Pongrác Ács

A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

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 womens 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.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 womens 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.

Level of and Factors Determining Physical Activity in Students in Ukraine and the Visegrad Countries

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.

Telemetriás és online nontelemetriás adatok elemzése szívelégtelen betegek fizikai aktivitásának jellemzésére

Absztrakt: Bevezetes: Tobb kutatas kimutatta, hogy a szivelegtelenseg prevalenciaja a nyugati orszagokban 0,4–2% kozotti ertekre tehető. Celkitűzes: Tanulmanyunk celja annak meghatarozasa volt, hogy a szivelegtelenseggel elő betegeknel a telemetrias uton kapott fizikai aktivitas szazalekos ertek felhasznalasaval megbecsulhető-e a hatperces setateszt soran megtett tavolsag. Modszer: A kutatasba 17, szivelegtelensegben szenvedő beteget vontunk be (n = 17; eletkor 57,35 ev ± 9,54; testtomeg 98,71 kg ± 9,89; atlag-BMI 36,69 ± 3,67). A fizikai aktivitast jellemző ket adatsor felhasznalasaval linearis regressziot vegeztunk, amelynek soran egy matematikai egyenletet kaptunk, igy a fizikai aktivitas szazalekertek segitsegevel becsulhető a hatperces setateszt soran megtett tavolsag. Eredmenyek: A kapott adataink tovabbi elemzese soran arra a kovetkeztetesre jutottunk, hogy e betegeknel a CRT-keszulekből szarmazo adatok kozul a PA% segitsegevel becsulhetőve valik a hatperces seta alatt megtett tavolsag, amely e bet...

Reszinkronizációs készülékkel élő betegek fizikai aktivitásának összehasonlító vizsgálata telemetriás adatok alapján

Absztrakt: Bevezetes: A rendszeres fizikai aktivitas egeszsegre vonatkozo hatasa kozismert, azonban tobb kutatas leirta, hogy szivbetegek szamara is nelkulozhetetlen, tovabba az ulő eletmodot folytato szivbetegek szamara szekunder prevencios hatasat is kimutattak. Celkitűzes: Jelen tanulmanyunk celja annak meghatarozasa volt, hogy a szivelegtelen betegek eseteben telemetrias uton kapott physical activity szazalekos ertek mikent alakithato at MET-ertekre, amellyel az egyen fizikai aktivitas soran mert oxigenfogyasztasa jellemezhető. Modszer: A kutatasban 17 szivelegtelen beteg vett reszt, akik kozul 3 nő es 14 ferfi; eletkor 57,35 ± 9,54 ev; testtomeg 98,71 ± 9,89 kg; atlagos BMI 36,69 ± 3,67 volt. A fizikai aktivitast jellemző ket adatsor felhasznalasaval linearis regressziot vegeztunk, amelynek soran egy matematikai egyenletet kaptunk, igy a physical activity szazalekertek MET-ertekke volt konvertalhato. Eredmenyek: A hatperces setateszt alatt atlag 416,6 ± 48,2 m-t tettek meg a betegek es a mert MET ert...

Telemetry Option in the Measurement of Physical Activity for Patients with Heart Failure.

Abstract Measurement of physical activity among patients with heart failure typically requires a special approach due to the patients’ physical status. Nowadays, a technology is already available that can measure the kinematic movements in 3-D by a pacemaker and implantable defibrillator giving an assessment on software. The telemetry data can be transmitted to a central system. The research aims to elaborate the methods that help to compare of the data concerning physical activity both built-in an accelerometer in Cardiac Resychrinisation Therapy (CRT) devices and data obtained from an external Actigraph GT3XE-Plus Triaxial Activity Monitor. 5 persons participated in the pilot study (n=5); mean age: 57+- 13.37; BMI: 90.6+- 7.63. The Actigraph data from CRT device were examined in a 6-day-interval, between February 28 and March 5, 2014. The investigation started conducting a 6-minute walking test and continued with the measurement of daily physical activity. For data analysis descriptive statistics and linear regression analysis were used. It is clear from the data obtained from Actigraph that the MET values (mean: 1.17 ± 0.096) of the patients in the sample were extremely low due to their disease. However, some patients with higher physical activity than average (1.26; 1.28) seemed to be noteworthy, but they showed lower performance than healthy people. The physical activity of the patients during the 6-minute walking test corresponded to 1.9-2.48 MET. The physical activity of patients was found typically in the “light or moderate range” classifying the physical activity by Actigraph. Data from Actigraph are accurate and detailed making the physical activity of the patients measurable and appreciable. The results of the 6-minute walking test were in the category from moderate to very vigorous for individualized moderate physical performance based on Actigraph. It indicates the individual performance differences among patients. However, the daily physical performance is even lower than that of the 6- minute walking. We can conclude from the data related to the percentage of the average activity in CRT system to the average energy consumption and the improvement in the patients’ physical condition. Due to the limitations of the sampling frequency the different time intervals cannot be isolated in the different intensity ranges. Therefore, the percentage of the data of physical activity provided by the device may have a limited use.

Hungarian Dimensions of Physical Activity Based on Studies at School Ages

Abstract It is an old pursuit to find the balance between nature and society (within the individual and the sum of people). In order to talk about a healthy society, it is necessarry to have the people making up the society healthy too. The health condition of the individuals affects the society, creating a close connection amoing individuals and society. Health, mental and physical well-beings of members of society affects the economy, since a healthy workforce leads to developing economy, which hence can provide the requirements and conditions that ensure a mentally and physically healthy way of living for the society. Sport, everyday exercise, therefore regular training can also play an important social role, and can greatly contribute to social well-being. Decreased physical activity, sitting lifestyle are both specific traits of economically developed countres, and turns into a more and more threatening public health problem world-wide, which contribute to the development or aggravation of such chronic diseases and health damages, like morbid obesity, heart diseases, diabetes, hypertension, locomotor diseases, malignant tumors, depression. The topic of our research is related to mainly the subject of primary school healthcare programs. The measurements have been taken in 12 different educational institutions, which included primary, secondary, vocational schools, and a 6-grade school. The actuality of the topic is proven by the increased obesity appearing at more younger ages, and we intend to shed some light on the fact, that with a good healhcare strategy and short-term goals we can achieve positive results shortly on the fields of school healthcare.