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Li Z, Li L, Zheng J, Li M, Wu S, Xin K, Li R, Bai S, Chen X. Associations between lumbar bone mineral density, serum 25-hydroxyvitamin D and history of kidney stones in adults aged 30-69 years in the USA (NHANES 2011-2018). BMJ Open 2023; 13:e070555. [PMID: 37221021 DOI: 10.1136/bmjopen-2022-070555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
OBJECTIVES Most kidney stones contain calcium, which is closely associated with human bone health. Therefore, we aimed to determine the relationship between the history of kidney stones and human bone health. This study examined the associations between lumbar bone mineral density (BMD), serum 25-hydroxyvitamin D (25-OHD) and a history of kidney stones in individuals aged between 30 years and 69 years. DESIGN AND DATA ANALYSIS A multivariate logistic regression model was used to estimate the relationship between lumbar BMD, serum 25-OHD levels and kidney stones in this cross-sectional study. All models incorporated survey sample weights and were adjusted for covariates. SETTING National Health and Nutrition Examination Survey (NHANES) 2011-2018. The exposure and outcomes of this study included the lumbar BMD and presence of kidney stones. PARTICIPANTS All the 7500 participants for this cross-sectional survey were selected from the NHANES between 2011 and 2018. MAIN OUTCOME MEASURES The main outcome of this study was the presence of kidney stones. The interviewers asked the questions on kidney stones while the respondents were at home, using a computer-assisted personal interview system. RESULTS Lumbar BMD was negatively correlated with a history of kidney stones in all three multivariate linear regression models; the negative association existed in all genders after adjusting for all confounding factors. In the multiple regression analysis, there was an interaction between serum 25-OHD and lumbar BMD (p<0.05) regarding the influence on kidney stones; the negative association between lumbar BMD and kidney stones was more obvious in the higher 25-OHD group (≥50 nmol/L). CONCLUSION The study results suggest that maintaining a high lumbar BMD may reduce the incidence of kidney stone formation. Simultaneously, maintaining a high serum 25-OHD level may be more beneficial in preventing the occurrence or recurrence of stones while ensuring a high lumbar BMD.
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Affiliation(s)
- Zeyu Li
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Lei Li
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Jianyi Zheng
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Mingyang Li
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Siyu Wu
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Kerong Xin
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Rong Li
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Song Bai
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Xiaonan Chen
- Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
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Stoś K, Rychlik E, Woźniak A, Ołtarzewski M. Red and Processed Meat Consumption in Poland. Foods 2022; 11:3283. [PMID: 37431030 PMCID: PMC9601906 DOI: 10.3390/foods11203283] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/14/2022] [Accepted: 10/18/2022] [Indexed: 07/30/2023] Open
Abstract
The aim of the study was to assess the quantity and frequency of meat consumption, especially of red and processed meat, in Poland. The amount of meat consumed was assessed using data from household budget surveys undertaken in 2000, 2010, and 2020. The frequency of consumption was assessed using Food Propensity Questionnaire data from 1831 adults in 2019-2020. Poles consumed 1.35 kg of unprocessed red meat and 1.96 kg of total processed meat per person per month in 2020. The consumption of red meat was lower than in the two previous decades; the consumption of processed meat fluctuated. Pork was the most commonly consumed red meat: 40% of adults consumed pork 2-3 times a week. Beef and other unprocessed red meat were most often consumed less than once a month (29.1%). Processed meat was often consumed: 37.8% of adults ate cold cuts, and 34.9% ate sausages and bacon 2-3 times a week. The consumption of red and processed meat in Poland was high and frequent. In particular, the consumption of processed meat exceeded the recommendations and might increase the risk of chronic diseases. It is necessary to implement activities aimed at reducing the consumption of red and processed meat in Poland.
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Affiliation(s)
- Katarzyna Stoś
- National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
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Stoś K, Rychlik E, Woźniak A, Ołtarzewski M, Jankowski M, Gujski M, Juszczyk G. Prevalence and Sociodemographic Factors Associated with Overweight and Obesity among Adults in Poland: A 2019/2020 Nationwide Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1502. [PMID: 35162521 PMCID: PMC8834843 DOI: 10.3390/ijerph19031502] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 01/21/2022] [Accepted: 01/25/2022] [Indexed: 02/01/2023]
Abstract
Detailed characteristics of the weight status of the population is necessary for the effective prevention of health disorders, e.g., through personalized nutrition education. This study aimed to characterize weight status and identify sociodemographic factors associated with overweight/obesity in a representative sample of adult inhabitants of Poland. This cross-sectional study was carried out from July 2019 to February 2020 on a representative nationwide sample of individuals aged 18+ in Poland. The study consisted of two parts: questionnaire survey and anthropometric measurements. The body mass index was calculated. Data on 1831 adults (50.3% females; mean age 51.7 ± 19.9 years) were included in this analysis. The prevalence of overweight was 42.2% (52.4% among males and 32.0% among females). Of the 1831 participants, 16.4% were obese (16.5% of males and 16.2% of females). Out of 11 factors analyzed in this study, only 5 were significantly associated with overweight/obesity. Males, older participants, occupationally active individuals, those living in rural areas and individuals with at least one chronic disease had greater odds of overweight/obesity. This study demonstrated a high prevalence of overweight and obesity among adults in Poland. This is the most up-to-date representative study on nutritional status carried out before the COVID-19 pandemic.
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Affiliation(s)
- Katarzyna Stoś
- Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland; (A.W.); (M.O.)
| | - Ewa Rychlik
- Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland; (A.W.); (M.O.)
| | - Agnieszka Woźniak
- Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland; (A.W.); (M.O.)
| | - Maciej Ołtarzewski
- Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland; (A.W.); (M.O.)
| | - Mateusz Jankowski
- Centre of Postgraduate Medical Education, School of Public Health, 01-826 Warsaw, Poland;
| | - Mariusz Gujski
- Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland; (M.G.); (G.J.)
| | - Grzegorz Juszczyk
- Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland; (M.G.); (G.J.)
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Jankowski M, Pinkas J, Zgliczyński WS, Kaleta D, Wierzba W, Gujski M, Rees VW. Voluntary Smoke-Free Home Rules and Exposure to Secondhand Smoke in Poland: A National Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7502. [PMID: 33076351 PMCID: PMC7602554 DOI: 10.3390/ijerph17207502] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 10/01/2020] [Accepted: 10/13/2020] [Indexed: 11/18/2022]
Abstract
Smoke-free policies have been shown to significantly reduce secondhand smoke (SHS) exposure in private and public places. The objectives of this study were to: (1) to assess the prevalence and characteristics of voluntary smoke-free home rules in Poland; and (2) assess the association of smoke-free rules with self-reported SHS exposure in private homes. A cross-sectional survey was conducted in September 2019 with a nationally representative sample of 1011 individuals aged 15 and over. Nationally, 66.1% of individuals had a 100% smoke-free home rule (78.9% of non-smokers and 18.6% of smokers; p < 0.001), while a further 24.6% had adopted a partial home smoking rule. SHS exposure in the home during past month was reported by 6.1% of respondents (11.5% of smokers and 4.5% of non-smokers; p < 0.001). The lowest level of SHS exposure (1.8%) was observed among respondents who had implemented a full smoke-free home rule. Non-smokers had higher odds of having adopted a total smoke-free home rule compared with smokers (aOR: 19.17; 95% CI: 12.89-28.50). Moreover, non-smokers had lower odds (aOR: 0.35; 95% CI: 0.20-0.61; p < 0.001) of self-reporting SHS smoke exposure at home. Although two-thirds of the Polish population have adopted a full smoke-free home rule in their homes, smokers continue to lag in adoption rates relative to non-smokers.
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Affiliation(s)
- Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.); (J.P.); (W.S.Z.)
- Center for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.); (J.P.); (W.S.Z.)
| | - Wojciech S. Zgliczyński
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.); (J.P.); (W.S.Z.)
| | - Dorota Kaleta
- Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Łódź, Poland;
| | - Waldemar Wierzba
- UHE Satellite Campus in Warsaw, University of Humanities and Economics in Łódź, 01-513 Warsaw, Poland;
| | - Mariusz Gujski
- Department of the Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - Vaughan W. Rees
- Center for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
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Pinkas J, Kaleta D, Zgliczyński WS, Lusawa A, Wrześniewska-Wal I, Wierzba W, Gujski M, Jankowski M. The Prevalence of Tobacco and E-Cigarette Use in Poland: A 2019 Nationwide Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E4820. [PMID: 31801221 PMCID: PMC6926521 DOI: 10.3390/ijerph16234820] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 11/26/2019] [Accepted: 11/28/2019] [Indexed: 12/22/2022]
Abstract
Monitoring of tobacco use is one of the key tobacco control activities. This study aimed to assess the current prevalence and patterns of tobacco and e-cigarette in Poland as well as to investigate socioeconomic factors associated with cigarette smoking and e-cigarette use. This cross-sectional study was carried out in 2019, on a representative nationwide sample of 1011 individuals aged 15+ in Poland. Daily tobacco smoking was declared by 21.0% of participants; 1.3% of participants were occasional tobacco smokers, and 10.7% were former tobacco smokers. Heated tobacco was used by 0.4% of participants. Ever e-cigarette use was declared by 4.0% of participants and 1.4% were current e-cigarette users. A higher proportion of daily smokers was observed among men than women (24.4% vs. 18.0%; p < 0.0001). The age group 30 to 49 years, of a lower educational level and living in a medium-sized city (between 20,000 and 500,000 residents), was significantly associated with current daily smoking. This is the most up-to-date study on the prevalence of smoking in Poland. Further tobacco control activities are needed to reduce tobacco use in Poland.
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Affiliation(s)
- Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (J.P.); (I.W.-W.); (M.J.)
- Chief Sanitary Inspectorate, 03-729 Warsaw, Poland;
| | - Dorota Kaleta
- Department of Hygiene and Epidemiology, Medical University of Lodz, 90-752 Łódź, Poland;
| | - Wojciech Stefan Zgliczyński
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (J.P.); (I.W.-W.); (M.J.)
| | | | - Iwona Wrześniewska-Wal
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (J.P.); (I.W.-W.); (M.J.)
| | - Waldemar Wierzba
- UHE Satellite Campus in Warsaw, University of Humanities and Economics in Łódź, 01-513 Warsaw; Poland;
| | - Mariusz Gujski
- Department of the Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, 02-091 Warsaw, Poland;
| | - Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (J.P.); (I.W.-W.); (M.J.)
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Gupta A, Perkins RB, Ortega G, Feldman S, Villa A. Barrier use during oro-genital sex and oral Human Papillomavirus prevalence: Analysis of NHANES 2009-2014. Oral Dis 2018; 25:609-616. [DOI: 10.1111/odi.12997] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 09/25/2018] [Accepted: 10/17/2018] [Indexed: 01/13/2023]
Affiliation(s)
- Avni Gupta
- Center for Surgery and Public Health; Brigham and Women’s Hospital; Boston Massachusetts
| | - Rebecca B. Perkins
- Department of Obstetrics and Gynecology; Boston Medical Center; Boston University School of Medicine; Boston Massachusetts
| | - Gezzer Ortega
- Center for Surgery and Public Health; Brigham and Women’s Hospital; Boston Massachusetts
| | - Sarah Feldman
- Division of Gynecological Oncology; Brigham and Women’s Hospital; Boston Massachusetts
| | - Alessandro Villa
- Division of Oral Medicine and Dentistry; Brigham and Women’s Hospital; Boston Massachusetts
- Department of Oral Medicine Infection and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
- Division of Oral Medicine and Oncology; Dana Farber Cancer Institute; Boston Massachusetts
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Connelly NA, Lauber TB, Niederdeppe J, Knuth BA. Using a Web-Based Diary Method to Estimate Risks and Benefits from Fish Consumption. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2018; 38:1116-1127. [PMID: 29059714 DOI: 10.1111/risa.12925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 08/17/2017] [Accepted: 08/27/2017] [Indexed: 06/07/2023]
Abstract
Accurate estimates of the amount and type of fish people eat are necessary to determine the health benefits and risks of consuming fish, and to assess compliance with fish consumption guidelines issued for fish affected by chemical contaminants. We developed a web-based and mobile-phone-enabled diary methodology to collect detailed fish consumption information for two 16-week periods in the summers of 2014 and 2015. We recruited study participants from two populations living in the Great Lakes region-women of childbearing age (WCBA) and urban residents who had purchased fishing licenses. In this article, we describe the methodology in detail and provide evidence related to participation rates, the representativeness of our sample over time, and both convergent validity and reliability of the data collection methods. Overall, 56% of WCBA and 50% of urban anglers provided complete data across both data collection periods. Among those who provided information at the beginning of Year 2, 97% of both audiences provided information throughout the entire 16-week period. Those who participated throughout the two-year period were slightly older on average (1.9-2.5 years) than other members of our original samples. We conclude that using diaries with web and smartphone technology, combined with incentives and persistent communication, has strong potential for assessing fish consumption in other areas of the country or for situations where the potential risks associated with fish consumption are substantial and the cost can be justified.
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Affiliation(s)
- Nancy A Connelly
- Department of Natural Resources, Cornell University, Ithaca, NY, USA
| | - T Bruce Lauber
- Department of Natural Resources, Cornell University, Ithaca, NY, USA
| | - Jeff Niederdeppe
- Department of Communication, Cornell University, Ithaca, NY, USA
| | - Barbara A Knuth
- Department of Natural Resources, Cornell University, Ithaca, NY, USA
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Falomir Z, Arregui M, Madueño F, Corella D, Coltell Ó. Automation of Food Questionnaires in Medical Studies: A state-of-the-art review and future prospects. Comput Biol Med 2012; 42:964-74. [DOI: 10.1016/j.compbiomed.2012.07.008] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Revised: 07/09/2012] [Accepted: 07/17/2012] [Indexed: 10/28/2022]
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