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EN
This article analyses anti-obesity discourse in post-war Czechoslovakia, particularly in the country’s late socialist period. The article conceives of the discourse on obesity as a tool of biopolitical, rather than totalitarian, power, examining the ways expert knowledge, power, and morality worked together to produce a socialist subject. On the first level, it analyses the expert anti-obesity discourse as an example of the expertisation of public discourse in socialist Czechoslovakia. Second, it shows the construction of obesity in contrast to bodily ability, and the stigmatisation of the ‘fat’ body. On the last level, the article focuses on the gendered aspects of the discourse and demonstrates the ways in which the anti-obesity campaign supported the heteronormative framework of late socialism. By examining expert and media discourses, the article argues that the campaign against obesity served as a means to construct a proper socialist body and induce a moral panic about the state of socialism.
PL
Wstęp. W ostatnich latach coraz częściej obserwuje się u dzieci nieprawidłową masę ciała i/lub wzrostu oraz wady postawy. Cel pracy. Sprawdzenie sytuacji zdrowotnej dzieci uczęszczających do trzech pierwszych klas szkół podstawowych we Wrocławiu. Materiał i metody. Badaniem objęto 1984 dzieci (97,92%) – 934 chłopców (47%) i 1050 dziewczynek (53%) w wieku 6,5–9,5 lat z 26 wybranych losowo publicznych szkół we Wrocławiu. Każde dziecko było badane, ważone i mierzone według obowiązujących standardów. Wyniki. Otyłość stwierdzono u 91 (4,6%), nadwagę – u 180 (9,01%), niedobór masy ciała – u 103 (5,1%), niedobór wzrostu – u 99 (5%) dzieci. Wnioski. W badanej grupie dzieci stwierdzono niepokojąco wysoki odsetek dzieci z nieprawidłową masą ciała. Wskazuje to na potrzebę edukacji prozdrowotnej wśród rodziców oraz dzieci najmłodszych klas. Istnieje pilna potrzeba poprawy opieki pediatrycznej w celu wcześniejszej diagnostyki i skutecznego leczenia chorób cywilizacyjnych
XX
Background. Increase in prevalence of body mass and height shortage or obesity has recently been observed. Objectives. The aim of this study was to assess the health situation of Wroclaw’s children during the first three years of school education. Material and methods. The study included 1984 children (97.92%), 934 boys (47%) and 1050 girls (53%), aged 6.5–9.5 years,who were attending 26 randomly selected public schools in Wrocław. Anamnesis, complete physical examination and anthropometrical examination was done to every child who took part in the project. Results. Physical examination revealed obesity in 91 (4.6%), overweight in 180 (9.01%), body mass deficit in 103 (5.1%), short stature in 99 (5.0%) children. Conclusions. High prevalence of improper body mass was found in the studied group. Effective education of healthy lifestyle should help to reduce body mass deficiency as well as obesity prevalence. Urgent improvement in pediatric care for early diagnosis and treatment of civilization diseases is needed.
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EN
Introduction: One of the major nutritional mistakes committed by children and adolescents is snacking between meals. Sweet or salty snacks are rich in simple sugars, fats, preservatives and dyes, and poor in minerals and vitamins. Their excessive consumption can lead to the development of diet-related diseases in the future. Purpose: To evaluate the nutrition of children and adolescents with a focus on snacking between meals. Materials and methods: The study included 162 students from Bialystok schools, of which primary school students accounted for 30.2%, junior high school 38.3%, high school 31.5%. The questionnaire used by the authors contained 27 questions. Results: Regular meals were consumed by only 55.1% of primary school students, 35.5% of junior high school, and 37.3% of high school students. Two and fewer meals a day were consumed by 1.6% to 5.8% of the students studied. First breakfast was omitted by 18.4% of the students in elementary school, 16.1% of junior high school, and 15.7% of high school. Second breakfast was omitted by 12.9% to 17.6% of the respondents.Sweet products instead of a second breakfast were consumed by 44.9% of primary school students, 61.3% of junior high school, and 64.7% of high school students. Snacking most often occurred in the respondents' home (69.4% of elementary school students, 43.5% of secondary level students, and 52.9% of high school students). Water in school was drunk by 85.7% of primary level students, 56.5% of junior high school, and 51.0% of high school. The main source of knowledge about nutrition for 61.2% of primary level students was the family, while television, radio, and the Internet were the main sources of knowledge for 62.7% of high school students. Conclusions: The regularity of eating in the study group decreased with the studied students’ age. The most popular products in the group of younger students were salty snacks and sweets. Healthy snacking was observed more frequently in the group of high school students. The main place of snacking was the home. The primary source of knowledge about nutrition for primary school students was the family and for high school students the mass media.
EN
Introduction. In recent years there has been a significant increase in the prevalence of overweight and obesity in humans. It turns out that the problem is not limited to adults; excessive body weight is occurring in children more often. Aim. The main purpose of this work was to determine the prevalence of overweight and obesity in preschool children from the Rzeszów district, and to determine risk factors for occurrence. Materials and survey method. The study was conducted among 200 preschool children (3 - 6 years of age) from the Rzeszów poviat area. Measurements of height, weight, and determination of BMI were performed and these values are standardized according to the WHO centile grids appropriate for each age group. Survey results. Normal weight was observed in 58% of the respondents, 11% were overweight, and 10.5% were obese, whereas 20.5% of children had undernourishment. Obese children were the largest group among 6-year-olds. Among 4 year old children, abnormal body weight were more frequent in boys. On the other hand, in children aged 5 years, undernourishment or overweight was found more frequently in girls. Conclusions. The study did not confirm a significant relationship between gender, place of residence and socio-economic situation of respondents, and the prevalence of overweight or obesity. The results of this study indicate that the problem of excessive body weight refers to the increasing number of children.
EN
The World Health Organisation's rationale for physical activity draws heavily on scientific evidence regarding disease and obesity. Greater philosophical reflection on such concepts, along with a recognition that supposed scientific facts are rarely value-free, allow for a more positive and considered argument for physical activity and its benefits. Olympism, Olympic culture, sports education, pedagogy of sport
EN
Obesity is one of the major health problems in adolescents. Health-detrimental lifestyle (i.e. lack of physical activity, inappropriate nutrition) as well as maladaptive styles of coping with stress are regarded as belonging among determinants of obesity. The aim of the study was to establish factors mediating between anxiety and diet-related health behaviors. Participants in the study were 113 adolescents with obesity whose body weight was over 97th centile. They were examined using a set of self-report questionnaires to measure anxiety, coping styles and health behaviors. Emotion-focused coping and seeking social contacts (social diversion) were found to act as mediators between adolescents’ trait anxiety and their health behaviors. The findings suggest that to enhance obese adolescents’ health-promoting behaviors appropriate conditions should be ensured that would not only enable them to express their emotions, but also promote their socializing with peers.
EN
The aim of this paper was to summarize scientific literature on obesity in policemen through a systematic review of observational studies. For this purpose the following electronic databases were selected: Medline by Pubmed, CINAHL, and Scopus; and a manual search of the referenced studies concerning this topic was performed. There were no restrictions with respect to the year or language of the publication. Twenty-three studies were identified and 9 articles, considered as potentially relevant, were included. The labor time, shift and career progression promoted changes in body composition. Most of the policemen taking part in the studies included in this paper were overweight (BMI: 25.2–29.3), obese (body fat ≥ 25%), had increased waist (90.4–102 cm) and abdominal perimeters (18.9–90.5 cm), and had a higher risk of chronic disease, which is associated with depression and stress development. Interventional studies are needed for the purpose of proposing preventive and rehabilitation programs, which would result in providing physical and mental well-being, improvement of life quality and, especially, prevention of obesity related to police work.
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Zaburzenia nastroju u osób z otyłością

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EN
Obesity is a growing public health concern in modern societies. This is a major health concern. It has been implicated as a risk factor for several physical illnesses, functional limitations and poor quality of life. However, while the physical consequences of obesity are well established, the relationship between obesity and mental health is still unclear. The question this study aimed to answer was whether the associations between obesity and mood disorders are occurring in the sanatorium patients population. The results found a significant association between obesity and mood disorders. It is still unclear whether the relationship between obesity and depression is causal, and if so, whether obesity causes depression or depression causes obesity. Implications for health care providers and suggestions for future research are discussed.
EN
Introduction. One of the reasons of obesity in university students might be mindful eating. Aim. This study was performed to evaluate the relationship between mindful eating, body mass index (BMI) and physical activity in nursing students. Material and methods. This cross-sectional study was conducted with 718 nursing students in a university in Turkey. “Personal Information Form” and “Mindful Eating Questionnaire (MEQ)” were used as data collection tools. Results. Statistically significant differences were found between some mean subscale and total scores of MEQ based on sex of the students, their state of exercising regularly, number of their meals, their state of having snacks, the type of bread they often consumed and the frequency of eating fast foods (p<0.05). A significant relationship was found between age and BMI of the students and their mean subscale and total scores of MEQ (p<0.05). Conclusion. The older the nursing students grew, the higher their level of mindful eating became. Sociodemographic characteristics such as sex and presence of a person with obesity within the family affected subscales of their mindful eating. Mindful eating decreased as body mass index increased; and besides, mindful eating increased as physical activity increased.
EN
The main goal of this study was to determine whether and how values of the BMI, WHR and W/Ht indicators change in pre- and postmenopausal women. The tested group consisted of 10,216 women aged 25-95 years. Data were collected during the national campaign "Fighting Obesity", organized by Hand-Prod Company between 2000-2002 across Poland, when adult women voluntarily filled in a questionnaire and participated in anthropometric measurements. The BMI, WHR and W/Ht values were calculated based on these measurements. The values of the BMI, WHR and W/Ht change with age. However, in each age group postmenopausal women have higher BMI, WHR and W/Ht than premenopausal women. Thus, the results obtained indicate that hormonal changes occurring in the climacterium period cause an increase in the analyzed index values. The BMI used herein is characterized by high accuracy in indicating obesity. Moreover, the WHR and W/Ht are also used as adiposity indicators, which may be useful in assessment of the risk of disease or death caused by hypertension, cardiac diseases, diabetes, or even cancers. However, they should not be used only in relation to obese women, because even a slight increase in visceral obesity, with body mass within normal limits, may contribute to unfavorable changes in the woman's metabolic profile, which in turn, may present a risk of illness.
PL
Głównym celem niniejszej pracy było określenie czy i w jaki sposób zmieniają się wartości wskaźników BMI, WHR oraz W/Ht u kobiet przed menopauzą i po menopauzie. Badaną grupę stanowiło 10.216 kobiet w wieku 25-95 lat. Dane zebrano podczas ogólnopolskiej akcji "Walczymy z Otyłością", organizowanej przez Firmę Hand-Prod w latach 2000-2002 na terenie całej Polski, podczas której zgłaszające się dorosłe kobiety dobrowolnie wypełniały ankietę, i którym wykonano pomiary wysokości, masy ciała, obwodu pasa oraz bioder. Na podstawie wykonanych pomiarów określono wskaźnik BMI, WHR oraz W/Ht.Niedowagę stwierdzono u 1,0% kobiet. Częstość występowania nadwagi w badanej grupie wynosiła 38,4%, natomiast otyłości 27,9% (ryc. 1 i 2). Prawidłowe wartości (poniżej predysponujących do wystąpienia chorób powiązanych z otyłością) dla WHR stwierdzono u 32% kobiet, zaś dla W/Ht u 22%. Stwierdzono pozytywne korelacje pomiędzy analizowanymi parametrami (BMI-WHR R=0,29, p<0,05; BMI-W/Ht R=0,79, p<0,05; WHR-W/Ht R=0,64, p<0,05). Zaobserwowano, że nawet wśród kobiet o prawidłowej masie ciała niemal połowa charakteryzowała się WHR≥0,8 oraz W/Ht≥05, zaś wśród kobiet z nadwagą oraz otyłych częstości te istotnie rosły (tab. 1).Do obliczenia wieku menopauzy wykorzystano metodę "status quo", która umożliwia wyeliminowanie błędu, jakim obarczone jest badanie retrospektywne. Wykorzystując analizę probitową, określono procent kobiet w każdej grupie wiekowej, które przestały miesiączkować, co najmniej 12 miesięcy przed poddaniem się badaniu. średnia probitowa wieku postmenopauzalnego dla kobiet po menopauzie naturalnej wynosi 51,74 lata (chi2= 6513,59, df =1, p<0,00).Chcąc zbadać, czy i w jaki sposób wraz z menopauzą zmieniają się u kobiet wartości parametrów morfologicznych określonych na podstawie wskaźników: BMI, WHR oraz W/Ht, w pierwszej kolejności przeanalizowano zmiany tych parametrów z wiekiem. W tym celu zastosowano analizę regresji, która wykazała, że wartości wszystkich wskaźników istotnie rosną z wiekiem (tab. 2 i 3). Następnie w celu zaobserwowania zmian wskaźnika BMI w grupach kobiet przed menopauzą i po menopauzie, przeprowadzono analizę wariancji. Uzyskane wyniki wskazują, iż zmiany wartości wskaźnika BMI, WHR oraz W/Ht, w grupach kobiet przed menopauzą i po menopauzie, istotnie się różnią (tab. 4). Kobiety, które nadal miesiączkują mają wskaźniki BMI (wartość testu F=648,62 df=1, p<0,001), WHR (F=164.64 df=1, p<0.001) oraz W/Ht (F=18.24, df=1, p<0.01) niższe niż kobiety, znajdujące się w okresie pomenopauzalnym. Wartości współczynników zmienności wskazują na znaczną zmienność tej cechy, zarówno w grupie kobiet przed menopauzą, jak i po menopauzie. Jednakże w każdej grupie wiekowej kobiety po menopauzie mają wskaźniki BMI, WHR oraz W/Ht wyższe niż kobiety przed menopauzą (ryc. 3-5).Zmiany hormonalne zachodzące w okresie klimakterium powodują wzrost wartości wskaźników BMI, WHR oraz W/Ht. Niezależnie od wieku kalendarzowego menopauza przyczynia się do zmian w rozkładzie tkanki tłuszczowej u kobiet. Wykorzystany w niniejszej pracy wskaźnik BMI charakteryzuje się wysoką dokładnością w predykowaniu otyłości. Wskaźniki WHR oraz W/Ht, jako indykatory otłuszczenia, mogą być użyteczne do oceny ryzyka zachorowania lub śmierci z powodu nadciśnienia, chorób serca, cukrzycy a nawet nowotworów. Wskaźniki te powinny być wykorzystywane nie tylko w odniesieniu do kobiet otyłych, ponieważ nawet niewielki wzrost otyłości wisceralnej, przy masie ciała pozostającej w normie, może przyczyniać się do niesprzyjających zmian profilu metabolicznego kobiety, a tym samym stanowić ryzyko wystąpienia chorób.
EN
Introduction. Obesity is a significant health and economic problem, both for the patient and the health care system. An essential element in the prevention and treatment of each disease is the engagement of all groups of healthcare professionals. In our study, we performed an analysis of the real world data, obtained from a survey of the medical and socioeconomic problems associated with overweight and obesity. We aimed to identify the pharmacist’s role in the management of overweight and obese patients, including their individualized education in an outpatient setting. Material and methods. The study material consisted of responses obtained from a specially designed questionnaire. Our findings indicate that the study patients had easy access to a pharmacist’s professional knowledge, relevant to comprehensive treatment of obesity. In addition, our data indicates a lack of patient knowledge of a healthy lifestyle and an inability to implement such knowledge in practice. Results. The community pharmacist should actively provide support to patients with obesity (including the primary obesity and those who want to lose excessive body mass for health-related and also for aesthetic reasons) and the management of their weight. The results of our study should be considered as an introduction to further research to facilitate the understanding of problems and expectations of patients and to prepare pharmacists to perform pharmaceutical care (PC) in this regard. Conclusion. One of the potential options to protect society against the obesity epidemic is an education about the risks inherent to obesity and promotion of a healthy lifestyle.
EN
Purpose: Children obesity consists a fundamental problem of public health in Greece. The understanding of the factors which is correlated to is a requirement for the implementation of intervening policy and treatment. The aim of the study was to investigate the dietary habits of the students in Lemnos Island and their correlation to obesity and overweight rates. Materials and methods: 130 students of the 4th, 5th and the 6th grade from three primary schools of Lemnos Island completed a food frequency questionnaire (FFQ). A weigh measurement followed BMI calculation with the use of growth charts in order to estimate the rates of obese, overweight and underweight children. Correlations were carried out between children dietary patterns and their BMI. Results: Τhe majority of the children follow a balanced diet according to the nutritional recommendations. The obesity prevalence and the overweight rates of the Lemnos students was 8.2% and 16.4%, respectively. 72.4% of the students had normal weight, whereas 3% of them were underweight. There was no correlation of obesity/overweight rates with the dietary patterns and physical activity. Boys consume breakfast more frequently in comparison to girls and are more occupied with athletic activities. In the 4th grade the breakfast consumption was more frequent in comparison to the 6th grade. Conclusions: The students of Lemnos appear low rates of overweight, in comparison with other studies in Greek land, by following a balanced diet. The environment and the living conditions of the children on the island may contribute to adapting a healthier way of living.
EN
Nowadays we can see a fundamental change in social reality. A traditional problem of starvation steadily disappears, and on its place there is a new problem, which is obesity. Today obesity is a global social issue. The scale of the problem has become so large that World Health Organization (WHO) began to talk about the worldwide obesity epidemic. The main objective of the article is to present obesity as one of the most important challenges for the modern social policy. We will try to find the answer for the following questions: What is the essence and prevalence of obesity? What are the socio-economic consequences of obesity? What actions are taken to reduce obesity? The article uses the following research methods: literature review, legislative research and the analysis of statistical data.
EN
Introduction. Among patients with asthma, a lot of attention is being given to, at the present time, to such comorbidity as excessive body mass (EBM) or obesity. Aim. To evaluate the level of IgA in patients with bronchial asthma against the background of excessive body weight or obesity and to evaluate the effects of drug on the bacterial lysate and inosine pranobex. Material and methods. According to the design, the study was conducted in two stages: the first stage – examination of 105 patients with asthma. 105 patients with a basic diagnosis of asthma were examined whose average age was 41.19 ± 1.05 years, 75 patients were found to have EBM or obesity (BMI 31.67 ± 0.53) who were included in the main group and 30 patients with NBMI (BMI 22.13 ± 0.32), which were the comparison group. Results. The patients in the main group with a severe course had significantly lower serum IgA values than the patients in the comparison group (p<0.05), but the statistically significant difference between this index in the patients with a severe course in the main group and the control group was not revealed. The patients in the main group had a significant increase in the level of secret IgA against the background of the use of treatment-and-prophylactic complex (TPC) with the inclusion of a preparation of bacterial lysate in combination with inosine pranobex against the background of training in asthma school, receiving the basic treatment (p<0.05). Conclusion. Patients with asthma who have large BMI have a more severe course of bronchial asthma. A Correlation relationship was established in the group of patients with bronchial asthma and with excessive body weight or obesity between the level of sIgA and the severity of the asthma course; there is a direct strong correlation. Patients in the main group had a significant increase in the level of sIgA against the background of the use of TPC with the addition of a basic treatment by the preparation of bacterial lysate together with inosine pranobex.
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