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Today’s perceived excess of work versus rest and excessive stressful situations are one of the potential factors for an increasing number of gastrointestinal disorders. Although the prevalence of irritable bowel syndrome (IBS) varies widely, it is assumed that up to 15% of the general population may be affected. Symptoms resulting from IBS take the form of pain, including difficulties with bowel movements, bloating, and a feeling of overflowing in the intestines. These symptoms have a negative impact on patients’ quality of life, so any possible intervention supported by Evidence-Based Medicine should effectively contribute to their improvement. In the following review, the authors compile the current knowledge based on the findings of researchers from around the world. The topic of probiotic therapy is increasingly discussed in the field of lower gastrointestinal disorders, and thus the authors discover links between probiotic strains and the improvement of health quality in patients with IBS, taking into consideration the ways it affects patients’ mental health. As a result, a systematic review was prepared based on 60 items of recent literature, of which more than 80% were published in the last 5 years.

Introduction. Achieving high performance in sports is the result of many factors, both exo and endogenous. Proper nutrition is the basis of the so-called healthy lifestyle, health care and prevention of diet-related diseases. Physical activity is an extremely important component and carries a number of benefits that affect mental, physical and social well-being. Failure to provide sufficient energy, can lead to decreased performance, delayed recovery processes or loss of muscle mass. The purpose of the study was to assess the knowledge and nutritional habits of CrossFit trainees. Material and methods. 131 people were surveyed; the questionnaire was posted on the CrossFit Poland forum. The survey was voluntary and anonymous. The results were collected in a database in Microsoft Excel 2010 MS Office Package and statistically analyzed using Statistica 12. In the statistical evaluation of the relationship between characteristics, a significance level of p ≤ 0.05 was adopted. Results. In a survey of the knowledge and eating habits of CrossFit trainees, about 50% of respondents declare that they eat regularly. In addition, 50.5% state a moderate level of knowledge about healthy eating, while 33% state a high level. There is a high incidence of dietary supplement intake, accounting for 78.5%. As the frequency of training increases, the amount of supplements consumed increases. Conclusions. A significant part of the study group declares a very good or moderate level of knowledge of rational nutrition, which influences the choice of and regularity of the meals consumed in this group of Crossfit trainers.

Pregnancy is a unique period in a woman's life, so every pregnant woman should be aware of the importance of physical exercise during pregnancy. The purpose of this study was to compare the physical activity of women in the second and third trimesters of pregnancy. The standardized Physical Activity Questionnaire for Pregnant Women (PPAQ-PL) was used to achieve the purpose of the study. Thirty women in the age range of 18-35 years (28 years±3.54) participated in the study. Analysis of the results showed that higher values of total weekly energy expenditure were obtained by the group of women in the third trimester of pregnancy (206.37 MET/h/week) compared to pregnant women in the second trimester (140.42MET/h/week). The women differed in terms of energy expenditure in activities such as housework (in women in the second trimester 49.1% of total activity, in the third trimester 56.7%), passive rest (24.1% and 14.5%), professional work (12.9% and 7.7%), sports and exercise (2.8% and 6.6%), and moving around (10.6% and 14.5%). In both women in the second and third trimesters of pregnancy, a low level of activity intensity prevailed (58.08% and 55.64%). Energy expenditure on sports and exercise consistent with the recommended for the second trimester (≥28 MET/h/week) was declared by only 6% of the women surveyed, while in the third trimester the recommended energy expenditure on physical activity (≥16 MET/h/week) was fulfilled by 29% of pregnant women. There is an ongoing need to educate women about the benefits of systematic prenatal activity.

Gastric cancer (GC) is one of the most common causes of cancer-related deaths. Gastric tumors show a high aggressiveness, which, in turn, contributes to a low survival rate of fewer than 12 months. Considering the above, it was decided to review the current scientific studies that indicate the potential prevention of gastric cancer and clarify the relationship between gastric cancer and the composition of the microorganisms inhabiting the human body. Accordingly, a review paper was prepared based on 97 scientific sources from 2011 to 2022. Particular attention was paid to the most recent scientific studies from the last five years, which account for more than 80% of the cited sources. Taking care of one’s overall health, including undertaking treatment for Helicobacter pylori infection, and following a diet high in anti-inflammatory and immunomodulatory ingredients are the most important factors in reducing the risk of developing gastric cancer.

KRUPA-KOTARA, Karolina, GRAJEK, Mateusz, KULESZA, Aleksandra, YANAKIEVA, Antoniya & SAS-NOWOSIELSKI, Krzysztof. Motivations in weight reduction and undesirable eating behaviors among women with excessive body weight (Poland). Journal of Education, Health and Sport. 2023;13(1):161-172. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.13.01.025 https://apcz.umk.pl/JEHS/article/view/40863 https://zenodo.org/record/7379929 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 11.11.2022. Revised: 20.11.2022. Accepted: 30.11.2022. Article Motivations in weight reduction and undesirable eating behaviors among women with excessive body weight (Poland) Karolina Krupa-Kotara1, Mateusz Grajek2*, Aleksandra Kulesza2, Antoniya Yanakieva3, Krzysztof Sas-Nowosielski4 1Department of Epidemiology, Department of Epidemiology and Biostatistics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, Poland, kkrupa@sum.edu.pl; 2Department of Public Health, Department of Public Health Policy, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41902 Bytom, Poland; mgrajek@sum.edu.pl (MG); s75469@365.sum.edu.pl (AK) 3Department of Health Technology Assessment, Faculty of Public Health, Medical University Sofia, 1431 Sofia, Bulgaria, antoniya.yanakieva@gmail.com 4Institute of Sport, The Jerzy Kukuczka Academy of Physical Education, Katowice, Mikolowska 72a, 40-065 Katowice, Poland, k.sas-nowosielski@awf.katowice.pl *Correspondence: mgrajek@sum.edu.pl Abstract: Introduction: It is recognized that obese people are less tolerated and accepted than people of normal weight. It is common to use stereotypes. stating that people with excessive body weight are less intelligent and lead careless lifestyles. Such an opinion, among other things, leads to psychological factors characterized by low self-esteem or lack of self-acceptance, and in the long run leads to anorexia, bulimia, or compulsive overeating. The aim of this study was to evaluate the relationship between attitudes toward weight loss, taking into account: the motivating factors that determine the desire to attempt weight loss; the level of well-being and degree of motivation before and during the weight loss attempt; changes in attitudes after an unsuccessful weight loss attempt; the state of well-being after the completed weight loss attempt and the degree of severity of disordered eating according to the TFEQ-13 questionnaire. Material and methods: The study was conducted among 600 female users of forums for people with excessive weight. The research method used in this study was the author's questionnaire and the standardized Three-Factor Eating Questionnaire. A general survey questionnaire serving as a working tool was sent by Computer-Assisted Web Interview to community groups. Results. The predominant group of respondents cannot even count the weight reduction attempts they have made during their lives (31%). Three attempts were made by 29% of respondents, and two attempts by 17%. Attempts to lose weight most often involved increasing current physical activity (overall responses), reducing the caloric content of meals (26%), and improving current eating habits (22%). Most people reduced their body weight from 6 kg to 10 kg (29%) or from 3 to 5 kg (27%). It was found that low a risk of aggravation was diagnosed in 45.5% of people, moderate in 44.5, and low in 10%. For lack of control over eating – a low risk was observed in 15.5% of people, moderate in 68.5% of people, and high in 16%. Evaluating eating under the influence of emotions, the highest risk of the studied phenomenon was observed in 50.5% of people, moderate risk in 36.5% of people, and low risk in 13% of people. Conclusions. The level of motivation significantly decreased when trying to reduce weight. No significant deterioration in well-being was observed before and during the weight loss attempt. Results: In the study group, the most important motivators for change were low self-esteem and poor mood. The level of motivation significantly decreased during the weight loss attempt. No significant deterioration in well-being was observed before and during the weight loss attempt. Improved well-being after the weight-loss attempt had no significant effect on the severity of uncontrolled eating, with the exception of emotional eating - weight-loss-related well-being improved in women with a low or moderate risk of this phenomenon. Keywords: motivation, weight reduction, eating behaviors, overweight, obesity, women, Poland

Białek-Dratwa Agnieszka, Michalak Agata, Grot Martina, Krupa-Kotara Karolina. Complementary feeding with traditional and baby led weaning (BLW) methods - assessment of selected aspects of infant's diet. Journal of Education, Health and Sport. 2022;12(7):315-329. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.07.030 https://apcz.umk.pl/JEHS/article/view/JEHS.2022.12.07.030 https://zenodo.org/record/6792171 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 20.06.2022. Revised: 20.06.2022. Accepted: 03.07.2022. Complementary feeding with traditional and baby led weaning (BLW) methods - assessment of selected aspects of infant's diet Agnieszka Białek-Dratwa1, Agata Michalak2, Martina Grot2, Karolina Krupa-Kotara3 1Department of Human Nutrition, Department of Dietetics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Jordana 19, 41-808 Zabrze, Poland; ORCID: 0000-0002-7798-6424; abialek@sum.edu.pl 2Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland; 3Department of Epidemiology, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland; ORCID: 0000-0001-9330-0771; kkrupa@sum.edu.pl *Correspondence: abialek@sum.edu.pl Jordana 19, 41-808 Zabrze, Poland; ABSTRACT Background: Infant nutrition is a topic of constant debate between parents and doctors. The recommendations themselves have been modified several times over the past 6 decades. Baby Led Weaning (BLW) method is gaining more and more popularity in infant nutrition during the period of expanding the infant menu. The main aim of the study was to evaluate selected aspects of dietary expansion in a group of their children, taking into account dietary expansion with the use of the traditional method and the BLW method. Material and method: An exploratory cross-sectional study was conducted in December 2021-January 2022 among a randomly selected sample of 523 mothers of children in infancy aged up to 12 months. Data for the study were collected anonymously using the CAWI method. The information collected from 500 women was considered for the final data analysis taking into account the inclusion and exclusion criteria. Results: 66.6% of the women surveyed (N=333) stated that their child is or was fed breast milk during the first six months. The child's diet was most often expanded with complementary meals after 6 months of age. This answer was indicated by 58.8% of respondents (N=294). 85.6% of the surveyed women (N=428) first introduced or intend to introduce vegetables to their diet. 13% of the respondents (N=65) introduced or planned to introduce vegetables and fruit at the same time. In the studied group of mothers the BLW method was not known or not used by 7 mothers (1.4%), 343 mothers used or intended to use the BLW method (68.6%), whereas 150 women knew the BLW method (30.0%), but did not use it or did not intend to use it during the expansion of their child's diet. Conclusions: The majority of mothers surveyed used the BLW method during the expansion of their children's diet, accepting the principle that it is the child who decides whether and how much to eat, and the parent who decides what and when the child eats. Mothers both using the BLW method and not using the BLW method did not add salt or sweeten meals for their children. Despite these positive behaviours, further nutritional education is necessary, especially related to the length of breast milk feeding and its positive effects. KEYWORDS: BLW; child nutrition; complementary feeding; infant dietary expansion.

Grajek Mateusz, Grot Martina, Nigowski Maciej, Kujawińska Maria, Górski Michał, Białek-Dratwa Agnieszka, Krupa‑KotaraKarolina. What is the pro-inflammatory dietary model associated with? Journal of Education, Health and Sport. 2022;12(6):238-252. eISSN 2391-8306. DOI https://dx.doi.org/10.12775/JEHS.2022.12.06.024 https://apcz.umk.pl/JEHS/article/view/JEHS.2022.12.06.024 https://zenodo.org/record/6726406 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 01.06.2022. Revised: 05.06.2022. Accepted: 24.06.2022. WHAT IS THE PRO-INFLAMMATORY DIETARY MODEL ASSOCIATED WITH? Mateusz Grajek1, Martina Grot2, Maciej Nigowski2, Maria Kujawińska2, MichałGórski3, Agnieszka Białek-Dratwa4, Karolina Krupa-Kotara5 1Department of Public Health, Department of Public Health Policy, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland; ORCID: 0000-0001-6588-8598; mgrajek@sum.edu.pl 2Student Research Club of Psychosocial Determinants of Health Student at the Department of Public Health, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland; ORCID: Nie dotyczy; mgrajek@sum.edu.pl 3Doctoral School, Medcical University of Silesia in Katowice, Poniatowskiego 15, 40-055 Katowice, Poland; ORCID: 0000-0002-0654-3765; mgorski@sum.edu.pl 4Department of Human Nutrition, Department of Dietetics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Jordana 19, 41-808 Zabrze, Poland; ORCID: 0000-0002-7798-6424; abialek@sum.edu.pl 5Department of Epidemiology, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 41-902 Bytom, Poland; ORCID: 0000-0001-9330-0771; kkrupa@sum.edu.pl *Correspondence: mgrajek@sum.edu.pl Piekarska 18, 41-902 Bytom Abstract Introduction. Cellular potential disruption leads to several polyplatoligias due to increased systemic inflammation, as a consequence of the visualized multivariate appearance. Objective. To highlight the relevance of the pathomechanism of oxidative stress and oxidative potential about changes in metabolic mechanisms at the cellular level, predisposing to polypatoligia and the development of destructive transformations visualized in outward appearance targeted by a pro-inflammatory nutritional model. Material and methods. A sample of 226 subjects was selected by random selection of respondents. The author's questionnaire concerned metric data, level of physical exercise, diagnosed disease entity, inflammatory changes within the body dermis, and level of frequency of consumption of selected food groups. The obtained results were verified by statistical analysis with a significance level of α Keywords: oxidative stress, free radicals, antioxidant capacity, multivariability, polypatoligies

WstępSacharoza, nazywana popularnie przez konsumentów cukrem rafinowanym, jest substancją bezpośrednio kojarzącą się ze smakiem słodkim. Rynek dietetyczny oferuje jednak o wiele więcej źródeł tego smaku. Celem pracy było ustalenie, czy istnieje związek między poziomem wiedzy o substancjach słodzących a czynnikami takimi jak: miejsce zamieszkania, wykształcenie, płeć, wiek lub wskaźnik masy ciała (body mass index – BMI), a także zbadanie wiedzy ogólnej o substancjach słodzących i ustalenie, który ze słodzików jest najlepiej rozpoznawalny.Materiał i metodyBadanie przeprowadzono w pięciu laboratoriach „Dialab” na terenie Dolnego Śląska w miesiącach kwiecień–maj 2017 r. Dobór próby miał charakter losowy. W badaniu wzięły udział 132 osoby.WynikiW badanej populacji pacjentów tylko 15 osób wykazało, że cierpi na choroby dietozależne. Odpowiednio 87,9% pacjentów twierdziło, że odżywia się zdrowo. W grupie najlepiej rozpoznawalnych substancji słodzących znalazły się miód (73%), ksylitol (52%) i stewia (48%). Udowodniono również istotną korelację między BMI a poziomem wiedzy o substytutach cukru.WnioskiMiejsce zamieszkania, wykształcenie, wiek oraz płeć nie mają wpływu na świadomość żywieniową ankietowanych. Czynnikiem, który odgrywa w tym zakresie rolę, jest wysokie BMI. Próba ustalenia, czy choroby dietozależne mają istotny wpływ na zwiększanie poziomu wiedzy o substancjach słodzących, wymaga kontynuacji badań, gdyż spostrzeżenia wynikające z dotychczasowej obserwacji nie wystarczają, aby to potwierdzić. Poziom wiedzy na temat substancji słodzących badanych osób zaklasyfikowano jako akceptowalny.

WstępWyniki chirurgicznego odbarczenia nerwu pośrodkowego u części chorych z zespołem cieśni nadgarstka są niezadowalające. Celem pracy jest ocena wczesnych wyników leczenia zespołu cieśni nadgarstka (carpal tunnel syndrome – CTS) za pomocą bipolarnej neuromodulacji nerwu pośrodkowego (median nerve – MN) z użyciem prądu o częstotliwości radiowej w trybie pulsacyjnym (pulsed radiofrequency – PRF).Materiał i metodyLeczeniu poddano 15 dorosłych pacjentów z CTS (10 kobiet i 5 mężczyzn, średni wiek 58,5 roku). Zastosowano technikę bipolarnej neuromodulacji z użyciem prądu PRF. Prawidłowość położenia elektrod potwierdzano neurofizjologicznie. Protokół badania składał się z kwestionariusza objawów zespołu cieśni nadgarstka (Boston Carpal Tunnel Questionnaire – BCTQ), skali numerycznej NRS (Numerical Rating Scale) dla oceny bólu oraz oceny siły mięśniowej przed neuromodulacją oraz 4 i 12 tygodni po leczeniu. Ponadto oceniano szybkość przewodnictwa czuciowego w nerwie pośrodkowym (sensory nerve conduction velocity – SNCV) przed i 12 tygodni po interwencji.WynikiStwierdzono znamienną poprawę w zakresie podskal BCTQ dotyczących ciężkości objawów (33,53 ± 8,25 przed zabiegiem vs. 18,33 ± 11,06 i 25,67 ± 12,39 po upływie 4 i 12 tygodni od zabiegu) oraz stanu czynnościowego (21,0 ± 5,79 vs. 12,07 ± 7,20 i 17,73 ± 9,09), a także poprawę siły mięśniowej (3,39 ± 1,68 vs. 5,86 ± 1,98 i 4,93 ± 2,22). Ponadto stwierdzono redukcję bólu i poprawę SNCV, jednak parametry te nie osiągnęły znamienności statystycznej.WnioskiNeuromodulacja nerwu pośrodkowego za pomocą prądu PRF przeprowadzona techniką bipolarną jest obiecującą metodą leczenia pacjentów z CTS i może być alternatywą dla chirurgicznego uwolnienia nerwu pośrodkowego. Dla oceny trwałości poprawy klinicznej po zastosowanym leczeniu konieczny będzie dłuższy okres obserwacji.

GRAJEK, Mateusz, KRUPA-KOTARA, Karolina, SŁOMA-KRZEŚLAK, Małgorzata & SAS-NOWOSIELSKI, Krzysztof. Analysis of eating behavior of health science students in terms of emotional eating and restrained eating. Journal of Education, Health and Sport. 2022;12(12):317-322. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.12.048 https://apcz.umk.pl/JEHS/article/view/41355 https://zenodo.org/record/7468747 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 12.11.2022. Revised: 21.12.2022. Accepted: 21.12.2022. ANALYSIS OF EATING BEHAVIOR OF HEALTH SCIENCE STUDENTS IN TERMS OF EMOTIONAL EATING AND RESTRAINED EATING Mateusz Grajek1,3, Karolina Krupa-Kotara2, Małgorzata Słoma-Krześlak1, Krzysztof Sas-Nowosielski3 1Department of Public Health, Department of Public Health Policy, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, mgrajek@sum.edu.pl, https://orcid.org/0000-0001-6588-8598; małgosia.sloma@gmail.com, https://orcid.org/0000-0001-6047-4345 2Department of Epidemiology, Department of Epidemiology and Biostatistics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, kkrupa@sum.edu.pl, https://orcid.org/0000-0001-9330-0771 3Department of Pedagogy, Psychology, and Sociology, Department of Humanistic Foundations of Physical Culture, The Jerzy Kukuczka Academy of Physical Education in Katowice, k.sas-nowosielski@awf.katowice.pl, https://orcid.org/0000-0002-9569-5954 Abstract Background.Two eating phenomena are associated with emotions and chronic stress: restrained eating and emotional eating. Restrained eating is defined as restricting food intake to control weight and mainly refers to the amount of food eaten. Emotional eating, on the other hand, focuses on eating in response to negative emotions. the literature emphasizes that people with orthorexia have significantly higher levels of stress, depression, and anxiety and lower life satisfaction than healthy individuals. Objective.The purpose of the conducted research was to assess the prevalence of emotionally driven eating behavior and restrained eating among health science students. The premise of the study was also to test whether there was a significant relationship between emotional eating and restrained eating and orthorectic behavior. Material and methods.The study was conducted among 200 randomly selected students of health sciences (dietetics and physical education). The TFEQ-13 and DOS scales were used in the study. Results and conclusions.Based on the study, it was concluded that there is no relationship between the occurrence of emotional eating and orthorexia in the studied group of people associated with health sciences. However, the hypothesis of the existence of these associations between restrained eating and the occurrence of orthorexia was supported. The group of restrained eaters was shown to include individuals with severe behaviors indicative of orthorexic tendencies or a full picture of the disorder. Keywords: orthorexia, emotional eating, restrained eating, eating disorders

OLEKSIUK, Klaudia, KRUPA-KOTARA, Karolina, GRAJEK, Mateusz, WYPYCH-ŚLUSARSKA, Agata, GŁOGOWSKA-LIGUS,Joanna & SŁOWIŃSKI, Jerzy. Health risks of environmental exposure to microplastics.Journal of Education, Health and Sport. 2023;13(1):79-84. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.13.01.012 https://apcz.umk.pl/JEHS/article/view/40548 https://zenodo.org/record/7358305 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 19.10.2022. Revised: 20.11.2022. Accepted: 23.11.2022. Health risks of environmental exposure to microplastics Klaudia Oleksiuk1, Karolina Krupa-Kotara1, Mateusz Grajek2, Agata Wypych-Ślusarska1, JoannaGłogowska-Ligus1, Jerzy Słowiński1 1Department of Epidemiology, Department of Epidemiology and Biostatistics, Faculty of Health Sciences, Bytom, Silesian Medical University in Katowice, Poland; koleksiuk@sum.edu.pl; kkrupa@sum.edu.pl; awypych@sum.edu.pl; jglogowska@sum.edu.pl; jslowinski@sum.edu.pl 2Department of Public Health, Faculty of Health Sciences in Bytom, Silesian Medical University in Katowice; Poland; mgrajek@sum.edu.pl Abstract Plastics are materials widely used in all sectors. The subject of interest in recent years has become so-called microplastics, whose composition and structure are causing new environmental hazards. The presence and accumulation of microplastics in the environment threaten the ecological balance, the water environment, food sustainability and safety, and ultimately human health. Human exposure to microplastics is primarily through the oral route, so the main source of human exposure to microplastics is diet. Despite many studies focusing on microplastic contamination in seafood, fish, and shellfish, estimating total human exposure to microplastics via the oral route is difficult, due to the lack of research on other foods in this area. The risks to human health from inhaling microplastics remain unclear. According to the WHO, there is no reliable evidence of the harmful effects of microplastic on the human body, but the phenomenon requires further research. Likely health effects of human exposure to microplastic include respiratory and gastrointestinal effects, oxidative stress, and cancer. There is a need to raise public awareness about environmental exposure to microplastics and effective waste management. Keywords: health risks, exposure, microplastics

Background. The COVID-19 pandemic has become a challenge for the world today, so it is very important to create healthy eating habits in society to support immunity and raise awareness of the benefits of supplementation. Objective. The purpose of this study is to evaluate diet and dietary supplementation, since previous studies indicate the protective nature of these in building immunity during the pandemic and post-pandemic period (COVID-19). The hypothesis of the study is whether the dietary regimen presented by the COVID-19 respondents can be considered protective in building immunity against SARS-CoV-2. Material and methods. The study included 304 subjects, with an average age of 39.04 ± 23.59. The main criteria for inclusion in the study were that the respondent was ≥18 years old and participated voluntarily. The study was conducted using an original questionnaire. Results. In the study group, no change was noticed in the previous diet during the COVID-19 pandemic, while the level of physical activity among the respondents decreased. Too low a percentage of people regularly consumed, among other foods. legume seeds—only 10.5% of respondents consumed them several times a week—and citrus fruits—the largest number of respondents, as many as 39.8%, only consumed them several times a month. The largest percentage of respondents with mild/scanty COVID-19 disease regularly took vitamin C-containing preparations (n = 61; 59.80%). Statistical analysis showed that there was a correlation between the incidence of mild/scanty COVID-19 and the regularity of taking vitamin C-containing preparations (T = 11.374; r = 0.611; p = 0.04603). A statistical significance level was also obtained for the regularity of supplementation of multivitamin preparations, which were taken by 68% (34) of respondents affected by mild/scanty COVID-19 (T = 13.456; r = 0.711; p = 0.02191). Conclusions. The study’s hypothesis was supported. Respondents characterized by a normal dietary pattern and taking supplements commonly recognized as immune “boosters” were more likely to mildly survive COVID-19. Moreover, it was shown that the pandemic in most of the respondents did not significantly affect their dietary strategy. It is reasonable to conclude that the dietary patterns adopted may be a common way to prevent SARS-CoV-2 infections and their possible complications.

Background: Cardiovascular diseases are a major cause of morbidity and mortality in Europe. Lifestyle plays an important role in the primary and secondary prevention of cardiovascular diseases, apart from pharmacotherapy and diagnostics. Numerous studies confirm that the type and quality of fat consumed in the diet have a huge impact on the risk of cardiovascular diseases. Reducing the risk of cardiovascular disease can be helped by minimizing the proportion of saturated fatty acids in the diet and replacing them with polyunsaturated fatty acids. These acids and, above all, their long-chain forms have a positive effect on health. Aim: This study aims to assess the awareness of the properties of polyunsaturated fatty acids in the primary and secondary prevention of cardiovascular diseases in the opinions of patients of the Cardiology Department of the Racibórz Medical Center. Material and Methods: The analysis included 302 patients (113 women and 189 men) hospitalized in the Cardiology Department. The research method was the authors’ questionnaire consisting of the patients’ record and thirty closed questions. To answer the research questions posed and test the hypotheses, statistical analyses were carried out using the IBM SPSS Statistics version 25 package. Results: Among the respondents, the least frequently used healthy eating habit was the infrequent eating of fried foods. A total of 18.2% of respondents had such a habit. The most commonly used healthy eating habit was checking the fat content in products, which was performed by 67.2% of respondents. Among the respondents, 58.3% said that butter and margarine increase serum cholesterol. Conclusions: The analysis of the data shows that the place of residence, education, sex, and reason for hospitalization of the respondents did not affect the frequency of healthy eating habits. In addition, the subjects had a low amount of healthy eating habits.

Helisz, Paulina, Gwioździk,Weronika, Kaczmarczyk,Natalia, Całyniuk,Beata,Kujawińska, Maria, Grajek,Mateusz,Krupa-Kotara,Karolina. The role of the dietitian in the hospital team. The current situation in Poland in relation to the needs of society. Journal of Education, Health and Sport. 2022;12(10):178-188. eISSN 2391-8306. DOIhttp://dx.doi.org/10.12775/JEHS.2022.12.10.021 https://apcz.umk.pl/JEHS/article/view/40407 https://zenodo.org/record/7188271 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 25.09.2022. Revised: 30.09.2022. Accepted: 12.10.2022. The role of the dietitian in the hospital team. The current situation in Poland in relation to the needs of society Paulina Helisz 1, Weronika Gwioździk 1, Natalia Kaczmarczyk 2, Beata Całyniuk 2, Maria Kujawińska 2, Mateusz Grajek 3 and Karolina Krupa-Kotara 1,* 1 Department of Epidemiology, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41-902 Bytom, Poland;paulinahelisz@gmail.com, w.gwiozdzik@wp.pl,; kkrupa@sum.edu.pl 2 Department of Human Nutrition, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland nkaczmarczyk191@gmail.com; marysia.kujawinska@gmail.com; bcalyniuk@sum.edu.pl 3 Department of Public Health, Department of Public Health Policy, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41-902 Bytom, Poland. mgrajek@sum.edu.pl * Correspondence: kkrupa@sum.edu.pl Abstract: (1)Background: Nutrition that is adequate to the patient’s health status is a component of co-determining factors in improving the patient’s health. Moreover, appropriate activities of a dietician, such as assessing the nutritional status or educating patients, are counted among the determinants conditioning the effectiveness of the conducted treatment. The number of employed dietitians in hospitals is low, which results in 76-740 patients per one specialist, which in turn makes effective education impossible. The aim of this study was to compare the duties of dietitians working in Polish hospitals in relation to the needs of the society. (2) Material and methods: The research tool consisted of two original, anonymous questionnaires, addressed to the Polish public and to active dietitians. The analysis of results was based on 595 questionnaire results, including 93 from nutritionists. (3)Results: Of the respondents who were admitted to the hospital ward, 83.3% had no contact with a nutritionist (N=347). The surveyed dietitians most often declared that there were two dietitians working at the health care provider employing them, with the smallest number being 1 and the largest number being 55. Only one in three respondents received dietary recommendations upon discharge from the hospital (N=133; 32.1%). Nearly half of dietitians do not prepare menus (48.4%). According to the public, a dietitian should be involved in nutritional counseling, developing menus for the hospital kitchen or catering, and nutritional recommendations for patients discharged from the hospital. (4) Conclusions: Dietitians with the right qualifications and specialties, integrated into the health care workforce, can have a huge impact on the proper dietary therapy of patients. As a result, there is a high probability of increasing the effectiveness of treatment, resulting in health service savings and support for the medical community. Keywords: hospital team, dietitian, role of the dietitian

Background: Social inequalities (e.g., poverty and low level of education) generate inequalities in health. Aim: The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. Material and Methods: In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. Results: Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; p = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; p = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; p < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; p < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; p < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; p = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; p = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; p = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. Conclusions: Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants.

Older adults show lower physical activity. These changes altogether promote the development of overweight, obesity, and other chronic diseases. These factors substantially influence the quality of life and self-esteem of older adults. This phenomenon is especially visible after the lockdown caused by the COVID-19 pandemic. Objectives: Our study aimed to evaluate the effect of a 12-week reductive diet and a 12-week physical activity plan for older adults on the global self-esteem of lifestyle in 60–70-year-old women. Materials and methods: Our participants were 600 women with increased body mass (BMI > 25 kg/m2) aged 60–70 years. After the initial evaluation, the participants were randomly divided into three groups: CG—control group (n = 200); DI—dietary group (n = 200) that committed to a 12-week reductive diet; PA—physical activity group (n = 200) that committed to a 12-week physical activity plan. The global self-esteem score (using the SES Rosenberg scale) and the anthropometric measurements were collected before and after the 12-week study. In the statistical analysis of data, the significance level was assumed to be 0.05. Results: The global self-esteem score for all groups before the study started was 30–31 points, which corresponded to average self-esteem. After a 12-week dietary or physical activity intervention, the score in the DI group was 33, which corresponded with high self-esteem. In the CG group, the self-esteem score remained unchanged (30 points). The average body mass loss was 0.5 kg/m2 for CG, 1.92 kg/m2 for DI, and 1.10 kg/m2 for the PA group. The average waist–hip ratio (WHR) change for CG, DI, and PA was 1 cm, 1 cm, and 2 cm, respectively. A decrease in body mass and body composition indicators (BMI and WHR) corresponded to participants’ global self-esteem increase (p < 0.05); the greater the decrease noted for BMI and WHR, the greater the global self-esteem score that was achieved. In the CG group, a negative correlation between global self-esteem and BMI value (p < 0.05) was observed. Conclusions: A 12-week reductive diet and a 12-week regular physical activity plan lowered participants’ body mass. Adipose tissue content was reflected by decreased BMI and WHR indicators of participants from the DI and PA groups and was accompanied by higher global self-esteem scores.

Grajek, Mateusz, Krupa-Kotara, Karolina, Sobczyk, Karolina. Fear of COVID-19 among employees of large companies and vaccination against COVID-19 - a cross-sectional study (Silesia, Poland).Journal of Education, Health and Sport. 2022;12(9):677-684. eISSN 2391-8306. DOIhttp://dx.doi.org/10.12775/JEHS.2022.12.09.080 https://apcz.umk.pl/JEHS/article/view/39837 https://zenodo.org/record/7066630 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 21.08.2022. Revised: 02.09.2022. Accepted: 10.09.2022. Fear of COVID-19 among employees of large companies and vaccination against COVID-19 - a cross-sectional study (Silesia, Poland) Mateusz Grajek1, Karolina Krupa-Kotara2, Karolina Sobczyk3 1Department of Public Health, Faculty of Health Sciences, Medical University of Silesia in Katowice, Piekarska 18, 41902 Bytom, Poland 2Department of Epidemiology, Faculty of Health Sciences, Medical University of Silesia in Katowice, Piekarska 18, 41902 Bytom, Poland 3Department of Health Economics and Health Management, Faculty of Health Sciences, Medical University of Silesia in Katowice, Piekarska 18, 41902 Bytom, Poland *Mateusz Grajek mgrajek@sum.edu.pl Piekarska 18 41-902 Bytom Abstract Introduction and Objective. The COVID-19 pandemic has significantly affected the functioning of the entire globe. By the end of December 2020, the disease had been diagnosed in more than 82 million people worldwide, and nearly 2 million people had died. The main preventive measure was to develop an effective vaccine as soon as possible, which Pfizer/BioNTech, Moderna, AstraZeneca and Gamaleya Center managed to do in late 2020. The first vaccines arrived in Poland after the end of December 2020, but their appearance was not without controversy. The aim of this study was to compare respondents' opinions on COVID-19 vaccination with the results of the assessment of fear of infection. Material and methods. The opinions of 300 employees of large companies on COVID-19 vaccination and fear of SARS-CoV-2 (FCV-19S) infection according to Ahorsu were checked. Results. It was shown that 54% of the respondents express a willingness to vaccinate whenever possible, while 42% are not interested in vaccinating. In favor of the willingness to vaccinate is the option to return to the standard of living before the COVID-19 pandemic - 72%, and the desire to protect those around them from possible infection - 46%. Among opponents of vaccination, the predominant opinion is that the vaccine has not undergone enough testing and is not safe for health - 68%. Discussion. COVID-19 vaccination is one of the major medical successes of recent years and a safe way to prevent SARS-CoV-2 infection. It is worrying that those who opt out of vaccination indicate that they do not have enough information about vaccination (44%), and this is an issue that needs to be changed quickly. Conclusions. Those who express a willingness to vaccinate are more likely to have a higher level of fear of SARS-CoV-2 infection than those who have not expressed a willingness to vaccinate. Nearly half of non-vaccinators indicate that there is too little information about vaccination. Keywords: COVID-19; SARS-CoV-2; immunization; prevention; fear of infection.

Applied psychopharmacotherapy and psychotherapy do not always bring the expected results in the treatment of mental disorders. As a result, other interventions are receiving increasing attention. In recent years, there has been a surge in research on the effects of nutrition on mental status, which may be an important aspect of the prevention of many mental disorders and, at the same time, may lead to a reduction in the proportion of people with mental disorders. This review aims to answer whether and to what extent lifestyle and related nutrition affect mental health and whether there is scientific evidence supporting a link between diet and mental health. A review of the scientific evidence was conducted based on the available literature by typing in phrases related to nutrition and mental health using the methodological tool of the PubMed database. The literature search yielded 3,473 records, from which 356 sources directly related to the topic of the study were selected, and then those with the highest scientific value were selected according to bibliometric impact factors. In the context of current changes, urbanization, globalization, including the food industry, and changes in people’s lifestyles and eating habits, the correlations between these phenomena and their impact on mental state become important. Knowledge of these correlations creates potential opportunities to implement new effective dietary, pharmacological, therapeutic, and above all preventive interventions. The highest therapeutic potential is seen in the rational diet, physical activity, use of psychobiotics, and consumption of antioxidants. Research also shows that there are nutritional interventions that have psychoprotective potential.

Cancer patients tend to have a high psychological burden. Half of cancer patients suffer from severe affective disorders and anxiety disorders, while one-third struggle with mild forms of these. The COVID-19 pandemic is damaging the mental health of the population due to social restrictions. A growing number of studies note the role of COVID-19 anxiety in the health and quality of life of cancer patients. The purpose of this study is to estimate the level of COVID-19 anxiety among oncology patients and to test the utility of the FCV-19S scale in a population study of cancer patients. The study included 600 respondents (300 oncology patients and 300 control subjects not undergoing oncological treatment). The FCV-19S scale and the GAD-7 scale were used in the study. The results were interpreted according to the following verbal scale: 76–100%, high anxiety; 56–75%, moderate anxiety; 26–55%, low COVID-19 anxiety

Background The aim of the study is to evaluate the reoperation rate after surgical treatment for degenerative spinal diseases (DSD) in Poland and to identify risk factors for reoperation, including comorbidities and other variables. Methods A retrospective analysis of hospitalisations in 2018 that were reported to the National Health Fund (NHF) using ICD-10 codes: M43.1, M47, M48, M50, M51, M53 and Diagnosis Related Group (DRG) codes: A22, A23, A27, H51, H52, H53, H55. Reoperations were identified using the same codes provided that they were reported within 365 days after discharge. The analysis involved demographic factors and patient multimorbidity. A logistic regression model was then performed to assess risk factors for reoperation. Results In 2018, 38,953 surgical hospitalisations for DSD were reported. A total of 3,942 hospitalised patients (10.12%) needed reoperation within 365 days. Patients requiring reoperation were predominantly women (1.34:1) and the elderly (mean age: 56.66 vs. 53.24). The percentage of reoperations correlated with the multimorbidity rate (from 8.81–15.31%). The risk of reoperation was most increased by concomitant depression, neurological diseases, obesity and older age. The risk of reoperation was reduced by instrumented spinal surgery, operations in a neurosurgical department and hospitalisations other than day-surgery. Conclusions Reoperations within the first year of surgical treatment for DSD are common. Identification of risk factors for reoperation, including those related to the presence of comorbidities and the phenomenon of multimorbidity, can be an important tool in reducing the reoperation rate.

Background: Episodes of loss of control over eating during pregnancy affect up to 36% of women during this period. Many women experience natural concerns about weight gain and body-shape changes during pregnancy and the postpartum period, and food cravings and fluctuations in eating patterns during these periods are physiological phenomena. However, pregnancy and the postpartum period may be an additional determinant of eating disorders. Women who perceive their own bodies as significantly deviating from the presented ideal are more likely to experience anxiety/anxiety related to it and also tend to exhibit abnormal eating behaviors. The perception of one’s body figure also plays an important role in maintaining psychological balance Aim: The aim of this study was to assess the perception of body image by postpartum women. The essence of the study was to see if there were psychomarkers associated with lack of control over eating, food restriction, and emotionally motivated eating in the study population. Material and methods: The study was conducted during the fall and winter of 2021. A total of 288 women participated in the study. The age of the subjects ranged from 21 to 45 years. Results: It was found that 198 women (68.8%) were dissatisfied with their current body weight and figure. Respondents with higher post-pregnancy body mass index showed dissatisfaction with their body shape (49.8%; H = 13.042; p = 0.001). Both body satisfaction and BMI level were significant components of the occurrence of pathological phenomena associated with the TFEQ-13 subscales (p < 0.05). Conclusions: Excessive focus on food restriction as well as lack of control over eating had some association with negative self-perception of body image, mainly in the form of body weight dissatisfaction. Eating behaviors showed an association with BMI level and weight satisfaction after pregnancy.

WstępOtyłość olbrzymia i towarzysząca jej wielochorobowość stanowią poważny problem zdrowia publicznego.CelCelem pracy jest ocena wpływu endoskopowej implantacji balonu wewnątrzżołądkowego na dolegliwości i choroby towarzyszące u osób z otyłością.Materiał i metodyBadaniem objęto 75 osób leczonych metodą implantacji balonu wewnątrzżołądkowego. Pacjenci zostali zakwalifikowani do implantacji balonu, zgodnie z uznanymi wskazaniami do endoskopowego leczenia otyłości. Wszystkie analizy przeprowadzono za pomocą Statistica 12. Za poziom istotności statystycznej przyjęto p < 0,05.WynikiPozytywne efekty leczenia otyłości metodą implantacji balonu wewnątrzżołądkowego w odniesieniu do współistniejących chorób zaobserwowano u 54 pacjentów (62%), 30 osób (40%) osiągnęło minimalną poprawę stanu zdrowia, u 24 pacjentów (32%) ustąpiło co najmniej jedno zasadnicze schorzenie. 21 pacjentów (28%) nie wskazywało poprawy stanu zdrowia. Żaden z pacjentów nie zgłosił ustąpienia wszystkich głównych chorób, ale również nie nastąpiło pogorszenie stanu zdrowia. Podczas leczenia IGB stwierdzono statystycznie istotne zmniejszenie występowania nadciśnienia, cukrzycy typu 2, bólu kręgosłupa, choroby zwyrodnieniowej stawów, bezdechu sennego, zaburzeń miesiączkowania, impotencji i duszności.WnioskiLeczenie otyłości metodą endoskopowej implantacji balonu wewnątrzżołądkowgo zmniejsza częstość współistniejących chorób u osób z otyłością olbrzymią.

IntroductionThe rapid development of technology has led to the transfer of entertainment to the virtual world. Many games and multimedia applications use the so-called augmented reality. With the development of a new technological branch, a new health problem has emerged, which is infoholic addiction, attracting people with the specific functionality that is cyberspace and the virtual world.ObjectiveThe study aimed to assess health behaviors and the risk of addiction among users of urban multimedia games. Research methodology. The study was conducted among players 1,134 of urban multimedia games—Pokemon GO, in the period March–June 2021. A 990 correctly completed questionnaires were included in the final analyses. The author’s questionnaire was used in the study, which included two standardized measurement scales in the Polish abbreviated version: a questionnaire of emotions and sensations associated with electronic entertainment and a questionnaire on addiction to electronic forms of entertainment. Statistica 13.0 program was used for statistical processing of the data. The probability level was p ResultsThe profile of the gamer was identified as male, aged 18–30 years, with secondary education (more rarely higher), not in a relationship, living in a city of more than 100 thousand inhabitants—60.1% of gamers met these criteria. Respondents played urban multimedia games daily (84.7%). About 26.3% of respondents played this type of game 2–3 h a day. In terms of physical fitness, 64.3% of respondents felt that physical fitness had improved as a result of playing multimedia urban games. In terms of mental condition, most of the respondents said that nothing had changed (55.3%). It was observed that 72.3% of respondents had some risk of addiction to urban multimedia games.ConclusionUsers of urban multimedia games were usually adult men living in big cities. It was also shown that the defined profile of the player was characterized by a higher risk of addiction to electronic forms of entertainment. It was observed that the respondents most often played urban multimedia games every day in a maximum of two-hour sessions. Based on the tools used, it can be concluded that the study group was characterized by a certain risk of addiction to urban multimedia games.

Introduction. Many studies have shown that a group of people practicing sports, including those representing sports disciplines that require a slim figure and flexibility, is exposed to an increased risk of orthorexia nervosa (ON). Due to great difficulties in making the final diagnosis, the exact number of people suffering from orthorexia is still unknown. Aim. The study aimed to assess the risk of orthorexic behavior in the group of girls attending ballet schools. The essence of the study was to analyze the anthropometric indicator and eating habits and to correlate them with the obtained risk indicator of orthorexic behaviors. Material and method. The investigated group consisted of 800 female students (10–18 years old) who attended ballet schools in Poland (Silesia). At the beginning of the study, anthropometric measurements of the examined students were performed and a detailed nutritional interview was conducted with them. The dietary habits of the research group were evaluated by the diet quality index (DQI) . To assess the risk of orthorexic behaviors, an ORTO-15, and ORTO-15 PL questionnaires were used. The collected data were statistically analyzed (the Statistica 13.0 package was applied). The degree of probability was 0.05. Results. Based on the DQI it was found that 44% of all respondents reported good, 36% - satisfactory, and 20% - bad eating habits. The genuine risk of eating disorders was observed among 65% (ORTO-15) and 59% (ORTO-15 PL) of subjects. This included students with good dietary habits (65%) and 73% of students who considered themselves to be obese. Statistical inference showed a relationship between the positive result obtained in the ORTO-15 questionnaire and participants’ incorrect perception of their own body (pConclusion. This is particularly visible in the group of girls whose eating habits were assessed as good and in the group of ballerinas who consider themselves obese. Moreover, it was noted that BMI and adipose tissue level in the risk group was at the correct level.

The process of intrauterine programming is related to the quality of the microbiome formed in the fetus and the newborn. The implementation of probiotics, prebiotics, and psychobiotics shows immunomodulatory potential towards the organism, especially the microbiome of the pregnant woman and her child. Nutrigenomics, based on the observation of pregnant women and the developing fetus, makes it possible to estimate the biological effects of active dietary components on gene expression or silencing. Nutritional intervention for pregnant women should consider the nutritional status of the patient, biological markers, and the potential impact of dietary intervention on fetal physiology. The use of a holistic model of nutrition allows for appropriately targeted and effective dietary prophylaxis that can impact the physical and mental health of both the mother and the newborn. This model targets the regulation of the immune response of the pregnant woman and the newborn, considering the clinical state of the microbiota and the pathomechanism of the nervous system. Current scientific reports indicate the protective properties of immunobiotics (probiotics) about the reduction of the frequency of infections and the severity of the course of COVID-19 disease. The aim of this study was to test the hypothesis that intrauterine programming influences the development of the microbiome for the prevention of SARS-CoV-2 infection based on a review of research studies.

Avoidant/Restrictive Food Intake Disorder (ARFID) is a relatively new disease entity in DSM-5 and ICD-11. This disorder continues to pose a diagnostic and therapeutic challenge for many professionals. This disorder can affect people of all ages. The most characteristic pattern is considered to be a lack of interest in eating or avoidance of food intake, which may result in nutritional deficiencies, weight loss or lack of expected weight gain, dependence on enteral feeding or dietary supplements, and impaired psychosocial functioning. This disorder cannot be explained by a current medical condition or co-occurring other psychiatric disorders, but if ARFID co-occurs with another disorder or illness, it necessarily requires extended diagnosis. Its treatment depends on the severity of the nutritional problem and may include hospitalization with multispecialty care (pediatrician, nutritionist, psychologist, psychiatrist, neurologist). The nutritional management strategy may include, inter alia, the use of Food Chaining, and should in the initial stage of therapy be based on products considered “safe” in the patient’s assessment. The role of the dietitian in the management of a patient with ARFID is to monitor weight and height and nutritional status and analyze the foods that should be introduced into the food chain first.

Summary: A new virus, SARS-CoV-2, emerged in December 2019, triggering the COVID-19 pandemic in 2020 due to the rapid spread and severity of cases worldwide. In Poland, the first case of COVID-19 was reported on 4 March 2020. The aim of the prevention efforts was primarily to stop the spread of the infection to prevent overburdening the health care system. Many illnesses were treated by telemedicine, primarily using teleconsultation. Telemedicine has reduced personal contact between doctors and patients and reduced the risk of exposure to disease for patients and medical personnel. The survey aimed to gather patients’ opinions on the quality and availability of specialized medical services during the pandemic. Based on the data collected regarding patients’ opinions on services provided via telephone systems, a picture was created of patients’ opinions on teleconsultation, and attention was drawn to emerging problems. The study included a 200-person group of patients, realizing their appointments at a multispecialty outpatient clinic in Bytom, aged over 18 years, with various levels of education. The study was conducted among patients of Specialized Hospital No. 1 in Bytom. A proprietary survey questionnaire was developed for the study, which was conducted on paper and used face-to-face interaction with patients. Results: 17.5% of women and 17.5% of men rated the availability of services during the pandemic as good. In contrast, among those aged 60 and over, 14.5% of respondents rated the availability of services during the pandemic as poor. In contrast, among those in the labor force, as many as 20% of respondents rated the accessibility of services provided during the pandemic as being well. The same answer was marked by those on a pension (15%). Overwhelmingly, women in the age group of 60 and over showed a reluctance toward teleconsultation. Conclusions: Patients’ attitudes toward the use of teleconsultation services during the COVID-19 pandemic varied, primarily due to attitudes toward the new situation, the age of the patient, or the need to adapt to specific solutions not always understood by the public. Telemedicine cannot completely replace inpatient services, especially among the elderly. It is necessary to refine remote visits to convince the public of this type of service. Remote visits should be refined and adapted to the needs of patients in such a way as to remove any barriers and problems arising from this type of service. This system should also be introduced as a target, providing an alternative method of inpatient services even after the pandemic ends.

In recent years, the widespread of microplastics in the food chain and environment became a topic of much research. This article focused on the knowledge and awareness of people with higher education levels—mostly young ones. The aim of this study is to analyze to what extent consumers know about and are aware of the source of microplastics, the level of exposure, and potential health hazards connected to the contamination of food and water with microplastics. The test group, consisting of 410 people, is mostly able to correctly characterize what microplastics mean and knows its sources. A majority of the group is aware of potential presence of microplastics in water; however, the knowledge about contamination of other elements of the environment seems to be gradually lowering. The majority of the people taking part in the research know that microplastic might be present in foods, and they are aware that after entering the human body, it might accumulate in internal organs. Moreover, when asked about potential health hazards, the group chose mostly tumors and gastrointestinal disorders, while disorders of the reproductive system were chosen less frequently. Consumers’ knowledge regarding the sources and health hazards of microplastics seems to be more common among women, in groups living in cities and among people who studied physics-related subjects and medicine.

Female athletes experience both sociocultural and sport-specific pressures of an ideal body and appearance and are vulnerable to dissatisfaction with their bodies. Among sport-specific pressures, the type of sport is a predictor of body image dissatisfaction. The study included 150 females: 50 volleyball players, 50 bodybuilding and fitness athletes, and 50 female students, who were the control group. Body composition and perception and evaluation of one’s own body were assessed. BMI was similar in the study group of female athletes and the control group, but the bodybuilding and fitness athletes had the lowest body fat, while the control group had the highest. Perception of one’s own body in the aspect of the evaluation of specific body parts was highest among bodybuilding and fitness athletes, while in the aspect of body condition, the best results were obtained by volleyball players. Most female volleyball players were dissatisfied with their current body weight, as were women in the control group, in contrast to female bodybuilding and fitness athletes, who were most often satisfied with their current body weight.

Background: Epidemiological data concerning the level of asthma morbidity indicate that in Poland, asthma is diagnosed in 5–10% of the pediatric population. Aim The purpose of this study was to compare the prevalence of respiratory symptoms and allergies in a group of children with and without asthma and to evaluate the association between exposure to environmental factors and the prevalence of bronchial asthma in a pediatric population. Material and Methods: A cross-sectional study was conducted on a group of 995 children attending primary schools in the province of Silesia in 2018–2019. The research tool was an anonymous questionnaire developed based on the form used in The International Study of Asthma and Allergies in Childhood (ISAAC). Children’s health status, the prevalence of bronchial asthma, and the performance of allergic skin tests were assessed based on parents’ indications in a questionnaire. Environmental exposures such as mold and dampness in apartments or ETS were similarly assessed. Analyses were performed using Statistica 13.0; p < 0.05. Results: A total of 88 subjects (8.8%) suffered from bronchial asthma. Parents of children with asthma, compared to parents of children without the disease, were more likely to rate their children’s health as rather good (43.2% vs. 38.0%) or average (21.6% vs. 3.1%). All analyzed respiratory symptoms, as well as allergies, were statistically more frequent in children with bronchial asthma. Conclusions: The parent’s subjective assessment of the child’s health varied significantly according to the asthma diagnosis. Asthma is also associated with other diseases: allergic reactions to pollen, house dust, hay fever, and AD (atopic dermatitis) were statistically significantly more frequent among children diagnosed with bronchial asthma.

Background: Emotional eating (EE) is not a separate eating disorder, but rather a type of behavior within a group of various eating behaviors that are influenced by habits, stress, emotions, and individual attitudes toward eating. The relationship between eating and emotions can be considered on two parallel levels: psychological and physiological. In the case of the psychological response, stress generates a variety of bodily responses relating to coping with stress. Objective: Therefore, the main objective of this study was to evaluate and compare the prevalence of emotional eating in groups of students in health-related and non-health-related fields in terms of their differential health behaviors—diet and physical activity levels. Material and Methods: The cross-sectional survey study included 300 individuals representing two groups of students distinguished by their fields of study—one group was in health-related fields (HRF) and the other was in non-health-related fields (NRF). The study used standardized questionnaires: the PSS-10 and TFEQ-13. Results: The gender of the subjects was as follows: women, 60.0% (174 subjects) (HRF: 47.1%, n= 82; NRF: 52.9%, n = 92); men, 40.0% (116 subjects) (HRF: 53.4%, n = 62; NRF: 46.6%, n = 54). The age of the subjects was 26 years (±2 years). Based on the results of the TFEQ-13, among 120 subjects (41.4%) there were behaviors consistent with limiting food intake (HRF: 72.4%; NRF: 11.0%), while 64 subjects (20.7%) were characterized by a lack of control over food intake (HRF: 13.8%, 20 subjects; NRF: 27.4%, 20 subjects). Emotional eating was characteristic of 106 students (37.9%), with the NRF group dominating (61.6%, n = 90). It was observed that a high PSS-10 score is mainly characteristic of individuals who exhibit EE. Conclusions: The results obtained in the study indicate that lifestyle can have a real impact on the development of emotional eating problems. Individuals who are characterized by elevated BMI values, unhealthy diets, low rates of physical activity, who underestimate meal size in terms of weight and calories, and have high-stress feelings are more likely to develop emotional eating. These results also indicate that further research in this area should be undertaken to indicate whether the relationships shown can be generalized.

(1) Background: The literature emphasizes the role of many factors influencing the onset of eating disorders (EDs) and their mutual influence on each other. Therefore, this study aimed to evaluate and compare the prevalence of orthorexic behaviors in groups of health-related and non-health-related students in terms of their differential health behaviors—diet and physical activity levels. (2) The study included 300 individuals representing two equal groups of fields of study, which for the study were called the health-related field (HRF) and the non-health-related field (NRF). (3) Results: Based on the results of the dietary assessment, it was found that the best dietary model was characterized by the HRF group; in this group, 97.2% of students were characterized by a very good and good dietary mode. The NRF group, on the other hand, was dominated by a sufficient dietary mode for 64.4% of all cases in this group (94 people), while the dietary model marked as “good” was less popular, at 24.6% of this group (36 people). (4) Conclusions: Based on the cited self-research and information from the literature, it can be concluded that the problem of orthorexia is still a new issue at the level of social sciences, medical sciences, and health sciences. The psychometric tools used in this study allowed us to demonstrate the prevalence of the aforementioned eating disorders in the sample groups of students.

Background. Residents of nursing homes (NHs) are one of the most vulnerable social groups to SARS-CoV-2 infection. It seems obvious that all preventive methods, including nutrition, should be a priority for these homes. Objective. The aim of this study was to evaluate the menus of elderly people residing in nursing homes and to compare them with the recommendations and especially with the scientific literature that proves the protective effect of nutrition on the course of COVID-19 disease. Material and methods. The material investigated in the research were decade menus selected at several nursing homes between 2017 and 2020. The total number of 4640 daily menus from 58 NHs located in Silesia (Poland) were analyzed in the research. Data analysis included mathematical tools of Kruskal–Wallis and U Mann–Whitney tests for multiple comparisons in scarcely observed samples (p = 0.05). Results. It has been noted that the energy value provided with food scored 1780.22 kcal, which denoted 102.72% of the daily standard for females and 98.23% for males. The investigated menus differed in terms of energy and nutrition value. The mean content of proteins totaled 47.95 g/day, which covered 93.83% of the daily requirements for this nutrient. When it came to fat content, a level of 109.12 g/day was observed; this covered 160.47% of the daily requirement for females and 143.58% for males. Absorbable carbohydrates constituted 116.60% of the daily standard, i.e., 151.59 g/day. It was stated that values for vitamin D reached 7.01 (±0.63) µg per day, which can be interpreted as 41.00% of the recommended intake for females and 42.00% for males. It was also noted that the values for vitamins A and E were respectively two and fifteen times lower than the recommendations. Conclusions. The evaluated menus must not be an aid in the prevention and treatment of COVID-19. The content of energy from food, fats, and carbohydrates substantially exceeded recommended standards, whereas the content of proteins, vitamins A, E, D, zinc and calcium did not meet requirements regarding nutrition standards for the analyzed group.

Food neophobia is the tendency to reject or be reluctant to try new and unfamiliar foods. Due to the period of its occurrence, which falls in the years of early childhood, it can significantly affect the child’s food choices, shape taste preferences, and significantly influence the quality of the child’s diet. The neophobic attitude has an important evolutionary significance because it protects the individual from ingesting potentially dangerous substances. On the other hand, it fosters avoidance behaviors that can also relate to the beneficial aspects of obtaining and consuming food. Currently, the strong emphasis placed on food safety means that neophobia may be less adaptive; nevertheless, a conservative attitude toward new foods still prevails. There is a strong association between food neophobia and the diversity of a person’s diet and previous exposure to different foods. This review describes behaviors associated with food neophobia and analyzes other feeding and eating difficulties in children that should be differentiated from food neophobia. Management approaches affecting the reduction in food neophobia in children through various dietary and psychological interventions are also proposed.

Introduction Several studies indicate that delivery by caesarean section may be one of the risk factors for the development of childhood asthma. Aim A meta-analysis was carried out to establish the relationship between delivery by caesarean section and asthma in children. Material and methods After a review of bibliographic databases, 41 articles were obtained and 12 of which were accepted for further analysis. The odds ratios (OR) included in the analysis were specified on the basis of data from the presented studies or were calculated using reported prevalence. The analysis took into account unadjusted OR. The heterogeneity of results was assessed using the χ2 test, determining p < 0.05 as the level of significance. The analysis was performed using Statistica 13.3 and kit 4.0.67. Results Caesarean delivery was associated with an increased risk of development of childhood asthma (OR = 1.41); however, significant heterogeneity of results was demonstrated. A significantly higher risk of asthma was found in children born by caesarean section in the case where the disease was confirmed in a questionnaire-based study (OR = 1.26, 95% CI: 1.05-1.5), and the results of that study were homogeneous. Conclusions In the case of the diagnosis of asthma declared by parents in the questionnaire-based study, a significantly higher risk of disease occurrence was observed in children born by caesarean section. Due to the significant heterogeneity of the results of the studies, it cannot be clearly stated that caesarean delivery is a risk factor for the development of bronchial asthma.

WstępDietetycy podkreślają, że właściwie skomponowana dieta wegetariańska może być stosowana przez ludzi na różnych etapach ich życia. Jednak wciąż wiele osób uważa, że takie działanie może prowadzić do ujawniana się zaburzeń zdrowotnych. Celem pracy było określenie, czy dieta wegetariańska może być stosowana przez kobiety w ciąży bez ryzyka wystąpienia zaburzeń zdrowotnych u nich lub u płodów.Materiał i metodyAnalizie poddano informacje odnoszące się do możliwości stosowania diety wegetariańskiej w czasie ciąży. Analizowano wyniki kilkunastu badań, w których porównywano występowanie określonych czynników u kobiet w ciąży stosujących dietę wegetariańską oraz u kobiet w ciąży spożywających mięso.WynikiObecnie wciąż niewiele jest badań oceniających stan zdrowia kobiet w ciąży stosujących dietę wegetariańską oraz ich dzieci. W badaniach tych porównywana jest biodostępność składników odżywczych, składników mineralnych oraz witamin. Analizowane są nawyki żywieniowe kobiet w ciąży stosujących dietę wegetariańską oraz porównywany jest stan zdrowia dzieci urodzonych przez wegetarianki oraz kobiety spożywające mięso.WnioskiPrzestawione w pracy wyniki badań pozwalają stwierdzić, że właściwie opracowana dieta wegetariańska może być stosowana przez kobiety w ciąży i niesie ze sobą ryzyka wystąpienia niedoborów czy zaburzeń w rozwoju płodu.

Introduction Overweight and obesity are ranked in the fifth place among the risk factors responsible for the greatest number of deaths in the world. Aim To assess the effects of treatment of patients with morbid obesity using endoscopic intragastric balloon (IGB) implantation. Material and methods Two hundred and seventy-two patients with obesity were treated using endoscopic intragastric balloon implantation. Upon analysis of the inclusion and exclusion criteria, the study covered a group of 63 patients with morbid obesity. The patients were implanted with the LexBal balloon. Reduction of excess body mass, changes to BMI values and ailments and complications divided into mild and severe were assessed. Results Before intragastric balloon treatment, the average body mass index (BMI) value was 58.3 ±10.5 kg/m2, whereas after 6 months of treatment it decreased to 49.5 ±8.7 kg/m2. The patients with postoperative BMI equal to or greater than 50.0 kg/m2 reported nausea (69.7%), vomiting (51.5%), flatulence (45.5%), upper abdominal pain (36.4%) and general discomfort (424%) more frequently. Dehydration (9.1%) was also more frequent in this group, whereas frequency of occurrence of such ailments and complications as heartburn (23.3%) and oesophageal candidiasis (10.0%) was higher in the patients with postoperative BMI below 50.0 kg/m2. Conclusions Endoscopic intragastric balloon implantation is an effective and safe method of excess body mass reduction in patients with morbid obesity before a planned bariatric surgical procedure. Pre-operative excess body mass and BMI value and post-operative excess weight loss in patients with morbid obesity have no impact on frequency of occurrence of ailments and complications in IGB treatment.

Epidemiological data consistently show sustained upward trend in the incidence of cancer. The International Agency for Research on Cancer (IARC) estimated that in 2018 more than 18 million people were diagnosed with cancer, and in about 9.6 million cases cancer could be the cause of death. At the same time, an increasing percentage of overweight and obesity is observed in both adults and children. According to the World Health Organization (WHO), in 2016 over 1.9 billion (39% of the population) of adults were overweight, of which over 650 million (13%) were obese. Obesity is closely related to the risk of cancer development. Excessive body weight is considered as a second risk factor for the development of specific cancers after smoking. According to IARC data, high BMI index may be the cause of up to half a million cancer cases per year. In addition, overweight and obesity contribute to increased mortality due to malignancies - it is estimated that they are the cause of death in 20% of women and in 14% of men. Data from the American Cancer Society indicate increased mortality due to pancreatic cancer, liver cancer, multiple myeloma, and Hodgkin's lymphoma in connection with the occurrence of excessive body weight. The study tried to confirm the influence of obesity on the risk of cancer. To achieve this, risk factors such as excessive adipose tissue, chronic inflammation, hyperinsulinaemia and hyperglycaemia, sex steroids, and microbiome were taken into account. In addition, the study presents a simple method of estimating the risk quotient of chances of developing malignant tumors in people with excessive body mass and methods of cancer disease prevention. According to the current state of knowledge, the modification of factors significantly affecting the risk of falling ill may contribute to reducing the risk of cancer. In view of the above, the importance of the problem of overweight and obesity in society and their impact on the occurrence of some types of cancer should be emphasized. Thus, the understanding of excessive body weight as a serious health and social problem sets one of the priorities in the area of public health.

Peripheral veins cannulation is one of the most frequently executed medical procedures. Primary blood infections which might be the result of peripheral veins cannulation are serious issue that medical care centers all over the world must consider. Medical personnel can choose the area of cannulation thanks to the availability of peripheral veins. Duration of cannulation longer than 72 – 96 hours can cause peripheral veins inflammation.Assay of observation sheets of peripheral cannulation.The study included 14926 patients, who were hospitalized in 2016 in the Municipal Hospital in Zabrze. Observations of each cannulation were recorded in observation sheets for peripheral veins cannulation. Patients age median and duration of cannulation median were calculated basing on 782 observation sheets with registered inflammation of the area of cannulation.Right forearm was area where the most (19%) of vein inflammation occurred. First level of veins inflammation according to criteria of veins inflammation intensity evaluation was the most frequent (90,7%). Duration of venous cannulation median indicated that most of the catheters were removed on the second day. When veins inflammation was diagnosed, the most frequent action was to remove the catheter. During 12 hours 697 observations of cannulation were proceeded. 548 observations of intravenous cannulation were proceeded once for 24 hours.Right forearm was area where the most of cannulations occurred. Frequent observation of the area of peripheral venous cannulation allows quick inflammation symptoms detection.

Angiogenesis plays a significant role in oncogenesis, and thus it has become an attractive target for cancer treatment. It is the formation of new blood vessels that occurs physiologically as well as under pathological conditions, and may influence cancer proliferation and survival. The current therapeutic approach in oncology includes conventional chemotherapy in combination with biologically-based treatment in various perspectives, targeting not only the malignant cells, but also its microenvironment. Target treatment might be less toxic than conventional chemotherapy. In multiple myeloma, there is a close connection between bone marrow stroma, myeloma cell growth and their ability to survive. It has been reported in many clinical observations that the more advanced the multiple myeloma, the more increased the angiogenesis, and this might correlate with the treatment response. There are several angiogenesis inhibitors already registered or in clinical trials in cancer treatment. Despite the continuous research on the development of prognostic factors and introduction of new agents in the treatment, multiple myeloma still remains an incurable and debilitating disease. Some antiangiogenic agents have already been introduced in multiple myeloma treatment, but there is still a need to search for new antiangiogenic drugs and the exploitation of angiogenesis in a clinical approach.