Bone health in young women: the effect of tobacco smoking, environmental tobacco smoke exposure and physical activity on bone mineral density

Health behaviours are a key component of bone health. In 657 young women examined the relationship between bone mineral density (BMD), bone mineral content (BMC) in the distal and proximal part of the forearm, and physical activity (PA), smoking (AS), environmental tobacco smoke exposure (ETS) and body mass index (BMI). The densitometry method, Global Adult Tobacco Survey Questionnaire and International Physical Activity Questionnaire were used. Weekly physical activity was calculated by adding up the Metabolic Equivalent of Task (MET). Smoking women had significantly lower bone parameters. The predictor of interactions of three variables: PA, BMI (positive direction), and years of ETS exposure (negative direction) was significant for distal BMD and BMC. The predictor of interactions of PA, BMI (positive direction), and AS in numbers of cigarettes per day and years of ETS exposure (negative direction) was significant for BMD prox. MET min/week (positive direction), years of AS, and ETS exposure (negative direction) were significant predictors for T-score dis. The predictor of interactions of five variables: PA (MET), BMI, age of starting smoking (positive direction), AS in numbers of cigarettes per day, and years of ETS exposure (negative direction) was significant for T-score prox. Cigarette smoking and ETS are modifiable determinants of low bone mineral density in young Polish women. Despite the women’s good socio-economic status, a high, alarming incidence of low BMD was reported. The current study may be important in understanding the relationship between BMD, BMC, and smoking in young women as risk determinants of osteoporosis in future

Effect of low-frequency magnetic field (magnetic stimulation) and kinesitherapy on the level of selected blood parameters in haemodialysis patients

Introduction: Abnormalities in the secretory and endocrine functions of the kidneys are often diagnosed in patients with chronic kidney disease and undergoing haemodialysis, leading to disturbances in body homeostasis. Frequent multimorbidity is an additional factor that negatively affects homeostasis. These factors contribute to a decrease in cardiopulmonary fitness, deterioration of the patient’s psychophysical status, and, consequently, a decrease in quality of life. Due to several limitations of rehabilitation in this group of patients, solutions are constantly being sought to safely avoid or reduce the problems resulting from the above health burdens. Among the least invasive methods are magnetic stimulation and properly prepared and administered kinesitherapy. Aim of the study: This study aimed to evaluate the effects of magnetic stimulation and kinesitherapy on selected blood parameters in haemodialysis patients. Material and methods: The study covered 26 people. Six patients received magnetic stimulation and kinesitherapy, 10 received only kinesitherapy, and the others were in the control group. At baseline and after 6 and 12 weeks, blood tests were performed in all three groups to evaluate changes in the parameters studied (RBC, Hb, HCT, WBC, PLT, Na ions, K ions, Cl ions, urea, Pi, tCa, ALP and parathormone). Results: There were no statistically significant differences in the blood parameters studied, except for urea. The urea level in the group where patients underwent magnetic stimulation and exercise increased in the second collection but decreased in the third, whereas in the exercise-only group, it showed an increasing trend in all 3 collections. Conclusions: The levels of the assessed blood parameters do not show statistically significant changes (except for urea). However, one can observe certain non-statistically significant changes in the assessed blood parameters that are more noticeable in the study groups than in the control group. Therefore, it can be suspected that both treatments involving magnetic stimulation in combination with exercise and exercise alone have an impact on the human body. However, further research in this area is necessary

Index of cardiometabolic risk based on waist circumference (WHT.5R) and metabolic profile in Polish sedentary male and female students

Introduction: This study aimed to evaluate the potential of WHT.5R to determine metabolic risk in Polish college students of both sexes. Material and methods: In all volunteers, body weight, body height, and waist circumference were measured and a waist-to-height ratio 0.5 (WHT.5R) was calculated. Of all volunteers, only those with WHT.5R ≤ 0.726 were included in further procedures (132 males, 162 females). Circulating glucose, insulin, triacylglycerol, total cholesterol, and HDL-cholesterol were determined. Plasma concentrations of non-HDL-cholesterol and HOMA-IR were calculated. Results: In the male group, there was a significantly higher percentage of participants with disturbed lipid profiles, with 20.4% and 28.0% for TC and non-HDL-C, respectively compared to females (13.0% and 9.9%, respectively). No sex-related differences were noted in the percentage of participants with disturbed circulating HDL-C, glucose, and HOMA-IR. Pronounced metabolic disturbances were noted despite WHT.5R values that did not exceed the established cut-off. Conclusions: In the study population, WHT.5R turned out not to be a reliable index of metabolic disturbances and health risks. However, WHT5.R showed sex-related differences in metabolic profile and confirmed lower metabolic risk in female compared to male students

Effects of local and whole-body cryotherapy on hip pain and general activity in the course of coxarthrosis

Study aim: The purpose of this study was to compare the effects of whole-body and local cryotherapy on pain and function of the osteoarthritic hip

Ocena funkcji barku u pacjentek po 50 r.ż. z objawem łopatki skrzydlatej, oraz bez tej dysfunkcji, leczonych z powodu raka piersi. Badanie przekrojowe = Assessment of shoulder function in patients 50 years of age treated for breast cancer. Cross-sectional study

Włoch Anna, Ridan Tomasz, Opuchlik Anna, Widłak Patrycja, Kamińska‑Gwóźdź Ewelina, Krupnik Szymon. Ocena funkcji barku u pacjentek po 50 r.ż. z objawem łopatki skrzydlatej, oraz bez tej dysfunkcji, leczonych z powodu raka piersi. Badanie przekrojowe = Assessment of shoulder function in patients 50 years of age treated for breast cancer. Cross-sectional study. Journal of Education, Health and Sport. 2016;6(2):190-199. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46409 http://ojs.ukw.edu.pl/index.php/johs/article/view/3388 https://pbn.nauka.gov.pl/works/716361 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016. Praca oryginalna The original work Ocena funkcji barku u pacjentek po 50 r.ż. z objawem łopatki skrzydlatej, oraz bez tej dysfunkcji, leczonych z powodu raka piersi. Badanie przekrojowe Assessment of shoulder function in patients 50 years of age treated for breast cancer. Cross-sectional study Włoch Anna1,2, Ridan Tomasz3, Opuchlik Anna1,4, Widłak Patrycja5, Kamińska‑Gwóźdź Ewelina2, Krupnik Szymon6 1Świętokrzyskie Centrum Onkologii, Zakład Rehabilitacji, Kielce 2Uniwersytet Jana Kochanowskiego w Kielcach, Wydział Lekarski i Nauk o Zdrowiu, Instytut Fizjoterapii 3Akademia Wychowania Fizycznego w Krakowie, Wydział Rehabilitacji Ruchowej, Katedra Fizjoterapii, Zakład Kinezyterapii 4Wszechnica Świętokrzyska w Kielcach Zdrowiu, Wydział Wychowania Fizycznego i Turystyki, Katedra Fizjoterapii 5Uniwersytet Medyczny w Łodzi, Klinika Rehabilitacji i Medycyny Fizykalnej 6Akademia Wychowania Fizycznego w Krakowie, Wydział Rehabilitacji Ruchowej, Studia Doktoranckie Wloch Anna1,2, Ridan Tomasz3, Opuchlik Anna1,4, Widlak Patrycja5, Kaminska‑Gwozdz Ewelina2, Krupnik Szymon6 ¹ Holy Cross Cancer Center, Rehabilitation Department, Kielce, Poland 2 Jan Kochanowski University in Kielce, Medicine and Health Science Department, Poland 3 University School of Physical Education, Department of Physical Rehabilitation, Al. Jana Pawła II 78, PL-31-571 Krakow, Poland 4 Holy Cross University in Kielce, Department of Physical Education and Tourism, Poland 5 Medical University of Lodz, Clinic of Rehabilitation and Physical Medicine, Poland 6 University School of Physical Education, Department of Sport, Al. Jana Pawła II 78, PL-31-571 Krakow, Poland Adres do korespondencji: dr n med. Włoch Anna Świętokrzyskie Centrum Onkologii, Zakład Rehabilitacji. Artwińskiego 3, 25-734 Kielce Tel/Fax. 41 367 4168 Email: [email protected] Słowa kluczowe: rak piersi, zakres ruchomości, bark, siła mięśniowa, łopatka skrzydlata, starsi dorośli. Key words: breast cancer, range of motion, shoulder, strength, winged scapula, older adults. Wprowadzenie i cel pracy: Około 70 tysięcy kobiet w Polsce, żyje z co najmniej pięcioletnią,zdiagnozowaną chorobą nowotworową piersi.Od 40 do 60 % badanych, 12 miesięcy po leczeniu operacyjnym oraz uzupełniającym,posiada przynajmniej jeden problem funkcjonalny barku, który może wynikać z współwystępowania łopatki skrzydlatej.Celem badania była ocena funkcji barku w ruchach wykonywanych w stawie ramienno-łopatkowym oraz barkowym (u pacjentek z grupy wiekowej 50-59 lat z objawem łopatki skrzydlatej po lewej stronie ciała,która została objęta zabiegiem chirurgicznym. Materiał i Metody: Materiał zebrano w Zakładzie Rehabilitacji Świętokrzyskiego Centrum Onkologii w Kielcach. Kryteria włączenia (wiek, płeć, leczenie w Świętokrzyskim Centrum Onkologii, >2 lata od zabiegu), spełniło 32 pacjentki po 50. roku życia.Goniometrem wykonano pomiar zakresu ruchomości w stawie ramienno-łopatkowym,antropomentrem zbadano zakres ruchomości barku.Dynamometrem zbadano siłę wybranych grup mm. barku podczas unoszenia, wysuwania do przodu oraz cofania. Wyniki: Ruchomość stawu ramienno-łopatkowego po mastektomii lewej piersi,była istotnie statystycznie ograniczona w ruchach zgięcia(9°),wyprostu pionowego(5°), odwodzenia(8,2°),rotacji wewnętrznej(3,4°) oraz rotacji zewnętrznej(10,9°) w porównaniu do strony zdrowej u tych samych pacjentek. Siła mięśniowa w wybranych grupach mięśni barku różniła się istotnie statystycznie pomiędzy kończyną górną objętą mastektomią z objawem skrzydlatej a kończyną zdrową tych samych pacjentek. Wnioski Ruchomość stawu ramienno-łopatkowego,u pacjentek w grupie 50-59 lat po mastektomii z objawem łopatki skrzydlatej różni się wartością zgięcia w porównaniu do pacjentek po mastektomii bez tego objawu. Siła mięśniowa w wybranych ruchach barku nie różni się pomiędzy pacjentkami po mastektomii z objawem łopatki skrzydlatej,a badanymi po mastektomii bez tego objawu. Introduction and purpose: Approximately 70,000 women in Poland, lives with at least five years, diagnosed with breast cancer. 40 to 60% of the respondents, 12 months after surgery and adjuvant therapy, has at least one functional problem of the shoulder, which may result from the co-existence winged scapula. Aim of the study was to evaluate the function and range of motion of the shoulder (in patients from the age group 50-59 years, symptom winged shoulder on the left side of the body, which has been acquired surgery). Material and Methods: The material collected in the Department of Rehabilitation Holy Cross Cancer Center in Kielce. Inclusion criteria (age, sex, treatment at Holy Cross Cancer Center > 2 years after surgery), met 32 patients over 50 years of age. Goniometric assessment made to measure range of motion in the joint, Anthropometric examined the range of motion of the shoulder. Dynamometer was used to assess the strength of selected muscle groups while lifting, protract and retract of the shoulder. Results: The mobility of glenohumeral and scapular joint on the left breast mastectomy was significantly restricted in the movements of flexion (9°), vertical extension (5°), abduction (8.2°), internal rotation (3.4°) and external rotation (10.9°) compared to the healthy side in the same patients. Muscle strength in selected groups of shoulder muscles differed significantly between the upper limb covered mastectomy with symptom winged scapula and healthy limb of the same patients. Conclusion 1. Mobility of the shoulder patients in the group of 50-59 years after mastectomy symptom winged blades vary the value of bending compared to patients after mastectomy without this symptom. 2. The strength of muscle movements in the selected shoulder does not differ between patients after mastectomy symptom winged blade, and tested after mastectomy without symptoms