Changes in diet and physical activity in students during lockdown by example of COVID-19 pandemic.

Background: Due to the spread of COVID-19 infections around the world, in early 2020, the World Health Organization (WHO) announced a global pandemic, i.e. an epidemic of particularly large dimensions affecting countries and entire continents. Long-term stay at home and self-isolation may have significantly impacted lifestyle, diet, food choices and access to food, as well as physical activity in the entire population, including students. Objective: The aim of the study was to examine the impact of social isolation caused by the coronavirus pandemic on changes in diet, lifestyle and body mass index in a group of students, so that we would be better prepared for future new viral infections with characteristics similar to Covid-19. Material and Methods: The study was conducted in 2021 using a cross-sectional online survey (using the CAWI technique). The survey was addressed to students of universities in Poland who were over 18 years of age. After excluding forms completed incorrectly or with incorrect data, the final analysis of the results included the responses of 196 respondents. Statistical analyzes were performed in STATISTICA 13.3. Statistical significance was assumed at the level of p ≤ 0.05. Results: The study involved 136 women and 60 men with an average age of 23. The majority of respondents were residents of cities with over 500,000 inhabitants (50%), were students of 1st degree (45%) in medical/natural sciences (36%). The largest percentage of respondents (above 70%), before the pandemic and during isolation, had normal body weight, according to the BMI. There were significant statistical differences between gender and changes during COVID-19 pandemic in sleeping (p=0.013), physical activity (p=0.028), as well as the consumption of tea (p=0.047), milk and dairy products (p=0.041), alcohol (p=0.001) and red meat (p=0.003), vegetables (p=0.049), sweets (p=0.029) and fast food (p=0.004). Conclusions: Due to the fact that the impact of the coronavirus pandemic on the diet and lifestyle has been demonstrated, it is very important that the recommendations of public health organizations spread the message about rational nutrition and physical activity in the event of new viral infections among young people, including students.

Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases?

There is not any diet recommended for Hashimoto's disease, despite that those patients are often undernourished. Because of the high heterogeneity of Hashimoto's patients, insight into dietary patterns might shed some light on the patient-tailored dietary approach, thus improving their treatment and helping to identify patients with the highest probability of particular nutritional deficiencies. The aim of this study was to identify Hashimoto's patients' dietary patterns and their characterization based on both socio-demographic variables and dietary self-assessment. We collected data online from patients with Hashimoto's disease. The questionnaire formula used in the study was developed based on a validated food frequency questionnaire KomPAN®. K-means pattern analyses were used to characterize patients into patterns based on the frequency of particular types of foods consumption and socio-demographic factors. Four patterns were identified. We labeled them as 'Convenient', 'Non-meat', 'Pro-healthy', and 'Carnivores' with participants proportions at approximately one-fourth per each pattern. The patients were mainly of the female gender (94.08%), with a female: male ratio of 15.9. Hashimoto's patients differed in their food product choices, food choice motives, dieting experience, nutritional knowledge, smoking habits, food allergies and intolerances, and lipid disorders, and thus represent different eating patterns. However, these patterns were not determined by comorbidities or the majority of ailments.

The Influence of Iron and Zinc Supplementation on Iron Apparent Absorption in Rats Fed Vitamins and Minerals Reduced Diets.

Deficient human diet is usually reduced in many nutrients, but animal studies on iron absorption have been only carried out for rats fed well-balanced (control) and iron-deficient diets. The aim of this study was to evaluate the effect of iron or iron/zinc supplementation on iron apparent absorption (IAA) in rats fed a diet reduced in all vitamins and minerals (R). The study was conducted on 77, 6-week-old male Wistar rats in 3 stages as follows: stage I, 4-week period of adaptation to R diet (50% less vitamins and minerals compared to AIN-93M recommendations); stage II, 4-week supplementation period with iron (RSFe) or iron/zinc (RSFeZn); stage III, 2-week post-supplementation period (rats fed R diet). Feces samples to IAA determination were collected at the 20-22nd days of stage I and II and the 10-12th days of stage III. To determine the changes in IAA after introducing and discontinuation of supplementation, feces were collected for 3 days after introducing (stage II) and 5 days after the supplementation discontinuation (stage III). At the end of stage II, compared to R rats, the IAA was statistically significantly higher in RSFe and RSFeZn rats (30.3 ± 2.0% vs. 47.4 ± 1.2% and 51.0 ± 1.7%, respectively). After introducing iron or iron/zinc supplementation, the IAA stabilized fast already in the first day, while after discontinuation of the supplementation, at least 4 days was required to the stabilization. At the end of stage III, the IAA was significantly lower in RSFe (15.8 ± 6.6%) than in RSFeZn rats (43.4 ± 5.9%). In conclusion, to confirm that iron and zinc supplementation is more beneficial than iron supplementation only, especially after discontinuation of supplementation, further research among humans is necessary.

Consumption of black and green teas as a dietary source of polyphenols in Polish inhabitants of the Mazovian region.

BACKGROUND: Tea is a very popular drink throughout many parts of the world, that includes Poland. The tea infusion (cup of tea) itself contains phenolic compounds with anti-oxidant properties that constitute 30% of the dry mass of tea leaves responsible for a health promoting effect on the human body. OBJECTIVES: To estimate the determinants and amounts of black and green tea consumed by a selected population group, along with their polyphenols intake from tea. MATERIAL AND METHODS: A survey was conducted of 281 subjects in 2012 from the Mazovian region of Poland, recruited from social-networking sites which had been sent a web application questionnaire (Mini-ankiety.pl). RESULTS: Subjects were aged 18-56 years, of whom the majority (73%) were aged 21-30 years. City dwellers constituted 86%, whilst those remaining were from small towns (14%). Black tea was drunk by 80% of whom 39% did so daily, whilst green tea was drunk by 72% of whom 17% did so daily. Determinants affecting the amounts of tea drinking were principally gender, education, place of residence and number of household members. Women significantly drank more than one cup of green tea daily compared to men. Those with a higher education significantly drank more than one cup of black tea daily compared to those with lower education levels. Homeowning subjects with 2 household members significantly drank more than one cup of green tea daily than the others. The average daily intakes of polyphenols from black tea in those who drank so regularly was 503 mg and that for green tea was 361 mg. CONCLUSIONS: The main source of tea polyphenols was found to be black tea as this was drunk more often than green tea. There is a need for promoting more green tea to be drunk as a source of polyphenols.

Different techniques for aortic valve repair and the associated root reconstruction - prospective long-term follow-up of the first 100 patients.

INTRODUCTION: The advantages of aortic valve and aortic root reconstructive surgery include the provision of natural postoperative valve hemodynamics and the avoidance of prosthetic valve-related complications. A systematic approach based on functional classification of aortic regurgitation allows standardization and reproducibility. Its potential applicability, however, is limited by the relative lack of long-term follow-up data. AIM: To achieve the long term results of aortic valve and root repair in prospectively recruited group of 100 patients operated on during first seven years. MATERIAL AND METHODS: Between the years 2003 and 2013, 225 consecutive patients (175 male, 50 female, mean age 51.3 years) with severe aortic regurgitation and aortic root enlargement underwent aortic valve repair or sparing surgery. The first 100 patients operated between 2003 and 2009 were prospectively enrolled in the study in order to achieve a 105-month follow-up. They underwent aortic valve repair and associated aortic root reconstruction. This prospective study is aimed at assessing the major endpoints of overall survival and freedom from reoperation. Additionally, log-rank testing for the risk factors associated with overall mortality, reoperation, and aortic valve repair failure was performed. RESULTS: Among 225 patients, early mortality occurred in the case of 5 patients (2.2%), while 6 (2.5%) patients experienced early valve failure. In a prospective analysis performed on the first 100 patients, long-term results achieved with Kaplan-Meier analysis showed a survival rate of 93% and freedom from reoperation at the level of 91.3%. The risk factors for overall mortality included NYHA class, creatinine level, and perioperative root replacement as reimplantation. Redo operation was associated with bicuspid aortic valve and perioperative leaflet resection with pericardial patch repair. CONCLUSIONS: One hundred and five month follow-up data from this prospectively analyzed cohort of patients prove that aortic valve repair associated with aortic root reconstruction can be performed with satisfactory results.

[Influence of chosen lifestyle and diet factors on mortality among elderly people living in Warsaw and surrounding villages]. / Wplyw wybranych czynników stylu zycia i czynników zywieniowych na umieralnosc osób starszych zamieszkalych w Warszawie i wsiach rejonu warszawskiego.

The aim of this study was to examine the relationship between lifestyle factors, nutrients intake and all-cause mortality in a chosen group of elderly participants. The study was carried out among 411 participants aged 75-80 years (190 men and 221 women). During this study 78 men (42%) and 79 women (36.6%) died. In men higher risk of death (by 147%) was observed among participants with lower physical activity and intake of saturated fatty acid below median (32.7 g/d). In women higher risk of death was observed among participants with lower level of education (by 109%), lower physical activity (by 96%), smoking (by 336%), supplement used (by 56%), intake of protein below median (74.7 g/d), intake of dietary fiber above median (18.3 g/d) and intake of phosphorus above median (1167 mg/d). Research on survival set one direction for future studies in the field of nutritional epidemiology. Development of this part of science about nutrition in Poland may help to establish specific for elderly people directions for nutrition improving.