Does reduction of body mass diminish the risk of arterial hypertension in obese persons working at night?

Jacek Klawe, Małgorzata Tafil-Klawe, Katarzyna Dmitruk, Wojciech Sikorski, Maciej Śmietanowski

Jacek Klawe, Małgorzata Tafil-Klawe, Katarzyna Dmitruk, Wojciech Sikorski, Maciej Śmietanowski – Does reduction of body mass diminish the risk of arterial hypertension in obese persons working at night? Fizjoterapia Polska 2003; 3(1); 62-65

Abstract
Introduction. An increase in arterial blood pressure is observed in healthy subjects after sleep deprivation. Our previous studies indicated that this reaction is augmented in obese subjects, suggesting a greater possibility of arterial hypertension after night-shift work in obesity. The question arises, does the reduction of body mass prevent the increase in arterial blood pressure after sleep deprivation? Material and methods. The investigation was performed in 6 male obese subjects before and after body mass reduction to normal levels. 24 h blood pressure monitoring was performed after night- shift work in an isolation chamber where temperature and humidity were kept constant. Results. The values of mean arterial pressure in obese subjects in the 24 h period after night work were significantly higher as compared with the values observed after night work, after body mass reduction (P < 0.05). Discussion. Our results demonstrate that in obese subjects night work may be a potential arterial hypertension risk factor, and body mass reduction may prevent development of arterial hypertension.

Key words:
shift work, arterial hypertension, obesity

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Valueas of posturography parameters during the process of keeping body balance for dancers

Katarzyna Dmitruk, Jacek Klawe, Małgorzata Tafil-Klawe, Jolanta Jeżewska

Katarzyna Dmitruk, Jacek Klawe, Małgorzata Tafil-Klawe, Jolanta Jeżewska – Valueas of posturography parameters during the process of keeping body balance for dancers. Fizjoterapia Polska 2004; 4(1); 47-51

Abstract

Background. Process of maintaing balance during upright stance is a very specific motor activity which requires correct co-operation of 3 components equilibrium system: visul, vestibular and proprioceptive. One of the objective method assessment of body stability is posturography (recordings of centre of foot pressure – COFP). The goal of the present study was to evaluate body stability of children dancers. Material and methods. Our research involved 30 children dancers divided into 2 groups: 9-12-year old and 13-16-year-old. Children no-dancers was the control group.Results. The posturography examinations provided us the less values of parameters for dancers as compared with control group, besides parameter – co-ordination which was higher. Conclusions. Obtained results indicate better body stability and visual motor co-ordination of children dancers. The results from this work support a differences between children dancers and no-dancers in their postural control.

Key words:
posturography, equilibrium systembody stability, visual motor co-ordination
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Health Education Test in a survey of awareness of health issues in lower limb amputees

Piotr Tederko, Katarzyna Dmitruk, Krzysztof Wasiak, Jerzy Kiwerski

Piotr Tederko, Katarzyna Dmitruk, Krzysztof Wasiak, Jerzy Kiwerski – Health Education Test in a survey of awareness of health issues in lower limb amputees. Fizjoterapia Polska 2008; 8(2); 189-196

Abstract
Background. Education is part and parcel of comprehensive rehabilitation. With regard to limb amputees, education involves not only locomotion techniques and prosthesis application, but also includes prophylaxis and recognition of early signs of common stump problems. In this preliminary study we report the results of experimental application of a Health Education Test (HET) in an inquiry investigating the level of health education in lower limb amputees. Material and methods. 40 subjects admitted to Rehabilitation Department (6 women, 34 men), mean age 60.6 years (SD=12.8) who underwent unilateral lower limb amputation (26 above-knee and 14 below-knee amputees). 33 patients underwent amputation for vascular complications. The HET consisted of 4 open and 46 detailed questions inquiring about patients’ knowledge of the causes, prophylaxis and symptoms of popular stump problems, hygiene and health issues after lower limb amputation. Results. We noted a negative correlation between age and HET results (Pearson coefficient 0.6, p<0.01). Residents of localities above 20.000 inhabitants gave significantly better responses (Mann-Whitney test; p<0.05). HET results did not correlate with general education, reason and level of amputation. Participants reported shortage of suitable information and educational materials for lower limb amputees and difficulty obtaining expert advice outside of specialist centers. Conclusions. Health education concerning prophylaxis of stump problems should be commenced about the time of amputation, maintained during the hospital stage of rehabilitation, and continued in the outpatient setting. The programs and forms of education should be age-specific and be available regardless of the patient’s place of residence.
Key words:
amputation, rehabilitation, health education
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