained, distributed lag model; using single and cumulative lag structures, adjusted by trend, seasonality, temperature, relative humidity, weekdays and holidays was used for the data analysis purposes. Results: Findings indicated a direct significant relation between an interquartile range (IQR) increase in ozone and cardiovascular deaths among men after 3 days’ lag. There was also a significant relation between an IQR increase in particulate matter below 10 μm and cardiovascular deaths for all people, over 60 years old and under 18 years old after 3 and 13 days’ lags. There was a significant relation between an IQR increase in nitrogen dioxide and carbon monoxide, and cardiovascular deaths in the case of under 18-year-olds (in the lag 11) and over 60-year-olds (in the lag 9), respectively. We finally found a significant association between an IQR increase in sulfur dioxide and cardiovascular deaths in the case of men, under 18-year-olds and from 18- to 60-year-olds in the lag 9, 0, and 11, respectively (p-values < 0.05). Conclusions: It appears that air pollution is significantly associated with cardiovascular deaths in Ahvaz City. Int J Occup Med Environ Health 2018;31(4):459–473

12

Trends in premature mortality rates among the Polish population due to cardiovascular diseases

75%

Moryson W., Stawińska-Witoszyńska B.

International Journal of Occupational Medicine and Environmental Health

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2021

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vol. 35

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issue 1

27-38

EN

ObjectivesAt the end of the 20th century, after years of negligence in the prevention of cardiovascular diseases, Poland was struggling with very high premature mortality. The period of 1991–2005 brought significant improvements since the general public introduced beneficial dietary modifications. This paper aims to analyze the changes in the rate of premature mortality due to tobacco-dependent cardiovascular diseases in Poland in 2008–2017.Material and MethodsThe time trends of deaths occurring under the age of 65 years caused by ischemic heart disease, cerebrovascular disease, atherosclerosis and aortic aneurysm were analyzed. Both standardized and crude premature mortality rates were used, as well as mortality rates for patients grouped into 5-year age ranges with a breakdown by gender. The joinpoint model was used to determine these time trends.ResultsPremature mortality due to the analyzed cardiovascular diseases decreased linearly in 2008–2017. In the case of ischemic heart disease and cerebrovascular diseases, the decrease amounted to approx. 5% per year, both in the female and male population. However, in the case of atherosclerosis and aortic aneurysms, the rate of mortality reduction ranged 4–7% per year. The reduction concerned all the examined age groups, but with different dynamics. The most considerable annual decrease was observed in the group of patients aged 40–44 years (7.9% for females and 8.9% for males). Along with the increase in age, the dynamics of reduction decreased.ConclusionsIn 2008–2017, Poland experienced a decline in premature mortality due to tobacco-related cardiovascular diseases, particularly in the age group of 40–44 years. The decline may have been associated, among other things, with a reduction in exposure to tobacco smoke, one of the cardiovascular risk factors.

13

Hypercholesterolemia and prevention of cardiovascular diseases in the light of preventive medical examinations of employees in Poland

75%

Śliż D., Marcinkiewicz A., Olejniczak D., Jankowski P., Staniszewska A., Mamcarz A., Walusiak-Skorupa J.

International Journal of Occupational Medicine and Environmental Health

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2019

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vol. 32

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issue 6

865-872

EN

Long-term exposure to hypercholesterolemia is the cause of atherosclerosis, which in turn causes cardiovascular and cerebrovascular events. In developed countries, including Poland, vascular diseases are the main cause of death. They affect an ever younger part of the population, including the working population. The authors address the problem of epidemiology of cardiovascular diseases, unsatisfactory detection and treatment, economic consequences for the health care system, and the possibilities of using occupational medicine services in the prevention of this health problem. Due to the fact that the early detection of diseases caused by high blood cholesterol levels is relatively low in Poland, obligatory occupational medicine examinations seem to be a key element of the second-line prevention. Therefore, it seems natural to consider the idea of extending the scope of obligatory examinations and introducing tests that allow lipid disorders to be detected at an early stage. This can contribute to a general improvement of the health of the population, and to economic benefits, such as a decrease in the costs of treatment of the disorders that have been detected too late. Broadening the scope of occupational examinations is also important from the perspective of public health and epidemiology of cardiovascular diseases, thus being an element of prevention of civilization diseases. It means improving health and building health awareness, and it should translate into regular health examinations. The performance of these examinations should result not only from the obligation, but also from the patient’s conviction about the importance of early detection of disorders, including lipid disorders, for an effective therapy. Int J Occup Med Environ Health. 2019;32(6):865–72

14

Wybrane zachowania zdrowotne a jakość diety pacjentów z rozpoznaną chorobą niedokrwienną serca i po przebytym zawale serca

75%

Piejko L., Nowak Z., Nawrat-Szołtysik A., Kopeć D.

Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu

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2017

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vol. 59

30-37

PL

Cel badań. Prawidłowe zachowania zdrowotne pacjentów mają charakter profilaktyczny i istotnie wspomagają leczenie chorób XXI w., w tym chorób układu krążenia. Celem badań było wyjaśnienie zależności między wybranymi zachowaniami zdrowotnymi a sposobem żywienia pacjentów z rozpoznaną chorobą niedokrwienną serca i po zawale serca. Materiał i metody. Anonimowe badanie ankietowe zostało przeprowadzone wśród 62 wybranych losowo pacjentów korzystających z kompleksowej rehabilitacji kardiologicznej w Górnośląskim Centrum Medycyny i Rehabilitacji AMED w Katowicach. Badani wypełniali: Inwentarz Zachowań Zdrowotnych (IZZ) i Listę Kryteriów Zdrowia (LKZ) Zygfryda Juczyńskiego oraz kwestionariusz QEB (Questionnaire of Eating Behaviour) opracowany przez Zespół Behawioralnych Uwarunkowań Żywienia Komitetu Nauki o Żywieniu Człowieka PAN. Do opracowania statystycznego wyników wyznaczono podstawowe statystyki opisowe oraz test U Manna–Whitneya i współczynnik korelacji rang Spearmana. Wyniki. Respondentów cechowało instrumentalne postrzeganie zdrowia oraz chęć podejmowania aktywności prozdrowotnych. Odnotowano istotne różnice między badanymi w częstości spożywanej żywności o niekorzystnym wpływie na zdrowie oraz popełniane błędy żywieniowe. Wnioski. Pacjenci chętnie podejmowali aktywność o charakterze prozdrowotnym oraz stanowili grupę o podobnym sposobie żywienia, jednak popełniającą różne błędy dietetyczne.

EN

Background. Appropriate health behaviours significantly contribute to the prevention and management of the 21st century diseases, including those of the cardiovascular system. The aim of the study was to elucidate the relationship between selected health behaviours and the diet pattern among patients with diagnosed ischaemic heart disease and a history of myocardial infarction. Material and methods. An anonymous survey was conducted among a randomly chosen sample of 62 patients undergoing cardiac rehabilitation in the Upper-Silesia Medical and Rehabilitation Centre AMED in Katowice, Poland. The Juczyński Health Behaviour Checklist, Juczyński Health Criteria List, and the Questionnaire of Eating Behaviour (developed by the Polish Academy of Sciences) were applied. The results were analysed with the use of basic descriptive statistics, the Mann-Whitney U test, and the Spearman rank correlation coefficient. Results. The patients were characterized by an instrumental approach to health and a willingness to undertake health-promoting activities. Significant differences were observed in the frequency of consuming unhealthy products; nutritional errors were also identified. Conclusions. Patients are willing to undertake health-promoting activities and implement similar nutrition methods; however, they commit various nutritional errors.

15

Ocena utraconych lat życia z powodu chorób sercowo‑naczyniowych w populacji osób starszych w Polsce

51%

Burzyńska M., Pikala M., Maniecka-Bryła I.

Acta Universitatis Lodziensis. Folia Oeconomica

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2019

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vol. 4

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issue 343

73-84

EN

The aim of the study was to assess mortality trends due to cardiovascular diseases in the group of people aged 65 and more in Poland in 2000-2014 using the Standard Expected Years of Life Lost. In the study there was used a database containing 2,148,871 deaths cards for older Polish citizens who died in the years 2000-2014 due to cardiovascular diseases. Years of life lost were calculated using the SEYLLp (Standard Expected Years of Life Lost per living person). The joinpoint models were used to analyze trends. The SEYLLp ratio (per 10,000) due to cardiovascular diseases in Poland in the population aged 65 and over decreased in the analyzed period. Among men, from 4619.0 in 2000 to 3067.0 in 2014 (AAPC = –2.4%, p < 0.05), and in the group of women from 3038.0 to 2065.0 (AAPC = –2.5%, p < 0.05). In 2014, the largest number of years of life lost among men the ischemic heart disease caused (819.0), while in women, diseases of arteries, arterioles and capillaries (489.0). Unfavorable trends (in the group of men and women) were reported for heart failure (AAPC, respectively, 3.3% and 2.8%, p < 0.05). Despite the positive tendency of the studied phenomenon, it is necessary to increase the emphasis on cardiological problems of elderly people in order to eliminate inequities in health and unfavorable differences in the average life expectancy.

PL

Celem artykułu jest ocena trendów umieralności z powodu chorób sercowo‑naczyniowych w grupie osób w wieku 65 lat i więcej w Polsce w latach 2000-2014 na podstawie danych o utraconych standardowych oczekiwanych latach życia. W badaniu wykorzystano bazę danych zawierającą 2 148 871 kart zgonów starszych mieszkańców Polski, którzy zmarli w latach 2000-2014 z powodu chorób układu krążenia. Utracone lata życia obliczono, stosując wskaźniki SEYLLp (Standard Expected Years of Life Lost per living person). Do analizy trendów wykorzystano modele joinpoint. Współczynnik SEYLLp (na 10 000 ludności) z powodu chorób sercowo‑naczyniowych w Polsce w populacji osób w wieku 65 lat i więcej zmniejszył się w analizowanym okresie. Wśród mężczyzn z 4619,0 w 2000 roku do 3067,0 w 2014 roku (AAPC = –2,4%, p < 0,05), a w grupie kobiet z 3038,0 do 2065,0 (AAPC = –2,5%, p < 0,05). W 2014 roku największą liczbę utraconych lat życia wśród mężczyzn spowodowała choroba niedokrwienna serca (819,0), natomiast wśród kobiet choroby tętnic, tętniczek i naczyń włosowatych (489,0). Niekorzystne trendy (w grupie mężczyzn i kobiet) odnotowano dla niewydolności serca (AAPC odpowiednio 3,3% i 2,8%; p < 0,05). Mimo pozytywnej tendencji badanego zjawiska należy zwiększyć nacisk na problemy kardiologiczne osób starszych w celu niwelowania nierówności w zdrowiu i niekorzystnych różnic w przeciętnym dalszym trwaniu życia.

16

Wpływ lęku na zużycie środków przeciwbólowych u pacjentów w pierwszej dobie po zabiegach kardiochirurgicznych.

51%

Larysz A.

Współczesne Pielęgniarstwo i Ochrona Zdrowia

|

2019

|

issue 1

21-26

PL

Wstęp. Wraz ze wzrostem zachorowalności na choroby układu krążenia, w szczególności chorobę wieńcową (CAD), wzrasta liczba zabiegów kardiochirurgicznych. W okresie pooperacyjnym pacjenci zażywają największą liczbę środków przeciwbólowych, jak również narażeni są na wysoki poziom lęku związany z silnym bólem.

EN

Background. Along with the increase in the incidence of cardiovascular disease (CAD), in particular coronary disease (CAD), the number of cardiac surgery procedures increases. In the postoperative period, patients take a lot of analgesic drugs as well as are exposed to high levels of anxiety associated with severe pain.

17

Socjodemograficzne uwarunkowania kinezjofobii u osób ze schorzeniami układu sercowo-naczyniowego

51%

Brdak M., Utykański H., Utykańska A.

Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu

|

2015

|

vol. 50

3-9

EN

Background. Knowledge of obstacles in physical activity might be helpful in the treatment and prevention of recurrence of the cardiac diseases. The aim of this study was to compare the level of kinesiophobia and sociodemographic determinants in patients with cardiovascular diseases living in two different regions of Poland. Material and methods. The study involved 48 patients (mean age 64.58 ± 11.32 years) divided into two subgroups: 22 patients living in the province of Warmia and Mazury (I) and 26 patients living in the province of Silesia (II). The level of kinesiophobia was assessed using a Polish version of Kinesiophobia Causes Scale [KCS] questionnaire and sociodemographic factors were measured using the questionnaire developed by authors. Results. The mean values of kinesiophobia was: in group I: 38.11 ± 11.68, in group II: 48.62 ± 9.85. In group I there was a positive correlation between age and individual need of stimulation, and between male sex and power of biological drive. In group II there was a strong negative correlation between age and psychological domain, [KCS] and power of biological drive, and also between female sex and energy resources. Conclusions. Patients living in the different demographical regions of Poland are highly differentiated in terms of kinesiophobia risk factors and their sociodemographic determinants.

18

Ocena skuteczności Programu Profilaktyki Chorób Układu Krążenia realizowanego na terenie powiatu ropczycko-sędziszowskiego w zakresie zmiany zachowań zdrowotnych uczestników

51%

Kosydar-Bochenek J., Malinowska-Cieślik M., Lewandowski B.

Medical Review

|

2013

|

issue 4

486–500

PL

Wstęp: Choroby układu krążenia należą do głównych przyczyn zgonów w Polsce i w Europie. Powstają w wyniku działania wielu różnych czynników ryzyka, z których z punktu widzenia profilaktyki ważne są czynniki modyfikowalne związane ze stylem życia. Skuteczne programy profilaktyki powinny nie tylko mieć na celu wczesną identyfikację osób z podwyższonym ryzykiem chorób układu krążenia. Działania podejmowane w ramach tych programów powinny być również związane z promocją zdrowego stylu życia, edukacją dotyczącą zmiany zachowań zdrowotnych. Cel badań: Celem badania była ocena skuteczności Programu Profilaktyki Chorób Układu Krążenia w zakresie zmiany zachowań zdrowotnych uczestników tego programu. Materiał i metoda: Badanie realizowane było na przełomie 2010 i 2011 roku w Ropczycach, mieście powiatowym województwa podkarpackiego. Do oceny wyników edukacji zdrowotnej w ramach programu zastosowano transteoretyczny model zmiany zachowań zdrowotnych (The Transtheoretical Model - TTM). Po upływie roku od interwencji w ramach programu, przeprowadzono badanie sondażowe techniką ankiety. Analizowano następujące zachowania: rzucenie palenia, stosowanie diety niskotłuszczowej, uprawianie wybranej formy aktywności fizycznej 3–4 razy w tygodniu przez minimum 30 minut, regularne kontrolowanie ciśnienia tętniczego, regularne badania poziomu glukozy, a także cholesterolu i jego frakcji we krwi oraz kontrolowanie masy ciała. Grupą badaną było 104 wybranych losowo uczestników tego programu w wieku od 35 do 55 lat (średnia wieku 44 ±7 lat), mieszkańców powiatu ropczycko-sędziszowskiego. Do oceny skuteczności programu zastosowano model „Pretest-Post - test Only” (Przed i Po Programie). Wyniki:. Badanie wykazało, że w wyniku interwencji w ramach programu zaszła istotna zmiana w przejawianiu zalecanych zachowań zdrowotnych wśród uczestników programu. Zachowaniami zdrowotnymi istotnie częściej przejawianymi w grupie badanej po zakończeniu udziału w programie były: rzucenie palenia, stosowanie diety niskotłuszczowej, uprawianie wybranej formy aktywności fizycznej 3–4 razy w tygodniu przez minimum 30 minut, regularna kontrola ciśnienia tętniczego, regularne badania poziomu glukozy, a także cholesterolu i jego frakcji we krwi oraz kontrola masy ciała. Zaobserwowano również istotne różnice w przejawianiu zalecanych zachowań ze względu na niektóre cechy społeczno - ekonomiczne osób badanych typu: płeć, wiek, wykształcenie. Kobiety częściej niż mężczyźni stosowały się do zaleceń odnośnie rzucenia palenia oraz zmiany diety na dietę niskotłuszczową. Osoby z grupy 35-latków i 50-latków częściej niż pozostali badani stosowali się do zalecenia kontroli masy ciała. Osoby z wykształceniem podstawowym były bardziej skłonne niż osoby z wyższym wykształceniem do zmiany wszystkich zalecanych zachowań, z wyjątkiem rzucenia palenia. Wnioski: Wykazano, że udział w programie profilaktycznym wiązał się ze zmianą zachowań zdrowotnych wśród dużej części jego uczestników. Stopień zmiany tych zachowań był różny ze względu na wiek, płeć i wykształcenie badanych. Warunkiem powodzenia i trwałości tego typu interwencji nastawionych na modyfikacje zachowań zdrowotnych związanych z profilaktyką chorób układu krążenia realizowanych na poziomie podstawowej opieki zdrowotnej jest z jednej strony profesjonalne przygotowanie w zakresie edukowania pacjenta z wykorzystaniem odpowiednio dostosowanych metod i materiałów edukacyjnych, a z drugiej strony konsekwentna i wieloletnia jego realizacja z okresowym powtarzaniem interwencji i systematyczną oceną skuteczności prowadzonych działań.

EN

Introduction: Cardiovascular diseases are the main causes of death in Poland and Europe. They are caused as a result of a variety of risk factors, including lifestyle, which from the point of view of prevention, is an important modifiable factor. Effective prevention programs should not only be aimed at early identification of individuals at increased risk of cardiovascular disease. The actions taken within the framework of these programs should be aimed at the promotion of healthy lifestyles related to education on changing health behaviors. Aim of study: The aim of this study was to evaluate the effectiveness of the Cardiovascular Diseases Prevention Program implemented on the local level, in the scope of changing health behaviors among program participants. Method: The study was conducted in 2010 and 2011 in Ropczyce district town in the province of Podkarpackie. The Transtheoretical Model (TTM) was applied to evaluate the results of health education implemented in the program. One year after the intervention, a survey study was conducted by the questionnaire. The following behaviors were analyzed: smoking, low-fat diet, physical activity, regular monitoring of blood pressure, glucose, cholesterol and its fractions in the blood tests and control of the body weight. The study group was consisted of the 104 randomly selected participants of the program residents of the Ropczyce and Sedziszów districts , the ages of 35 to 55 years (mean age 44),. To evaluate the effectiveness of the program the model of “Pretest-Post-Test Only” (Before and After the Program) was applied. Results:. The results showed significant changes in the prevalence of recommended health behaviors among participants in the program. The following health behaviors have been changed significantly: smoking, the use of low-fat diet, physical activity, regular monitoring of blood pressure, glucose, cholesterol and its fractions in blood tests and the body weight. It was also observed significant differences in the prevalence of recommended behaviors due to selected socio - economic characteristics such as: gender, age, level of education. Women were more likely than men to adhere to recommendations for smoking cessation and dietary change. The youngest and the oldest participants of the programme have complied with the recommendations of weight control more often than other age groups respondents. People with low level of education have changed all of the recommended behaviors, except smoking cessation, more likely than those with higher level of education. Conclusions: It has been shown that participation in this prevention program was associated with a change in health behaviors among a large part of the participants. The change of these behaviors was different due to: age, gender and level of education of the respondents. The success and sustainability of this type of intervention focused on changing behaviors related to prevention of cardiovascular disease conducted on the level of local primary health care depends on the one hand, on professional training in patient’s education, which should use individually tailored educational methods and materials. On the other hand, effective program should consist a long-term implementation of repeated interventions and systematic monitoring and evaluation of its actions.

19

Niedobory witaminy D a konsekwencje zdrowotne.

51%

Drąg J., Goździalska A., Jaśkiewicz J.

Państwo i Społeczeństwo

|

2015

|

issue 3

113-126

EN

Vitamin D (calcitriol) plays a significant role in many processes. Obtained from diet or synthesized in the skin under UV radiation, it is used not only in calcium homeostasis, but also beneficially affects systems such as the muscoskeletal, immune, and cardiovascular. In recent years, a lot of research have been done regarding the influence of Vitamin D on the human organism and, more importantly, it has been revealed that Vitamin D deficiency is the most common avitaminosis. It is assumed, that about one million people have Vitamin D deficiency globally. Calcitriol deficit is manifested in children by abnormal bone mass and impaired bone mineralization, leading to numerous deformities of the skeleton and in adults by osteopenia. It has been observed that the risk of cancers such as breast, ovarian, prostate, lung, esophagus and pancreas increases proportionally depending on the distance from the equator, as reduced exposure to sunlight limits the ability to produce this vitamin. Studies show a clear dependence of vitamin D deficiency and increased risk of diseases such as type 2 diabetes, cardiovascular diseases, frequent infections of the upper respiratory tract, cognitive disorders, mental disorders, allergies and autoimmune diseases. Studies show that the appropriate dose and timing of supplementation with vitamin D has a clear beneficial effect on health. Determination of blood 25(OH)D is the best method to measure the level of vitamin, and the test is publicly available. To improve the health of the population it is important to raise public awareness about the risks associated with vitamin D deficiency and the possibility of easily accessible supplementation, as well as disseminating information to medical personnel.

PL

Witamina D3 (kalcytriol) pełni wiele ważnych funkcji w organizmie. Pozyskiwana z diety lub syntetyzowana w skórze pod wpływem promieni ultrafioletowych bierze udział nie tylko w utrzymaniu gospodarki wapniowo-fosforanowej, ale także korzystnie wpływa na układ kostno-mięśniowy, układ immunologiczny i układ sercowo-naczyniowy. W ostatnich latach podjęto znaczną liczbę badań dotyczących wpływu witaminy D na ludzki organizm, i co najważniejsze, wykazano, że niedobory tej witaminy są najpowszechniejszą awitaminozą. Niedobór witaminy D szacuje się u blisko miliarda ludzi na świecie. Konsekwencje deficytu kalcytriolu dotyczą już dzieci i objawiają się nieprawidłową masą kostną i zaburzeniami mineralizacji kości, prowadząc do licznych deformacji szkieletu. U dorosłych rozwija się osteopenia. Zaobserwowano, że ryzyko chorób nowotworowych, takich jak rak piersi, jajników, prostaty, płuc, przełyku i trzustki zwiększa się proporcjonalnie w zależności od odległości względem równika, im dalej, tym malejąca ekspozycja na światło słoneczne i tym samym ograniczona zdolność produkcji witaminy. Badania pokazują wyraźną zależność niedoboru witaminy D i zwiększonego ryzyka chorób, takich jak cukrzyca typu 2, choroby układu sercowo-naczyniowego, częste infekcje górnych dróg oddechowych, zaburzenia poznawcze, zaburzenia psychiczne, alergie oraz schorzenia autoimmunologiczne Badania wykazują, że odpowiednia dawka i czas suplementacji witaminą D, ma korzystny wpływ na stan zdrowia człowieka. Oznaczenie we krwi 25(OH)D jest najlepszą metodą do sprawdzenia poziomu witaminy, a badanie jest ogólnie dostępne. Zwiększenie świadomości społeczeństwa odnośnie ryzyka związanego z niedoborami witaminy D oraz badań i możliwości łatwo dostępnej suplementacji, a także rozpowszechnianie informacji wśród personelu medycznego, są warunkiem poprawy stanu zdrowia całej populacji.

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Socjodemograficzne uwarunkowania kinezjofobii u osób ze schorzeniami układu sercowo-naczyniowego

Ocena skuteczności Programu Profilaktyki Chorób Układu Krążenia realizowanego na terenie powiatu ropczycko-sędziszowskiego w zakresie zmiany zachowań zdrowotnych uczestników

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