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Introduction: Data on long-term patterns of weight change in relation to the development of metabolic syndrome (MetS) are scarce. The aim of the study was to evaluate the impact of weight change on the risk of MetS in men. Material and Methods: Prospective longitudinal observation (17.9 ± 8.1 years) of apparently healthy 324 men aged 18–64 years. Metabolic risk was assessed in weight gain (⩾ 2.5 kg), stable weight (> −2.5 kg and < 2.5 kg) and weight loss (⩽ −2.5 kg) groups. Adjusted relative risk (RR) of MetS was analyzed using multivariate logistic regression. Results: The prevalence of MetS over follow-up was 22.5%. There was a strong relationship between weight gain and worsening of MetS components among baseline overweight men. Long-term increase in weight was most strongly related with the risk of abdominal obesity (RR=7.26; 95% CI 2.98–18.98), regardless of baseline body mass index (BMI). Weight loss was protective against most metabolic disorders. Leisure-time physical activity (LTPA) with energy expenditure > 2000 metabolic equivalent/min/week was associated with a significantly lower risk of MetS. Conclusions: Reducing weight among overweight and maintaining stable weight among normal-weight men lower the risk of MetS. High LTPA level may additionally decrease the metabolic risk regardless of BMI.
EN
Study aim: The purpose was to assess dietary intake of energy and selected nutrients and plasma lipid profile in young women and men with different levels of physical activity. Material and methods: The research included a total of 116 female and male students at the University of Physical Education who differed in their levels of physical activity. Analysis of the diets was based on 24-hour dietary interviews collected over 4 days prior to blood collection. Concentrations of total cholesterol (TC), HDL cholesterol (HDL-C), and triacylglycerol (TG) were measured in venous blood. In addition, the concentration of LDL cholesterol (LDL-C) and the ratios of TC / HDL-C and LDL-C/HDL-C were calculated. Results: Women, regardless of their physical activity levels, were characterized by a significantly higher concentration of total cholesterol in plasma (4.8 and 4.5 mmol/L, respectively - in training participants; 4.7 and 4.3 mmol/L, respectively - in non-training participants), although their dietary intake of cholesterol was significantly lower in comparison with the corresponding groups of men (282.0 and 484.7 mg, respectively - in training participants; 252.6 and 400.2 mg, respectively - in non-training participants). A trend toward a worse lipid profile of training women and men compared with the corresponding groups of non-training participants was also observed. Conclusions: Increased physical activity in the groups of training women and men was not a sufficient stimulus to induce positive changes in their lipid profiles. Nor can it be excluded that the observed differences were the result of diet, as dietary intake of cholesterol in the groups of training women and men was higher compared with the corresponding groups of non-training participants.
EN
Study aim: To assess the effects of gender, age and engagement in physical activities of elderly subjects on their plasma lipid profiles.Material and methods: Four groups of subjects, n = 11 each, participated in the study: young men (YM) and women (YW), aged 25 - 32 years, and sedentary, elderly men (EM) and women (EW), aged 58 - 66 years; additionally, a group of 7 women (AW), aged 60 - 65 years, who trained twice weekly (45-min sessions) for 8 months, was studied. The following concentrations of lipids in plasma were recorded: triacylglycerols (TG), total cholesterol (TC) and its fractions: HDLC and LDLC (computed), as well as the TC/HDLC ratio.Results: Lipid profiles were, generally, less favourable in elderly than in younger subjects, high HDLC values noted in active, elderly women being an exception. In elderly subjects, men's profiles were closer to those of younger subjects than in elderly women and differed significantly (p<0.001) lower for TC and LDLC compared with EW group. Triacylglycerols were within normal limits in all groups except EW; LDLC values were mostly abnormally high, the percentages of subjects having normal values ranging from 0 (YM and EW) to 27% (YW).Conclusions: The age-dependent worsening of lipid profiles increased the risk of cardiovascular diseases in sedentary elderly subjects. On the other hand, the beneficial effects of motor activities on lipid profile observed in elderly women evidence the indispensability recommending of physical exercises to the elderly.
EN
Study aim: to develop and estimate the validity of non-exercise methods to predict VO2max among young male conscripts entering military service in order to divide them into the different physical training groups. Material and methods: fifty males (age 19.7 ± 0.3 years) reported their physical activity before military service by IPAQ and SIVAQ questionnaires. Furthermore, Jackson’s non-exercise method was used to estimate VO2max. Body mass and height were measured, body mass index calculated and VO2max measured directly in a maximal treadmill test. Subjects were randomly divided into two groups. The results of the Group 1 (N = 25) were used to develop a regression equation to estimate VO2max. The results of the Group 2 (N = 25) were used to evaluate the validity of the developed non-exercise methods and Jackson’s non-exercise methods to estimate VO2max by Bland and Altman plot. The validity was further evaluated by comparing the results to 12-minute running test performed by 877 male conscripts (age 19.6 ± 0.2 years). Results: the developed models explained 68–74% of the variation in VO2max. Mean difference between directly measured and estimated VO2max was not significant, while Jackson’s method overestimated VO2max (p < 0.001). Both developed models were equally valid to divide conscripts into tertile group of fitness. However, 5% of the conscripts were classified into the highest fitness group based on both methods, but they were actually in the lowest fitness group based on a running test. Conclusion: in practice, these findings suggest that developed methods can be used as a tool to divide conscripts into different fitness groups in the very beginning of their military service.
EN
Sexual impairment and decreased fertility constitute a part of a complex dysfunction typical for men with spinal injury with neurological consequences (SINC). Despite the progress in medical sciences and quality of care provided for disabled persons, the problem is often neglected by medical professionals and caregivers.Aim of the study: Presentation of patophysiological background and specificity of sexual dysfunction typical for men following SINC. Review of contemporary treatment modalities designed for erectile dysfunction and infertility in men after SINC.Method: Literature review, authors’ clinical experience.Results and conclusions: Specific neurological deficit with overlapping adaptation problems and depression account for erectile dysfunction in men after SINC. There is a wide range of efficient therapies addressed to patients suffering from erectile disturbances resulting from SINC. Selection of a proper therapy depends on location (level) of the lesion of a neural structure, type of deficit, functional status, presence of symptoms of autonomic dysreflexia, concomitant diseases and patient’s individual preferences. Patient’s awareness of the disability and positive attitude towards acceptance of alternative forms of sexual expressions are crucial for the therapeutic success. Ejaculation dysfunction and infertility are common among men after SINC. Application of contemporary methods of assisted reproduction may be efficient in about half of male population with SINC.
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