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Fismen AS, Galler M, Klepp KI, Chatelan A, Residori C, Ojala K, Dzielska A, Kelly C, Melkumova M, Musić Milanović S, Nardone P, Štefanová E, Flodgren G, Bakke T, Ercan O, Samdal O, Helleve A. Weight Status and Mental Well-Being Among Adolescents: The Mediating Role of Self-Perceived Body Weight. A Cross-National Survey. J Adolesc Health 2022; 71:187-195. [PMID: 35428562 DOI: 10.1016/j.jadohealth.2022.02.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 12/17/2021] [Accepted: 02/25/2022] [Indexed: 12/28/2022]
Abstract
PURPOSE Overweight and obesity are associated with poor mental health in adolescents. However, little is known about whether the influence of overweight and obesity on mental well-being is mediated by self-perceived body weight. Exploring the mechanisms underlying the relationships between obesity and mental well-being is of interest to policy makers and others working in the field of adolescent health. METHODS This study was based on nationally representative data from adolescents (age 15 years) who participated in the 2017/2018 Health Behaviour in School-aged Children study (47 countries, N = 76,998). Mixed regression models that included gender and socioeconomic status as covariates were used to identify associations between weight status and mental well-being (life satisfaction and subjective health complaints) and to explore whether self-perceived body weight (feeling too thin or too fat) has a mediating effect. Associations between weight status, self-perceived weight, and mental well-being were further assessed country by country. RESULTS Self-perceived body weight mediated the observed associations between overweight or obesity and mental well-being. Perceiving one's body weight as "too thin" or "too fat" was associated with poorer mental well-being, regardless of weight status. Self-perceived body weight varied by gender, socioeconomic status, and country. DISCUSSION Self-perceived body weight may explain, to a greater extent than body mass index, variation in mental well-being among adolescents. These results are important to policy makers, clinicians, and others targeting adolescent health.
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Affiliation(s)
- Anne-Siri Fismen
- Division of Mental and Physical Health, Department of Health Promotion, Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Bergen, Norway.
| | - Martina Galler
- Department of Innovation, Sensory and Consumer Science, Nofima, Ås, Norway
| | - Knut-Inge Klepp
- Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Angeline Chatelan
- School of Public Health, Free University of Brussels, Brussels, Belgium
| | - Caroline Residori
- Centre for Childhood and Youth Research, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Kristiina Ojala
- Faculty of Sport and Health Sciences, Research Centre for Health Promotion, University of Jyväskylä, Jyväskylä, Finland
| | - Anna Dzielska
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Colette Kelly
- Health Promotion Research Centre, School of Health Sciences, National University of Ireland Galway, Galway, Ireland
| | - Marina Melkumova
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Sanja Musić Milanović
- Croatian Institute of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Paola Nardone
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy
| | - Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia
| | - Gerd Flodgren
- Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway
| | - Therese Bakke
- Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Oya Ercan
- Department of Pediatrics, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Oddrun Samdal
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Arnfinn Helleve
- Division of Mental and Physical Health, Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
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Sovičová M, Baška T, Kuka S, Tatarková M, Štefanová E, Marušiaková M, Hudečková H. Private wells as potential sources of heavy metal exposure: a pilot study in northwest Slovakia. Cent Eur J Public Health 2022; 29:265-270. [PMID: 35026064 DOI: 10.21101/cejph.a6721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 10/28/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The aim of this study is to analyse levels of selected heavy metals: chromium (Cr), cadmium (Cd), copper (Cu), manganese (Mn), and lead (Pb), and to recognize factors related to wells' stewardship. METHODS The pilot study was realized in May 2018 in three villages in northwest of Slovakia. We analysed 69 water samples from private wells. The data on wells and well owners were obtained by self-administered questionnaire. The samples were analysed by atomic absorption spectroscopy with graphite furnace GF AAS (AAS GBC XplorAA 5000 with GBC GF 5000) equipped with hollow cathode lamps. Levels of heavy metals were compared with parametric values for drinking water stated in the Resolution of the Ministry of Health of the Slovak Republic No. 247/2017 Coll. RESULTS The results indicated spatial variability in some heavy metal levels. Cadmium was not quantified in any sample. Copper and chromium levels were below the parametric value. Parametric values for manganese and lead were exceeded in 19 (27.5%) and 2 (2.9%) samples, respectively. Only 18 owners tested water quality. Busyness and financial cost most frequently discouraged users to carry out the water quality analysis. CONCLUSIONS The presence of heavy metals in well water can pose a serious public health problem, especially in rural areas without public water supply. Education on heavy metals' risks targeted at well owners could increase the awareness of the issue and minimize possible public health consequences.
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Affiliation(s)
- Miroslava Sovičová
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic.,Regional Public Health Authority, Martin, Slovak Republic
| | - Tibor Baška
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic
| | - Stanislav Kuka
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic
| | - Mária Tatarková
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic
| | - Eliška Štefanová
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic.,Regional Public Health Authority, Martin, Slovak Republic
| | - Mária Marušiaková
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic.,Regional Public Health Authority, Martin, Slovak Republic
| | - Henrieta Hudečková
- Department of Public Health, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Martin, Slovak Republic
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Tatarková M, Baška T, Ulbrichtová R, Kuka S, Sovičová M, Štefanová E, Malobická E, Hudečková H. Determination of Cadmium and Chromium in Fruit Spirits Intended for Own Consumption Using Graphite Furnace Atomic Absorption Spectrometry. Acta Medica (Hradec Kralove) 2021; 64:213-217. [PMID: 35285443 DOI: 10.14712/18059694.2022.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Analysis of the occurrence of cadmium and chromium in selected samples of fruit spirits intended for own consumption. MATERIAL AND METHODS In our pilot study, we analysed 89 samples of fruit spirits intended for own consumption. The samples were mineralized with use of microwave decomposition system MULTIWAVE 60 50 Hz and analysed by atomic absorption spectrometry with a graphite furnace (AAS GBC XPLORAA 5000 with GF 5000). RESULTS Most of the analysed samples originated from plums (39), apples (38) and pears (5). The average ethanol concentration was 53.7%. Cadmium and chromium were detected in all samples. The highest concentration of chromium and cadmium was found in the apple spirit (31.9 ± 6.6 μg/l and 40.1 ± 8.3 μg/l). CONCLUSIONS The ethanol concentration in the samples was higher than in distribution spirits. Concentrations of chromium in all samples did not exceed the limit given by the Slovak legislation or the limit of the AMPHORA. The permissible cadmium concentration (10 μg/l according to the AMPHORA) was exceeded in 9 samples. This indicates the potential importance of cadmium compared to chromium. Due to the lack of information in this field, the study presents an important starting point for further research.
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Affiliation(s)
- Mária Tatarková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic.
| | - Tibor Baška
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Romana Ulbrichtová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Stanislav Kuka
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Miroslava Sovičová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Eva Malobická
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
| | - Henrieta Hudečková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovak Republic
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Štefanová E, Baška T, Holubčíková J, Timková S, Tatarková M, Sovičová M, Hudečková H. Selected Behavioural Factors Affecting Oral Health in Schoolchildren: Results from the Health Behaviour in School-Aged Children (HBSC) Slovak Study. Int J Environ Res Public Health 2020; 17:ijerph17207516. [PMID: 33076480 PMCID: PMC7602590 DOI: 10.3390/ijerph17207516] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 10/07/2020] [Accepted: 10/12/2020] [Indexed: 11/17/2022]
Abstract
Oral diseases, particularly dental caries, affect as much as nine in 10 persons globally. Its development starts during childhood. Behavioural factors play an important role in its aetiology. The aim of the research was to analyse the prevalence of selected behavioural factors associated with dental caries in Slovak adolescents. Selected factors, such as toothbrushing less than once a day, consumption of sweets and sweetened soft drinks daily and their combination, were analysed using data from Health Behaviour in School-Aged Children surveys carried out in 2005/2006, 2009/2010, 2013/2014 and 2017/2018 in Slovakia. The target group consisted of 11- to 13-year-old schoolchildren. The results were analysed by sex and socioeconomic status. The consumption of sweets and sweetened soft drinks, despite declining, remains widespread (41.3% of boys and 39.6% of girls in 2017/2018). The absence of daily toothbrushing, similarly as a co-occurrence of factors, were more frequent in boys (10.6% and 5.0% in 2017/2018, respectively) than in girls (5.1% and 2.3% in 2017/2018, respectively). The absence of daily toothbrushing was associated with a lower socioeconomic situation. In conclusion, behavioural risk factors affecting oral health are widespread in Slovak adolescents. Despite the positive development of the epidemiological situation, effective interventions, as well as the improvement of oral hygiene in lower socioeconomic groups, are needed.
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Affiliation(s)
- Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Malá Hora 11149/4B, 036 01 Martin, Slovakia; (E.Š.); (T.B.); (M.T.); (M.S.); (H.H.)
| | - Tibor Baška
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Malá Hora 11149/4B, 036 01 Martin, Slovakia; (E.Š.); (T.B.); (M.T.); (M.S.); (H.H.)
| | - Jana Holubčíková
- Department of Health Psychology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, 040 11 Košice, Slovakia;
| | - Silvia Timková
- 1st Department of Stomatology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice and University Hospital of Luis Pasteur, 040 11 Košice, Slovakia
- Correspondence: ; Tel.: +421 55 234 3305
| | - Mária Tatarková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Malá Hora 11149/4B, 036 01 Martin, Slovakia; (E.Š.); (T.B.); (M.T.); (M.S.); (H.H.)
| | - Miroslava Sovičová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Malá Hora 11149/4B, 036 01 Martin, Slovakia; (E.Š.); (T.B.); (M.T.); (M.S.); (H.H.)
| | - Henrieta Hudečková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Malá Hora 11149/4B, 036 01 Martin, Slovakia; (E.Š.); (T.B.); (M.T.); (M.S.); (H.H.)
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Štefanová E, Bakalár P, Baška T. Eating-Disordered Behavior in Adolescents: Associations with Body Image, Body Composition and Physical Activity. Int J Environ Res Public Health 2020; 17:ijerph17186665. [PMID: 32933145 PMCID: PMC7558562 DOI: 10.3390/ijerph17186665] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 09/02/2020] [Accepted: 09/10/2020] [Indexed: 01/18/2023]
Abstract
Eating disorders (EDs) represent a disparate group of mental health problems that significantly impair physical health or psychosocial functioning. The aim of this study was to present some evidence about the prevalence of eating-disordered behavior (EDB) in adolescents, and explore its associations with body image (BI), body composition (BC) and physical activity (PA) in this age group. Data from 780 adolescents participating in a health behavior in school-aged children (HBSC) study conducted in Slovakia in 2018 were used (mean age 13.5 ± 1.3; 56% boys). Differences in mean values of numerical indicators were evaluated using the independent samples t-test. Differences between nominal variables were assessed by the chi-square test. Pearson correlation was used to describe the associations between all the selected variables. EDB was positively screened in 26.7% (208/780) of adolescents, with a higher prevalence in girls (128/344, 37.2%) than in boys (80/436, 18.3%). Significantly higher means of BI, body weight (BW), body mass index (BMI), body fat mass (BFM), body fat percentage (BFP), body fat mass index (BFMI), fat free mass index (FFMI), and SCOFF questionnaire score (SCOFF QS) were found in those positively screened for EDB. Pearson correlation analysis revealed positive associations between EDB and BI, BW, BMI, BFM, BFP and BFMI. The prevalence of EDB is high in Slovak adolescents. Positive associations between EDB, BI, BMI and fat-related body composition parameters support the idea of a more integrated approach in EDs and obesity prevention and treatment. At the same time, gender differences suggest the need for considering gender-specific strategies aimed at girls and boys separately.
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Affiliation(s)
- Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, 036 01 Martin, Slovakia; (E.Š.); (T.B.)
| | - Peter Bakalár
- Department of Sports Educology and Humanistics, Faculty of Sports, University of Presov, 080 01 Presov, Slovakia
- Correspondence:
| | - Tibor Baška
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, 036 01 Martin, Slovakia; (E.Š.); (T.B.)
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Tatarková M, Baška T, Sovičová M, Kuka S, Štefanová E, Novák M, Váňová B, Hudečková H. Lead contamination of fruit spirits intended for own consumption as a potential overlooked public health issue? A pilot study. Cent Eur J Public Health 2019; 27:110-114. [PMID: 31241285 DOI: 10.21101/cejph.a5524] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 04/24/2019] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The aim of the study was to analyse the occurrence of lead in selected samples of fruit distilled spirits for own consumptions in terms of possible contribution to the occurrence of alcohol-attributable diseases. METHODS In a pilot study, we analysed 18 samples of fruit spirits for own consumption. Most of the samples were distilled in the local growing distilleries in the Žilina Region with exception of 3 samples collected in the Trnava Region (one of them was of Hungarian origin). Sample preparation included previous mineralization with use of microwave decomposition system Multiwave 60 50 Hz. The samples were analysed by atomic absorption spectroscopy with graphic furnace (AAS GBC XplorAA 5000 with GF 5000). RESULTS The average ethanol level in our samples was higher in comparison with distributed spirits. We detected lead in all samples. In two of them the concentration was lower than the limit of quantitation (LOQ). The highest lead concentrations were observed in plum spirit from Hungary (581.0 μg/l), and in grape spirit made in the Trnava Region (466.3 μg/l). CONCLUSIONS Lead is a widespread contaminant of fruit spirits prepared for own consumption. Taking into consideration its common occurrence and possible multiplicative effect with ethanol, we can assume that lead can contribute to the occurrence of several alcohol-attributable chronic diseases. Due to the insufficient information in this field, our results provide significant insight into the issue and present an important starting point for further research.
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Affiliation(s)
- Mária Tatarková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Tibor Baška
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Miroslava Sovičová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Stanislav Kuka
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Martin Novák
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Barbora Váňová
- Department of Molecular Biology, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
| | - Henrieta Hudečková
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University, Martin, Slovak Republic
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Štefanová E, Baška T, Boberová Z, Husárová D, Dankulincová Veselská Z, Hudečková H. "Voice of Children": Qualitative analysis of children's interpretations regarding nutritional behaviour. Acta Gymnica 2018. [DOI: 10.5507/ag.2018.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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