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BackgroundThe aging population in Poland poses significant challenges to social and health systems. By 2050, the percentage of people over 65 in Poland is projected to reach 32.7%. Promoting physical activity among seniors is crucial for preventing chronic diseases, improving quality of life, and reducing healthcare burdens. Local governments play a pivotal role in implementing health-promoting measures.ObjectiveThe study aims to analyze seniors’ satisfaction with local government activities in promoting physical activity and to identify the best activities and future needs of seniors in the Silesia, Mazovia, and Pomerania regions of Poland.Material and MethodsThe survey, conducted between May 2023 and May 2024, utilized the Computer Assisted Web Interviewing (CAWI) method to gather data from 1,500 seniors aged 65 and above across the Silesia, Mazovia, and Pomerania regions. The study population was carefully selected to ensure representativeness in terms of gender, age, education, and place of residence. Data analysis included chi-square tests and logistic regression to assess satisfaction levels and identify influencing factors.ResultsThe survey revealed regional differences in satisfaction levels. Seniors in the Mazovia region exhibited the highest satisfaction (74% positive ratings), followed by the Silesian (64%) and Pomeranian (56%) regions. Factors influencing satisfaction included gender, age, education, and place of residence. Women, older seniors, those with higher education, and urban residents reported higher satisfaction levels. The most appreciated local government activities were related to sports infrastructure and sports programs. Future needs emphasized the demand for more sports programs and better infrastructure, with regional variations in preferences.ConclusionSeniors’ satisfaction with local government activities in promoting physical activity varies significantly across regions. Tailoring activities to regional preferences and continuous evaluation of programs are essential for enhancing effectiveness and satisfaction. Increased funding and support for physical activity programs are necessary, especially in less developed regions.

Body and anthropometric profiles of football players vary depending on the physiological and technical demands imposed by different positions. The aim of this study was to evaluate the body composition of professional soccer players in relation to their position on the field during a training macrocycle. The Direct Segmental Multi-Frequency Bioelectrical Impedance Analysis method was used to analyze 58 players at six key moments of the macrocycle. The results show that body profiles are adjusted to the specific demands of each position. Midfielders showed the lowest muscle mass, while defenders showed many notable changes. In general, as the season progressed, all field players experienced an increase in trunk body fat. Fat and lean mass values of goalkeepers differed greatly from the rest. The greatest variations in body composition were observed during pre-season and transition in relation to variations in training load and competitive intensity. The results suggest that the phase of the macrocycle has a greater influence on these variations, although the physical characteristics of each position are relevant. Understanding these dynamics allows for the design of more personalized and efficient training programs to optimize the performance of footballers according to their roles and each stage of the season.

IntroductionOrthorexia lacks official recognition as an eating disorder; however, orthorexic behaviors, associated with a stringent selection of food, may serve as a predisposing factor to the development of eating disorders. It is characterized by an obsessive preoccupation with healthy eating and strict dietary standards, often prevalent in high-risk groups such as athletes and individuals concerned with their physical appearance. The objective of this study was to evaluate the incidence of orthorexia among students exhibiting varying lifestyles (including dietary habits and levels of physical activity, along with their respective motivational factors). The research involved 600 participants equally distributed between health-related (HRF) and non-health-related (NRF) academic categories, with the majority of participants in the HRF category being women.MethodsAssessments included BMI calculations, dietary evaluation based on Polish standards, categorization of physical activity levels, the EMI-2 questionnaire on motivation to exercise, the DOS test for orthorexia propensity, and the TFEQ-13 questionnaire for eating behavior.Results and discussionResults showed that primary motivators for physical activity included disease prevention, health maintenance, strength/endurance, and physical appearance. Orthorexia tendencies were prevalent, particularly in the HRF group, linked to lower BMI, better diet quality, higher physical activity levels, and a higher prevalence of restrictive eating. In conclusion, students in health-related fields, driven by a strong health consciousness, are at risk of orthorexia. This emphasizes the need for balanced health education and support.ConclusionOrthorexic tendencies are associated with distorted perceptions of food portions and calories, underscoring the importance of awareness and intervention.

Background: Some epidemiological studies suggest that early exposure to animal allergens during infancy reduces the risk of bronchial asthma in school-age children. However, the observed associations in some cases may be an effect of the study used (epidemiological observational studies, especially a cross-sectional study) and indicate reverse causality. Aim: This study aimed to determine the association between exposure to animal allergens and the prevalence of respiratory diseases, including bronchial asthma, considering the potential impact of reverse causality on the observed relationships. Material and methods: An analysis of data from a cross-sectional epidemiological study conducted in 2020 involving 3237 primary school students aged 7–15 years in the Silesian Province (Southern Poland) was carried out. The parents of students completed a questionnaire based on The International Study on Asthma and Allergies in Childhood (ISAAC). The relationship between the occurrence of chronic cough, wheezing, and dyspnea in the last 12 months, night waking due to dyspnea, and asthma in the presence of pets was assessed. Exposure to animal allergens was determined by answering the question, “Are there any furry or feathered animals in the home?” with three response options: “yes; they have been in the past; no” (Scenario 1). For the analyses and to reveal a potential reverse causality effect, the last two response categories regarding pet ownership were combined to form a “no” category in Scenario 2, and the first two answers were combined into a “yes” category in Scenario 3. A chi-square test was used to assess the relationship between variables, and a statistical significance level of p < 0.05 was adopted. Results: Chronic cough affected 9.5% of children, wheezing in the last 12 months—9.2%, night waking due to dyspnea—5.8%, dyspnea in the last 12 months—4.8%, bronchial asthma—9.2%. Analysis considering the category of having or not having pets (yes vs. no) showed that bronchial asthma was statistically significantly more common in children who did not have pets at home (10.9% vs. 7.9%, p = 0.002). A similar situation was observed for wheezing in the past 12 months (10.7% vs. 8.1%; p = 0.01) and nocturnal awakening due to dyspnea (6.8% vs. 5.1%, p = 0.03). No statistically significant differences were observed for the other symptoms. Analysis by time of pet ownership (a. present; b. present but in the past; c. not present) highlighted similar relationships. Asthma (a. 7.7% vs. b. 13.4% vs. c. 7.7%; p = 0.004), wheezing in the past 12 months (a. 8.1% vs. b. 8.9% vs. c. 10.9%, p = 0.03) and night waking (a. 5.0% vs. b. 4.5% vs. c. 7.1%; p = 0.04) were more common in children without pets and those who had owned pets in the past. The highest proportion of children with asthma was in homes where pets were present in the past. Conclusions: Analyses indicating a relationship between a higher prevalence of asthma and some respiratory symptoms, and the absence of pets cannot be considered as a casual association. The analysis conducted did not reveal a reverse causality effect. The results of observational epidemiological studies, especially a cross-sectional study, should always be interpreted with caution, considering possible distortions and conclusions drawn.

Background. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. Materials and Methods. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). Results. The study group included 900 participants. There were 300 physicians (mean age 38±7 years), 300 nurses (mean age 35±6 years), and 300 paramedics (mean age 31±5 years). Life satisfaction as measured by the SWLS was lowest among nurses and paramedics in 2021 and among doctors in 2022. Male respondents and those with fewer years of work had higher levels of life satisfaction. People with more years of work had higher scores in EE and DEP and lower scores in SRPA (p=0.001). We found a negative correlation between life satisfaction and EE (p=0.001), DEP (p=0.001), and SRPA (p=0.002). Conclusions. The results highlight the need for further research into the causes of burnout among medical professionals and the need for effective interventions to promote well-being and prevent burnout in this group.

Interest in the human microbiome in terms of mental health has increased with the rise in psychiatric diseases and disorders. The digestive system, the immune system, the brain, and the autonomic nervous system can all suffer from long-term lack of sleep and relaxation brought on by stress. There is little doubt that stress affects the human intestinal microbiota’s health and encourages problems with its composition, according to scientific studies. Chronic stress exposure raises the risk of both physical and mental illnesses. Therefore, this review’s goal was to support the theory that diseases including anxiety and stress are influenced by microbiome patterns. A total of 8600 sources directly relevant to this study’s topic were chosen from the 236,808 records returned by the literature search, and those with the highest scientific value were then selected based on bibliometric impact factors, language, and year of publication. A total of 87 sources, the most recent scientific output, were finally used for the literature review’s final analysis. The small number of studies on the subject indicates that it is still a developing problem, according to the literature study.

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.

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.

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.

According to current knowledge, a properly colonized human microbiota contributes to the proper functioning of the body. The composition of the natural flora changes depending on age, health, living conditions, and the use of antimicrobial agents: antibiotics, disinfectants, and some cosmetics. The human body is diversely populated with microorganisms and undergoes constant changes under the influence of various factors, and its proper composition is extremely important for the proper functioning of the body. Given the above, it was decided that we would review current scientific research that explains the cause–effect relationship between the composition of microorganisms populating the human body and health, focusing on women’s health. As a result, an overview paper was prepared based on 109 scientific sources from 2009–2022. Special attention was paid to the most recent scientific studies of the last five years, which account for more than 75% of the cited sources.

Background: Most epidemiological studies indicate that bronchial asthma is not a risk factor for COVID-19, but previous analyses have not additionally focused on the socioeconomic determinants of SARS-CoV-2 infection in children with asthma, bronchitis, and respiratory symptoms. Aims: This research aimed to investigate the correlation between the socioeconomic status of families and the prevalence of respiratory conditions such as asthma, bronchitis, and respiratory symptoms in children, in addition to exploring their association with the prevalence of COVID-19. The study involved a cross-sectional epidemiological investigation conducted in 2022, encompassing 2454 students from elementary schools in Poland. The parents of the students completed a questionnaire modeled after the International Study on Asthma and Allergies in Childhood (ISAAC). Socioeconomic status (SES) indicators were determined based on parental education, self-reported economic status, and housing conditions. To assess the impact of social factors and health on the occurrence of COVID-19, odds ratios (ORs) were calculated. The findings revealed several COVID-19 risk factors, including higher maternal (OR 2.2; 95%CI: 1.3–3.0) and paternal education (OR 1.9; 95%CI: 1.3–2.4), urban residence (OR 1.7; 95%CI: 1.3–2.1), the presence of mold in residences (OR 1.7; 95%CI: 1.0–2.3), bronchitis (OR 1.5; 95%CI: 1.2–2.0), and chronic cough (OR 1.8; 95%CI: 1.3–2.4). Further analysis, stratifying children based on their baseline health status (i.e., presence or absence of asthma, bronchitis, and chronic cough), indicated that higher parental education increased the risk of COVID-19 solely for children without pre-existing conditions. The occurrence of SARS-CoV-2 infections was found to be notably associated with mold exposure in children who did not have bronchial asthma. Rigorous multivariate analyses substantiated the collective impact of factors such as residential environment, the existence of mold and moisture, and a history of bronchitis. This study’s conclusions highlight a higher frequency of SARS-CoV-2 infections in cases where bronchitis had been diagnosed previously and chronic cough was prevalent. Interestingly, the initially hypothesized higher prevalence of COVID-19 among children with bronchial asthma did not receive confirmation in our findings. This study highlights the importance of urban residence, exposure to mold or dampness, and higher parental education in the incidence of COVID-19. Higher parental education was a significant factor in increasing the risk of COVID-19 among children without bronchitis, chronic cough, and asthma.

Background Breast cancer is the most common cancer among women. Despite of the progress of medicine and develop of treatment, it is still the second couse of death among women. To reduce the risk of getting breast cancer, the more ofen teratement is "preventive mastectomies" which completely remove the breast gland by healty women that are in the "high risk" group. Material and Methods To conduct the research I develop a survey, written by my own. The study included 252 women from Poland over the age of 18. Results The opinion about the performance of preventive mastectomies in case of women in "high risk" was very diverse. Only 13% of interviewees were convinced that they would have the surgery and up to 29% could not give an answer. Most woman (86%) are convinced that breast cancer is genetically determined. That mastectomy can be a way to prevent breast cancer agrees 69% of respondents. More than half of respondents (52%) don't know if such surgery is in Poland available. Only half of the respondents could indicate the place where an examination of an increased risk of breast cancer can be made (49%). 81% of respondents examine there breasts at least with one method, and 19% did not check it at all. Conclusions The knowledge about the heredity of cancer and the availability of treatments is insufficient. Women are not convinced that they would have gone to radical preventive treatment, and they are afraid of many consequences connected with it. It is essential to educate the public including the medical stuff in this scope. It is also important that the patient together with his doctor examined all the possible options for limiting the risk of cancer.

BACKGROUND: Physical activity is an extremely important part of diet and carries a number of health-promoting benefits towards health. A distinction is made between exercise-related physical activity and spontaneous physical activity. The diet of school-aged children is of particular importance, due to the development of the body. The consequence of low physical activity with an inadequate diet generates the development of various diseases. Purpose: The purpose of this study is to evaluate the impact of physical activity on the body weight of students of elementary schools 1 and 2 in Radzionków. Material and methods: The study included 260 students of grades I-VIII of Elementary Schools Nos. 1 and 2 in Radzionków. A proprietary questionnaire addressed to the parents of the students containing questions about the students' anthropometric measurements, physical activity and eating habits was used to conduct the study. Results: Physical activity is at a high level. Most children had a normal body weight. Among the students surveyed, 71% indicated that they mainly spend their free time in active form. Students participate in swimming classes in the greatest number. Several times a week (55%) children attend extra-curricular activities. Consumption of sweets and fast food is at a low level. Eating the recommended daily serving of fruits and vegetables affects only 43% of children. Among the most commonly consumed beverages, 84% of children choose water at 1-1.5 liters per day. Conclusions: A significant part of the study group has a normal body weight, so it can be assumed that physical activity combined with appropriate eating habits has a health-promoting effect on body weight.

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.

I N T R O D U C T I O N: The results of direct surgical release of the median nerve in patients with carpal tunnel syndrome are frequently far from being satisfactory. Aim of the presented study is to assess the early results of bipolar pulsed radiofrequency (PRF) neuromodulation of the median nerve (MN) for treatment of carpal tunnel syndrome (CTS). M A T E R I A L A N D M E T H O D S: Fifteen adult patients with CTS (10 women and 5 men, mean age 58.5 years) were treated. The bipolar technique of neuromodulation was applied, with confirmation of the correct electrode position by neurophysiological examination. The study protocol included the Boston Carpal Tunnel Questionnaire (BCTQ), Numerical Rating Scale (NRS) for pain assessment and tip pinch strength assessment performed before neuromodulation as well as 4 and 12 weeks after treatment. Moreover, the sensory nerve conduction velocity (SNCV) was assessed before and 12 weeks after the intervention. R E S U L T S: A significant improvement in symptom severity (33.53 ± 8.25 at the baseline vs. 18.33 ± 11.06 and 25.67 ± 12.39 at 4 and 12 weeks) and functional status (21.0 ± 5.79 vs. 12.07 ± 7.20 and 17.73 ± 9.09) BCTQ subscores, as well as tip pinch strength (3.39 ± 1.68 vs. 5.86 ± 1.98 and 4.93 ± 2.22) were observed. A reduction in pain and improvement in SNCV were also found, but did not reach statistical significance. C O N C L U S I O N S: Bipolar PRF neuromodulation of MN is a promising therapeutic tool for patients with CTS and could potentially be an alternative to direct surgical release of MN. A longer follow-up period is required to assess the longevity of clinical improvement after the treatment.

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.

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. 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. 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. 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.

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.

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. 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. 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. 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.

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.

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.

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.

Pre- and postnatal factors influence the formation of the newborn’s microbiome as early as birth and the intrauterine period has a substantial impact on the composition of the baby’s gastrointestinal microbiota and its subsequent development. This study intends to measure pregnant women’s knowledge of the importance of microbiota for the health of the newborn. The sample was selected based on defined inclusion and exclusion criteria. The assessment of women’s knowledge was assessed by the Kolmogorov–Smirnov and Kruskal–Wallis statistical tests. This study population comprised 291 adult pregnant women with a mean age of 28.4 ± 4.7 years. A total of 34% (n = 99), 35% (n = 101), and 31.3% (n = 91) were at the 1–3 trimester, respectively. The results showed that 36.4% of the women were aware that the intrauterine period changes the makeup of the gastrointestinal microbiota, whereas 5.8% exhibited awareness of the composition of the child’s normal gut microbiota. Most of the women surveyed—(72.1%)—know that colonization of the tract occurs as early as the birth period. Women with student status (those who will pursue higher education in the future) and those who had given birth to the most children exhibited higher levels of knowledge.

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

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

Background. Postpandemic stress disorder (PPSD) is an unofficial term that refers to posttraumatic stress disorder (PTSD), a mental disorder resulting from increased stress, anxiety, and trauma associated with unpleasant life experiences. Many scientific studies indicate that symptoms of increased stress, job burnout, anxiety, and depressive disorders are associated with medical personnel performing their professional duties around COVID-19 patients. Objective. The purpose of this study was to assess the prevalence of symptoms that may indicate the presence of PPSD symptoms—depression, anxiety, and stress—in medical personnel. Material and Methods. The survey included 300 people, representatives of medical personnel. The group was divided into two sections. The first section numbered 150 and consisted of personnel in direct contact with COVID-19 patients (FR); the second group also consisted of 150 medical professionals, who but no longer directly involved in helping with COVID-19 cases (SR). The survey was conducted by indirect survey method using CAWI (computer-assisted web interview). The survey used a questionnaire technique. A proprietary tool enriched with standardized psychometric scales: BDI, GAD-7, FCV-19S, and PSS-10 was used. Kruskal-Wallis and Mann–Whitney U statistical tests were used in the statistical processing of the data. The probability level was 0.05. Results. Statistical inference made it clear that mental health problems that may indicate trauma are mainly present in the FR group. These symptoms decreased slightly in comparison between periods 2020 and 2021 (p

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.