Annals of agricultural and environmental medicine : AAEM最新文献

{"title":"Rare case of Richter's syndrome localization in liver and thyroid of a patient with a chronic lymphocytic leukemia (CLL) - Case report and literature.","authors":"Ewa Wąsik-Szczepanek,&nbsp;Agnieszka Szymczyk,&nbsp;Dariusz Szczepanek,&nbsp;Ewelina Grywalska,&nbsp;Justyna Szumiło,&nbsp;Piotr Trojanowski,&nbsp;Olga Czabak,&nbsp;Marek Hus","doi":"10.26444/aaem/106041","DOIUrl":"https://doi.org/10.26444/aaem/106041","url":null,"abstract":"<p><p>Richter's syndrome (RS) is a rare complication in which chronic lymphocytic leukaemia (CLL) or small lymphocytic lymphoma (SLL) transforms into a more aggressive type of lymphoma - diffuse large B cell lymphoma (DLBCL), or Hodgkin's lymphoma (HL). The review describes the clinical case of a patient with CLL and RS diagnosis. A computed tomography (CT) scan of the abdominal cavity detected numerous normodense areas in the liver. Simultaneously, ultrasound examination (USG) of the thyroid revealed the presence of a solid hypoechogenic lump. The material sampled from closed biopsies of liver and thyroid in both cases allowed the diagnosis of diffuse large B cell lymphoma (DLBCL). The liver and the thyroid are particularly rare locations of RS. However, those cases allowed the conclusion that RS may occur even in a very unexpected and less probable location.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"160-164"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37769046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does place of residence affect patient satisfaction with hospital health care?","authors":"Dominik Maślach,&nbsp;Bogusława Karczewska,&nbsp;Andrzej Szpak,&nbsp;Angelika Charkiewicz,&nbsp;Michalina Krzyżak","doi":"10.26444/aaem/116574","DOIUrl":"https://doi.org/10.26444/aaem/116574","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Measuring the level of patient satisfaction is a useful tool in delivering quality care that is responsive to consumer preferences. Various socio-demographic factors might be considered as potential predictors of patient satisfaction. The aim of the study was to assess whether place of residence (rural/urban) affects patient satisfaction with hospital health care.</p><p><strong>Material and methods: </strong>Data were obtained using face-to-face questionnaire, administered in five large, urban hospitals in Podlaskie Province, north-eastern Poland, during 2014-2018. The study sample comprised of 1,624 participants (585 rural, 1039 urban) who assessed satisfaction with 28 hospital health care items. The means and standard deviations were presented to compare 28 satisfaction items between the rural and the urban samples. Regression analysis was used to determine whether location difference (rural vs urban) affected patient satisfaction with various domains of hospital health care.</p><p><strong>Results: </strong>The mean results of 28 satisfaction items on the 1-5 scale were similar among the rural and the urban samples, and generally skewed towards positive experiences. In the univariate analysis, significant associations between place of residence and patient satisfaction were identified with regard to three components of inpatient care: 1) hospital settings and staff care, 2) doctors' professional skills, and 3) hospitalization outcomes. After adjusting for socio-demographic variables, the association remained significant only with respect to satisfaction with hospitalization outcomes (b = 0.121; SE = 0.055; p = 0.028).</p><p><strong>Conclusions: </strong>Some evidence for differences in patient satisfaction by place of residence was found. Study findings may be helpful in implementing care quality improvement programmes.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"86-90"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of emotional intelligence in attitudes towards elderly patients - Comparative study of medical students from rural and urban areas.","authors":"Izabela Mamcarz,&nbsp;Kamil Torres,&nbsp;Piotr Mamcarz,&nbsp;Krzysztof Jurek,&nbsp;Anna Torres,&nbsp;Konrad Szast","doi":"10.26444/aaem/110770","DOIUrl":"https://doi.org/10.26444/aaem/110770","url":null,"abstract":"<p><strong>Introduction: </strong>Medical care in geriatrics has its own specificity, and in order to build a successful doctor-patient relationship it is important while studying medicine to learn some functioning aspects of this age group.</p><p><strong>Objective: </strong>The aim of this study is to explore and describe the role of emotional intelligence in the attitudes of medical students towards elderly patients, taking into account their the place of residence. The place of residence has an impact on social relations and socialization, which could effect with disparities in behaviour towards elderly patients.</p><p><strong>Material and methods: </strong>Medical University of Lublin students from rural (N=71; M=23.44 SD=1.80) and urban (N=87; M=23.34; SD=1.38) areas took part in the study. Emotional Intelligence Questionnaire (INTE) and Attitude Towards Elderly Patients Questionnaire (ATEP) were used.</p><p><strong>Results: </strong>There are statistically significant differences between medical students from rural and urban areas in their attitude towards elderly patients (p=0.001), but no differences were observed between rural and urban residents in terms of emotional intelligence (general result, action factor and cognitive factor). Positive correlations were observed between action factor (r=0.322), cognitive factor (r=0.311) and general INTE result (r=0.358) and attitude towards elderly patients in the group of medical students from rural area.</p><p><strong>Conclusions: </strong>Medical students from rural areas are characterized by a more positive attitude towards elderly patients than medical students from urban areas. The predictors of attitudes towards elderly patients are the cognitive factor of emotional intelligence and the place of residence of medical students. The results give the opportunity to design a well-developed programme of a geriatric course which could be matched to the personal predispositions of students.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"134-138"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37769043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes of accidents at work in the opinions of public sector forestry employees in Poland.","authors":"Agnieszka Buczaj,&nbsp;Anna Pecyna,&nbsp;Stanisław Lachowski,&nbsp;Piotr Choina,&nbsp;Małgorzata Goździewska","doi":"10.26444/aaem/112020","DOIUrl":"https://doi.org/10.26444/aaem/112020","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was recognition of opinions of forestry employees concerning causes of accidents in forestry, and evaluation of which of the selected demographic characteristics of forestry employees are associated with their opinions concerning causes of occupational accidents. An attempt was also undertaken to answer the question whether there is any relationship between the opinions of forestry employees pertaining to the causes of accidents at work, and observance of the OSH principles concerning the use of protection measures.</p><p><strong>Material and methods: </strong>The survey included 135 forestry employees and conducted by using an author-constructed questionnaire containing items which primarily concerning the causes of accidents at work and the protection measures applied. The opinions of forestry employees pertaining to the causes of accidents were analyzed according to independent variables, such as: workplace, period of employment, age, education level, and an index of the level of the respondents' concern about OSH (index of the use of personal protection measures by the respondents). The significance of differences between the subgroups selected according to the above-mentioned variables was assessed using the chi-square test.</p><p><strong>Results: </strong>Forestry employees most frequently indicated such causes of accidents as the lack of e use of protection equipment (63.7%), bravado and neglecting hazards (63%), as well as entering or staying in a danger zone during tree felling (56.3%). Nearly a half of the respondents (48.1%) mentioned as the cause of accidents the improper and self-willed behaviour of an employee. The respondents additionally mentioned being taken by surprise by an unexpected event (40%), and the inadequate state of machinery, equipment, and vehicles (36.3%).</p><p><strong>Conclusions: </strong>Based on the results of the study concerning the causes of accidents in forestry, it was found that the examined forestry employees show high awareness and knowledge concerning the causes of occupational accidents in forestry. The greatest differences in the way of perceiving the causes of accidents and hazards were observed according to the respondents' period of employment and age. In addition, a relationship was observed between indication by the respondents of specified causes of accidents, and the scope of their use of protection measures.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"6-14"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metastatic and non-metastatic sentinel inguinofemoral lymph nodes in vulvar cancer show an increased lymphangiogenesis.","authors":"Magda Piechowicz,&nbsp;Marcin Mikos,&nbsp;Tomasz Banas,&nbsp;Krzysztof Okon,&nbsp;Milosz Pietrus,&nbsp;Marta Balajewicz-Nowak,&nbsp;Lukasz Szczudlik,&nbsp;Zbigniew Kojs,&nbsp;Aleksandra Czerw,&nbsp;Grzegorz Juszczyk,&nbsp;Kazimierz Pityński","doi":"10.26444/aaem/105925","DOIUrl":"https://doi.org/10.26444/aaem/105925","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Lymph node involvement is a strong predictor of disease recurrence and patient survival in vulvar cancer. The aim of the study was to evaluate the feasibility of sentinel lymph node (SLN) screening, the incidence of skip metastases, and lymph node lymphangiogenesis.</p><p><strong>Material and methods: </strong>Fifty-five patients participated in this prospective, single centre study. A double SLN screening method was employed using radiocolloid (technetium-99 sulfur colloid) and 1.0% Isosulfan Blue. Immunohistochemistry, using a mouse monoclonal antibody against D2-40, was used to evaluate lymphatic vessel density (LVD). All calculations were performed using STATISTICA software v. 10 (StatSoft, USA, 2011); p < 0.05 was considered significant.</p><p><strong>Results: </strong>Using both methods of SLN detection, 100% accuracy was achieved, and skip metastases were diagnosed in only one woman (1.82%). Peri-tumour median LVD was significantly increased compared with matched intra-tumour samples (p < 0.001), while median LVD was significantly lower in negative, compared with positive SLN, regardless of whether matched non-SLN were negative (p < 0.001) or positive (p = 0.005). Metastatic SLN exhibited significantly higher median LVD compared with matched negative non-SLN (p = 0.015), while no significant difference in median LVD was detected between positive SLN and matched positive non-SLN. However, negative SLN had a significantly higher median LVD compared with matched negative non-SLN (p = 0.012).</p><p><strong>Conclusions: </strong>SLN detection is a safe and feasible procedure in vulvar cancer. In patients without nodular involvement, SLN, compared with non-SLN, exhibited significantly higher median LVD, which may be an indication of its preparation to host metastases, and thus requires further investigation.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"123-128"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37769042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PDGF-BB homodimer serum level - a good indicator of the severity of alcoholic liver cirrhosis.","authors":"Ewa Kurys-Denis,&nbsp;Andrzej Prystupa,&nbsp;Dorota Luchowska-Kocot,&nbsp;Witold Krupski,&nbsp;Hanna Bis-Wencel,&nbsp;Lech Panasiuk","doi":"10.26444/aaem/115997","DOIUrl":"https://doi.org/10.26444/aaem/115997","url":null,"abstract":"<p><strong>Introduction: </strong>Liver cirrhosis is a chronic disease in which progressive fibrosis is noted. This process leads to changed architectonics of the liver parenchyma and the appearance of regenerative nodules, all of which are caused by pathological activation of the hepatic stellate cells. This process is enhanced on a molecular level by many cytokines, with platelet-derived growth factors (PDGFs) playing the key role.</p><p><strong>Objective: </strong>The aim of the study was to assess serum concentrations of PDGFs active biodymers (PDGF-AA, PDGF-BB and PDGF-AB) in patients with alcoholic liver cirrhosis, and to correlate them with the stage of disease.</p><p><strong>Material and methods: </strong>64 patients with alcoholic cirrhosis and a control group of 16 healthy individuals were analysed. Liver cirrhosis was determined based on clinical image, history of the patients' alcohol consumption, laboratory findings and abdominal ultrasonography. The serum PDGF-AA, PDGF-BB and PDGF-AB concentrations were determined using ELISA kits.</p><p><strong>Results: </strong>Serum concentration of PDGF-AA and PDGF-BB homodimers increases in patients with alcoholic liver cirrhosis (p=0.034 and p<0.0001, respectively), unlike the serum concentration of PDGF-AB heterodimer (p>0.05). When the stage of the disease increases, the concentrations of PDGF-AA and PGFD-BB in blood also oncrease. Furthermore, the serum level of both PDGF-AA and PDGF-BB correlates significantly with the severity of alcoholic liver cirrhosis (measured by Pugh-Child's scale), the correlation being stronger in the case of PDGF-BB levels than PDGF-AA (R=0.28; p=0.027 and R=0.26; p=0.038, respectively).</p><p><strong>Conclusions: </strong>The plasma levels of PDGF-AA and -BB may be indicators of alcohol-induced liver fibrosis process, and might be considered as future possible treatment targets, with PDGF-BB levels being an even better indicator than PDGF-AA levels.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"80-85"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors determining health behaviours of the 50+ population with cardiovascular diseases.","authors":"Izabela Gąska,&nbsp;Katarzyna Maria Sygit,&nbsp;Elżbieta Cipora,&nbsp;Marian Sygit,&nbsp;Jan Krakowiak","doi":"10.26444/aaem/118194","DOIUrl":"https://doi.org/10.26444/aaem/118194","url":null,"abstract":"<p><strong>Introduction: </strong>The biggest threat to life are cardiovascular diseases which are a serious problem in Poland, Europe, and worldwide. Therefore, it has become important to have proper health behaviours which significantly eliminate the occurrence and development of cardiovascular diseases.</p><p><strong>Objective: </strong>The main aim of this study is to present factors that determine health behaviours of the 50+ population with cardiovascular diseases.</p><p><strong>Material and methods: </strong>The study was carried out among 411 individuals aged over 50 with cardiovascular diseases. The method used was a diagnostic survey. The study involved an authors' survey questionnaire and the Inventory of Health-Related Behaviours (IHB). A detailed statistical analysis was carried out in the R programme, version 3.5.1.</p><p><strong>Results: </strong>The most common disease in the study group was coronary heart disease - 63.75%. The majority of respondents showed (via Inventory of Health-Related Behaviour [IHB]) that the level of their health behaviours was moderate - 41.12%; the highest level of health behaviours in the study group were related to health practices, while a slightly lower level was observed in the area of positive mental attitude. Statistical significance was also found between the level of intensity of health behaviours and age, gender, BMI, place of residence, education, professional activity and marital status of the respondents.</p><p><strong>Conclusions: </strong>Anti-health behaviours were predominant among the respondents; significant demographic and social factors determining health behaviour were determined, such as age and gender; a high level of health behaviours was found in the group of women with higher education and correct body mass, living in cities and married.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"99-105"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographic variability of major non-traumatic lower limb amputations in diabetic and non-diabetic patients in Poland.","authors":"Waldemar Wierzba,&nbsp;Przemysław Krasnodębski,&nbsp;Andrzej Śliwczyński,&nbsp;Waldemar Karnafel","doi":"10.26444/aaem/114725","DOIUrl":"https://doi.org/10.26444/aaem/114725","url":null,"abstract":"<p><strong>Introduction: </strong>High amputation of the lower limb not only causes immense physical disability but also the destruction of the patient's mental state, and helps to shorten life of patients with diabetes. The incidence of amputations in diabetic patients is 10 times higher in comparison to non-diabetic subjects (2.8% vs. 0.29%). The purpose of the study is an analysis of the geographic variability of major non-traumatic lower limb amputation in diabetic and non-diabetic patients in Poland.</p><p><strong>Material and methods: </strong>All major non-traumatic lower limb amputations performed for the first time, in particular databetween 1 January 2013 - 31 December 2013, and between 1 January 2014 - December 2014, were identified in the National Health Fund (NHF) database. In the presented study, the patients were grouped in relevant provincial departments of the NHF according to their place of residence, and not according to the hospital where lower limb amputation was performed.</p><p><strong>Results: </strong>In 2013 in Poland, 4,727 major non-traumatic lower limb amputation were performed in diabetic patients, and 4,350 in 2014. On the other hand, in non-diabetic patients, 3,469 major non-traumatic lower limb amputations were performed in 2013, and 3149 in 2014. The mean number indicator of major non-traumatic lower limb amputations in diabetic patients in Poland, compared to the average indicator of amputations in patients without diagnosed diabetes in Poland was 19.9-fold in 2013 and 19.4-fold higher in 2014.</p><p><strong>Conclusions: </strong>In populations of diabetic patients and individuals without diagnosed diabetes major non-traumatic lower limb amputations are performed over 19-fold more frequently.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"76-79"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of interior design on wellness - Eye tracking analysis in determining emotional experience of architectural space. A survey on a group of volunteers from the Lublin Region, Eastern Poland.","authors":"Wioletta Tuszyńska-Bogucka,&nbsp;Bartłomiej Kwiatkowski,&nbsp;Magdalena Chmielewska,&nbsp;Mariusz Dzieńkowski,&nbsp;Wojciech Kocki,&nbsp;Jarosław Pełka,&nbsp;Natalia Przesmycka,&nbsp;Jacek Bogucki,&nbsp;Dariusz Galkowski","doi":"10.26444/aaem/106233","DOIUrl":"https://doi.org/10.26444/aaem/106233","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Using the concepts of Ulrich's theory of supportive design and Malkin's healing environment, an eye tracking experiment was designed in order to measure respondents' reactions while looking at visualisations of various interiors, with the aim of verifying whether certain parameters of an interior are related to emotional reactions in terms of positive stimulation, and the sense of security and comfort.</p><p><strong>Material and methods: </strong>12 boards were designed, incorporating standard features of an interior, i.e. (1) proportions, (2) lighting, (3) colour scheme of a room, as well as (4) the colours and spatial arrangement of furnishings. Respondents' reactions were recorded with an eye tracker Tobii TX300 and supplemented by self-descriptions of emotional reactions.</p><p><strong>Results: </strong>The results showed that the varying spatial and colour arrangements presented in the interior visualisations provoked different emotional responses, confirmed by pupil reaction parameters, as measured by the eye tracking device.</p><p><strong>Conclusions: </strong>Architectural space can have a diverse emotional significance and impact on an individual's emotional state. This is an important conclusion from the point of view of optimising and creating the so-called supportive and healing environment. The results have implications for the interpretation of the pupil diameter as an index of emotional reactions to different architectural space visualisations. Testing the eye tracker as a method helpful in diagnosing the emotional reactions to features of the interior is justified, and can provide an effective tool for early diagnosis of the impact of architectural space on the well-being of individuals. It can also be a good form of testing the emotional significance of architectural designs before they are implemented.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"113-122"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.26444/aaem/106233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37767686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-economic development, level of urbanization and consumption of selected food products as factors in the prevalence of overweight and obesity among youths and young adults in Poland.","authors":"Maria Klatka,&nbsp;Ewa Zienkiewicz,&nbsp;Witold Kołłątaj,&nbsp;Tadeusz Zienkiewicz,&nbsp;Barbara Kołłątaj","doi":"10.26444/aaem/112373","DOIUrl":"https://doi.org/10.26444/aaem/112373","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Obesity and overweight among teenagers and young adults pose serious problems for the Polish health care system. The aim of this study was to assess the relationships between the prevalence of overweight and obesity and the level of urbanization, consumption of selected food products and socio-economic development in the provinces in Poland.</p><p><strong>Material and methods: </strong>The material used in this study is based on data published by the Central Statistics Office (GUS) for population, components of the Human Development Index (HDI), urbanization level (URBI), average monthly consumption of selected food products per person, and the percentage of obese and overweight people in the Polish provinces. The prevalence of overweight and obesity in all 16 provinces was analysed in the context of the URBI, HDI, and the average monthly consumption of selected food products.</p><p><strong>Results: </strong>There was no a statistically significant correlation between the number of overweight and obesity cases and the levels of HDI and URBI. The negative correlations were found between the consumption of sugar and URBI (-0,710, p=0.002), bread and grain product consumption (-0.642; p=0.007) and fresh milk consumption (-0.594; p=0.015). Fish consumption correlated with URBI at a moderate level (0.550; p=0.027). The consumption of oils and fats strongly correlated with HDI (-0.788; p < 0,001). In the group of overweight woman, a moderate negative correlation was noted (-0.511; p=0.043) in cheese and curd consumption.</p><p><strong>Conclusions: </strong>The high level of economic development and urbanization have no direct impact on the prevalence of overweight and obesity in Poland. The results of the study indicate existing dependencies of the consumption of some of selected products with respect to the level of urbanization.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"139-145"},"PeriodicalIF":1.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37769044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}