1
|
Dózsa-Juhász O, Makai A, Prémusz V, Ács P, Hock M. Translation and Validation of the Premenstrual Assessment Form-Short Form Questionnaire in Hungarian. Womens Health Rep (New Rochelle) 2024; 5:286-292. [PMID: 38558945 PMCID: PMC10979687 DOI: 10.1089/whr.2023.0107] [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] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/06/2023] [Indexed: 04/04/2024]
Abstract
Introduction Premenstrual symptoms, including premenstrual syndrome and its more severe form premenstrual dysphoric disorder, are a set of somatic and psychological symptoms that occur during the luteal phase of the menstrual cycle. Our research aimed to adapt the Hungarian version of the Premenstrual Assessment Form-Short Form (PAF-SF), a questionnaire suitable for assessing premenstrual symptoms, and to examine its reliability, validity, and applicability. Methods The questionnaire was validated according to Beaton's six-step guidelines. Our sample consisted of 198 menstruating women, 50 of whom completed the instrument for a second time to assess reliability. Descriptive statistics were calculated presenting mean (standard deviation), the internal consistency was measured by Cronbach's alpha value, the test-retest reliability using intraclass correlation coefficients, Spearman rank correlation was applied to test the criterion validity of the questionnaire, and discriminant validity was examined using the independent-sample t test using IBM SPSS 28.0 software. The structural validity was evaluated by confirmatory factor analysis (CFA) using IBM AMOS 29.0 software. The level of significance was set at p < 0.05. Results Our sample (average age 25.37 ± 4.80 years) scored 28.08 ± 9.49 points out of the maximum 60 points when filling out the PAF-SF questionnaire. The result of Cronbach's alpha calculation, which supports the reliability of the questionnaire, was 0.845. During the CFA, the three-factor structure (Affect, Water Retention, and Pain) was supported (root mean-square error approximation [RMSEA] = 0.054; Tucker-Lewis Index = 0.965; Comparative Fit Index = 0.976; χ2 = 48.642; df = 31; p = 0.023; χ2/df = 1.569). Discussion The PAF-SF questionnaire proved to be a reliable measuring tool for assessing premenstrual symptoms among women of reproductive age.
Collapse
Affiliation(s)
- Olívia Dózsa-Juhász
- Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary
| | - Viktória Prémusz
- Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary
| | - Márta Hock
- Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary
| |
Collapse
|
2
|
Trpkovici M, Pálvölgyi Á, Makai A, Prémusz V, Ács P. Athlete anxiety questionnaire: the development and validation of a new questionnaire for assessing the anxiety, concentration and self-confidence of athletes. Front Psychol 2023; 14:1306188. [PMID: 38192388 PMCID: PMC10773854 DOI: 10.3389/fpsyg.2023.1306188] [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: 10/03/2023] [Accepted: 11/23/2023] [Indexed: 01/10/2024] Open
Abstract
Introduction Anxiety is one of the most prevalent issues among athletes. Therefore, measuring the stress caused by high-stakes situations could be important for investigating the issue. In sports psychology literature, no valid and reliable questionnaire is available in Hungarian for assessing the anxiety experienced by athletes in high-stakes situations. This study aimed to create a new Hungarian questionnaire to measure anxiety, self-confidence, and concentration during high-stakes contests. Methods 263 athletes of various sports participated in the cross-sectional study (age: 16.18 ± 3.46 years). The structure of the Anxiety Athletes Questionnaire (AAQ) was examined through factor analysis, where exploratory factor analysis (EFA) as well as confirmatory factor analysis (CFA) were carried out. The internal consistency of the subscales of AAQ was measured by Cronbach's alpha. Through a convergent validity test, the AAQ questionnaire was compared to the subscales of the CSAI-2 and ACSI-28 questionnaire subscales by Spearman's rank correlation coefficients. Through a discriminant validity analysis, the differences by age group, sex, and sport variables were examined by AAQ scores. The Mann-Whitney U and Kruskal-Wallis H tests were utilized in the analysis. The SPSS 28.0 software was used for the statistical analysis, and the level of significance was set at p < 0.05. Results Four factors have been identified through the EFA. The CFA analysis showed the four-factor model an acceptable model fit (SRMR, RMSEA CFI, TLI). Cronbach's alpha of the four subscales showed acceptable internal consistency (cognitive anxiety: α = 0.871; somatic anxiety: α = 0.700; self-confidence: α = 0.832; concentration: α = 0.747). The convergent validity showed a weak or moderate, significant relationship between AAQ subscales and subscales of CSAI and ACSI (R = -0.398-0.412). Conclusion The Athlete Anxiety Questionnaire can be considered a reliable and valid measurement tool for measuring athletes' anxiety, self-confidence and concentration in high-stakes situations.
Collapse
Affiliation(s)
- Melinda Trpkovici
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Ágnes Pálvölgyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, Pécs, Hungary
| | - Viktória Prémusz
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, Pécs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, Pécs, Hungary
| |
Collapse
|
3
|
Prémusz V, Makai A, Ács P, Derkács E, Laczkó T. Association of Outdoor Physical Activity and Sports with Life Satisfaction among Women of Reproductive Age According to a European Representative Sample-A Longitudinal Analysis. Eur J Investig Health Psychol Educ 2023; 13:1859-1879. [PMID: 37754474 PMCID: PMC10528805 DOI: 10.3390/ejihpe13090135] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/01/2023] [Accepted: 09/11/2023] [Indexed: 09/28/2023] Open
Abstract
(1) Background: Low life satisfaction (LS) is associated with impaired mental and physical health. Outdoor physical activity (PA) has diverse somatic and psychological benefits. This study aimed to analyse the associations between sports settings and LS in women of reproductive age. (2) Methods: Special Eurobarometer on Sport and Physical Activity (2022, 2018, 2013) data on regularity and settings of sports/PA, LS and sociodemographic variables were analysed. The representative sample consisted of 18,489 women (34.60 ± 9.36 years). Pearson χ2 test and multivariate logistic regression analysis were conducted, using IBM SPSS version 28.0 according to the STROBE guidelines. The significance level was set at p < 0.05. (3) There was a significant difference in LS based on sports settings (χ2 = 409.696, p < 0.001). In the outdoor group, a 21.4% higher probability of being "very satisfied" compared to the non-outdoor, 30.0% higher compared to the inactive group, was found (R2N = 0.151). Dividing the sample by age, a significant effect remained in middle adulthood (35-44 years p = 0.002 and 45-49 years p = 0.033). (4) Conclusions: Our results underline the importance of the promotion of outdoor, green exercise and the development of special interventions to maintain or improve the psychological well-being of women in reproductive age.
Collapse
Affiliation(s)
- Viktória Prémusz
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (A.M.); (P.Á.); (E.D.); (T.L.)
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
- MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, 7624 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, 7624 Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (A.M.); (P.Á.); (E.D.); (T.L.)
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (A.M.); (P.Á.); (E.D.); (T.L.)
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
| | - Evelin Derkács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (A.M.); (P.Á.); (E.D.); (T.L.)
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Tamás Laczkó
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (A.M.); (P.Á.); (E.D.); (T.L.)
| |
Collapse
|
4
|
Makai A, Prémusz V, Dózsa-Juhász O, Fodor-Mazzag K, Melczer C, Ács P. Examination of Physical Activity Patterns of Children, Reliability and Structural Validity Testing of the Hungarian Version of the PAQ-C Questionnaire. Children (Basel) 2023; 10:1547. [PMID: 37761508 PMCID: PMC10529201 DOI: 10.3390/children10091547] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/30/2023] [Accepted: 09/08/2023] [Indexed: 09/29/2023]
Abstract
INTRODUCTION Several studies report on the importance of physical activity (PA) in childhood, which influences attitudes towards health in adulthood. For monitoring PA, trustworthy measurement tools are needed. The study aimed to adapt the Physical Activity Questionnaire for Children (PAQ-C) to the Hungarian language and assess its validity, reliability, and factor structure. METHODS A total of 620 children (the average age was 10.62 (SD 2.36)) participated in the cross-sectional study. To assess physical activity, the PAQ-C questionnaire was used. The collected data were analysed using IBM SPSS version 28.0 and IBM SPSS AMOS 29.0 software. RESULTS The internal consistency was acceptable (alpha = 0.729) and the test-retest reliability showed acceptable agreement (ICC = 0.772). The confirmatory factor favoured a one-factor structure of the questionnaire. The average PAQ-C score for girls was 2.87 (SD 1.07), and for boys it was 3.00 (SD 1.05), which showed a significant difference (p = 0.005). DISCUSSION Based on our findings, our study tested the validity and reliability of the one-factor PAQ-C questionnaire, a valid and reliable measurement tool to test the physical activity patterns of primary school children in a Hungarian sample. Further research is needed to develop physical activity monitoring of Hungarian children.
Collapse
Affiliation(s)
- Alexandra Makai
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
- Physical Activity Research Group, Szentágothai Research Centre, University of Pécs, H-7621 Pecs, Hungary
| | - Viktória Prémusz
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
- Physical Activity Research Group, Szentágothai Research Centre, University of Pécs, H-7621 Pecs, Hungary
| | - Olívia Dózsa-Juhász
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
| | - Kitti Fodor-Mazzag
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
| | - Csaba Melczer
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
- Physical Activity Research Group, Szentágothai Research Centre, University of Pécs, H-7621 Pecs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pecs, Hungary; (V.P.); (P.Á.)
- Physical Activity Research Group, Szentágothai Research Centre, University of Pécs, H-7621 Pecs, Hungary
| |
Collapse
|
5
|
Dózsa-Juhász O, Makai A, Prémusz V, Ács P, Hock M. Investigation of premenstrual syndrome in connection with physical activity, perceived stress level, and mental status-a cross-sectional study. Front Public Health 2023; 11:1223787. [PMID: 37601197 PMCID: PMC10435248 DOI: 10.3389/fpubh.2023.1223787] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 07/17/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction The premenstrual syndrome (PMS) is a critical factor in women's health, which, in addition to physical inactivity, can be influenced by the body mass index (BMI), stress, and mental state, among others. The study aimed to assess the severity of PMS symptoms among young women regarding physical inactivity, BMI, mental state, and perceived stress level. Methods A total of 198 female participants between the ages of 18-45 took part in a 6-month cross-sectional online questionnaire study. The average age of the participants was 25.37 ± 4.80 years. To assess physical activity, stress, mental state, and premenstrual symptoms, we employed standard questionnaires, including the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Perceived Stress Scale (PSS), the General Health Questionnaire-12 (GHQ-12), and the Premenstrual Assessment Form-Short Form (PAF-SF). The collected data were analyzed using IBM SPSS (Statistical Package for Social Sciences) version 28.0 software, with a significance level set at p < 0.05. Results During the analysis, we observed a significant relationship (p = 0.020) between regular exercise and the severity of PMS symptoms, as well as between mental state and PMS symptoms (p < 0.001). Furthermore, our findings revealed a significant negative correlation between regular physical activity and perceived stress levels (r = -0.179; p = 0.012), as well as between regular exercise and the participants' mental state (r = -0.157; p = 0.027). Additionally, we identified a significant difference (p < 0.001) among the six subgroups formed based on the PAF-SF and average PSS questionnaire results. Moreover, a significant difference was observed between the PAF-SF case and control groups in terms of BMI averages (p = 0.019). Discussion The research findings indicate that the severity of PMS symptoms is influenced by regular physical activity, mental state, and stress.
Collapse
Affiliation(s)
- Olívia Dózsa-Juhász
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Physical Activity Research Group, Szentagothai Research Centre, University of Pecs, Pécs, Hungary
| | - Viktória Prémusz
- Physical Activity Research Group, Szentagothai Research Centre, University of Pecs, Pécs, Hungary
| | - Pongrác Ács
- Physical Activity Research Group, Szentagothai Research Centre, University of Pecs, Pécs, Hungary
| | - Márta Hock
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| |
Collapse
|
6
|
Szatmári É, Makai A, Prémusz V, Balla BJ, Ambrus E, Boros-Balint I, Ács P, Hock M. Hungarian Women's Health Care Seeking Behavior and Knowledge of Urinary Incontinence and Pelvic Organ Prolapse: A Cross-sectional Study. Urogynecology (Phila) 2023; 29:02273501-990000000-00101. [PMID: 37195642 PMCID: PMC10637302 DOI: 10.1097/spv.0000000000001367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
IMPORTANCE Adequate knowledge about pelvic floor disorders could lead to increased health care-seeking behavior, improved symptoms, and quality of life. OBJECTIVES The aims of the present study were to evaluate Hungarian women's knowledge about pelvic floor disorders and to assess health care-seeking behavior. STUDY DESIGN We conducted a cross-sectional survey from March to October 2022 using self-administered questionnaires. The Prolapse and Incontinence Knowledge Questionnaire was used to assess Hungarian women's knowledge about pelvic floor disorders. The International Consultation of Incontinence Questionnaire-Short Form was used to gather information about the symptoms of urinary incontinence. RESULTS Five hundred ninety-six women were included in the study. Urinary incontinence knowledge was deemed proficient in 27.7% of participants, while pelvic organ prolapse knowledge was deemed proficient in 40.4% of participants. Greater urinary incontinence knowledge was significantly associated (P < 0.001) with higher level of education (P = 0.016), work in a medical field (P < 0.001), and ever practiced pelvic floor muscle training (P < 0.001), whereas greater pelvic organ prolapse knowledge was significantly associated (P < 0.001) with higher level of education (P = 0.032), work in a medical field (P < 0.001), ever practiced pelvic floor muscle training (P = 0.017), and ever had pelvic organ prolapse (P = 0.022). Of the 248 participants who reported a history of urinary incontinence, only 42 (16.93%) women sought care. Care seeking was higher among women who were more knowledgeable about urinary incontinence and among women with more severe symptoms. CONCLUSIONS Hungarian women had limited knowledge about urinary incontinence and pelvic organ prolapse. Health care seeking among women with urinary incontinence was low.
Collapse
Affiliation(s)
- Éva Szatmári
- From the Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Viktória Prémusz
- From the Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Béla József Balla
- Babeş-Bolyai University, Faculty of Physical Education and Sport, Cluj-Napoca, Romania
| | - Eszter Ambrus
- Harkány Thermal Rehabilitation Center, Harkány, Hungary
| | - Iuliana Boros-Balint
- Babeş-Bolyai University, Faculty of Physical Education and Sport, Cluj-Napoca, Romania
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Márta Hock
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| |
Collapse
|
7
|
Ligetvári R, Szokodi I, Far G, Csöndör É, Móra Á, Komka Z, Tóth M, Oláh A, Ács P. Apelin as a Potential Regulator of Peak Athletic Performance. Int J Mol Sci 2023; 24:ijms24098195. [PMID: 37175901 PMCID: PMC10179506 DOI: 10.3390/ijms24098195] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 04/24/2023] [Accepted: 04/29/2023] [Indexed: 05/15/2023] Open
Abstract
Apelin, as a cardiokine/myokine, is emerging as an important regulator of cardiac and skeletal muscle homeostasis. Loss of apelin signaling results in premature cardiac aging and sarcopenia. However, the contribution of apelin to peak athletic performance remains largely elusive. In this paper, we assessed the impact of maximal cardiorespiratory exercise testing on the plasma apelin levels of 58 male professional soccer players. Circulating apelin-13 and apelin-36, on average, increased transiently after a single bout of treadmill exercise; however, apelin responses (Δapelin = peak - baseline values) showed a striking interindividual variability. Baseline apelin-13 levels were inversely correlated with those of Δapelin-13 and Δapelin-36. Δapelin-13 showed a positive correlation with the maximal metabolic equivalent, relative maximal O2 consumption, and peak circulatory power, whereas such an association in the case of Δapelin-36 could not be detected. In conclusion, we observed a pronounced individual-to-individual variation in exercise-induced changes in the plasma levels of apelin-13 and apelin-36. Since changes in plasma apelin-13 levels correlated with the indicators of physical performance, whole-body oxygen consumption and pumping capability of the heart, apelin, as a novel exerkine, may be a determinant of peak athletic performance.
Collapse
Affiliation(s)
- Roland Ligetvári
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - István Szokodi
- Heart Institute, Medical School, University of Pécs, 7624 Pécs, Hungary
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| | - Gabriella Far
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Éva Csöndör
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Department of Laboratory Medicine, Semmelweis University, 1085 Budapest, Hungary
| | - Ákos Móra
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Zsolt Komka
- Department of Health Sciences and Sport Medicine, Hungarian Sports University, 1123 Budapest, Hungary
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
| | - Miklós Tóth
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
- Department of Laboratory Medicine, Semmelweis University, 1085 Budapest, Hungary
- Department of Health Sciences and Sport Medicine, Hungarian Sports University, 1123 Budapest, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| |
Collapse
|
8
|
Tollár J, Vetrovsky T, SZéPHELYI K, Csutorás B, Prontvai N, Ács P, Hortobágyi T. Effects of 2-Year-Long Maintenance Training and Detraining on 558 Subacute Ischemic Stroke Patients' Clinical-Motor Symptoms. Med Sci Sports Exerc 2023; 55:607-613. [PMID: 36730024 DOI: 10.1249/mss.0000000000003092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE This study aimed to determine the effects of a 2-yr-long maintenance training (MT) exergaming and detraining (DT) on clinical-motor symptoms in subacute ischemic patients with stroke (PwST). The hypothesis was that MT motor rehabilitation program would further increase the effects of the initial rehabilitation. METHODS After high-intensity and high-frequency exergaming twice or once a day, 5 times per week for 5 wk (EX2: 50 sessions; EX1: 25 sessions, results reported previously), 558 PwST were randomized to EX2-MT, EX2-DT, EX1-MT, and EX1-DT. MT exergaming consisted of once a day, 3 times per week for 2 yr, and DT did not train. Outcomes were measured at 6, 12, 18, and 24 months. The data were analyzed using longitudinal linear mixed-effects models and general linear hypotheses testing. RESULTS Modified Rankin Score (primary outcome), body mass, Mini-Mental State Examination score, Beck Depression Inventory, measures of quality of life, Berg Balance Scale, 6-min walk test, and four measures of center of pressure path tended to retain the initial rehabilitation-induced gains in the MT patients in selected outcomes (especially walking capacity). The scores tended to mildly worsen after DT, partially supporting the hypothesis. CONCLUSIONS MT successfully maintained, but only in selected variables did it further increase the initial exergaming rehabilitation-induced robust improvements. DT modestly reduced the initial exergaming rehabilitation-induced improvements. MT programs might be needed after initial stroke rehabilitation to reduce subsequent losses of quality of life and further improve clinical-motor symptoms.
Collapse
Affiliation(s)
| | - Tomas Vetrovsky
- Faculty of Physical Education and Sport, Charles University, Prague, CZECH REPUBLIC
| | - Klaudia SZéPHELYI
- Faculty of Health Sciences, Department of Medical Imaging, University of Pécs, Pécs, HUNGARY
| | - Bence Csutorás
- Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY
| | - Nándor Prontvai
- Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY
| | | | | |
Collapse
|
9
|
Tardi P, Ács P, Makai A, Hock M, Járomi M. [Hungarian adaptation and validation of the Osteoporosis Questionnaire (OPQ)]. Orv Hetil 2023; 164:29-37. [PMID: 36617349 DOI: 10.1556/650.2023.32658] [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: 09/02/2022] [Accepted: 10/02/2022] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Osteoporosis affects one in three women and one in five men over the age of 50. We do not have an osteoporosis-related knowledge questionnaire over the age of 50, which is considered strong evidence in the prevention and treatment of the disease. OBJECTIVE Aim of the study was to validate the Hungarian form of the Osteoporosis Questionnaire in Hungarian-speaking women over the age of 50. METHOD The questionnaire was validated into Hungarian according to Beaton's six-step method. Our sample consisted of 326 women. During our statistical analysis, we calculated descriptive statistics, difference tests, Cronbach's alpha value, and Spearman's correlation coefficient for test-retest and for external validity. Quality of life and physical activity were examined to support the external validity. RESULTS Our sample (63.08 ± 9.36 years) scored 8.76 ± 6.94 points on the questionnaire. Cronbach's alpha value was 0.89. For the test-retest, Spearman's correlation coefficient showed a value of p≥0.25 for all the questions. Significant correlations were found between knowledge and age (R = 0.37; p<0.001) and years of using hormone replacement therapy (R = 0.34; p = 0.02). The correlation analysis showed significant (p<0.001) correlation between knowledge and all sub-dimensions of quality of life. Significant correlation was found between transport movement (p<0.001; R = 0.21), intensive (p<0.001; R = 0.354), moderate recreational activity (p<0.001; R = 0.348), total moderate (p = 0.041; R = 0.125) total intense movements (p = 0.018; R = 0.145) and knowledge. DISCUSSION The Hungarian questionnaire was validated in accordance with international practice. CONCLUSION The Hungarian version of the Osteoporosis Questionnaire is a reliable, adaptable questionnaire for measuring the osteoporosis-related knowledge of the Hungarian female population over 50. Orv Hetil. 2022; 163(51): 29-37.
Collapse
Affiliation(s)
- Péter Tardi
- 1 Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet Pécs, Vörösmarty u. 3., 7621 Magyarország
| | - Pongrác Ács
- 1 Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet Pécs, Vörösmarty u. 3., 7621 Magyarország
| | - Alexandra Makai
- 1 Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet Pécs, Vörösmarty u. 3., 7621 Magyarország
| | - Márta Hock
- 1 Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet Pécs, Vörösmarty u. 3., 7621 Magyarország
| | - Melinda Járomi
- 1 Pécsi Tudományegyetem, Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet Pécs, Vörösmarty u. 3., 7621 Magyarország
| |
Collapse
|
10
|
Komka Z, Szilágyi B, Molnár D, Sipos B, Tóth M, Sonkodi B, Ács P, Elek J, Szász M. Exercise-related hemoconcentration and hemodilution in hydrated and dehydrated athletes: An observational study of the Hungarian canoeists. PLoS One 2022; 17:e0277978. [PMID: 36584041 PMCID: PMC9803156 DOI: 10.1371/journal.pone.0277978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 11/08/2022] [Indexed: 12/31/2022] Open
Abstract
Hemoconcentration during exercise is a well-known phenomenon, however, the extent to which dehydration is involved is unclear. In our study, the effect of dehydration on exercise-induced hemoconcentration was examined in 12 elite Hungarian kayak-canoe athletes. The changes of blood markers were examined during acute maximal workload in hydrated and dehydrated states. Dehydration was achieved by exercise, during a 120-minute extensive-aerobic preload. Our research is one of the first studies in which the changes in blood components were examined with a higher time resolution and a wider range of the measured parameters. Hydration status had no effect on the dynamics of hemoconcentration during both the hydrated (HS) and dehydrated (DHS) load, although lower maximal power output were measured after the 120-minute preload [HS Hemoglobin(Hgb)Max median 17.4 (q1 17.03; q3 17.9) g/dl vs. DHS HgbMax median 16.9 (q1 16.43; q3 17.6) g/dl (n.s); HS Hematocrit(Hct)Max 53.50 (q1 52.28; q3 54.8) % vs. DHS HctMax 51.90 (q1 50.35; q3 53.93) % (n.s)]. Thirty minutes after the maximal loading, complete hemodilution was confirmed in both exercises. Dehydration had no effect on hemoconcentration or hemodilution in the recovery period [HS HgbR30' 15.7 (q1 15.15; q3 16.05) g/dl (n.s.) vs. DHS HgbR30' 15.75 (q1 15.48; q3 16.13) g/dl (n.s.), HS HctR30' 48.15 (q1 46.5; q3 49.2) % vs. DHS HctR30' 48.25 (q1 47.48; q3 49.45) % (n.s.)], however, plasma osmolality did not follow a corresponding decrease in hemoglobin and hematocrit in the dehydrated group. Based on our data, metabolic products (glucose, lactate, sodium, potassium, chloride, bicarbonate ion, blood urea nitrogen) induced osmolality may not play a major role in the regulation of hemoconcentration and post-exercise hemodilution. From our results, we can conclude that hemoconcentration depends mainly on the intensity of the exercise.
Collapse
Affiliation(s)
- Zsolt Komka
- Department of Health Sciences and Sports Medicine, Hungarian University of Sports Science, Budapest, Hungary
- Heart and Vascular Center, Semmelweis University, Budapest, Hungary
- Hungarian Canoe Federation, Budapest, Hungary
- * E-mail:
| | - Brigitta Szilágyi
- Institute of Mathematics, Budapest University of Technology and Economics, Budapest, Hungary
- Institute of Mathematics and Statistical Modelling, Corvinus University of Budapest, Budapest, Hungary
| | - Dóra Molnár
- Hungarian Canoe Federation, Budapest, Hungary
| | - Bence Sipos
- Faculty of Natural Sciences Department of Geometry, Budapest University of Technology and Economics, Budapest, Hungary
| | - Miklós Tóth
- Department of Health Sciences and Sports Medicine, Hungarian University of Sports Science, Budapest, Hungary
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Department of Laboratory Medicine, Semmelweis University, Budapest, Hungary
- Szentágothai Research Center, Pécs, Hungary
| | - Balázs Sonkodi
- Department of Health Sciences and Sports Medicine, Hungarian University of Sports Science, Budapest, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
- Szentágothai Research Center, Pécs, Hungary
| | - János Elek
- Department of Inorganic and Analytical Chemistry, University of Debrecen, Debrecen, Hungary
| | | |
Collapse
|
11
|
Laczkó T, Ács P, Morvay-Sey K, Cselik B, Stocker M. The Role of Sports in the Subjective Psychological Well-Being of Hungarian Adult Population in Three Waves of the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 20:660. [PMID: 36612976 PMCID: PMC9819107 DOI: 10.3390/ijerph20010660] [Citation(s) in RCA: 2] [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] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/21/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
(1) Background: In this study, sport and subjective psychological well-being is investigated in three waves of the COVID-19 pandemic. (2) Methods: We have conducted three different representative sample surveys (n = 3600 altogether) on the Hungarian adult population and investigated the sample's subjective psychological well-being with the WHO-5 Well-Being Index, as well as changes in their subjective well-being through the different waves of the pandemic. Sporting habits and socio-economic variables were also surveyed, and OLS regression models were created focused on the WHO-5 measures. (3) Results: The subjective psychological well-being of the Hungarian adult population decreased significantly, but in the second and third wave of pandemic restrictions, an increase in subjective psychological well-being has been measured. The relationships between the time spent on doing sports and subjective psychological well-being were significant in each pandemic waves. The highest subjective psychological well-being and its highest increase were reported by those who could increase their time spent on doing sports as well. (4) Conclusions: The relationships between the sports activities, physical health, size of settlement, changes in income and subjective psychological well-being of the Hungarian adult population were significant in all three waves of the COVID-19 pandemic.
Collapse
Affiliation(s)
- Tamás Laczkó
- Institute of Health Insurance, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3, 7621 Pécs, Hungary
| | - Pongrác Ács
- Physical Activity Research Team, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, 7624 Pécs, Hungary
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3, 7621 Pécs, Hungary
| | - Kata Morvay-Sey
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3, 7621 Pécs, Hungary
| | - Bence Cselik
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3, 7621 Pécs, Hungary
| | - Miklós Stocker
- Institute of Strategy and Management, Corvinus University of Budapest, Fővám tér 8, 1093 Budapest, Hungary
| |
Collapse
|
12
|
Nagy D, Trunic N, Prémusz V, Krutek L, Lipcsik Z, Ács P. Comparison of Metabolic Characteristics of Physically Active Individuals with Different Training Habits during Incremental Treadmill Test. Int J Environ Res Public Health 2022; 20:70. [PMID: 36612397 PMCID: PMC9819085 DOI: 10.3390/ijerph20010070] [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: 10/24/2022] [Revised: 12/14/2022] [Accepted: 12/19/2022] [Indexed: 06/17/2023]
Abstract
The number of people engaging in self-conducted regular physical activity is increasing, but the effects of home fitness and individually planned workouts on health and metabolism are unknown. We aimed to examine the effects of regular training conducted without the supervision of professionals on exercise metabolism in our cross-sectional observational study. Forty-five physically active volunteers, classified into three groups, based on the type and frequency of their training (group 1 frequent long-term endurance, group 2 three times per week aerobic training, and group 3 two times per week short aerobic and resistance training), fulfilled a vita maxima incremental treadmill test. Aerobic capacity (VO2max), MET (metabolic equivalent of task), and metabolic responses were examined. The results were evaluated by ANOVA and Bonferroni and Scheffe multiple comparison analysis using Microsoft Excel and SPSS 23 programs. (p < 0.05). Significant differences were found between group 1 and 3 in VO2max (p = 0.46) and MET (p = 0.46) between group 1 and 2, in FatmaxHR (heart rate on maximum fat oxidation) (p= 0.04). We concluded self-conducted regular physical activity has positive effects on metabolism and health. Aerobic training performed four times per week showed the most beneficial effects on metabolism and health maintenance. In addition, based on our findings, strength training performed two times per week is recommended.
Collapse
Affiliation(s)
- Dóra Nagy
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7624 Pécs, Hungary
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, 7624 Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
| | - Nenad Trunic
- Faculty of Physical Culture and Management in Sports, University Singidunum, 11000 Belgrade, Serbia
| | - Viktória Prémusz
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, 7624 Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
| | - László Krutek
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7624 Pécs, Hungary
| | | | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, 7624 Pécs, Hungary
- Physical Activity Research Group, Szentágothai Research Centre, 7624 Pécs, Hungary
| |
Collapse
|
13
|
Paár D, Pogátsa Z, Ács P, Szentei A. The Relationship between Inequalities in Household Sports Consumption Expenditures and Income Level. Int J Environ Res Public Health 2022; 19:15608. [PMID: 36497681 PMCID: PMC9736210 DOI: 10.3390/ijerph192315608] [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] [Figures] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 11/17/2022] [Accepted: 11/20/2022] [Indexed: 06/17/2023]
Abstract
Inequalities in income, wealth, quality of life, health and education are an intensively researched field of economics. In this study, we examine the inequality in sports expenditures of Hungarian households. We hypothesize that the development of income inequalities will also correlate significantly to inequalities in sports consumption, and this trend has been intensifying over the past two decades. The research is based on the Household Budget Survey database of Hungarian households for the period 2005-2017. The net income conditions of the population and the sports expenditure items recorded on the basis of the COICOP nomenclature are examined by income decile. Data is analysed using descriptive statistics, inequality indicators and correlation calculations. Aggregate household expenditures on passive sports consumption show a stagnant trend, while aggregate expenditures on active sports consumption follow a slightly upward trend among the Hungarian population. Inequality indicators show growing inequalities in terms of income and sports expenditure over the reviewed period. Income inequality and sports spending inequality move together. The Hungarian population is becoming polarised in terms of both income and level of sports expenditure.
Collapse
Affiliation(s)
- Dávid Paár
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, H-7621 Pecs, Hungary
| | - Zoltán Pogátsa
- Alexandre Lámfalussy Faculty of Economics, University of Sopron, H-9400 Sopron, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, H-7621 Pecs, Hungary
| | - András Szentei
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, H-7621 Pecs, Hungary
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, H-7621 Pecs, Hungary
| |
Collapse
|
14
|
Pálvölgyi Á, Morvay-Sey K, Ács P, Paár D. Validation of the Hungarian Version of the COVID Stress Scale (CSS-H). Int J Environ Res Public Health 2022; 19:12602. [PMID: 36231901 PMCID: PMC9566199 DOI: 10.3390/ijerph191912602] [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] [Received: 08/04/2022] [Revised: 09/25/2022] [Accepted: 09/28/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: The COVID-19 pandemic is unprecedented and has affected every social class. The prevalence of moderate-to-severe stress and anxiety levels in the general population was reported to be 25%. This study aimed to describe the validation of the Hungarian version of the COVID Stress Scale. (2) Methods: The research study was a cross-section validation study with a representative sample (N = 1200) and a non-representative student sample (N = 350). The translation procedure was a four-step procedure. The interviewers conducted the data collection. (3) Results: The reliability of the Hungarian CSS was assessed using Cronbach's alpha. Convergent validity was evaluated by correlating the CSS with the PSS and WHO-WBI5. The Cronbach's alpha coefficient of the CSS-H factors was between 0.844 and 0.907 (representative sample) and between 0.878 and 0.936 (student sample), which qualified as very good. The reliability of the internal consistency was good for all six factors in both samples. The CSS-H total and all-domain scores significantly and positively correlated with the PSS total score and negatively correlated with well-being. (4) Conclusions: The Hungarian COVID Stress Scale is a valid, reliable instrument to measure COVID-19-related distress in the Hungarian population.
Collapse
Affiliation(s)
- Ágnes Pálvölgyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.4., 7621 Pécs, Hungary
| | - Kata Morvay-Sey
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| | - Dávid Paár
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| |
Collapse
|
15
|
Hock M, Járomi M, Prémusz V, Szekeres ZJ, Ács P, Szilágyi B, Wang Z, Makai A. Disease-Specific Knowledge, Physical Activity, and Physical Functioning Examination among Patients with Chronic Non-Specific Low Back Pain. Int J Environ Res Public Health 2022; 19:12024. [PMID: 36231325 PMCID: PMC9564581 DOI: 10.3390/ijerph191912024] [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: 08/30/2022] [Revised: 09/18/2022] [Accepted: 09/20/2022] [Indexed: 06/16/2023]
Abstract
Physical activity, physical functioning, and pain are some of the most critical factors of low back pain (LBP) treatment and prevention, but it was unknown that the back school program (BSP) influences the physical activity level of the patients with LBP. Data from 306 healthy patients and patients with chronic non-specific low back pain (cnsLBP) were used. We used the Global Physical Activity Questionnaire (GPAQ), the Low Back Pain Knowledge Questionnaire (LKQ), the visual analog scale, and the Roland-Morris Disability Questionnaire (RMDQ). The significance level was set at p < 0.05. The amount of sedentary time in cnsLBP patients enrolled in the BSP was significantly lower compared to the other two groups (p < 0.001). Significantly higher moderate-intensity activities, leisure time activities, and active transportation were observed in the cnsLBP patients enrolled in the BSP than in the other two groups (p < 0.001). RMDQ scores and the pain intensity of the cnsLBP patients enrolled in the BSP were significantly lower than in patients with LBP receiving only exercise therapy (p < 0.001). The physical activity level and low-back-pain-specific knowledge was significantly higher, while back-related disability and pain intensity were significantly lower among patients with low back pain syndrome who participated in a back school program.
Collapse
Affiliation(s)
- Márta Hock
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Melinda Járomi
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Viktória Prémusz
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Zsolt János Szekeres
- Division of Preventive Cardiology and Rehabilitation, Medical School, University of Pécs, 2 Rákóczi Str., H-7623 Pecs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Brigitta Szilágyi
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Zhe Wang
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, Hungary
| |
Collapse
|
16
|
Csizmadia Z, Ács P, Szőllősi GJ, Tóth B, Kerti M, Kovács A, Varga JT. Freedive Training Gives Additional Physiological Effect Compared to Pulmonary Rehabilitation in COPD. Int J Environ Res Public Health 2022; 19:11549. [PMID: 36141823 PMCID: PMC9517084 DOI: 10.3390/ijerph191811549] [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] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/06/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION Pulmonary rehabilitation (PR) is beneficial for lung mechanics, chest kinematics, metabolism, and inspiratory and peripheral muscle function. Freediving training (FD) can be effective in sportsmen and can improve breath-holding time. AIMS We sought to determine the effectiveness of freediving training in the pulmonary rehabilitation of COPD patients. PATIENTS AND METHODS Twenty-three COPD patients (15 men and 8 women; median age 63 years; FEV1: 41% pred; BMI: 28 kg/m2) participated in the FD + PR group (3 weeks PR and 3 weeks FD + PR) and 46 patients with COPD (25 men and 21 women; median age 66 years; FEV1: 43% pred; BMI: 27 kg/m2) participated in an inpatient PR program (6 weeks). Patients performed comfort zone breath holding for 30 min/day. Patients increased their breath-holding time within their comfort zone for 30 min. We detected lung function, chest expansion (CWE), inspiratory muscle pressure (MIP), peripheral muscle function (GS), and exercise capacity (6MWD), and we included breath-holding time (BHT), quality of life score (COPD Assessment Test (CAT)), modified Medical Research Dyspnea Scale (mMRC) score, and the severity of the disease assessed by the BODE index (FEV1, BMI, 6MWD, and mMRC) and an alternative scale (FEV1, BMI, 6MWD, and CAT). RESULT There were significant differences in the characteristics of the two groups. Significant improvement was detected in all functional and quality of life parameters except lung function in both groups. Significantly higher improvement was detected in CWE, GS, 6MWD, BHT, CAT, mMRC, alternative scale, and MIP. The improvement in forced vital capacity (FVC) was not significant. There were no side effects of FD training. CONCLUSION The FD method can potentiate the effect of PR, improving not only BHT but also other parameters. TRIAL REGISTRATION ISRCTN ISRCTN13019180. Registered 19 December 2017.
Collapse
Affiliation(s)
- Zoltán Csizmadia
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | | | - Blanka Tóth
- Department of Pulmonary Rehabilitation, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary
| | - Mária Kerti
- Department of Pulmonary Rehabilitation, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary
| | - Antal Kovács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - János Tamás Varga
- Department of Pulmonology, Semmelweis University, 1083 Budapest, Hungary
| |
Collapse
|
17
|
Morvay-Sey K, Trpkovici M, Ács P, Paár D, Pálvölgyi Á. Psychological Responses of Hungarian Students during the First Wave of the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 19:11344. [PMID: 36141616 PMCID: PMC9517411 DOI: 10.3390/ijerph191811344] [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: 07/29/2022] [Revised: 08/28/2022] [Accepted: 09/06/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Changes in daily life and academic training has led to uncertainty in the higher education student population during COVID-19. The goal of the study was to examine the impacts of the pandemic on Hungarian students. (2) Methods: A cross-sectional study was conducted by using self-report questionnaires collected in Google Forms. Eight-hundred-and-twenty-seven students (25.29 ± 8.09) took part anonymously. The respondents rate their overall physical and mental health on a 5-point Likert scale and validated scales were used: Well Being Index (WHO-5); Mindfulness Attention and Awareness Scale (MAAS); and Perceived Stress Scale (PSS-14). Statistical analyses were performed with IBM SPSS 24.0, results were considered at a significance level p ≤ 0.05. (3) Results: Positive correlation was found between MAAS and WHO-5 (r = 0.363, p < 0.001) negative correlation between MAAS and PSS-14 (r = -0.448, p < 0.001), and negative correlation between WHO-5 and PSS-14 (r = -0.671, p < 0.001). Females had higher PSS-14 mean score (32.51 ± 10.16) than males (27.71 ± 10.19; p < 0.001; Z = -5703), males (60.92 ± 12.10) had higher MAAS level than females (57.31 ± 12.51; p < 0.001; Z = -3589). No difference was found in gender regarding WHO-5 mean scores. Athletes (7.03 ± 3.27) differ significantly from non-athletes (6.00 ± 3.04) in WHO-5 (p < 0.001; Z = -4.349) and MAAS level (p = 0.012; Z = -2.498), but showed no difference in PSS-14 (p = 0.101; Z = -1.641). Students rated mental (3.01 ± 0.99) worse than physical health (3.49 ± 0.98; p < 0.001, r = 0.426) and the narrowing of social relationships worse (3.83 ± 1.26) than physical (p < 0.001, r = -0.212) and mental health (p < 0.001, r = -0.408). Females had worse mental health (2.96 ± 9.94) than males (3.20 ± 0.99; p = 0.003; Z = -2.924) and rated the narrowing of social relationships worse (3.90 ± 1.23) than males (3.59 ± 1.35; p = 0.006; Z = -2.730). (4) Conclusions: The pandemic has negatively impacted students, and it may have long-term consequences on their mental and physical health and education.
Collapse
Affiliation(s)
- Kata Morvay-Sey
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| | - Melinda Trpkovici
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.4, 7621 Pécs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| | - Dávid Paár
- Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.3., 7621 Pécs, Hungary
| | - Ágnes Pálvölgyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u.4, 7621 Pécs, Hungary
| |
Collapse
|
18
|
Fritz P, Fritz R, Mayer L, Németh B, Ressinka J, Ács P, Oláh C. Hungarian male water polo players' body composition can predict specific playing positions and highlight different nutritional needs for optimal sports performance. BMC Sports Sci Med Rehabil 2022; 14:165. [PMID: 36064634 PMCID: PMC9447334 DOI: 10.1186/s13102-022-00560-9] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 08/29/2022] [Indexed: 11/20/2022]
Abstract
Background Water polo is unique among aquatic—and generally other—sports as it includes cyclic elements typical in swimming and acyclic elements occurring mainly in ball games. Moreover, water polo demands high level of technical and tactical skills. Players need an optimal nutritional and physical condition to achieve high athletic performance, which is to a great extend influenced by nutritional habits. We aim to highlight possible shortfalls in players’ nutritional intake in relation to positions played within the team. Methods In the present study, we determined the anthropometric and body composition characteristics, dietary habits and laboratory parameters of elite adult male water polo players (n = 19) before the start of the championship and at the end of the regular season, which meant a 4-month intervention period. Analyses of body composition characteristics and nutritional habits were performed using bioimpedance analyzer InBody 770 and a 3-day nutrition diary, respectively. Paired-sample t-test were used to determine the differences between the variables measured before and after the championship. Correlations between the anthropometric and body composition characteristics and different serum parameters were analyzed using linear correlation calculation. K-mean cluster analysis was performed using the anthropometric and body composition characteristics of the athletes. Results Based on anthropometric and body composition characteristics, players can be divided into two significantly different clusters that shows an association with specific playing positions. Cluster I included goalkeepers and wing players, while defenders, centers, and shooters belonged to Cluster II. We observed significant differences in the physical composition and slight but not significant differences in nutritional habits of the clusters. Cluster I players were 5 cm shorter on average, while their mean body weight, skeletal muscle mass and body fat mass data were lower by 19 kg, 7 kg, and 7 kg, respectively. We studied the correlation between initial anthropometric and body composition parameters and the changes in laboratory parameters before and after the regular season. As a result, we detected numerous significant differences between the two clusters, such as the changes in glucose and magnesium levels, which showed a strong correlation with several body composition parameters in cluster II, but did not in cluster I. Conclusions Cluster differences between anthropometric and body compositional characteristics, and the changes in laboratory parameters can help to develop position-specific training and nutritional recommendations in the future. Therefore, the results may be applicable in sport sciences for elite athletes and sports coaches. Supplementary Information The online version contains supplementary material available at 10.1186/s13102-022-00560-9.
Collapse
Affiliation(s)
- Péter Fritz
- Faculty of Health Science, University of Miskolc, Miskolc-Egyetemváros, Building Stefánia, Miskolc, 3515, Hungary.
| | - Réka Fritz
- Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary
| | | | | | | | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, University of Pécs, Pecs, Hungary
| | - Csilla Oláh
- Superfoods Ltd, Budapest, Hungary.,Department of Urology, University of Duisburg-Essen, Essen, Germany
| |
Collapse
|
19
|
Makai A, Prémusz V, Dóczi T, Veress R, Rocha P, Ács P. P06-03 Associations between walkability and physical activity of Hungarian adults, preliminary study of the EUPASMOS project. Eur J Public Health 2022. [PMCID: PMC9421828 DOI: 10.1093/eurpub/ckac095.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background Walkability is a new definition in sport and health science in Hungary. In our study the walkability was measured by NEWS-Hungarian questionnaire first time in Hungary and our research aim was to compare neighbourhood walkability to physical activity level. Methods The study comprised 593 participating adults (248 males and 345 females). The data was collected during February-May 2019 using quota sampling by age and gender representing the Hungarian adult (18+) population. The physical activity was measured by RM 42 hip-worn triaxial accelerometer for 7 consecutive days using vigorous, moderate to vigorous activities and daily steps scores. The walkability was measured by walking and cycling facilities subscale (10 questions) of NEWS-Hungarian questionnaire. The subscale measured the environment's possibilities and quality for walking and cycling. Data were presented as mean ± standard deviation, Spearman's rank correlation was used to analyse data using SPSS 24. program, where level of significance was set at p > 0.05. Results The mean age of the participants was 44.41±18.64 and their average number of daily steps was 7308.47±6993.86. 69.05% was lived in cities and 30.05% in rural areas. The respondent's opinion about the walking and cycling around their place of living was measured by a 4 point scale (1 = strongly disagree and 4 = strongly agree), where we found 2.76±2.8 mean scores. The walkability score was showed significant but weak correlation with accelerometer-measured vigorous PA (R = 0.124, p = 0.004). But the accelerometer-based number of steps was not showed correlation with walkability (R = 0.058, p = 0.184). Conclusions According to our results the built environment, especially walking and cycling places had significant but weak effect on physical activity patters. The participants were somewhat satisfied with walking and cycling possibilities of their built environment but this was not affected directly the time spent physically active. This study used first time the NEWS-Hungarian walkability scale to have a better understanding of the country specific details and compared them with PA level of the population further analysis needed.
Collapse
Affiliation(s)
- Alexandra Makai
- Faculty of Health Sciences, University of Pécs , Pécs, Hungary
| | | | - Tamás Dóczi
- Department of Social Sciences, University of Physical Education , Budapest, Hungary
| | - Réka Veress
- Hungarian Leisure Sport Association, Hungarian Leisure Sport Association , Budapest, Hungary
| | - Paolo Rocha
- Faculty of Human Kinetics, University of Lisbon , Lisbon, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs , Pécs, Hungary
| |
Collapse
|
20
|
Prémusz V, Ács P, Bódis J, Várnagy Á, Lászik Á, Makai A. Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment. Int J Environ Res Public Health 2022; 19:10147. [PMID: 36011781 PMCID: PMC9407737 DOI: 10.3390/ijerph191610147] [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] [Received: 07/17/2022] [Revised: 08/12/2022] [Accepted: 08/13/2022] [Indexed: 06/15/2023]
Abstract
Examining possible psychosocial maladjustments should be an integral part of fertility care. For the early detection of vulnerability, the present study aimed to adapt and test the reliability and validity of the Hungarian version of SCREENIVF against the Fertility Quality of Life Questionnaire (FertiQoL) in a cross-sectional on subfertile women (n = 60, age 34.6 ± 5.2 years, BMI 24.2 ± 4.9 kg/m2) at a university linked fertility clinic in South-Hungary. A confirmatory factor analysis (CFA) was conducted to investigate the construct validity. For the reliability testing, Cronbach alpha values were calculated. Spearman’s rank correlation tested the criterion validity. Discriminant validity was applied using Mann−Whitney U-test and Kruskal−Wallis test. The Edinburgh Framework and COSMIN checklist were applicable for the analysis using SPSS 27.0; significance was set at p < 0.05. The confirmatory factor analysis indicated a good fit; all dimensions were reliable (α ≥ 0.70). Cronbach’s alpha was excellent (0.825−0.904). Strong correlations were found between the total scale (FertiQoL) and anxiety (R = −0.507, p < 0.001), depression (R = 0.554, p < 0.001), and helplessness cognitions (R = −0.747, p < 0.001) and moderate or no correlation with acceptance cognitions (R = 0.317, p = 0.015) and social support (R = 0.230, p = 0.082). The Hungarian version of SCREENIVF proved a valid and reliable tool to measure psychological maladjustment before ART. A longitudinal, randomized, controlled trial involving the partners could further strengthen the results, which is among our long-term plans.
Collapse
Affiliation(s)
- Viktória Prémusz
- Faculty of Health Sciences, University of Pécs, H-7624 Pécs, Hungary
- ELKH-PTE Human Reproduction Scientific Research Group, University of Pécs, H-7624 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, H-7624 Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, H-7624 Pécs, Hungary
| | - József Bódis
- ELKH-PTE Human Reproduction Scientific Research Group, University of Pécs, H-7624 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, H-7624 Pécs, Hungary
- Department of Obstetrics and Gynaecology, Medical School, University of Pécs, H-7624 Pécs, Hungary
| | - Ákos Várnagy
- ELKH-PTE Human Reproduction Scientific Research Group, University of Pécs, H-7624 Pécs, Hungary
- National Laboratory on Human Reproduction, University of Pécs, H-7624 Pécs, Hungary
- Department of Obstetrics and Gynaecology, Medical School, University of Pécs, H-7624 Pécs, Hungary
| | - Ágnes Lászik
- Faculty of Health Sciences, University of Pécs, H-7624 Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, H-7624 Pécs, Hungary
| |
Collapse
|
21
|
Dvorák M, Sztancsik I, Babai L, Tóth M, Ács P. Supervised and Individualized Lifestyle Medicine Therapy of a Patient after Myocardial Infarction—Case Study. J Cardiovasc Dev Dis 2022; 9:jcdd9060177. [PMID: 35735806 PMCID: PMC9224633 DOI: 10.3390/jcdd9060177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 05/02/2022] [Accepted: 05/07/2022] [Indexed: 02/01/2023] Open
Abstract
Background: In the rehabilitation of patients with cardiovascular disease (CVD) and after myocardial infarction (MI), lifestyle modifications—exercise and nutritional therapy, smoking cessation, stress management—are essential and have a major, long-term impact on the overall health of patients. Methods: After MI and acute primary care, a lifestyle medicine team (medical doctors, dietitian, exercise physiologist) supervised the therapy of a 40 year-old male patient for 12 months. The program included assessments, regular medical controls, personalized diet, and exercise therapy monitored by a heart rate watch. Results: Gradual and continuous weight loss, major reduction in medication and significant improvement in fitness level, blood glucose level, and cardiac function were measured after the program. Due to these positive changes, the patient’s overall health improved to an even better level than before his MI. Conclusion: The results of this program highlight the benefits and importance of the personalized therapy and the lifestyle medicine team approach in the rehabilitation of CVD patients. Individualized and supervised lifestyle therapy should be part of the primary hospital care of CVD patients lead by medical doctors and supported by other health care providers.
Collapse
Affiliation(s)
- Márton Dvorák
- Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary;
- Kardioközpont, 1015 Budapest, Hungary; (I.S.); (L.B.)
- Correspondence: ; Tel.: +36-30-5192381
| | | | - László Babai
- Kardioközpont, 1015 Budapest, Hungary; (I.S.); (L.B.)
- Faculty of Health Sciences, University of Miskolc, 3515 Miskolc, Hungary
| | - Miklós Tóth
- Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary;
- Institute of Physiotherapy and Sport Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary;
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary;
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| |
Collapse
|
22
|
Hortobágyi T, Ács P, Baumann P, Borbély G, Áfra G, Reichardt-Varga E, Sántha G, Tollár J. Comparative effectiveness of four exercise interventions followed by two years of exercise maintenance in multiple sclerosis: A randomized control trial. Arch Phys Med Rehabil 2022; 103:1908-1916. [PMID: 35584738 DOI: 10.1016/j.apmr.2022.04.012] [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: 12/11/2021] [Revised: 03/25/2022] [Accepted: 04/20/2022] [Indexed: 11/02/2022]
Abstract
OBJECTIVE To determine the effects of Exergaming on quality of life (QoL), motor, and clinical symptoms in Multiple Sclerosis. We compared the effects of exergaming (EXE), balance (BAL), cycling (CYC), proprioceptive neuromuscular facilitation (PNF), and a standard care wait-listed control group (CON) on clinical and motor symptoms and quality of life (QoL) in people with MS (PwMS) and determined the effects of subsequent maintenance programs for 2 years in a hospital setting. DESIGN A randomized clinical trial, using before-after test design. SETTINGS University Hospital Setting PARTICIPANTS: Of 82 multiple sclerosis outpatients, 70 were randomized, and 68 completed the study. INTERVENTIONS The initial high-intensity and -frequency interventions consisted of 25, 1-h sessions over 5 weeks. After the 5-wk-long initial intervention, the 2-year-long maintenance programs followed, consisting of 3 sessions per week, each for 1h. MAIN OUTCOME MEASURES The primary outcome: Multiple Sclerosis Impact Scale (MSIS-29). SECONDARY OUTCOMES Measures five aspects of health-related QoL (EQ-5D index), Beck Depression Inventory, six-minute walk test (6MWT), Berg Balance Scale (BBS), Tinetti Assessment Tool (TAT) and static balance (center of pressure, COP). RESULTS MSIS-29 improved most in EXE (11 points), BAL (6), and CYC (6, all p<0.05). QoL improved most in EXE (3 points) and CYC and BAL (2, all p<0.05). TAT and BBS improved significantly (p<0.05) but similarly (p>0.05) in EXE, BAL, and CYC. 6MWT improved most in EXE (57m), BAL (32m), and CYC (19m all p<0.001). Standing sway did not change. Maintenance programs further increased the initial exercise-induced gains, robustly in EXE. CONCLUSION 25 sessions of EXE, BAL, CYC, and PNF, in this order, improved clinical and motor symptoms and QoL and subsequent, 2-y-long thrice weekly maintenance programs further slowed symptom-worsening and improved QoL. EXE was the most and PNF was the least effective to improve clinical symptoms, motor function, and QoL in PwMS.
Collapse
Affiliation(s)
- Tibor Hortobágyi
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, The Netherlands; Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungary; Department of Sport Biology, Institute of Sport Sciences and Physical Education, University of Pécs, Hungary; Departments of Epidemiology and Neurosurgery, University Medical Center Groningen, University of Groningen, The Netherlands
| | - Pongrác Ács
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
| | - Petra Baumann
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary; Department of Dentistry, Oral and Maxillofacial Surgery, Pécs
| | - Gábor Borbély
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
| | - György Áfra
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
| | - Emese Reichardt-Varga
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
| | - Gergely Sántha
- University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
| | - József Tollár
- Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungary; University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary; Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Hungary; Széchényi István University, Digital Development Center, Győr, Hungary.
| |
Collapse
|
23
|
Csöndör É, Karvaly G, Ligetvári R, Kovács K, Komka Z, Móra Á, Stromájer-Rácz T, Oláh A, Tóth M, Ács P. Adrenal, Gonadal and Peripherally Steroid Changes in Response to Extreme Physical Stress for Characterizing Load Capacity in Athletes. Metabolites 2022; 12:metabo12020091. [PMID: 35208166 PMCID: PMC8878642 DOI: 10.3390/metabo12020091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 01/14/2022] [Accepted: 01/16/2022] [Indexed: 10/27/2022] Open
Abstract
Athletes are often exposed to extreme physical stress during training or competitions. The consequent activation of the hypothalamus–hypophysis–adrenal (HPA) axis results in intensified steroid hormone production in the adrenal cortex. We determined the impact of an acute extreme physical stress on adrenal and gonadal steroidogenesis in healthy male professional athletes (n = 40). The subjects underwent an extreme physical load test until total voluntary fatigue between 14:00 and 18:00 when the hormone levels are relatively stable. Blood was taken before the start (baseline), at the peak load (peak), and 30 min following completion of the exercise (recovery). The vital parameters, lactate levels, and blood levels of the 14 steroid hormones were recorded. The multivariate statistical analysis of the results revealed that all monitored hormone levels increased upon stress. Significant changes in steroid concentrations were detected at peak versus baseline, peak versus recovery, and at baseline versus recovery. The mineralocorticoid (including aldosterone and corticosterone), glucocorticoid (11-deoxycortisol and cortisol), and androgen (androstenedione, dehydroepiandrosterone, and dehydroepiandrosterone sulfate) pathways, as well as gonadal testosterone synthesis are activated simultaneously under extreme physical load. The profiling of adrenal and gonadal steroid biosynthesis in athletes may help the characterization of their loading capacity.
Collapse
Affiliation(s)
- Éva Csöndör
- Department of Laboratory Medicine, Semmelweis University, 1089 Budapest, Hungary; (G.K.); (K.K.); (M.T.)
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (R.L.); (Á.M.)
- Correspondence:
| | - Gellért Karvaly
- Department of Laboratory Medicine, Semmelweis University, 1089 Budapest, Hungary; (G.K.); (K.K.); (M.T.)
| | - Roland Ligetvári
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (R.L.); (Á.M.)
| | - Krisztián Kovács
- Department of Laboratory Medicine, Semmelweis University, 1089 Budapest, Hungary; (G.K.); (K.K.); (M.T.)
| | - Zsolt Komka
- Department of Health Sciences and Sport Medicine, University of Physical Education, 1123 Budapest, Hungary;
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
| | - Ákos Móra
- Doctoral School of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (R.L.); (Á.M.)
| | - Tímea Stromájer-Rácz
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (T.S.-R.); (A.O.); (P.Á.)
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (T.S.-R.); (A.O.); (P.Á.)
| | - Miklós Tóth
- Department of Laboratory Medicine, Semmelweis University, 1089 Budapest, Hungary; (G.K.); (K.K.); (M.T.)
- Department of Health Sciences and Sport Medicine, University of Physical Education, 1123 Budapest, Hungary;
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (T.S.-R.); (A.O.); (P.Á.)
- János Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (T.S.-R.); (A.O.); (P.Á.)
- János Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| |
Collapse
|
24
|
Dvorák M, Tóth M, Ács P. The Role of Individualized Exercise Prescription in Obesity Management-Case Study. Int J Environ Res Public Health 2021; 18:ijerph182212028. [PMID: 34831781 PMCID: PMC8621483 DOI: 10.3390/ijerph182212028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 09/30/2021] [Revised: 11/12/2021] [Accepted: 11/15/2021] [Indexed: 12/02/2022]
Abstract
Introduction: Obesity, or adiposity-based chronic disease (ABCD), is one of the most common health risk factors nowadays. Regular exercise—part of complex lifestyle medicine program—is effective treatment for obesity but is still underestimated. Monitoring andindividualization by an exercise professional is needed to define the accurate dose effect. Materials and Methods: The 30-week lifestyle change program of a 65-year-old male patient (body mass index (BMI) 43.8 kg/m2) was followed by a medical doctor, exercise physiologist, and nutritionist. Over regular controls and blood tests, each training activity was measured with a heart rate monitor watch, and a diet diary was written. Results: Bodyweight decreased by 24.1 kg (18.4%) and BMI to 35.8 kg/m2. Decreased resting heart rate (from 72 bpm to 63 bpm), diastolic blood pressure (from 72 mmHg to 67 mmHg), and increased systolic blood pressure (from 126 mmHg to 135 mmHg) were reported, besides the reduction in antihypertensive and antidiabetic medicines. Blood test results and fitness level improved, and daily steps and time spent training increased. Conclusions: Lifestyle medicine with professional support is an effective and long-term treatment for ABCD. Individualized exercise and nutritional therapy are essential, and wearable technology with telemedicine consultation also has an important role.
Collapse
Affiliation(s)
- Márton Dvorák
- Department of Health Sciences and Sport Medicine, University of Physical Education, 1123 Budapest, Hungary;
- YourPowerMed Health Center, 1015 Budapest, Hungary
- Correspondence: ; Tel.: +36-305-192-381
| | - Miklós Tóth
- Department of Health Sciences and Sport Medicine, University of Physical Education, 1123 Budapest, Hungary;
- Institute of Physiotherapy and Sport Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary;
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary;
- Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
| |
Collapse
|
25
|
Ambrus E, Makai A, Prémusz V, Boros-Balint J, Tardi P, Tóvári A, Nusser N, Járomi M, Ács P, Koppán M, Bódis J, Hock M. Cross-sectional study of female pelvic floor dysfunction in a Hungarian population. Orv Hetil 2021; 162:1724-1731. [PMID: 34689134 DOI: 10.1556/650.2021.32221] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 03/16/2021] [Indexed: 11/19/2022]
Abstract
Összefoglaló. Bevezetés és célkitűzés: A női kismedencei funkciózavarok változatos tünetekkel jelentkezhetnek, és jelentősen befolyásolják az érintettek életminőségét. Vizsgálatunk célja volt felmérni a medencefenék-diszfunkciós tüneteket és azok hatását az egyén életminőségére. Módszer: Vizsgálatunkba 203 nőt vontunk be. Az adatgyűjtést két kérdőív, egy általunk összeállított és az Australian Pelvic Floor Questionnaire segítségével végeztük. Az adatok statisztikai elemzéséhez SPSS 20.0 rendszert használtunk. Spearman-korrelációt, khi-négyzet-próbát, Mann-Whitney-féle U-tesztet, Kruskal-Wallis-próbát és többváltozós lineáris regressziót alkalmaztunk. A szignifikanciaszintet p≤0,05 határnál állapítottuk meg. Eredmények: A hólyagdiszfunkciók gyakorisága (56,2%) szignifikáns kapcsolatot mutatott az életkor növekedésével (p<0,001), az obesitassal (p<0,001), a szülésszámmal és -móddal (p<0,001; p<0,001), az episiotomiával (p<0,001) és a prolapsusműtétekkel (p = 0,010). A süllyedéses kismedencei kórképek gyakorisága (27,1%) szignifikáns kapcsolatot mutatott az életkor növekedésével (p = 0,002), a szülésszámmal és -móddal (p<0,001; p<0,001) és a korábbi episiotomiával (p<0,001). Az analis incontinentia gyakorisága (58,9%) a magasabb testtömegindexszel (p = 0,029) volt szignifikáns kapcsolatban. Szexuális diszfunkciót (53,2%) allergia és tüdőbetegségek (p = 0,048) jelenlétével kapcsolatban találtunk. A többes diszfunkció előfordulási gyakorisága az életkor növekedésével (p<0,001), az obesitassal (p = 0,043), a korábbi hysterectomiával (p = 0,046) és prolapsusműtétekkel (p<0,001) mutatott szignifikáns kapcsolatot. Minden diszfunkció esetén kimutatható volt az életminőség-romlás (hólyagfunkciók: p<0,001; bél- és székletürítési funkciók: p<0,001, hüvelyfali süllyedés: p<0,001, szexuális funkciók: p<0,001). Következtetés: Az általunk vizsgált női populációban nagy arányban találtunk kismedencei funkciózavarokat, melyek kedvezőtlen hatással voltak az érintettek életminőségére. Orv Hetil. 2021; 162(43): 1724-1731. SUMMARY INTRODUCTION AND OBJECTIVE Pelvic floor dysfunction (PFD) can cause several complaints in women and has an adverse effect on the quality of life (Qol). The aim of our study was to evaluate the prevalence of pelvic floor dysfunction and its effect on Qol. METHOD 203 women were included. We used two questionnaires, a self-constructed and the Australian Pelvic Floor Questionnaire. Statistical analysis was performed by SPSS 20.0. Spearman's correlation, chi-square, Mann-Whitney U, Kruskal-Wallis tests and multivariate linear regression were used. Statistical significance was set at p≤0.05. RESULTS There was a significant association between the prevalence of urinary incontinence (56.2%) and age (p<0.001), obesity (p<0.001), number and mode of deliveries (p<0.001; p<0.001), episiotomy (p<0.001) and pelvic organ prolapse (POP) surgery (p = 0.010); between the occurrence of POP (27.1%) and age (p = 0.002), the number and mode of deliveries (p<0.001; p<0.001) and episiotomy (p<0.001); between the prevalence of anal incontinence (58.9%) and obesity (p = 0.029); between sexual dysfunction (SD) (53.2%) and respiratory disease and allergy (p = 0.048). Multiple PFD was significantly associated with age (p<0.001), obesity (p = 0.043), hysterectomy (p = 0.046) and POP surgery (p = 0.010). There was a significant difference between women having more severe PFD than milder complaints regarding Qol (bladder p<0.001; bowel p<0.001; SD p<0.001 and POP p<0.001). CONCLUSION Pelvic floor dysfunction was common in our study population and had a great adverse effect on Qol. Orv Hetil. 2021; 162(43): 1724-1731.
Collapse
Affiliation(s)
- Eszter Ambrus
- 1 Harkányi Termál Rehabilitációs Centrum Közhasznú Nonprofit Kft., Harkány, Zsigmondy sétány 1., 7815
| | - Alexandra Makai
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| | - Viktória Prémusz
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| | | | - Péter Tardi
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| | - Anett Tóvári
- 5 Vasútegészségügyi Nonprofit Közhasznú Kft., Harkány
| | - Nóra Nusser
- 1 Harkányi Termál Rehabilitációs Centrum Közhasznú Nonprofit Kft., Harkány, Zsigmondy sétány 1., 7815
| | - Melinda Járomi
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| | - Pongrác Ács
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| | - Miklós Koppán
- 3 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Klinika, Pécs
| | - József Bódis
- 3 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Klinika, Pécs
| | - Márta Hock
- 2 Pécsi Tudományegyetem, Egészségügyi Kar, Fizioterápiás és Sporttudományi Intézet, Pécs
| |
Collapse
|
26
|
Ács P, Veress R, Rocha P, Dóczi T, Raposa BL, Baumann P, Ostojic S, Pérmusz V, Makai A. Criterion validity and reliability of the International Physical Activity Questionnaire - Hungarian short form against the RM42 accelerometer. BMC Public Health 2021; 21:381. [PMID: 33892658 PMCID: PMC8062944 DOI: 10.1186/s12889-021-10372-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 02/01/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. METHODS In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire - short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. RESULTS The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111-0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788-0.981, p < 0.001). CONCLUSION The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.
Collapse
Affiliation(s)
- Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| | - Réka Veress
- Hungarian Leisure Sport Association, Istvánmezei út 1-3, Budapest, H-1146 Hungary
| | - Paulo Rocha
- Instituto Português do Desporto e Juventud, 1990-100 Lisbon, Portugal
- Faculdade de Motricidade Humana, Universidade de Lisboa, 1649-004 Lisbon, Portugal
| | - Tamás Dóczi
- University of Physical Education, Budapest, Hungary
| | - Bence László Raposa
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| | - Petra Baumann
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| | - Sergej Ostojic
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| | - Viktória Pérmusz
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621 Hungary
| |
Collapse
|
27
|
Járomi M, Szilágyi B, Velényi A, Leidecker E, Raposa BL, Hock M, Baumann P, Ács P, Makai A. Assessment of health-related quality of life and patient's knowledge in chronic non-specific low back pain. BMC Public Health 2021; 21:1479. [PMID: 33892680 PMCID: PMC8063275 DOI: 10.1186/s12889-020-09506-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 09/06/2020] [Indexed: 12/19/2022] Open
Abstract
Background Chronic non-specific low back pain syndrome (cnsLBP) is a severe health problem in developed countries, which has an important effect on patients’ quality of life and is highly determined by socio-demographic factors and low back pain specific knowledge. We examined patients’ health-related quality of life according to the results of the Short Form Health Survey (SF-36), low back pain knowledge (LBPKQ) and the social determinants of the participants. Methods We carried out our research in the first half of 2015 in Southern Transdanubia, Hungary. The examination included 1155 respondents living with chronic non-specific low back pain. The confidence interval of 95% was used, and the level of. significance was p < 0.05 using SPSS 22.0 software. Results The SF-36 questionnaire is suitable for the examination of patients’ health-related quality of life (Cronbach’s Alpha> 0.76), as the LBPKQ’s Cronbach’s Alpha was 0.726 also, which showed good validity. Longer-term disease meant a lower health-related quality of life (p < 0.05). A greater decrease of function (Roland Morris scores (RM)) accounts for a lower HRQoL and higher knowledge level. We found significant differences in LBPKQ scores according to sociodemographic parameters. The general health status was positively correlated with LBPKQ (p = 0.024) adjusted for demographic and pain and functional status. Conclusion The negative effect of the symptoms on patients’ quality of life is proved, which is determined by different socio-demographic parameters furthermore by knowledge. Above all could be useful information for professionals to adopt the right interventions.
Collapse
Affiliation(s)
- Melinda Járomi
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary
| | - Brigitta Szilágyi
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary
| | - Anita Velényi
- Department of Neurosurgery, Clinical Center, University of Pécs, Rét utca 2, Pécs, H-7623, Hungary
| | - Eleonóra Leidecker
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary
| | - Bence László Raposa
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Márta Hock
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary
| | - Petra Baumann
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Pongrác Ács
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary
| | - Alexandra Makai
- Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary.
| |
Collapse
|
28
|
Prémusz V, Makai A, Perjés B, Máté O, Hock M, Ács P, Koppán M, Bódis J, Várnagy Á, Lampek K. Multicausal analysis on psychosocial and lifestyle factors among patients undergoing assisted reproductive therapy - with special regard to self-reported and objective measures of pre-treatment habitual physical activity. BMC Public Health 2021; 21:1480. [PMID: 33892655 PMCID: PMC8063288 DOI: 10.1186/s12889-020-09522-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 09/08/2020] [Indexed: 11/16/2022] Open
Abstract
Background National, regional and global trends in prevalence of infertility indicate its public health importance, however it effects various life dimensions of individuals and couples as well. Lifestyle habits may counteract with these factors. The aim of the study was the multicausal analysis of psychosocial and lifestyle factors undergoing assisted reproductive therapy (ART) with special regard to pre-treatment habitual physical activity (PA). Methods In a cross-sectional, observational cohort study on ART patients (N = 60, age 34.6 ± 5.2 years, BMI 24.2 ± 4.9 kg/m2) with follow up on outcome measures a detailed description was given on PA patterns (ActriGraph GT3X, GPAQ-H) and on general and infertility related distress (BDI-13, FPI). Results Respondents reported normal mood state (BDI-13) but moderately high infertility-related distress (FPI) in Social- and very high distress in Sexual Concern. It was revealed that time spent with recreational PA (RPA) could counteract with infertility-related distress (Social Concern R = -0.378, p = 0.013; Relationship Concern R = -0.365, p = 0.019). In the presence of clinical pregnancy GPAQ-H RPA MET was significantly higher (p = 0.048), in the non-pregnant group cumulative values and work-related PA were higher. Correlations could be found between RPA time and the number of oocytes (R = 0.315, p = 0.045), matured oocytes (R = 0.339, p = 0.030) and embryos (R = 0.294, p = 0.062) by women who reached at least 150 min RPA (GPAQ-H). Multivariate linear regression revealed that the number of oocytes was positively influenced by the GPAQ-H recreation MET (R2 = 0.367; F = 10.994, p = 0.004; B = 0.005, p = 0.004, B Constant = 4.604). Regarding the number of embryos (R2 = 0.757, F = 17.692, p < 0.001, B Constant = 1.342) positive relationship was found with GPAQ-H RPA MET (B = 0.004, p < 0.001) and negative with BMI (B = -0.167, p = 0.038). It was disclosed (R2 = 0.958, F = 408.479, p < 0.001) that higher Very Vigorous Activity (ActiGraph) was accompanied with higher hCG (B = 63.703, p ≤ 0.001). However, time spent with moderate PA (GPAQ-H) (B = 0.002, SE = 0.001, Wald = 3.944, p = 0.047, OR = 1.002) was significantly associated with live births. Conclusions Amount of PA alone did not have a positive effect on outcome of ART. Type and intensity seemed to be more significant. Existing differences in response to infertility due to recreational PA suggest the importance of the development of a specific intervention. The robust overestimation of PA in self-reports highlights the need to improve physical literacy of women undergoing ART.
Collapse
Affiliation(s)
- Viktória Prémusz
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary. .,MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary.
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| | - Beatrix Perjés
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| | - Orsolya Máté
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| | - Márta Hock
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| | - Miklós Koppán
- Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary
| | - József Bódis
- MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary.,Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary
| | - Ákos Várnagy
- MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary.,Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Édesanyák u. 17, Pécs, H-7624, Hungary
| | - Kinga Lampek
- Faculty of Health Sciences, University of Pécs, Vorosmarty u. 4, Pécs, 7621, Hungary
| |
Collapse
|
29
|
Ács P, Betlehem J, Oláh A, Bergier B, Morvay-Sey K, Makai A, Prémusz V. Cross-cultural adaptation and validation of the Global Physical Activity Questionnaire among healthy Hungarian adults. BMC Public Health 2020; 20:1056. [PMID: 32799854 PMCID: PMC7429946 DOI: 10.1186/s12889-020-08477-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 03/06/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Physical activity (PA) is an important factor among the determinants of health due to it's protective factor and preventive role. Self-reported measures such as questionnaires are most commonly used in public health studies, but may over- or underestimate actual patterns of PA. Therefore, accelerometers are widely used to assess concurrent validity. The aim of the present study was to adapt and validate the self-administered GPAQ - Hungarian version (GPAQ-H) against accelerometer data and IPAQ-Hungarian long version (IPAQ-HL) in Hungarian healthy young adults. METHODS A cross-sectional comparative study was conducted to examine the last 7 days PA by GPAQ-H, comparing with IPAQ-HL and Actigraph GT3X accelerometer to measure concurrent validity and reliability. A convenient sample of 300 young adults was recruited in January - July 2018 at the University of Pécs, in South-Hungary, 120 participants (age 21.53 ± 1.75 years, 46.66% male) were included in the validity and reliability study. RESULTS Significant differences between the three instruments were found (p < 0.001) in all scores, except PAQs vigorous activities (p = 0.332) and GPAQ-H and accelerometer MVPA score (p = 0.424). A moderate KMO measure was found (0.538) with a significant Barlett's test of Sphericity (279.51; p < 0.001). The total variance was explained as 81.10%. The reliability of the GPAQ-H instrument with all domain's scores was 0.521 (CI 0.371-0.644). We found in all intensity scores and sitting time good reliability scores (R = 0.899-987, p < 0.001) between the baseline and follow-up (N = 33 random subsample). The Bland-Altman plots were showed that GPAQ-H overestimates vigorous activities by 212.75 min/week (331.82-757.42) and MVPA by 104.93 min/week (- 1016.98-807.11). A high difference, 6336.79 min/week (CI 3638.18-9035.40) was revealed regarding sitting, as GPAQ-H largely underestimated the time spent sedentary. CONCLUSIONS The Hungarian GPAQ self-administered form showed fair to moderate validity with correlation coefficients similar to other European studies. Based on our study's results it could be claimed that the GPAQ-H measurement tool is a valid and reliable questionnaire to measure the healthy Hungarian population's physical activity patterns. However, our results also proved that GPAQ-H alone is not a valid and reliable questionnaire to measure sitting time.
Collapse
Affiliation(s)
- Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - József Betlehem
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Barbara Bergier
- Pope John Paul II. State School of Higher Education, Biała Podlaska, Poland
| | - Kata Morvay-Sey
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | | |
Collapse
|
30
|
Ács P, Betlehem J, Oláh A, Bergier J, Melczer C, Prémusz V, Makai A. Measurement of public health benefits of physical activity: validity and reliability study of the international physical activity questionnaire in Hungary. BMC Public Health 2020; 20:1198. [PMID: 32799846 PMCID: PMC7429907 DOI: 10.1186/s12889-020-08508-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 03/04/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To ensure accurate measurement of the health benefits of habitual physical activity in large sample epidemiological studies, physical activity questionnaires (PAQs) are the most feasible methods. Therefore, the purpose of this study was the validation and cultural adaptation to the Hungarian population of the International Physical Activity Questionnaire (IPAQ-HL). METHODS A cross-sectional study among Hungarian healthy adults (age 21.375 ± 1.940 years, n = 120) was performed comparing measures of last 7 days IPAQ-HL self- administered questionnaire and obtained accelerometer (Actigraph GT3X) data for concurrent validity, reassessed by a random subsample (n = 33) to measure reliability. RESULTS Our results indicate acceptable criterion validity for total physical activity, moderate to vigorous physical activity (R = 0.387, p < 0.001; R = 0.331 p < 0.001 respectively) and moderate physical activity (R = 0.193, p = 0.034). The ICC scores revealed moderate to good correlations (ICC = 0.744-0.942, p < 0.001). Moderate Kaiser-Meyer-Olkin measure (0.531, p < 0.001) and good reproducibility for vigorous, moderate to vigorous and moderate activities was found for IPAQ-HL in the studied population. Nevertheless, like analogous self-reports in other languages, it overestimates the time spent on physical activity. CONCLUSIONS IPAQ-HL proved to be a reasonably valid measure for population prevalence epidemiological studies and is suggested for use to develop public health policy recommendations or to optimize public health interventions. However, the results on vigorous activity should be interpreted with caution, the questionnaire showed moderate validity for this particular intensity.
Collapse
Affiliation(s)
- Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - József Betlehem
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Józef Bergier
- Pope John Paul II. State School of Higher Education, Biała Podlaska, Poland
| | - Csaba Melczer
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | | | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
| |
Collapse
|
31
|
Rétsági E, Prémusz V, Makai A, Melczer C, Betlehem J, Lampek K, Ács P, Hock M. Association with subjective measured physical activity (GPAQ) and quality of life (WHOQoL-BREF) of ageing adults in Hungary, a cross-sectional study. BMC Public Health 2020; 20:1061. [PMID: 32799853 PMCID: PMC7429902 DOI: 10.1186/s12889-020-08833-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/01/2020] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND It is well known that physical activity (PA) has health benefits. This study aimed to examine physical activity carried out by the senior (over 50) participants and its relation to their quality of life (QoL). METHODS Surveillance of PA and QoL was measured by using questionnaires (GPAQ, WHOQoL-BREF) in this study. Descriptive data were presented as means and standard deviations (SD) for continuous variables and as percentages for categorical variables. Multivariate linear regression analysis was conducted. The significance level was set at p ≤ 0.05. RESULTS Overall, 250 participants were recruited, the mean age of the study population (n = 243) was 70.2 (SD 7.1) years. The results clearly showed that the Hungarian participants aged over 50 years were more likely to do PA if they had university degree and lower age (p ≤ 0.001) and used more active transportation (p = 0.035) if they had low education. The results of WHOQoL-BREF showed that the Hungarian individuals have better QoL if they have university degree (p ≤ 0.001) and lower age (p ≤ 0.001). Using multivariate linear regression analysis to examine the effect of PA patterns on QoL adjusted for demographic variables (age, education, BMI, place of living), the result showed significant correlation between WHOQoL-BREF dimensions and GPAQ (p ≤ 0.001). CONCLUSION Higher amount of PA among aging population can result in better QoL in all dimensions.
Collapse
Affiliation(s)
- Erzsébet Rétsági
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, 4 Rét str., Pécs, H-7623 Hungary
| | - Viktória Prémusz
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, 4 Vörösmarty str., Pécs, H-7621 Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, 4 Rét str., Pécs, H-7623 Hungary
| | - Csaba Melczer
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, 4 Rét str., Pécs, H-7623 Hungary
| | - József Betlehem
- Faculty of Health Sciences, Institute of Emergency Care and Health Pedagogy, University of Pécs Pécs, 4 Vörösmarty str., Pécs, H-7621 Hungary
| | - Kinga Lampek
- Department of Public Health and Health Promotion, Faculty of Health Sciences, Institute of Health Insurance, University of Pécs, 5-7 Mária str., Pécs, H-7621 Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, 4 Rét str., Pécs, H-7623 Hungary
| | - Márta Hock
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, 4 Rét str., Pécs, H-7623 Hungary
| |
Collapse
|
32
|
Ihász F, Schulteisz N, Finn KJ, Szabó K, Gangl J, Nagy D, Ács P, Oláh A. Associations between fitness levels and self-perceived health-related quality of life in community - dwelling for a group of older females. BMC Public Health 2020; 20:1057. [PMID: 32799823 PMCID: PMC7429675 DOI: 10.1186/s12889-020-08473-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 03/05/2020] [Indexed: 11/29/2022] Open
Abstract
Background For older adults perceived quality of life has been linked to the ability to accomplish everyday tasks, a functional capacity which is thought to be based upon physical fitness. Although there is a relationship between physical activity and quality of life in older adults, the fitness of older adults and its relationship to quality of life needs more investigation. Therefore, the purpose of this study was to examine the associations between self-reported health-related quality of life and physical fitness in community-dwelling older females. Methods A cross-sectional study between four different age groups in retirement villages from two different places of the southern and western region of Hungary, among 173 women between the ages of 58 and 94 years old. We measured physical fitness using the Fullerton Test protocol and self-perceived health quality of life using the Short-Form Health Survey. Results Group means were different in six-minute walk distance, handgrip strength, and arm curls. The youngest group of females had higher scores of fitness in these categories as compared to the oldest grouping of women. Quality of Life were also difference across age groupings although not linear across the four age categories. Moderate level positive relationship was evident between perceived physical function and certain categories of physical fitness. Conclusions Sociability and self-motivation has a leading role in quality of life in elder population. It is worth putting a lot more emphasis into continuous cultural, social and most importantly into physical activity programs for elderly.
Collapse
Affiliation(s)
- Ferenc Ihász
- Department of Physical Education and Sport Sciences, Faculty of Pedagogy and Psychology, University of Eötvös Lóránd, Szombathely, Hungary.,Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Nikolett Schulteisz
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Kevin J Finn
- School of Nutrition, Kinesiology, & Psychological Sciences, College of Health, Science and Technology, University of Central Missouri, Warrensburg, MO, USA
| | - Krisztina Szabó
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Judit Gangl
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Dóra Nagy
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary.
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| |
Collapse
|
33
|
Makai A, Füge K, Breitenbach Z, Betlehem J, Ács P, Lampek K, Figler M. The effect of a community-based e-health program to promote the role of physical activity among healthy adults in Hungary. BMC Public Health 2020; 20:1059. [PMID: 32799879 PMCID: PMC7429904 DOI: 10.1186/s12889-020-08750-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 04/22/2020] [Indexed: 12/15/2022] Open
Abstract
Background Physically active lifestyle can prolong the years spent without chronic diseases and is strongly associated with good mental and physical health. The goal of the study was to examine the physical activity patterns of the healthy adults and the effectiveness of a community-based e-health program. Methods The study sample comprised of 633 participants. Analyses were based on the E-Harmony health program that was conducted in Hungary in 2014–2015. The longitudinal study measured the physical activity patterns of the healthy adult population, and a 12-month community-based internet and media program was evaluated for the target group to improve the physical activity level and related knowledge. We examined the effectiveness of the program by the International Physical Activity Questionnaire – Hungarian validated long version adjusting for socio-demographic parameters, also across multivariate linear regression analysis using SPSS 24.0 software. Confidence interval of 95% was used and the level of significance was p < 0.05. Results The total physical activity of the study sample was 5129.9 (SD = 4488.1) MET min/week. Male participants scored higher in total activity but the results showed no statistical significance. Our participants were sitting 2211.6 (SD = 1592.8) min /week on average (daily average was 315.9 (SD = 227.6) minutes); the results showed no statistically significant difference by gender. We found weak but significant relationship between the active lifestyle and anthropometric data, especially according to leisure time activities and sedentary behaviour (p < 0.001). Based on the multivariate linear regression models the socio-demographic parameters significantly affected the physical activity level of participants. After the 12-month community-based e-health program, 10.34% changes occurred in the total physical activity level (p < 0.001). Conclusions To our knowledge, ours was the first community-based e-health program in Hungary to improve the physical activity level of the healthy adult population. Based on our results this web-based e-health program can be an adequate tool to promote healthy lifestyle. The study could provide appropriate information for the further health interventions and policy making. Further research is necessary to determine the special risk groups and to develop an applicable e-health program for such specific subgroups.
Collapse
Affiliation(s)
- Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary.
| | - Kata Füge
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Zita Breitenbach
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - József Betlehem
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Kinga Lampek
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Mária Figler
- Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| |
Collapse
|
34
|
Ligetvári R, Ács P, Far G, Móra Á, Csöndör É, Komka Z, Szokodi I, Tóth M, Stromájer-Rácz T, Betlehem J, Oláh A. Differential Apelin Responses To Physical Stress In Elite Hungarian Athletes. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000682912.40768.20] [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: 11/21/2022]
|
35
|
Csöndör É, Ligetvári R, Karvaly G, Far G, Móra Á, Komka Z, Vásárhelyi B, Tóth M, Tóth VM, Stromájer-Rácz T, Betlehem J, Ács P, Oláh A. Circulating Steroid Changes In Response To Extreme Physical Stress In Male Athletes. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000676056.34222.86] [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: 11/21/2022]
|
36
|
Kovács-Babócsay B, Makai A, Szilágyi B, Tardi P, Ács P, Velényi A, Rébék-Nagy G, Járomi M. [The Hungarian translation and validation of the Low Back Pain Knowledge Questionnaire]. Orv Hetil 2019; 160:1663-1672. [PMID: 31608687 DOI: 10.1556/650.2019.31484] [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] [Indexed: 11/19/2022]
Abstract
Introduction: Many disease-specific questionnaires, which analyze patients' functional status, quality of life or the progression of the disease, have been validated in Hungarian. The low back pain (LBP) patients' knowledge about their problem has not been measured by an officially validated Hungarian tool. Aim: The aim of our study was to translate and validate the Low Back Pain Knowledge Questionnaire (LKQ) and to assess its validity and reliability. Method: We used the translation-back translation method as the first step. Then we used a synthesis of the back translations reviewed by independent translators. We enrolled 218 people in our study: 101 of them were chronic LBP patients and 73 acute LBP patients. For the validation process, we used the Roland-Morris Disability Index to compare our questionnaire. We calculated Cronbach's alpha values and correlation coefficients. Results: The Hungarian version of LKQ correlated well with the Roland-Morris Index and it proved to be a valid questionnaire (correlation coefficient: -0.393; Cronbach's alpha value 0.894). Conclusion: We found the Hungarian version of LKQ a valid and reliable tool to measure patients' knowledge about LBP. We recommend future studies should apply bigger and more homogenous populations to assess LBP disease-specific knowledge in this country. Orv Hetil. 2019; 160(42): 1663-1672.
Collapse
Affiliation(s)
- Bianka Kovács-Babócsay
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| | - Alexandra Makai
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| | - Brigitta Szilágyi
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| | - Péter Tardi
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| | - Pongrác Ács
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| | - Anita Velényi
- Általános Orvostudományi Kar, Klinikai Központ, Idegsebészeti Klinika, Pécsi Tudományegyetem Pécs
| | - Gábor Rébék-Nagy
- Általános Orvostudományi Kar, Egészségügyi Nyelvi és Kommunikációs Intézet, Pécsi Tudományegyetem Pécs
| | - Melinda Járomi
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Rét u. 4., 7623
| |
Collapse
|
37
|
Papp V, Iljicsov A, Rajda C, Magyari M, Koch‐Henriksen N, Petersen T, Jakab G, Deme I, Nagy F, Imre P, Lohner Z, Kovács K, Birkás AJ, Köves Á, Rum G, Nagy Z, Kerényi L, Vécsei L, Bencsik K, Jobbágy Z, Diószeghy P, Horváth L, Galántai G, Kasza J, Molnár G, Simó M, Sátori M, Rózsa C, Ács P, Berki T, Lovas G, Komoly S, Illes Z. A population‐based epidemiological study of neuromyelitis optica spectrum disorder in Hungary. Eur J Neurol 2019; 27:308-317. [DOI: 10.1111/ene.14079] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Accepted: 08/21/2019] [Indexed: 11/27/2022]
|
38
|
Kiss G, Kovácsné VB, Tóth ÁL, Jeges S, Makai A, Szilágyi B, Ács P, Járomi M. Efficiency examination of a 6-month trunk prevention program among recruitment kayak-canoe athletes: A randomized control trial. J Back Musculoskelet Rehabil 2019; 32:367-378. [PMID: 30475752 DOI: 10.3233/bmr-181297] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Trunk prevention training, which provides the basis of several conditioning training programs, is used in sports at professional and amateur levels, taking the specifications of the given sport and the age-related characteristics of the athletes into consideration. OBJECTIVE Our aim was to examine the strength and flexibility of muscles responsible for correct posture, the lumbar motor control ability and the posture of recruitment kayak-canoe athletes. METHODS Controlled, randomized examination with 103 persons (age: 15.1 ± 3.5 years), who were divided into two groups. Fifty were in the intervention group, who took part in the 6-month trunk prevention training program (height: 162.30 cm, body weight: 49.70 ± 10.32 kg), 53 in the control group (not performing trunk prevention training) (height: 158.24 cm, body weight: 51.45 ± 11.71 kg). The strength of core muscles was measured with Kraus-Weber test, muscle flexibility with Kempf-test, lumbar motor control ability with Sitting Forward Lean and Leg Lowering test and posture with photogrammetry test before and after the program. RESULTS Static strength of abdominal muscles (p< 0.001), superficial and deep dorsal muscles (p< 0.001), flexibility of knee extensors (p< 0.001), chest muscles (p< 0.001), the lumbar motor control ability (p< 0.001) and habitual posture (p< 0.001) significantly improved in the intervention group. The post-measurements in the intervention group were significantly (p< 0.001) better than in the control group. CONCLUSIONS As a result of the trunk prevention training the strength of core stabilization muscles, the lumbar motor control ability and the posture also improved in case of recruitment athletes.
Collapse
Affiliation(s)
- Gabriella Kiss
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Viktória B Kovácsné
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Ákos L Tóth
- Faculty of Natural Sciences, Institute of Sport Sciences and Physical Education, University of Pécs, Pécs, Hungary
| | - Sára Jeges
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary.,Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Brigitta Szilágyi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary.,Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Melinda Járomi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| |
Collapse
|
39
|
Kiss G, Faludi B, Szilágyi B, Makai A, Velényi A, Ács P, Tardi P, Pallag A, Bors V, Sekk P, Járomi M. Effect of Active and Passive Mechanical Thromboprophylaxis and Consensual Effect on the Venous Blood Flow Velocity Among Hemiparetic Patients. Clin Appl Thromb Hemost 2019; 25:1076029619832111. [PMID: 30813755 PMCID: PMC6714927 DOI: 10.1177/1076029619832111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Our aim was to measure the venous blood flow velocity (VBFV) in case of hemiparetic patients, after passive and active thromboembolic methods, as well as the consensual effect in the hemiparetic limb following the active venous exercises in the healthy limb. We examined 215 patients, with the median age of 58.0 (55.0-63.0) years. The VBFV was measured with a HADECO BIDOP ES-100 V II type Doppler ultrasound device, using an 8 MHz head, on the femoral vein at the level of the hip joint. For statistical analysis, SPSS version 22 was used. After passive movement, on the hemiparetic side, compared to the value in resting state, the VBFV significantly (12.6; 11.6-13.5 cm/s; P < .001) increased. Following active venous exercises performed on the healthy side, the VBFV significantly (18.0; 15.6-19.6 cm/s; P < .001) increased compared to the value in resting state. Following the active venous exercises performed on the healthy side, the VBFV measured on the hemiparetic side (consensual effect) was significantly (15.1 [14.1-16.5] cm/s; P < .001) higher than the value on the hemiparetic side in resting state. Active and passive mechanical thromboprophylaxis methods can be effective. Movements of the healthy limb significantly increase the VBFV in the inactive limb, and patients can perform it themselves several times a day.
Collapse
Affiliation(s)
- Gabriella Kiss
- 1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary
| | - Béla Faludi
- 2 Neurology Clinic, University of Pécs Medical School, Pécs, Hungary
| | - Brigitta Szilágyi
- 1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary.,3 Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- 3 Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Anita Velényi
- 4 Department of Neurosurgery, University of Pécs Clinic Centre, Pécs, Hungary
| | - Pongrác Ács
- 1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary
| | - Péter Tardi
- 1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary
| | - Adrienn Pallag
- 4 Department of Neurosurgery, University of Pécs Clinic Centre, Pécs, Hungary
| | - Viktória Bors
- 4 Department of Neurosurgery, University of Pécs Clinic Centre, Pécs, Hungary
| | | | - Melinda Járomi
- 1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary
| |
Collapse
|
40
|
MoghaddamHosseini V, Makai A, Varga K, Ács P, Prémusz V, Várnagy Á. Assessing fear of childbirth and its predictors among Hungarian pregnant women using Wijma Delivery Expectancy/Experience Questionnaire subscales. PSYCHOL HEALTH MED 2019; 24:879-889. [DOI: 10.1080/13548506.2019.1572904] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Vahideh MoghaddamHosseini
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pecs, Hungary
- Department of Midwifery, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Alexandra Makai
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pecs, Hungary
| | - Katalin Varga
- Affective Psychology Department, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Pongrác Ács
- Institute of Sport Sciences and Physiotherapy, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Viktória Prémusz
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pecs, Hungary
- MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, Pécs, Hungary
| | - Ákos Várnagy
- MTA-PTE Human Reproduction Scientific Research Group, University of Pécs, Pécs, Hungary
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Pécs, Pécs, Hungary
| |
Collapse
|
41
|
Bergier J, Tsos A, Popovych D, Bergier B, Niźnikowska E, Ács P, Junger J, Salonna F. Level of and Factors Determining Physical Activity in Students in Ukraine and the Visegrad Countries. Int J Environ Res Public Health 2018; 15:ijerph15081738. [PMID: 30104546 PMCID: PMC6121614 DOI: 10.3390/ijerph15081738] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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: 07/24/2018] [Revised: 08/08/2018] [Accepted: 08/11/2018] [Indexed: 01/09/2023]
Abstract
Background: Examining the level of physical activity in students is a vital issue as these young people are the future social elite. Methods: The research was conducted in the years 2013–2016 and comprised 5008 males and females, mean age of 20.5 ± 2.1 years, including 2237 (55.3%) students from students from Eastern European National University, Lutsk, and Ternopil State Medical University, Ukraine, as well as 2237 (44.7%) from the Visegrad countries, i.e., University of Pécs in Hungary, University in Kosice, Slovakia, University of Olomunec in the Czech Republic and the State School of Higher Education in Biała Podlaska, Poland. It applied a diagnostic survey—the extended version of the International Physical Activity Questionnaire (IPAQ), supplemented with original questions regarding body weight, height, self-assessment of physical fitness and amount of leisure time. Results: The comparison of students’ PA from selected European countries, members of the Visegrad group and Ukraine, is particularly vital to the latter country as it demonstrates a different level of socio-economic development. There was noted a significantly higher level of physical activity in students from the Visegrad countries than in Ukraine. Further, there was an overall lower level of physical activity in females compared to males. What was positive about the studied samples was a healthy BMI index in the majority of the male and female respondents, with a significantly higher indicator in Ukraine. Conclusions: Among the factors significantly affecting higher physical activity in both researched samples were the BMI and high self-assessment of physical fitness. There was no significant variation in the level of physical activity and the amount of leisure time, both in those studying in the Visegrad states and Ukraine.
Collapse
Affiliation(s)
- Józef Bergier
- Pope John Paul II State School of Higher Education, 21-500 Biala Podlaska, Poland.
| | - Anatolii Tsos
- Institute of Physical Education and Health, Lesya Ukrainka Eastern European National University, 43025 Lutsk, Ukraine.
| | - Dariya Popovych
- Department of Physical Rehabilitation, Human Health and Physical Education, I. Horbachevsky Ternopil State Medical University, 46001 Ternopil, Ukraine.
| | - Barbara Bergier
- Pope John Paul II State School of Higher Education, 21-500 Biala Podlaska, Poland.
| | - Ewelina Niźnikowska
- Pope John Paul II State School of Higher Education, 21-500 Biala Podlaska, Poland.
| | - Pongrác Ács
- Institute of Physiotherapy and Sport Science, University of Pécs, H-7623 Pécs, Hungary.
| | - Jan Junger
- Pavol Jozef Šafárik University in Kosice, Institute of Physical Education and Sport, 041 80 Košice, Slovak.
| | - Ferdinand Salonna
- Faculty of Physical Culture, Palacky University of Olomunec, 771 47 Olomouc, The Czech Republic.
| |
Collapse
|
42
|
Szilágyi B, Kukla A, Makai A, Ács P, Járomi M. Sports therapy and recreation exercise program in type 2 diabetes: randomized controlled trial, 3-month follow-up. J Sports Med Phys Fitness 2018; 59:676-685. [PMID: 29991214 DOI: 10.23736/s0022-4707.18.08591-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND A sports therapy program in type 2 diabetes helps in glucose control, but little is known how a long-term structured exercise intervention affects the parameters in this disease. Our aim was to measure the impact of a 24-week-long sports therapy program in type 2 diabetes on the concentration of glucose in blood, body composition, and physical fitness level. METHODS In this prospective longitudinal study, 208 type II diabetic patient (80 male, 128 female, aged: 61±6.86 years) were selected and randomly assigned to a control or an intervention group. The intervention group took part in a sports therapy and recreation sports program for 6 months. Taking into account the rules of training theory and physiotherapy, fitness material of exercising (aerobics, resistance training, muscle strengthening, stretching) and outdoor elements were used during the 3-month sports program, after which it became a 3-month recreation exercise program. In the control group, there was no intervention. RESULTS The intervention group showed significant decrease in concentration of glucose in blood (mean differences [MD]:-3.23; Confidence Interval [CI] lowest: -3.50; CI highest: -2.95]; P<0.01), weight (MD: -1.68; [-0.82, -0.52] P=0.01), BMI (MD: -0.37; [-0.82; 0.08]; P=0.01), body fat percentage (MD:-1.74; [-2.15, -1.34]; P=0.05) and visceral fat (MD:-0.37; [-0.67, -0.07; P=0.01); right (MD: 5.33; [4.98, 5.68]; P<0.01) and left arm curl (MD: 5.23; [4.87, 5.60]; P<0.01) test, chair stand test (MD: 2.95; [2.65, 3.25]; P=0.00) and the 6-minute walk test (MD: 111.21; [101.12; 121.31]; P<0.01) showed significant improvement. CONCLUSIONS A 24-week-long sports therapy program is a successful intervention for improving parameters affected by type 2 diabetes.
Collapse
Affiliation(s)
- Brigitta Szilágyi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary -
| | - Aniko Kukla
- Veterans Administration Hospital Cleveland, FPB School of Nursing, Case Western Reserve University, Cleveland, OH, USA
| | - Alexandra Makai
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Melinda Járomi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| |
Collapse
|
43
|
Müller A, Ráthonyi G, Bíró M, Ráthonyi-Ódor K, Bács Z, Ács P, Hegyi G, Bácsné Bába É. The effect of complex climate therapy on rehabilitation results of elderly asthmatic and chronic obstructive airways disease (COPD) patients. Eur J Integr Med 2018. [DOI: 10.1016/j.eujim.2018.04.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
|
44
|
Bergier B, Bergier J, Niźnikowska E, Junger J, Salonna F, Ács P, Frömel K. Differences in physical activity and nutritionand silhouette-related behaviours in male and female students in selected European countries. Ann Agric Environ Med 2018; 25:176-181. [PMID: 29575854 DOI: 10.26444/aaem/80988] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 06/08/2023]
Abstract
INTRODUCTION As indicated by the WHO, lifestyle plays a unique role in human health, which in turn is determined to a great extent by physical activity and nutrition. It must be borne in mind that physical activity should be systematic and regulated by an age-appropriate exercise intensity. All this indicates that learning about students' lifestyle, with a particular focus on physical activity is vital as it these young people who aspire to the role of the future elites. OBJECTIVE The aim of the study is to evaluate the level of physical activity, nutrition- and silhouette-related behaviours of male and female students to assess the relationships between these variables in students from the Visegrad Group countries. MATERIAL AND METHODS The study was conducted in 2015 and involved 2,497 students attending three undergraduate levels aged - x - 21,76, (SD-1,80) - 1,211 males (48.5%) and 1,286 females (51.5%). The IPAQ long-form and a questionnaire by the Polish Chief Sanitary Inspector were used. RESULTS Physical activity was significantly higher in male than female students. An important relationship was observed among the larger number of consumed meals, level of physical activity, and silhouette-related behaviours in male students, which was not the case with females. However, there was an important correlation between physical activity in males and females who exercised to increase or decrease body weight (musculature), and took medications to increase body weight (musculature). CONCLUSIONS Both males and females showed pro-health attitudes related to the level of physical activity and nutrition- and silhouette-related behaviours.
Collapse
Affiliation(s)
- Barbara Bergier
- Pope John Paul II State School of Higher Education in Biala Podlaska.
| | - Józef Bergier
- Pope John Paul II State School of Higher Education in Biala Podlaska.
| | | | - Ján Junger
- Pavol Jozef Šafárik University in Kosice, Slovak Republic.
| | | | | | | |
Collapse
|
45
|
Járomi M, Kukla A, Szilágyi B, Simon-Ugron Á, Bobály VK, Makai A, Linek P, Ács P, Leidecker E. Back School programme for nurses has reduced low back pain levels: A randomised controlled trial. J Clin Nurs 2018; 27:e895-e902. [PMID: 28771864 DOI: 10.1111/jocn.13981] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2017] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES (i) To examine patient lifting techniques used by nurses, and (ii) to evaluate an effectiveness of the Spine Care for Nurses programme in chronic nonspecific low back pain syndrome reduction and the execution of proper patient lifting techniques. BACKGROUND Millions of nurses around the world suffer from occupational-related chronic nonspecific low back pain (chronic nonspecific low back pain syndrome). Generally, low back pain in nurses is a result of increased pressure on the spine and can be associated with improperly conducted patient lifting techniques. METHODS A randomised controlled trial was conducted among 137 nurses with chronic nonspecific low back pain syndrome. Participants were randomised into an experimental and control group (experimental group n = 67, control group n = 70). Nurses in the experimental group attended the Spine Care for Nurses programme for 3 months. The programme consisted of didactic education, spine-strengthening exercises and education on safe patient handling techniques. The control group only received a brief written lifestyle guidance. The Zebris WinSpine Triple Lumbar examination was used to analyse nurses' patient lifting techniques (horizontal and vertical lifting). The lumbar pain intensity was measured with a 0-100 visual analogue scale. RESULTS The pre-intervention average chronic nonspecific low back pain syndrome intensity score on visual analogue scale decreased from 49.3 to the postintervention score of 7.5. The correct execution of vertical lifting techniques in the experimental group increased from 8.91%-97.01% (control group: 8.57% pre-intervention test and postintervention test 11.42%). The horizontal patient lifting technique pre-intervention increased from 10.44%-100% correct execution in the experimental group (control group: pre-intervention test 10.00% and postintervention test 11.42%). CONCLUSION The Spine Care for Nurses programme significantly reduced chronic nonspecific low back pain syndrome and increased the number of properly executed horizontal and vertical patient lifting techniques in nurses. RELEVANCE TO CLINICAL PRACTICE We recommend that healthcare organisations should consider the implementation of regular Spine Care for Nurses programmes as successful low back injury prevention programmes.
Collapse
Affiliation(s)
- Melinda Járomi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pecs, Hungary
| | - Aniko Kukla
- Veterans Administration Louis Stokes Medical Center, Cleveland, OH, USA
| | - Brigitta Szilágyi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pecs, Hungary
| | - Ágnes Simon-Ugron
- Faculty of Physical Education and Sport, Institute of Physiotherapy and Theoretical Subjects, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Viktória Kovácsné Bobály
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Pecs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Pecs, Hungary
| | - Pawel Linek
- Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pecs, Hungary
| | - Eleonóra Leidecker
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pecs, Hungary
| |
Collapse
|
46
|
Melczer C, Melczer L, Goják I, Kónyi A, Szabados S, Raposa LB, Oláh A, Ács P. [Analysis of telemetry, on-line and non-telemetry data for characterization of the physical activity of patients with heart failure]. Orv Hetil 2017; 158:1390-1395. [PMID: 28847178 DOI: 10.1556/650.2017.30824] [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] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Several studies have demonstrated that the prevalence of heart disease can be accounted for between 0.4 and 2% in developed countries. AIM The present study aimed to use the PA% of the telemetry data to estimate the 6-minute walk test result. METHOD A total of seventeen patients with heart disease; 3 females and 14 males; age: 57.35 yrs ± 9.54; body mass 98.71 ± 9.89 kg; average BMI 36.69 ± 3.67 were recruited into the study. Using the two sets of values describing physical performance, linear regression was calculated providing a mathematical equation, thus, the Physical Activity % value is used to estimate the distance traveled over a 6-minute walk test. RESULTS On further data analysis, we have come to the conclusion that the distance walked during the six-minute-long test may be measured by PA% from the data of CRT device. CONCLUSIONS With our method, based on the values received from the physical activity sensor implanted into the resynchronisation devices, changes in patients' health status could be monitored telemetrically with the assistance from the implanted electronic device. Orv Hetil. 2017; 158(35): 1390-1395.
Collapse
Affiliation(s)
- Csaba Melczer
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Vörösmarty M. u. 4., 7621
| | - László Melczer
- Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Ilona Goják
- Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Attila Kónyi
- Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Sándor Szabados
- Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - László Bence Raposa
- Egészségtudományi Kar, Táplálkozástudományi és Dietetikai Intézet, Pécsi Tudományegyetem Pécs
| | - András Oláh
- Egészségtudományi Kar, Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet, Pécsi Tudományegyetem Pécs
| | - Pongrác Ács
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Vörösmarty M. u. 4., 7621
| |
Collapse
|
47
|
Gitta S, Magyar Z, Tardi P, Füge I, Járomi M, Ács P, Garai J, Bódis J, Hock M. [Prevalence, potential risk factors and sequelae of diastasis recti abdominis]. Orv Hetil 2017; 158:454-460. [PMID: 28328249 DOI: 10.1556/650.2017.30703] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. AIM Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. METHOD 200 women's interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire - Urinary Incontinence Short Form questionnaires. RESULTS Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. CONCLUSIONS In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454-460.
Collapse
Affiliation(s)
- Stefánia Gitta
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs
| | - Zoltán Magyar
- Szülészeti és Nőgyógyászati Osztály, Péterfy Sándor utcai Kórház-Rendelőintézet és Baleseti Központ Budapest
| | - Péter Tardi
- Vasútegészségügyi Nonprofit Közhasznú Kft., Egészségügyi Központ, Mozgásszervi Rehabilitációs Intézet Harkány
| | - Istvánné Füge
- Általános Orvostudományi Kar, Klinikai Központ, Szülészeti és Nőgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Melinda Járomi
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs
| | - Pongrác Ács
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs
| | - János Garai
- Általános Orvostudományi Kar, Transzlációs Medicina Intézet, Pécsi Tudományegyetem Pécs
| | - József Bódis
- Általános Orvostudományi Kar, Klinikai Központ, Szülészeti és Nőgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Márta Hock
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs
| |
Collapse
|
48
|
Melczer C, Melczer L, Goják I, Kónyi A, Szabados S, Raposa LB, Oláh A, Ács P. [Telemetry data based on comparative study of physical activity in patients with resynchronization device]. Orv Hetil 2017; 158:748-753. [PMID: 28490242 DOI: 10.1556/650.2017.30720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The effect of regular physical activity on health is widely recognized, but several studies have shown its key importance for heart patients. AIM The present study aimed to define the PA % values, and to convert them into metabolic equivalent values (MET), which describes oxygen consumption during physical activity. METHOD A total of seventeen patients with heart disease; 3 females and 14 males; age: 57.35 yrs ± 9.54; body mass 98.71 ± 9.89 kg; average BMI 36.69 ± 3.67 were recruited into the study. The measured values from Cardiac Resynchronisation Therapy devices and outer accelerometers (ActiGraph GT3X+) were studied over a 7-day time period. Using the two sets of values describing physical performance, linear regression was calculated providing a mathematical equation, thus, the Physical Activity values in percentage were converted into MET values. RESULTS During the 6-minute walk test the patients achieved an average of 416.6 ± 48.2 m. During 6MWT the measured values averaged at 1.85 ± 0.18 MET's, and MET values averaged at 1.12 ± 0.06 per week. It clearly shows that this test is a challenge for the patients compared to their daily regular physical activity levels. CONCLUSION With our method, based on the values received from the physical activity sensor implanted into the resynchronisation devices, changes in patients' health status could be monitored telemetrically with the assistance from the implanted electronic device. Orv Hetil. 2017; 158(17): 748-753.
Collapse
Affiliation(s)
- Csaba Melczer
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Vörösmarty M. u. 4., 7621
| | - László Melczer
- Általános Orvostudományi Kar, Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Ilona Goják
- Általános Orvostudományi Kar, Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Attila Kónyi
- Általános Orvostudományi Kar, Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - Sándor Szabados
- Általános Orvostudományi Kar, Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem Pécs
| | - L Bence Raposa
- Egészségtudományi Kar, Táplálkozástudományi és Dietetikai Intézet, Pécsi Tudományegyetem Pécs
| | - András Oláh
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Vörösmarty M. u. 4., 7621
| | - Pongrác Ács
- Egészségtudományi Kar, Fizioterápiás és Sporttudományi Intézet, Pécsi Tudományegyetem Pécs, Vörösmarty M. u. 4., 7621
| |
Collapse
|
49
|
Ács P, Stocker M, Füge K, Paár D, Oláh A, Kovács A. Economic and public health benefits: The result of increased regular physical activity. Eur J Integr Med 2016. [DOI: 10.1016/j.eujim.2016.11.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
50
|
Melczer C, Melczer L, Goják I, Oláh A, Ács P. A comparative analysis between external accelerometer and internal accelerometer’s physical activity data from implanted resynchronization devices in patients with heart failure. Eur J Integr Med 2016. [DOI: 10.1016/j.eujim.2016.11.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|