Hygienic Aspects of Health of Junior Students of a Medical University

Author(s):  
AA Shestera ◽  
KM Sabirova ◽  
PF Kiku ◽  
EV Kaerova

Background: The task of preserving and improving health of university students is a priority in modern Russia. The purpose of the study was to analyze the health status and to identify priority health risk factors of junior students of a medical university. Materials and methods: Health assessment was carried out with account for disease incidence (based on the journal of registration of student health records), lifestyle (results of a questionnaire-based survey), and physical development (medical examination results). The study involved 789 to 1,165 first to third-year medical university students. Results: We established an increase in the incidence of diseases with temporary disability in the surveyed students by 17.8 % in 2014–2017. The increase was more pronounced among the most common health disorders such as diseases of the respiratory, digestive, and musculoskeletal systems, injury, poisoning and certain other consequences of external causes. The most prevalent behavioral risk factors included bad habits, lack of sleep and exercise. According to the results of a physical development study, 11.65 % of the boys and 10.93 % of the girls were overweight, 4.89 % of the boys and 3.68 % of the girls had classes I-III obesity while 29.03 % of the students were underweight. Bioelectrical impedance analysis showed a fat mass deficiency in 42.48 % and 33.29 % and an increased fat mass in 34.21 % and 43.20 % of the boy and girl students, respectively. Conclusion: Our findings will help determine directions for maintaining health of medical students.

2016 ◽  
Vol 23 (2) ◽  
pp. 99-109 ◽  
Author(s):  
Donata Ringaitienė ◽  
Dalia Gineitytė ◽  
Vaidas Vicka ◽  
Tadas Žvirblis ◽  
Jūratė Šipylaitė ◽  
...  

Background. Malnutrition (MN) is prevalent in cardiac surgery, but there are no specific preoperative risk factors of MN. The aim of this study is to assess the clinically relevant risk factors of MN for cardiac surgery patients. Materials and methods. The nutritional state of the patients was evaluated one day prior to surgery using a bioelectrical impedance analysis phase angle (PA). Two groups of patients were generated according to low PA: malnourished and well nourished. Risk factors of MN were divided into three clinically relevant groups: psychosocial and lifestyle factors, laboratory findings and disease-associated factors. Variables in each different group were entered into separate multivariate logistic regression models. Results. A total of 712 patients were included in the study. The majority of them were 65-year old men after a CABG procedure. Low PA was present in 22.9% (163) of patients. The analysis of disease-related factors of MN revealed the importance of heart functions (NYHA IV class OR: 3.073, CI95%: 1.416–6.668, p = 0.007), valve pathology (OR: 1.825, CI95%: 1.182–2.819, p = 0.007), renal insufficiency (OR: 4.091, CI95%: 1.995–8.389, p 


Author(s):  
Alfonso Bellia ◽  
Bruno Ruscello ◽  
Rolando Bolognino ◽  
Gianluca Briotti ◽  
Paolo Roberto Gabrielli ◽  
...  

AbstractWe investigated early effects of Whole-Body Electromyostimulation added to hypocaloric diet on metabolic syndrome features in sedentary middle-aged individuals. We randomly assigned 25 patients to Whole-Body Electromyostimulation plus caloric restriction or caloric restriction alone for 26 weeks. Anthropometrics, blood pressure, fasting glucose and insulin, HOMA-IR, glycated hemoglobin, lipids, uric acid, creatinphosphokynase, C-reactive protein were assessed. Body composition was evaluated with direct-segmental, multi-frequency Bioelectrical Impedance Analysis. Both groups lost approximately 10% of weight, with similar effects on waist circumference and fat mass. Change in free-fat mass was significantly different between groups (caloric restriction −1.5±0.2 vs. Whole-Body Electromyostimulation plus caloric restriction +1.1±0.4 kg, p=0.03). Whole-Body Electromyostimulation plus caloric restriction group experienced greater percent reductions in insulin (−45.5±4.4 vs. −28.2±3.6%, p=0.002), HOMA-IR (–51.3±3.2 vs. –25.1±1.8%, p=0.001), triglycerides (−22.5±2.9 vs. −4.1±1.6%, p=0.004) and triglycerides/HDL (p=0.028). Subjects trained with Whole-Body Electromyostimulation had also significant improvement in systolic pressure (138±4 vs. 126±7 mmHg, p=0.038). No discontinuations for adverse events occurred. In middle-aged sedentary subjects with the metabolic syndrome, Whole-Body Electromyostimulation with caloric restriction for 26 weeks can improve insulin-resistance and lipid profile compared to diet alone. Further studies are needed to ascertain long-term efficacy and feasibility of this approach in individuals with the metabolic syndrome.


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