PubMed Health⌕ Search

Biomedical subjects

Anna Jegier

Publications and source records attributed to Anna Jegier.

At least 19 recordsLinked to original sources
PubMed2006

Physical activity and self-perceived health status.

OBJECTIVES: Recently more attention has been focused on the impact of physical activity on modification of self-perceived heath status in adults. The objective of the study was to evaluate the level of occupational and non-occupational physical activities and their correlation with self-perceived heath status among economically productive individuals. MATERIALS AND METHODS: Physical activity of the subjects studied was evaluated by the Seven Day Physical Activity Recall (SDPAR) questionnaire among randomly chosen residents of the city of Lódź (n = 598, including 299 women and 299 men). The examination of the subjective health assessment was conducted based on the analogue visual scale. RESULTS: The multifactorial logistic regression analysis indicated that weekly energy expenditure on occupational physical activity (kcal/week) did not play a significant role in self-perception of health status among men or women. Neither did the outcome of the study provide evidence for the significant effect of housework load on self-perceived health status among the study participants. However, a sufficient level of leisure-time physical activity in a beneficial way affects health-related self-perception of the examined subjects. In the group of men expending 1000 kcal/week or more on leisure-time physical activity, the risk for poor health-related self-report was significantly lower than among men declaring no energy expenditure on this activity (adjusted odds ratio (OR = 0.29, 95% CI: 0.13-0.66). Among females not taking up any recreational physical activity, the risk of low self-perceived health status was also higher than in females reaching a satisfactory level of recreational physical activity (adjusted OR = 0.38, 95% CI: 0.17-0.87). CONCLUSIONS: Preventive programs aimed at improving subjective health assessment through the increased leisure-time physical activity should be addressed to all economically productive individuals and particularly to people of older age groups and above all to females.

Adult↗
PubMed2005

[Diet and physical activity in men with coronary artery disease participating in long term cardiac rehabilitation program].

BACKGROUND: Apart from pharmacotherapy diet and regular physical activity play an important role in secondary prevention of cardiovascular diseases. AIM: The purpose of this study was to asses dietary habits and physical activity among men with coronary heart disease participating in cardiac rehabilitation program. MATERIAL AND METHODS: The study was conducted in the group of 87 men after myocardial infarction including 30 men mean age 56.7 +/- 7.2 years participating 7.0 +/- 2.9 years in cardiac rehabilitation program (Group A) and 57 men mean age 58.9 +/- 2.3 years (Group B). Diet was assessed by 24-hours food recall. Physical activity was assessed by the interviewer-administrated Seven Day Physical Activity Recall Questionnaire (SDPAR). RESULTS: There was no difference in total daily caloric intake between groups (2913.0 +/- 679 kcal/day vs 3153.3 +/- 462.8 kcal/day, p>0.05). The mean percentage of energy from proteins was 19,6% in group A vs 18,3% in group B (p>0.05), fats was 31,6% in group A vs 34.4% in group B (p<0.05), carbohydrates was 48.8% in group A vs 47.3% in group B (p>0.05). Moreover the mean intake of cholesterol was 339,0 +/- 90,0mg in group A vs 582,6 +/- 233,9mg in group B (p<0,001). Significantly more patients from group A expended up to 1000 kcal/week on leisure-time physical activity than in group B (92.9% vs 3.3% p<0.001). More than 60% of patients from group B reported 0.0 kcal/week energy expenditure on leisure time physical activity. CONCLUSIONS: This study demonstrates that cardiac rehabilitation improves frequency, duration and intensity of leisure-time physical activity among men with coronary heart disease. But energy and nutrients intake in this group did not meet the level recommended by experts in prevention of cardiovascular diseases. More attention need to be paid to dietary habits among man with coronary artery disease participating in cardiac rehabilitation programs.

Aged↗
PubMed2005

[Ambulatory cardiac rehabilitation and selected quality of life parameters among men with coronary artery disease].

BACKGROUND: Regular physical activity plays an important role in both primary and secondary prevention of cardiovascular disease. AIM: The aim of this study was to asses influence of leisure-time physical activity on selected quality of life parameters among men with coronary artery disease participating in ambulatory cardiac rehabilitation. MATERIAL AND METHODS: Thirty men with coronary heart disease who were engaged 7.0 +/- 2.9 years in physical activity rehabilitation program were assessed (Group A). This group was compared with 57 men (Group B) who did not participate in any formal exercise training. Physical activity was assessed by the interviewer-administrated Seven-Day Physical Activity Recall (SDPAR). Quality of life and subjective health state was determined by standardized questionnaire EuroQol 5D. RESULTS: Level of leisure time physical activity influence quality of life in study participants. Moreover in both groups subjects with 0.0 kcal/week energy expenditure on leisure time sport activities reported significantly lover subjective health state scores comparing to patients with higher level of leisure-time physical activity. CONCLUSIONS: This study demonstrates that cardiac rehabilitation lead to increase recreational physical activity among patients with heart artery disease and improve their quality of life.

Adult↗
PubMed2005

[Does the method of treatment in patients with an acute myocardial infarction influence the results of an early cardiac rehabilitation?].

UNLABELLED: Does the method of treatment in patients with an acute myocardial infarction influence the results of an early cardiac rehabilitation? Post-myocardial infarction recovery depends on various complimentary factors. The aim of this study was to evaluate whether the type of reperfusion in an acute myocardial infarction (MI) - primary angioplasty (PCI) or fibrinolysis - influence the recovery period and the final result of an early cardiac rehabilitation. METHODS: Retrospective analysis of case histories of 60 patients undergoing reperfusion procedures for an acute myocardial infarction was performed 30 pts (mean age 56 (9) were treated with fibrinolysis (group I) and 30 pts (mean age 53 (7) with PCI (group II). All the patients underwent cardiac rehabilitation in postMI period according to Rudnicki's model A and B. ECG exercise test was performed before start of rehabilitation and at the end. RESULTS: In both groups a significant prolongation of exercise test duration (0.89 and 1.13 min, p<0.005) as well as an increase in exercise capacity (0.86 and 0.96 METS, p<0.005) were observed. Both exercise duration time as well as maximum workload achieved did not differ among two groups at the beginning and at the end of cardiac rehabilitation. Independently on the reperfusion strategy used no significant differences were noted between two groups in the setting of all studied parameters. CONCLUSIONS: Early cardiac stationary rehabilitation in postMI patients leads to a significant improvement in physical capacity expressed as an increase in exercise ECG test duration and workload achieved. The method of reperfusion, if successful, does not influence the final result of rehabilitation.

Adult↗
PubMed2005

[Physical activity volume as a key factor influencing obesity and metabolic syndrome prevalence in middle-aged men. Long-term prospective study].

UNLABELLED: There are only few studies analyzing longitudinal effects of regular physical activity on the prevalence of obesity and other characteristics of metabolic syndrome. The aim of the study was to assess the effect of various training programs on the prevalence of obesity and metabolic syndrome in middle-aged men. Long-term effects of training (mean 17.5 years) have been compared in 305 men aged 30-59 years (mean 41.8) divided into three groups: sedentary (S) individuals (LTPA <1000 kcal/week), group with moderate (M) LTPA (LTPA between 1000-2000 kcal/week) and highly (H) active group (LTPA > 2000 kcal/week). We analyzed also aerobic capacity influence on anthropometric and metabolic data. Mean values of body weight, BMI and body fat increased in all groups, however the values in H group are much more favorable as compared with sedentary and moderately active individuals. At final examination we diagnosed obesity (BMI > or = 30.0 kg/m2) in 23.3% sedentary men, 20.0% of moderate activity and 12% of highly active group. Frequency of obesity increased above twofold in sedentary individuals (10.8 vs 23.3%). Consequently only H group was able to maintain BMI value about 25.0 and to increase significantly HDL (51.7 vs. 56.6 mg/dl) in the follow-up. Metabolic syndrome as defined by ATP III has been diagnosed in 26.6% of sedentary, 23.1% of moderate and only 8.4% of highly active middle-aged men. CONCLUSIONS: the prevalence of obesity and metabolic syndrome development in middle-aged men depends on leisure time physical activity volume and aerobic capacity. Training with exercise expenditure > 2000 kcal/week which results in maintenance of good aerobic capacity level is a strong protective factor in development of obesity and metabolic syndrome in middle-aged men.

Adult↗
PubMed2005

[Characteristic of physical activity among adults in urban population in Poland].

UNLABELLED: Regular leisure-time physical activity plays an important role in health promotion and noncomunicable disease prevention. The aim of this study was to analyze physical activity (including leisure-time, occupational and household activities) in representative sample of 1029 adults in Lodz. Moreover contribution of different type and intensity physical activities to total weekly energy expenditure was analysed. Physical activity was determined by the interviewer-administrated Seven Day Physical Activity Recall (SDPAR). RESULTS: The mean age of study participants was 45.8 +/- 11.7 years old. The analysis of the type of physical activity revealed that leisure-time, occupational and housework energy expenditure (of moderate or higher intensity) constituted 2.3%, 23.3% and 10.9%, respectively, of the whole energy expenditure in subjects examined. In the study group, contribution of low intensity (> or = 1,5 METs), moderate (4 METs), high and very high intensity (> 4 METs) physical activity to total weekly energy expenditure was 3.1, 55.8% and 21.8% respectively. CONCLUSIONS: This study results suggest that effective programs need to be taken to increase leisure-time physical activity among adults in Lodz. Programs promoting an active lifestyle should encourage to participation in moderate and higher intensity physical activities (if no health contra-indications). It can be effective strategy to achieve level of physical activity recommended by experts in health promotion and noncomunicable disease prevention.

Adult↗
PubMed2005

[Body weight change and health outcomes in middle-aged men--a prospective study results].

In recent years more attention is paid to the role of body weight change and cardiovascular disease risk. The aim of the study was to evaluate correlation between body weight change and risk of ischaemic heart disease (IHD) and selected cardiovascular disease risk in middle-aged male during long-term surveillance. The study was conducted among group of healthy male volunteers (n=189) aged 30-49 years at baseline. Prevalence of disease due to cardiovascular causes was ascertained in study participants during an average follow-up of 17.7 +/- 4.4 years. Changes in weight were classified in three categories: stable weight (+/- 5 kg), weight gain (>5 kg) or weight loss (>5 kg). Logistic regression analysis was performed to study the correlation between weight change and Relative Risk (RR) of cardiovascular disease in the examined subjects. All analyses were adjusted for age, smoking and level of leisure-time physical activity. In this study 48.4% men maintained weight, 5.9% lowered weight and 45.7% gained weight. Ischaemic heart disease was diagnosed in 12.2% of men, including non fatal myocardial infarction in 5.3%, hypertension in 40.7%, and hyperchoesterolaemia in 62.4%, respectively. Among participants with weight gain of more than 5 kg total cardiovascular disease risk was 4 times higher (adjusted RR=4.07, 95% CI, 1.33-12.44), ischaemic heart disease 3 times higher (adjusted RR=3.27, 95% CI, 1.17-9.17), and hypercholesterolaemia 2 times higher (adjusted RR=2.15, 95% CI, 1.09-4.24) in comparison with those with stable weight. This study results suggests that maintaining stable weight during adulthood can be effective strategy for lowering cardiovascular disease risk.

Body Weight↗
PubMed2005

[Total antioxidant capacity of blood plasma in healthy men and in men with coronary heart disease].

BACKGROUND: The aim of the study was to determine the level of total antioxidant capacity (TAC) of blood plasma in healthy men and in men with coronary heart disease differentiated by their level of physical activity. MATERIAL AND METHODS: The study was carried out in the two groups of age-adjusted men. Group I comprised 100 healthy men aged 56.6 +/- 8.5 years and group II involved 100 men with identified coronary heart disease aged 56.6 +/- 7.2 years. BMI was determined in every participant. Level of energy expediture was determined by calculating the amount of hours per week spent for different recreational sports activities. Spectrophotometric method FRAP (Ferric Reducing Ability of Plasma) was applied to estimate total antioxidant capacity of blood plasma. RESULTS: Values of absorbance describing level of total antioxidant capacity of blood plasma in 1', 3' and 10' minut of reaction time window differed between groups. Men with coronary heart disease were characterised by higher antioxidant defense system than healthy ones. Energy expediture expressed in kcal per week was statistically higher in healthy subjects. In healthy men positive correlation was found between level of total antioxidant capacity (in 1', 3' and 10' minut of reaction time window) and BMI (p< or = 0.05). Statistically significant negative correlation was found for TAC and level of energy expediture. Among men with coronary heart disease there was statistically significant positive correlation between the values of total antioxidant capacity (in 1', 3' and 10' minut of reaction time window) and BMI. There was no statistically significant correlation neither between age and TAC, nor between energy expediture and TAC. CONCLUSIONS: The level of total antioxidant capacity estimated with FRAP method was higher in men with coronary heart disease in comparison with healthy men. Antioxidant potential was higher along with the increase of BMI in both groups. Increased energy expenditure was related to decreased total antioxidant capacity, but only in healthy men.

Adult↗
PubMed2005

[The blood pressure response to physical exertion in adults: a preliminary survey results].

UNLABELLED: Monitoring changes in blood pressure except controlling clinical symptoms and electrocardiogram during submaximal physical exertion is essential for analyzing stress test results. Taking into consideration changes in a blood pressure play an important role in diagnostic procedures and assessment of exercise tolerance in adults. The aim of this study was to assess changes in blood pressure among adults during gradually increasing physical exertion. Blood pressure assessment was conducted in every single workload during exercise stress test. The preliminary study was performed in the randomly selected group of normotensive subjects n=224 including 107 female and 117 male 25-64 years old. Study participants had no cardiovascular or other noncommunicable diseases diagnosed by a physician. To determine cardiorespiratory fitness in the examined persons the submaximal exercise stress tests on a bicycle ergometer were performed. Blood pressure measurements were obtained according to Polish Hypertension Society (2003) standards by trained technician with a sphygmomanometer during rest period and during last minute on each level of workload. RESULTS: Mean values of resting systolic and diastolic blood pressure were significantly higher in male comparing with female (125.6 +/- 12.8 mmHg vs 117.7 +/- 15.6 mmHg for systolic and 81.3 +/- 8.5 mmHg vs 76.2 +/- 8.1 mmHg for diastolic blood pressure). We found statistically significant increase of exercise systolic and diastolic blood pressure comparing with its resting level (p<0.001). For all study participants association of exercise systolic blood pressure level and workload can be illustrate by linear equation: for female systolic blood-pressure (mmHg) = 0.0500 x load (W) + 159.74 and for male systolic blood-pressure (mmHg) = 0.3917 x load (W) + 136.00. CONCLUSIONS: During gradually increasing physical exertion systolic blood pressure is rising proportionally to increasing physical exertion. Mean values of systolic blood pressure on each level of workload had strong, linear increase. This study results can be useful in clinical practice for exercise tolerance assessment in adults and helpful for identification subjects with hypertensive response to physical exertion or hypertensive patients.

Adult↗
PubMed2005

[Adipokines: adiponectin, leptin, resistin and coronary heart disease risk].

Visceral obesity is among the known risk factors of atherosclerotic cardiovascular diseases. As long as adipose tissue was considered only an inert store of excess energy, accumulated in triglycerides, explanation of the mechanisms causing increased cardiovascular risk in obesity was difficult. Finding that the adipose tissue is an active endocrine organ and that the adipokines secreted in it influence several metabolic processes, allowed better understanding of this correlation. Several disturbances in secretion, function and balance of adipokines occur in the course of obesity. Changes of adiponectin, leptin and resistin concentrations are among the reasons of accelerated atherosclerosis occurring in the visceral adiposity. Adiponectin concentrations are decreased in visceral adiposity. Adiponectin is adipokine possessing antiatherogenic properties. It's effects exerted though the specific receptors in skeletal muscles and liver include decreased insulin resistance and improved plasma lipid profile. Acting directly in the vessel wall adiponectin prevents development of atheromatic lesions by inhibiting production of adhesive molecules and formation of foam cells. It has been found that decreased adiponectin concentrations are connected not only with increased coronary risk but also with progression of atherosclerosis in coronary vessels. Moreover it was found that adiponectin plasma concentration is significantly decreased in acute coronary incidences. Leptin regulates energy metabolism and balance. The concentrations of this adipokine are increased in obesity and correlate with insulin resistance. Hiperleptinemia has been also recognized as cardiovascular diseases risk factor. Resistin is considered to be a substance increasing insulin resistance, however the exact mechanisms are not known. Resistin plasma concentrations are increased in obese subjects and correlate with the inflammatory state that underlies the initiation and progression of atherosclerotic lesions. Correlation between resistin concentration and the extent of atherosclerotic plaques in the coronary vessels has also been found. The disturbances in secretion, function and balance of adiponectin, leptin and resistin are to be considered not only a link between visceral adiposity and cardiovascular risk but also independent risk factor of coronary heart disease.

Adiponectin↗
PubMed2005

Occupational energy expenditure and leisure-time physical activity.

OBJECTIVES: In the majority of countries around the world, a decrease in the leisure-time physical activity is observed. The aim of the study was to evaluate the correlation between occupational energy expenditure and leisure-time physical activity. Moreover, the correlation between other factors and leisure-time physical activity was assessed. MATERIALS AND METHODS: The study was performed in a randomly selected group of full-time employees (272 men and 236 women) living in the city of Lódź. Logistic regression was used to estimate odds ratios and 95% confidence intervals as well as to control the effects of occupational workload and leisure-time physical activity limitations. Physical activity was determined by the Seven Day Physical Activity Recall (SDPAR). RESULTS: Leisure-time physical activity was strongly associated with energy expenditure on occupational physical activity in men and women. Among men who expended 4000 kcal/week or more on occupational physical activity, the risk of inactivity at leisure was 1.5 times higher than in men whose weekly energy expenditure on occupational activity did not exceed 4000 kcal (adjusted OR = 1.33, 95% CI: 1.06-2.34). Among women who expended 3500 kcal/week or more on occupational physical activity, the risk of not taking up leisure-time physical activity was also higher as compared to those whose weekly energy expenditure on occupational activity was lower than 3500 kcal (adjusted OR = 1.41, 95% CI: 1.09-3.40). CONCLUSIONS: Prophylactic schedules associated with the improvement of leisure-time physical activity should be addressed to all adults, particularly to blue-collar workers. Future programs aimed at increasing physical activity in adults should consider work-related factors.

Adult↗
PubMed2004

[The impact of comprehensive cardiac rehabilitation in patients up to 55 years old after acute myocardial infarction treated with primary coronary intervention].

UNLABELLED: The aim of our study was to evaluate the impact of comprehensive 3-phases cardiac rehabilitation in patients aged up to 55 years after acute myocardial infarction treated with primary coronary intervention (PCI) of the infarction related artery on the cardiovascular status, modification of coronary risk factors, psychological and physical status and exercise tolerance. METHODS: Out of 106 consecutive patients aged up to 55 years with acute myocardial infarction (AMI) with ST-segment elevation, treated with primary coronary intervention (PCI) of the infarction related artery 71 patients entered the study and were randomized either to the Study Group (GB) or to the Control Group (GK). 31 patients of GB underwent 3-phases cardiac rehabilitation program and 40 patients of GK did not participate in phase III of the program. At phase I of the rehabilitation and 6 months after myocardial infarction physical examination, echocardiography and treadmill exercise test were performed. RESULTS: At 6-months follow-up chest pain and symptoms of heart failure were significantly less common (p < 0.001) and a tendency for fewer new cardiac events and re-PCI was noted in GB. Self-evaluated, significantly greater improvement in the emotional and physical status as well as in physical activity (p < 0.001) was achieved in GB. In GB better exercise tolerance on treadmill exercise test, greater improvement in left ventricular ejection fraction (p < 0.05) and contractile index (p < 0.05) on echocardiography were observed. The effects of the secondary prevention in terms of smoking cessation and obesity were not satisfactory in both groups. CONCLUSION: 3-phases comprehensive cardiac rehabilitation in patients with AMI treated with PCI of the infarction related artery improves recovery at 6-month follow-up. It has a favorable impact on the anginal and heart failure symptoms, cardiac risk factors (especially physical activity, restrictive diet), psychological and physical status. It contributes towards maintaining a further event-free period. It improves selected cardiovascular parameters such as exercise tolerance, segmental and global left ventricular function.

Adult↗
PubMed2004

[Leisure time physical activity and subjective health state in adults].

BACKGROUND: Leisure time physical activity improves health. AIM: The aim of this study was to analyze association between leisure time physical activity level and subjective health state in adults. MATERIAL AND METHODS: We have analyzed level of recreational physical activity and subjective health state in representative sample of 1029 adult people in Lodz including 488 men and 541 women. Physical activity assessment was carried out by the interviewer-administrated Seven-Day Physical Activity Recall (SDPAR). Indeed physical activity, subjective health state and physical fitness determined by maximal oxygen output (VO(2max)) was assessed in 271 objectively healthy people. Subjective health state was determined by visual analogue score taken from standardized questionnaire EuroQol 5D. RESULTS. More than half of subjects (60.8%) did not participate in leisure time sport activities. The number of those who had from 1 to 999 kcal/week, on sport was 23.4%. Only 15.,8% participants spent on leisure time physical activity more than 1000 kcal/week. In both groups (total n = 1029 and healthy people n = 271) subjects with 0.0 kcal/week energy expenditure on leisure time sport activities reported significantly lover subjective health state scores comparing to people with higher especially 1000-1999 kcal/week energy expenditure. In this study significant correlation was found for energy expenditure on leisure time physical activity and subjective health state (in group n = 1029 r = 0.03, p < 0.0001 and in group n = 271 r = 0.4, p < 0.0001). CONCLUSIONS: This study demonstrates that 80.4% of subjects did not achieve the level of physical activity recommended by experts in health promotion and prevention of cardiovascular and other chronic diseases. Level of leisure time physical activity influence subjective health state in adults.

Adult↗
PubMed2004

Leisure-time physical activity, cardiorespiratory fitness and work ability: a study in randomly selected residents of Lódź.

OBJECTIVES: Low physical activity is a serious health problem in developed and developing countries. Much attention is also given to the role of physical activity in the modification of work ability in adults. The aim of this studywas to assess leisure-time physical activity, cardiorespiratory fitness and their influence on the subjective work ability in a randomly selected group of professionally active residents of Lódź. MATERIALS AND METHODS: The study was performed in the randomly selected group of professionally active persons (n = 198). Physical activity was determined by means of the Seven Day Physical Activity Recall (SDPAR). To determine cardiorespiratory fitness in the examined persons, the submaximal treadmill test was performed. Subjective work ability was evaluated using the work ability index (WAI). RESULTS: Correlation coefficient for the WAI and leisure-time physical activity was high r = 0.3, p < 0.0001. Moreover, WAI, its compounds and cardiorespiratory fitness were highly correlated r = 0.4, p < 0.0001. CONCLUSIONS: Our analysis of leisure-time physical activity, cardiorespiratory fitness and WAI emphasizes a great, potential feasibility of improving the WAI and its components, e.g., through the development, promotion, and broad use of training schedules.

Adult↗
PubMed2003

[Characteristics of physical activity among adults in Lódz: results of pilot study].

Regular physical activity of sufficient frequency, duration and intensity plays an important role in health promotion and prevention of cardiovascular and other chronic diseases. The aim of this study was to assess physical activity and capacity among adults in Lodz. This study was conducted in the group of 202 people including 101 women and 101 men (mean age 44.9 +/- 11.6 years old). Physical activity was determined by the interviewer-administrated Seven-Day Physical Activity Recall (SDPAR). Physical fitness was determined among 50 subjects by maximal oxygen uptake (VO2max) measured during submaximal exercise test according to indirect Astrand-Rhyming method. Total weekly energy expenditure in this group was 274.8 +/- 60.6 kcal/kg/wk. The proportion of moderate energy expenditure on sport activities in mean total weekly energy expenditure (kcal/kg/week) was 3.7%. Almost half of the subjects (46.0%) reported 0.0 kcal/week energy expenditure on leisure time sport activities. The number of those who had from 1 to 499 kcal/week, 500 to 999 kcal/week, 1000 to 1999 kcal/week, 2000 or more kcal/week energy expenditure on sport was only 9.0%, 13.4%, 14.8%, 15.4% respectively. This study demonstrates that 70% of subjects did not achieve the level of physical activity recommended by experts in health promotion and prevention of cardiovascular and other chronic diseases.

Adult↗