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1.
J Hum Nutr Diet ; 33(1): 66-77, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31475413

RESUMEN

BACKGROUND: Fruit juice and soft drink consumption have been shown to be related to obesity. However, this relationship has not been explored in Eastern Europe. The present study aimed to assess the cross-sectional and longitudinal relationships between fruit juice, soft drink consumption and body mass index (BMI) in Eastern European cohorts. METHODS: Data from the Health, Alcohol and Psychosocial factors in Eastern Europe population-based prospective cohort study, based in Russia, Poland and the Czech Republic, were used. Intakes of sugar-sweetened beverage (SSB), artificially-sweetened beverage (ASB) and fruit juice were estimated from a food frequency questionnaire. Participant BMI values were assessed at baseline (n = 26 634) and after a 3-year follow-up (data available only for Russia, n = 5205). RESULTS: Soft drink consumption was generally low, particularly in Russia. Compared to never drinkers of SSB, participants who drank SSB every day had a significantly higher BMI in the Czech [ß-coefficient = 0.28; 95% confidence interval (CI) = 0.02-0.54], Russian (ß-coefficient = 1.38; 95% CI = 0.62-2.15) and Polish (ß-coefficient = 0.83; 95% CI = 0.29-1.37) cohorts. Occasional or daily ASB consumption was also positively associated with BMI in all three cohorts. Results for daily fruit juice intake were inconsistent, with a positive association amongst Russians (ß-coefficient = 0.75; 95% CI = 0.28-1.21) but a negative trend in the Czech Republic (ß-coefficient = -0.42; 95% CI = -0.86 to 0.02). Russians participants who drank SSB or ASB had an increased BMI after follow-up. CONCLUSIONS: Our findings support previous studies suggesting that soft drink consumption (including SSBs and ASBs) is positively related to BMI, whereas our results for fruit juice were less consistent. Policies regarding these beverages should be considered in Eastern Europe to lower the risk of obesity.


Asunto(s)
Bebidas Gaseosas/estadística & datos numéricos , Jugos de Frutas y Vegetales/estadística & datos numéricos , Obesidad/epidemiología , Anciano , Índice de Masa Corporal , Bebidas Gaseosas/efectos adversos , Estudios Transversales , República Checa/epidemiología , Encuestas sobre Dietas , Conducta de Ingestión de Líquido , Femenino , Estudios de Seguimiento , Jugos de Frutas y Vegetales/efectos adversos , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Obesidad/etiología , Polonia/epidemiología , Estudios Prospectivos , Federación de Rusia/epidemiología
2.
J Intern Med ; 281(3): 300-310, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28093824

RESUMEN

BACKGROUND: Hip fractures are associated with diminished quality of life and survival especially amongst the elderly. OBJECTIVE: All-cause mortality after hip fracture was investigated to assess its magnitude. METHODS: A total of 122 808 participants from eight cohorts in Europe and the USA were followed up for a mean of 12.6 years, accumulating 4273 incident hip fractures and 27 999 deaths. Incident hip fractures were assessed through telephone interviews/questionnaires or national inpatient/fracture registries, and causes of death were verified with death certificates. Cox proportional hazards models and the time-dependent variable methodology were used to assess the association between hip fracture and mortality and its magnitude at different time intervals after the injury in each cohort. We obtained the effect estimates through a random-effects meta-analysis. RESULTS: Hip fracture was positively associated with increased all-cause mortality; the hazard ratio (HR) in the fully adjusted model was 2.12, 95% confidence interval (CI) 1.76-2.57, after adjusting for potential confounders. This association was stronger amongst men [HR: 2.39, 95% CI: 1.72-3.31] than amongst women [HR: 1.92, 95% CI: 1.54-2.39], although this difference was not significant. Mortality was higher during the first year after the hip fracture [HR: 2.78, 95% CI: 2.12-3.64], but it remained elevated without major fluctuations after longer time since hip fracture [HR (95% CI): 1.89 (1.50-2.37) after 1-4 years; 2.15 (1.81-2.55) after 4-8 years; 1.79 (1.57-2.05) after 8 or more years]. CONCLUSION: In this large population-based sample of older persons across eight cohorts, hip fracture was associated with excess short- and long-term all-cause mortality in both sexes.


Asunto(s)
Fracturas de Cadera/mortalidad , Anciano , Causas de Muerte , Enfermedad Crónica/epidemiología , Comorbilidad , Europa (Continente)/epidemiología , Femenino , Estudios de Seguimiento , Fracturas de Cadera/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Calidad de Vida , Factores de Riesgo , Factores Sexuales , Estados Unidos/epidemiología
3.
Physiol Res ; 64(Suppl 3): S355-61, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26680668

RESUMEN

Dyslipidemia is the risk factor of cardiovascular disease, but the relationship between the plasma triglyceride (TG) levels and total/cardiovascular mortality has not yet been analyzed in Slavs. The aim of our study was to analyze the association between the fasting TG levels and all-cause/cardiovascular mortality. We have examined 3,143 males and 3,650 females, aged 58.3+/-7.1 years. 729 deaths (274 cardiovascular deaths) have been registered during up to 11.8 years of follow-up. Age-sex adjusted all-cause mortality was higher in individuals with TG values 3.01-4.00 mmol/l (HR 1.37, 95 % CI 1.02-1.83, P=0.035) and over 4.00 mmol/l (HR 1.66, 95 % CI 1.21-2.27, P=0.002) when compared with a reference group (TG 1.41-1.80 mmol/l). Elevated risk remains significant when adjusted for education, marital status and unemployment. When further adjusted for smoking, BMI and dyslipidemia interventions, HR for those in above 4.00 mmol/l group decreased (1.42, P=0.04). The results have been similar when cardiovascular mortality has been examined, however, results reached statistical significance only for the TG over 4.0 mmol/l (P=0.028). Our results confirmed that enhanced plasma levels of plasma triglycerides are dose dependently associated with increased risk of all-cause mortality, however, it seems that individuals with TG values 1.8-3.0 mmol/l are not in higher risk of death.


Asunto(s)
Enfermedades Cardiovasculares/sangre , Enfermedades Cardiovasculares/mortalidad , Ayuno/sangre , Vigilancia de la Población , Triglicéridos/sangre , Anciano , República Checa/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Mortalidad/tendencias , Vigilancia de la Población/métodos , Factores de Riesgo
4.
Kardiologiia ; 55(5): 34-9, 2015.
Artículo en Ruso | MEDLINE | ID: mdl-26615622

RESUMEN

PURPOSE: to analyze population values of blood lipid parameters in general populations of Russia, Poland and Czech Republic. MATERIALS AND METHODS: In the frame of international project HAPIEE representative samples of general population were examined in Novosibirsk (Russia), Krakow (Poland) and six centers in the Czech Republic. The analysis included data of 25,469 men and women aged 45-69 years old. RESULTS: The average levels of total cholesterol (TC), non-high density lipoprotein cholesterol (non-HDL-C) and low density lipoprotein cholesterol (LDL-C) were found relatively high in all centers, though average levels of blood triglycerides (TG) and high-density lipoprotein (HDL) were within "normal" range. In Novosibirsk mean levels of blood TC and LDL-C in persons of both sexes were obtained the highest among the study participants: 6.3 mmol/ and 4.1 mmol/l, respectively (p < 0.001). But the level of blood triglycerides (1.5 mmol/l) in Novosibirsk was the lowest, and HDL-C (1.5 mmol/l) was the highest among three centres. There were clear trend of increasing concentration of blood TC, non-HDL-C,LDL-C and blood atherogenic indexes with increasing age in both sexes of all participating countries. In Czech Republic levels of blood TC, LDL-C, HDL-C in both sexes were relatively low: 5.7 mmol/l, 3.5 mmol/l, 1.4 mmol/l, respectively, but the level of blood TG were higher, than in other centers (1.9 mmol/l). Women of all centers had more demonstrative age changes of the blood lipid profile, than men. CONCLUSIONS: The average levels of blood TC, non-HDL-C and LDL-C in men and women aged 45-69 years old in Russia (Novosibirsk) were higher and level of blood TG was lower than in Poland and the Czech Republic.


Asunto(s)
Dislipidemias/sangre , Lípidos/sangre , Vigilancia de la Población , Anciano , República Checa/epidemiología , Dislipidemias/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Morbilidad/tendencias , Polonia/epidemiología , Estudios Retrospectivos , Federación de Rusia/epidemiología
5.
Folia Biol (Praha) ; 61(4): 156-60, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26441205

RESUMEN

DNA genotyping is among the most common analyses currently performed in scientific research. Two high-throughput genotyping techniques are widely used - the "classic" PCR-RFLP and probe-based methods such as TaqMan® PCR assay or KASP™ genotyping. The probe-based techniques are claimed to be more accurate than PCR-RFLP; however, the evidence for this claim is sparse. We have directly compared results of genotyping of two SNPs (rs1229984 and rs17817449) obtained by the PCR-RFLP and KASP™ in 1,502 adult Caucasians. The results were identical in 97.3 % and 95.9 % cases, respectively. Discrepancies (either different results or result obtained with one but not with the other method) were addressed by confirmatory analysis using direct sequencing. The sequencing revealed that both methods can give incorrect results, but the frequency of incorrect genotyping of rs1229984 and rs17817449 was very low for both methods - 0.1 % and 0.5 %, respectively, for PCR-RFLP and 0.1 % and 0.3 %, respectively, for KASP™. These results confirm that the KASP™ technique is slightly more accurate, but it achieves slightly lower call rates than PCR-RFLP. When carefully set up, both PCR-RFLP and KASP™ could have accuracy of 99.5 % or higher.


Asunto(s)
Alcohol Deshidrogenasa/genética , Polimorfismo de Longitud del Fragmento de Restricción/genética , Proteínas/genética , Dioxigenasa FTO Dependiente de Alfa-Cetoglutarato , Genotipo , Humanos , Reacción en Cadena de la Polimerasa
6.
Nutr Metab Cardiovasc Dis ; 24(3): 243-7, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24462044

RESUMEN

BACKGROUND AND AIMS: Several smaller studies reported interactions between dietary factors and apolipoprotein A5 (APOA5) gene polymorphisms in determination of plasma lipids. We tested interactions between APOA5 haplotypes and dietary intake in determination of plasma triglycerides (TG) and other lipids. METHODS AND RESULTS: Participants (5487 males and females aged 45-69) were classified according to the number (0, 1, 2+) of minor APOA5 alleles (using T-1131 > C; rs662799 and Ser19 > Trp; rs3135506 polymorphisms) and into three groups of low (bottom 25%), medium (26th-75th percentile) and high (top 25%) of intake of total energy and total, saturated and polyunsaturated fats, assessed by food frequency questionnaire. The age-sex adjusted geometric means of plasma TG increased with the number of minor alleles, from 1.57 (standard error 0.01), to 1.79 (0.02) to 2.29 (0.10) mmol/L (p < 0.00001) but TG did not differ between groups with low, medium and high total energy intake (p = 0.251). TG concentrations were highest in subjects with the combination of 2+ minor alleles and the highest energy intake (mean 2.59 [0.19], compared with 1.62 [0.03] in subjects with lowest energy intake and no minor allele) but the interaction between energy intake and APOA5 haplotypes was not statistically significant (p = 0.186). Analogous analyses with total, saturated and polyunsaturated fat intake yielded similar nonsignificant results. Effects of APOA5 and dietary intakes on total and HDL cholesterol were weaker and no interactions were significant. CONCLUSION: In this Slavic Caucasian population sample, we did not detect the hypothesized interaction between common SNPs within the APOA5 gene and diet in determination of blood lipids.


Asunto(s)
Apolipoproteínas A/genética , Colesterol/sangre , Grasas de la Dieta/administración & dosificación , Ingestión de Energía , Haplotipos , Triglicéridos/sangre , Anciano , Alelos , Apolipoproteína A-V , Índice de Masa Corporal , República Checa , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Evaluación Nutricional , Polimorfismo de Nucleótido Simple , Encuestas y Cuestionarios , Población Blanca
7.
Maturitas ; 75(1): 87-93, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23489553

RESUMEN

OBJECTIVES: To investigate the age at menopause in three urban populations in Central and Eastern Europe and to assess whether the (suspected) differences can be explained by a range of socioeconomic, reproductive and behavioural factors. METHODS: The Health, Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) Study examined random samples of populations aged 45-69 years in Novosibirsk (Russia), Krakow (Poland) and six Czech towns. Participants completed a questionnaire and attended an examination in clinic. A total of 12,676 of women were included in these analyses. RESULTS: The median age at menopause was 50 years in Novosibirsk, 51 years in Czech towns and 52 years in Krakow; the Cox regression hazard ratios of menopause, compared with Krakow, were 1.47 (95% CI 1.40-1.55) for Novosibirsk and 1.10 (1.04-1.16) for Czech women. In multivariate analyses, higher education, using vitamin and mineral supplements and ever use of oral contraceptives were associated with later menopause, while smoking, abstaining from alcohol and low physical activity were associated with earlier menopause. These factors, however, did not explain the differences between populations; the multivariate hazard ratios of menopause, compared with Krakow, were 1.48 (1.40-1.57) for Novosibirsk and 1.11 (1.05-1.17) for Czech women. CONCLUSIONS: In this large population based study, differences in age at menopause between Central and Eastern Europe populations were substantial and unexplained by a range of risk factors. Associations of age at menopause with risk factors were largely consistent with studies in other populations.


Asunto(s)
Envejecimiento/fisiología , Menopausia , Europa Oriental/epidemiología , Femenino , Humanos , Persona de Mediana Edad , Factores Socioeconómicos , Población Urbana/estadística & datos numéricos
8.
Physiol Res ; 60(1): 175-83, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-20945952

RESUMEN

The FTO gene variants are the most important genetic determinants of body weight and obesity known so far, but the mechanism of their effect remains unclear. We have analyzed FTO rs17817449 variant (G>T in first intron) in 6024 adults aged 45-69 years to assess the potential mediating role of diet and physical activity. Diet was assessed by a 140-item food frequency questionnaire. Physical activity was measured by hours spent during a typical week by sport, walking and other activities outside of work requiring heavy and medium physical activity. Basal metabolic rate was calculated according Schofield formula. The FTO variant was significantly associated with body mass index (means in GG, GT and TT carriers were 28.7, 28.2 and 27.8 kg/m(2), p<0.001) and basal metabolic rate (BMR) (means in GG, GT and TT were 1603, 1588 and 1576 kcal per day, respectively, p<0.008) but it was not associated with physical activity, total energy intake or with energy intakes from fat, carbohydrates, proteins or alcohol. Results were essentially similar in men and women and the adjustment for physical activity or dietary energy intake did not reduce the effect of the FTO polymorphism. Means of BMR per kg of body weight was lowest in GG carriers (20.09, 20.21 for GT and 20.30 for TT, p<0.006) and this effect was more pronounced in females. These results suggest that the effect of the FTO rs17817449 variant on BMI in Caucasian adults is not mediated by energy intake or physical activity, but some effect on BMR per kg of body weight is possible.


Asunto(s)
Metabolismo Basal/genética , Ingestión de Energía/genética , Ejercicio Físico , Polimorfismo de Nucleótido Simple , Proteínas/genética , Dioxigenasa FTO Dependiente de Alfa-Cetoglutarato , Composición Corporal/genética , Índice de Masa Corporal , Femenino , Humanos , Masculino , Persona de Mediana Edad , Población Blanca/genética
9.
J Epidemiol Community Health ; 64(1): 57-62, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19692735

RESUMEN

BACKGROUND: There is evidence that psychosocial factors at work influence the risk of poor health in Western societies, but little is known about the effect of work stress in the former communist countries. The aim of this paper is to compare the association of work stress with self-rated health in Western European and post-communist countries. METHODS: Data from four epidemiological studies were used: the HAPIEE study (Poland, Russia and the Czech Republic), the Hungarian Epidemiological Panel (Hungary), the Heinz Nixdorf Recall study (Germany) and the Whitehall II study (UK). The overall sample consisted of 18 494 male and female workers aged 35-65 years. RESULTS: High effort-reward imbalance at work was associated with poor self-rated health. The adjusted odds ratios for the highest versus lowest quartile of the effort-reward ratio were 3.8 (95% CI 1.9 to 7.7) in Hungary, 3.6 (95% CI 2.3 to 5.7) in the Czech Republic, 2.5 (95% CI 1.5 to 4.1) in the UK, 2.3 (95% CI 1.6 to 3.5) in Germany, 1.5 (95% CI 1.0 to 2.1) in Poland and 1.4 (95% CI 1.1 to 1.8) in Russia. The differences in odds ratios between countries were statistically significant (p<0.05). A similar pattern was observed for the effect of overcommitment on poor health. CONCLUSION: The association of effort-reward imbalance at work and of a high degree of work-related overcommitment with poor self-rated health was seen in all countries, but the size of the effects differed considerably. It does not appear that the effects in Eastern Europe are systematically stronger than in the West.


Asunto(s)
Estado de Salud , Salud Laboral , Estrés Psicológico/epidemiología , Trabajo/psicología , Adulto , Comparación Transcultural , Estudios Transversales , Europa (Continente)/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/psicología , Encuestas y Cuestionarios
11.
J Epidemiol Community Health ; 62(4): 351-7, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18339829

RESUMEN

BACKGROUND: Adult height and leg length have been shown to be positively associated with childhood socioeconomic circumstances in several studies in western populations. This study will determine whether similar associations are observable in settings with different social histories, and will assess whether adult leg length is more strongly associated than adult height. METHODS: Random samples of men and women aged 45-69 years were taken from population registers in Novosibirsk (Russia), Krakow (Poland) and six towns of the Czech Republic, recruiting nearly 29,000 people. Participants completed a questionnaire that included questions regarding their mother's and father's education (not available in the Czech Republic) and ownership of several household items when they were 10 years old. Participants' standing and sitting heights were measured and from these an estimate of leg length was derived. Associations between indicators of childhood socioeconomic circumstances and anthropometric measures were analysed using linear regression. RESULTS: Russian individuals were shorter and reported fewer household assets at the age of 10 years than Czech and Polish individuals. Parental education and household assets were strongly associated with each other and both were independently associated with height, leg length and trunk length. Height was associated with childhood circumstances more strongly than leg length. The associations of childhood circumstances with the leg/trunk ratio were weak and inconsistent. CONCLUSION: In these urban populations in eastern Europe, adult height is associated with childhood conditions at least as strongly as leg length.


Asunto(s)
Pierna/crecimiento & desarrollo , Clase Social , Anciano , Antropometría , Estatura , Niño , Escolaridad , Europa Oriental/epidemiología , Femenino , Artículos Domésticos/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Padres , Salud Urbana
12.
Cas Lek Cesk ; 145(12): 936-42, 2006.
Artículo en Checo | MEDLINE | ID: mdl-17323616

RESUMEN

BACKGROUND: After 1990, there was a significant decline in total standardized mortality in the Czech Republic. One of the potential causes comprises improved lifestyle. The aim of this report is to present data concerning the lifestyle of the middle-aged urban population and incidence of risk factors of chronic non-infectious diseases associated with lifestyle, including socioeconomic markers as important health determinants. METHODS AND RESULTS: In 1998-2002, a total of 27 cities in the Czech Republic were tested for population health and associated behavioural patterns. In each city 400 male and 400 female subjects aged 45-54 years were randomly selected. Half of this sample was encouraged to undergo medical examination. Resulting data showed that 52.2% of men and 54.6% of women had insufficient physical activity. A total of 43.1% men and 34.9% women were regular smokers and 24.1% men and 21.2% suffered from obesity. Increased risk of cardiovascular disease was detected in 18% of men and 1.2% of women. Gender differences for all of these markers were statistically significant. A statistically significant relationship concerning socio-economic markers and health condition was recorded. CONCLUSIONS: Although relatively well aware of the importance of a healthy lifestyle, the middle-aged urban population showed high incidence of influenceable risk factors for chronic diseases. Men compared to women had higher rates of risk factors and were at higher risk of developing cardiovascular diseases.


Asunto(s)
Enfermedad Crónica , Estilo de Vida , Salud Urbana , Enfermedad Crónica/epidemiología , República Checa/epidemiología , Humanos , Incidencia , Persona de Mediana Edad , Factores de Riesgo , Factores Socioeconómicos
13.
Occup Environ Med ; 62(8): 546-50, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16046607

RESUMEN

BACKGROUND: Psychosocial factors at work are thought to influence health partly through health behaviours. AIMS: To examine the association between effort-reward imbalance and job control and several alcohol related measures in three eastern European populations. METHODS: A cross-sectional study was conducted in Novosibirsk (Russia), Krakow (Poland), and Karvina (Czech Republic). The participants completed a questionnaire that included effort-reward at work, job control, and a number of sociodemographic variables. Annual alcohol intake, annual number of drinking sessions, the mean dose of alcohol per drinking session, and binge drinking (> or =80 g of ethanol in one session at least once a week) were based on graduated frequencies in the questionnaire. Data were also available on problem drinking (> or =2 positive answers on CAGE questionnaire) and negative social consequences of drinking. All male participants in full employment (n = 694) were included in the present analyses. RESULTS: After controlling for age and centre, all indices of alcohol consumption and problem drinking were associated with the effort-reward ratio. Adjustment for material deprivation did not change the results but adjustment for depressive symptoms reduced the estimated effects. Job control was not associated with any of the alcohol related outcomes. CONCLUSIONS: The imbalance of effort-reward at work is associated with increased alcohol intake and problem drinking. The association appears to be partly mediated by depressive symptoms, which might be either an antecedent or a consequence of men's drinking behaviour.


Asunto(s)
Consumo de Bebidas Alcohólicas/psicología , Empleo/psicología , Factores de Edad , Consumo de Bebidas Alcohólicas/epidemiología , Intoxicación Alcohólica , Estudios Transversales , República Checa/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Polonia/epidemiología , Recompensa , Federación de Rusia/epidemiología , Factores Socioeconómicos , Lugar de Trabajo
15.
J Epidemiol Community Health ; 58(3): 238-42, 2004 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-14966239

RESUMEN

OBJECTIVES: To examine, on empirical data, whether drinking patterns, in addition to overall alcohol consumption, contribute to differences in rates of alcohol related problems between populations. DESIGN: Cross sectional survey. SETTINGS: One Russian, one Polish, and one Czech city. PARTICIPANTS: 1118 men and 1125 women randomly selected from population registers. MAIN OUTCOME MEASURES: Problem drinking; negative social consequences of drinking; alcohol consumption and drinking pattern. RESULTS: Rates of problem drinking and of negative consequences of drinking were much higher in Russian men (35% and 18%, respectively) than in Czechs (19% and 10%) or Poles (14% and 8%). This contrasts with substantially lower mean annual intake of alcohol reported by Russian men (4.6 litres) than by Czech men (8.5 litres), and with low mean drinking frequency in Russia (67 drinking sessions per year, compared with 179 sessions among Czech men). However, Russians consumed the highest dose of alcohol per drinking session (means 71 g in Russians, 46 g in Czechs, and 45 g in Poles), and had the highest prevalence of binge drinking. In women, the levels of alcohol related problems and of drinking were low in all countries. In ecological and individual level analyses, indicators of binge drinking explained a substantial part of differences in rates of problem drinking and negative consequences of drinking between the three countries. CONCLUSIONS: These empirical data confirm high levels of alcohol related problems in Russia despite low volume of drinking. The binge drinking pattern partly explains this paradoxical finding. Overall alcohol consumption does not suffice as an estimate of alcohol related problems at the population level.


Asunto(s)
Consumo de Bebidas Alcohólicas/tendencias , Trastornos Relacionados con Alcohol/epidemiología , Consumo de Bebidas Alcohólicas/epidemiología , Estudios Transversales , República Checa/epidemiología , Etanol/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Polonia/epidemiología , Federación de Rusia/epidemiología , Población Urbana/tendencias
16.
Ceska Slov Farm ; 52(3): 126-30, 2003 May.
Artículo en Checo | MEDLINE | ID: mdl-12789772

RESUMEN

The fate of xenobiotics in the organism and their toxic or therapeutic influence have been under intensive investigation in recent years. The compounds are searched for which affect as preventive agents cancerogenesis and other disorders caused by procancerogens and pro-mutagens from the environment. The main focus is on the compounds able to modulate the activity of enzymes of the Ist and IInd phase of xenobiotic detoxication or compounds with antioxidative activity. In the following review, compounds of natural origin are presented which possess an ability to modulate the processes connected with detoxication of xenobiotics. These compounds could be usable as preventive agents against some diseases or as supportive pharmaceuticals during chemotherapy.


Asunto(s)
Anticarcinógenos , Quimioprevención , Extractos Vegetales , Humanos , Inactivación Metabólica , Xenobióticos/efectos adversos
17.
Environ Toxicol Chem ; 20(5): 1141-8, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11337880

RESUMEN

Modulations of 11 prospective biochemical markers of impacts of aquatic pollutants in liver tissue of chub (Leuciscus cephalus), caught at several sampling sites of a river with various pollution types and rates, were matched against analytical data of concentrations of organochlorine compounds, polycyclic aromatic hydrocarbons (PAHs), and heavy metals. Multivariate principal component analysis (PCA) of the field data showed general patterns of biochemical responses to different types of pollutants and relationships among the biomarkers. Cytochrome P4501A-dependent 7-ethoxyresorufin O-deethylase (EROD) activity, inducible by 2,3,7,8-tetrachlorodibenzo-p-dioxin and structurally related planar compounds, was strongly enhanced in the more contaminated areas. Compared with polychlorinated aromatic hydrocarbons, PAHs did not contribute so significantly to EROD induction. Testosterone 6 beta- and 16 alpha-hydroxylase activities, as an expression of the cytochrome P4503A27, were slightly increased at several sites but were significantly decreased in samples from some heavily polluted areas. Recently, these activities have been suggested as potential biomarkers of exposure to contaminants that do not induce cytochrome P4501A. In this study, their inhibition or induction was not associated with a specific class of monitored contaminants, and selectivities of these modulations are still to be investigated. Similar modulations of the prospective biochemical indicators of oxidative stress, including microsomal glutathione S-transferase activity, cytosolic glutathione S-transferase with ethacrynic acid, and glutathione reductase, were demonstrated by PCA. The pattern of the modulations of the microsomal nicotinamide adenine dinucleotide phosphate (NADPH)-dependent lipid peroxidation in vitro differed from the responses of the rest of oxidative stress parameters at some sampling sites. Further biochemical markers of oxidative stress under study, including in vivo lipid peroxidation, in vitro production of reactive oxygen species, and the concentration of metallothioneins did not correlate well with the concentrations of the contaminants. Principal component analysis demonstrated that the EROD activity, glutathione-dependent enzymes, and Fe(II)-enhanced lipid peroxidation formed a suitable battery of biomarkers of exposure.


Asunto(s)
Cyprinidae/metabolismo , Hidrocarburos Clorados/toxicidad , Metales Pesados/toxicidad , Compuestos Policíclicos/toxicidad , Contaminantes Químicos del Agua/toxicidad , Animales , Citocromo P-450 CYP1A1/biosíntesis , Citocromo P-450 CYP1A1/metabolismo , Inducción Enzimática , Peroxidación de Lípido/efectos de los fármacos , Hígado/efectos de los fármacos , Hígado/embriología , Masculino , Análisis Multivariante , Esteroide 16-alfa-Hidroxilasa
18.
Cas Lek Cesk ; 140(4): 112-7, 2001 Mar 01.
Artículo en Checo | MEDLINE | ID: mdl-11284428

RESUMEN

BACKGROUND: The aim of the study was to describe health status of the urban middle-age population in six cities of the Czech Republic, which were included into the System of Population Health Survey in Relation to the Environment. METHODS AND RESULTS: From the population of cities Brno, Ceské Budejovice, Hradec Králové, Karviná, Kolín, Ustí nad Labem 400 males and 400 females in the age of 45 to 54 years were included into the study. All respondents filled out a question-form, half of them also underwent a medical check up. Results has shown that 52.8% of males and 51.6% of females had their cholesterol level elevated (> 5.2 mmol/l), 47.3% of males and 38.3% if females had higher blood pressure (SBP > = 140 mmHg and/or DBP > = 90 mmHg) or they were cured of hypertension, 39.4% of males and 22.5% of females were obese. Significant differences were observed in the prevalence of hypercholesterolemia, hypertension and smoking habits among the cities in study. According to the case histories, 55.6% of males and 57.8% of females complained of long-lasting ill-being, 37.0% of males and 45.2% of females were treated for a chronic disease, 13.3% of males and 12.4% of females considered their health during the previous year as bad or very bad. 45.4% of males and 57.9% of females underwent long-term pharmacological treatment, most frequently on a cardiovascular disease. Above described parameters differed significantly among cities in study. CONCLUSION: In the middle-aged population in six Czech cities the high prevalence of chronic diseases, health troubles and risk factors of chronic disease were found. Though the death rate in CR has been declining, chronic diseases have became a serious problem. Since most of these health problems can be improved by correct regimen, high attention should be given to their prevention.


Asunto(s)
Enfermedad Crónica/epidemiología , Estado de Salud , Enfermedad Crónica/terapia , República Checa/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Factores de Riesgo
19.
Phytother Res ; 15(2): 114-8, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11268108

RESUMEN

A series of homoisoflavonoids and chalcones, isolated from the endemic tropical plant Dracaena cinnabari Balf. (Agavaceae), were tested for their potential to inhibit cytochrome P4501A (CYP1A) enzymes and Fe-enhanced in vitro peroxidation of microsomal lipids in C57B1/6 mouse liver. The effects of the polyphenolic compounds were compared with those of prototypal flavonoid modulators of CYP1A and the well-known antioxidant, butylated hydroxytoluene. 2-Hydroxychalcone and partly 4,6-dihydroxychalcone were found to be strong inhibitors of CYP1A-dependent 7-ethoxyresorufin O-deethylase (EROD) activity in vitro comparable to the effects of quercetin and chrysin. The first screening of flavonoids and chalcones of Dracaena cinnabari for antioxidant activity was done in an in vitro microsomal peroxidation assay. While chalcones were shown to be poor antioxidants, 7,8-methylenedioxy-3(4-hydroxybenzyl) chromane, as one of the tested homoisoflavonoids, exhibited a strong antioxidant activity comparable to that of the strongest flavonol antioxidant, quercetin.


Asunto(s)
Anticarcinógenos/farmacología , Antioxidantes/farmacología , Chalcona/farmacología , Citocromo P-450 CYP1A1/efectos de los fármacos , Flavonoides/farmacología , Peroxidación de Lípido/efectos de los fármacos , Microsomas/efectos de los fármacos , Extractos Vegetales/farmacología , Plantas Medicinales , Animales , Masculino , Ratones , Ratones Endogámicos C57BL
20.
Pharmazie ; 56(3): 242-3, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11265593

RESUMEN

Possible chemoprotective effects of the naturally occurring alkaloid boldine, a major alkaloid of boldo (Peumus boldus Mol.) leaves and bark, including in vitro modulations of drug-metabolizing enzymes in mouse hepatoma Hepa-1 cell line and mouse hepatic microsomes, were investigated. Boldine manifested inhibition activity on hepatic microsomal CYP1A-dependent 7-ethoxyresorufin O-deethylase and CYP3A-dependent testosterone 6 beta-hydroxylase activities and stimulated glutathione S-transferase activity in Hepa-1 cells. In addition to the known antioxidant activity, boldine could decrease the metabolic activation of other xenobiotics including chemical mutagens.


Asunto(s)
Antioxidantes/farmacología , Aporfinas/farmacología , Oxigenasas de Función Mixta/metabolismo , Preparaciones Farmacéuticas/metabolismo , Plantas Medicinales/química , Animales , Brasil , Línea Celular , Citocromo P-450 CYP1A1/antagonistas & inhibidores , Sistema Enzimático del Citocromo P-450/metabolismo , Glutatión Transferasa/metabolismo , Técnicas In Vitro , Ratones , Ratones Endogámicos C57BL , Microsomas Hepáticos/efectos de los fármacos , Microsomas Hepáticos/enzimología , Células Tumorales Cultivadas
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