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Olszewski R, Obiała J, Obiała K, Owoc J, Mańczak M, Ćwiklińska K, Jabłońska M, Zegarow P, Grygielska J, Jaciubek M, Majka K, Stelmach D, Krupienicz A, Rysz J, Jeziorski K. Lost in Communication: Do Family Physicians Provide Patients with Information on Preventing Diet-Related Diseases? Int J Environ Res Public Health 2022; 19:10990. [PMID: 36078700 PMCID: PMC9517834 DOI: 10.3390/ijerph191710990] [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] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/26/2022] [Accepted: 08/31/2022] [Indexed: 06/15/2023]
Abstract
Diet-related diseases remain leading causes of death in most developed countries around the world. The aim of the study was to compare opinions of patients and family physicians on receiving and providing recommendations about physical activity, diet and use of medication. Methods: The questionnaire study was conducted among patients of 36 primary health care clinics in Poland between September 2018 and February 2019. Patients and physicians were interviewed separately by trained researchers. Data from 509 patients and 167 family doctors were analyzed. Results: The median age of patients was 44 years (interquartile range: 29-55) and 70% were women. The majority of physicians were women (59%) and the median age was 37 years (IQR: 31-50). There was a significant difference between physicians' declarations on providing recommendations on diet (92% vs. 39%) and activity (90% vs. 37%) versus patients' declarations on receiving them. Conclusions: The results indicate that there is significant room for improvement in providing patients with proper recommendations on diet and physical activity by their family physicians. Primary care physicians should put more emphasis on clear communication of recommendations on diet and physical activity.
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Affiliation(s)
- Robert Olszewski
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
- Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Pawinskiego 5B, 02-106 Warsaw, Poland
| | - Justyna Obiała
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Karolina Obiała
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Jakub Owoc
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Małgorzata Mańczak
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Klaudia Ćwiklińska
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Magdalena Jabłońska
- Department of the Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Banacha 1a, 02-091 Warsaw, Poland
| | - Paweł Zegarow
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Jolanta Grygielska
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
| | - Marzena Jaciubek
- Department of Fundamental of Nursing, Medical University of Warsaw, Erazma Ciołka 27, 01-445 Warsaw, Poland
| | - Katarzyna Majka
- Department of Fundamental of Nursing, Medical University of Warsaw, Erazma Ciołka 27, 01-445 Warsaw, Poland
| | - Daria Stelmach
- Students’ Scientific Group Affiliated to II Department of Obstetrics and Gynecology, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland
| | - Andrzej Krupienicz
- Department of Fundamental of Nursing, Medical University of Warsaw, Erazma Ciołka 27, 01-445 Warsaw, Poland
| | - Jacek Rysz
- Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 92-215 Lodz, Poland
| | - Krzysztof Jeziorski
- Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland
- Maria Sklodowska-Curie National Research Institute of Oncology, W.K. Roentgena 5, 02-781 Warsaw, Poland
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Majka K, Parol M, Nowicki A, Gambin B, Trawiński Z, Jaciubek M, Krupienicz A, Olszewski R. Comparison of the radial and brachial artery flow-mediated dilation in patients with hypertension. ADV CLIN EXP MED 2022; 31:241-248. [PMID: 35040291 DOI: 10.17219/acem/144040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Blood flow-mediated dilation (FMD) is a noninvasive assessment of vascular endothelial function in humans. The study of the FMD in hypertensive (HT) patients is an important factor supporting the recognition of the early mechanisms of cardiovascular pathologies, and also of the pathogenesis related to hypertension. OBJECTIVES To investigate whether FMD measured on the radial artery (FMD-RA) using high-frequency ultrasounds can be used as an alternative to FMD assessed with the lower frequency system on the brachial artery in patients with HT. MATERIAL AND METHODS The simultaneous measurements of FMD-RA and FMD measurements in the brachial artery (FMD-BA) were performed on 76 HT patients using 20 MHz and 7-12 MHz linear array probes, and were compared to the FMD measured in healthy groups. All quantitative data are presented as mean ± standard deviation (SD); the p-values of the normality and tests for variables comparisons are listed. The agreement of the FMD-RA and FMD-BA in HT patients was assessed with the Bland-Altman method, and using the intraclass correlation coefficient (ICC). In some statistical calculations, the FMD-RA values were rescaled by dividing them by a factor of 2. RESULTS The mean FMD-RA and FMD-BA in HT patients were 5.16 ±2.18% (95% confidence interval (95% CI): [4.50%, 5.82%]) and 2.13 ±1.12% (95% CI: [1.76%, 2.49%]), respectively. The FMD-RA and FMD-BA values of HT patients were significantly different than those in respective control groups. The p-values of Mann-Whitney-Wilcoxon tests were less than 0.05. The Bland-Altman coefficient for both measurement methods, FMD-RA and FMD-BA, was 3%, and the ICC was 0.69. CONCLUSIONS Our findings show that FMD-RA, supplementary to FMD-BA measurements, can be used to assess endothelial dysfunction in the group of HT patients. In addition, the FMD-RA measurements met the criteria of high concordance with the FMD-BA measurements.
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Affiliation(s)
- Katarzyna Majka
- Department of Fundamentals of Nursing Faculty of Health Sciences, Warsaw Medical University, Poland
- Military Medical Institute in Warsaw, Poland
| | - Marzena Parol
- West Hospital John Paul II, Grodzisk Mazowiecki, Poland
| | - Andrzej Nowicki
- Institute of the Fundamental Technological Research of the Polish Academy of Sciences, Warszawa, Poland
| | - Barbara Gambin
- Institute of the Fundamental Technological Research of the Polish Academy of Sciences, Warszawa, Poland
| | - Zbigniew Trawiński
- Institute of the Fundamental Technological Research of the Polish Academy of Sciences, Warszawa, Poland
| | - Marzena Jaciubek
- Department of Fundamentals of Nursing Faculty of Health Sciences, Warsaw Medical University, Poland
| | - Andrzej Krupienicz
- Department of Fundamentals of Nursing Faculty of Health Sciences, Warsaw Medical University, Poland
| | - Robert Olszewski
- National Institute of Geriatrics, Rheumatology and Rehabilitation, Warszawa, Poland
- Institute of the Fundamental Technological Research of the Polish Academy of Sciences, Warszawa, Poland
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