Tracking and risk of abdominal obesity in the adolescence period in children aged 7-15. The Cracow Longitudinal Growth Study.

OBJECTIVES: To examine the tracking of abdominal fat distribution from the age of 7 to 15 years and to estimate the risk of abdominal obesity at 15 based on the occurrence of abdominal obesity at the ages 7-14 years in boys and girls. METHODS: The analysis was performed on 8-year longitudinal measurements of 315 boys and 198 girls from Cracow, Poland. The stability of waist circumference (WC) and waist-to-height ratio (WHtR) got assessed by inter-age correlations. The degree of abdominal fatness continuation level was evaluated applying contingency tables with the χ² test based on quartiles of WC and WHtR distribution. The risk of abdominal obesity at 15 was estimated using odds ratio (OR) and 95% confidence interval. RESULTS: Inter-age correlations between the 7(th) and 15(th) years were 0.73 and 0.67 in boys and 0.48 and 0.48 in girls for WC and WHtR, respectively. More than 51% girls and 62% boys with abdominal fat distribution at 7 remained in the same category in adolescence period, while only 2% of them moved to the thin category at 15. The risk of abdominal obesity (WHtR) was highest in boys and girls with abdominal obesity at 7 (OR = 5.46 and OR = 6.19, respectively) and, additionally, in girls at 12 (OR = 5.59). CONCLUSION: The risk of abdominal obesity was indicated already at 7 in boys and girls. Continuation of the abdominal fat distribution confirmed in about 60% acknowledges that the type of fat distribution seems to be determined as early as in the 7-year-olds.

Polish Paralympic Sports in the Opinion of Athletes and Coaches in Retrospective Studies.

The study aimed to identify the limitations observed in Polish Paralympic sport depending on the environment in which athletes train on a daily basis. The study included 581 persons divided into two basic groups. The first group consists of athletes (n = 324) and coaches (n = 88) appointed to the national team by associations and unions providing sports training exclusively for athletes with disabilities. The second group consisted of athletes with disabilities (n = 146) and their coaches (n = 23), who work in national sports associations working for both able-bodied and disabled people. The study used the diagnostic survey method with a questionnaire developed by Sobiecka. The difficulties indicated by the respondents referred to various aspects related to the activity in professional sport. Particularly emphasised difficulties were related to organizational and financial limitations as well as the management and coaching staff. At the same time, it was demonstrated that the environment was a differentiating factor between the studied groups of athletes and coaches.

Standards of Conditions During Preparations for the Summer Paralympic Games Between 2004 and 2012 Assessed by Polish Athletes.

The quality of training conditions affects sporting success, injuries and health. The aim of the work was to present the conditions during the preparations of Polish athletes for the Summer Paralympic Games 2004-2012. The study encompassed 271 paralympians: Athens (91), Beijing (89) and London (91), competing in 13 disciplines. The research was based on a two-part questionnaire by Klodecka-Rózalska adjusted for disabled sports, and was conducted one month before each PG. Part 1 contained 20 closed-ended questions regarding conditions during preparations, while Part 2 concerned socio-demographic and sports-related data. Three levels of conditions: good, satisfactory and poor, were identified. The analysis showed that while the relationships between the athletes were good in all the preparatory periods, the co-operation with the paralympic coaches worsened. The standards of accommodation, food and sports facilities lowered. Personal orthopaedic supply was satisfactory in London; personal sporting equipment was good at all PG. The quality of medical care was the highest in London. The co-operation with physicians, physiotherapists and massage therapists was satisfactory. Consultations with the dietician were sporadic and assessed as poor. Psychological consultations were rare but satisfactory in Beijing and London. Contacts with the mass media were poor at all PG. Although combining private life, work, and education with sport was satisfactory, it was increasingly difficult to manage, particularly before London. The conditions during preparations for the PG 2004-2012 varied. Improvement was noticed only in the quality of medical care and personal orthopaedic supply.