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Background. Obesity developing in the early years is one of the most important risk factors for cardiovascular diseases. This contributes to the need for the earliest possible diagnosis of overweight in children. There is a noticeable underdiagnosis of obesity, most often in children between 5 and 12 years of age, as well as in adolescents. Objectives. The aim of the study was to estimate the correlation between anthropometric measurements that are most commonly used in the diagnosis of obesity. Material and methods. The study involved 150 children, during their rehabilitation and wellness stay at CRR KRUS in Szklarska Poreba in 2017. The entire group performed basic anthropometric measurements - height, body weight, waist circumference and thickness of the deltoid skin fold. Body composition analysis was performed using the Tanita analyzer. Results. A statistically significant correlation between the studied parameters was assumed (p < 0.001). The parameter showing the highest level of correlation with other measured parameters was the BMI percentile, BMI value and Cole index. Among the parameters not based on growth and weight in the boys' group, the most important was the percentile of the waist circumference (r = 0.76), while in the girls' group, the content of adipose tissue (r = 0,74). Conclusions. The BMI and centile BMI results were the parameters of the highest value in the diagnosis and monitoring of excessive body weight in children. In addition, neither weight nor growth measurements should be used to determine the amount and location of adipose tissue. [ABSTRACT FROM AUTHOR]

Background. The problem of developmental obesity is growing in most countries of the world, reaching an epidemic. Excessive body weight in childhood results in a greater likelihood of obesity in adulthood, as well as causing endocrine, orthopedic, cardiological and psychogenic disorders. Overweight and obesity appear to be the most important causative factor. Objectives. The aim of the study was to estimate the usefulness of body composition analysis in predicting high blood pressure among children and adolescents and the correlation between the parameters of body mass and blood pressure (BP). Material and methods. Children from the age of 8 to 15 with recurrent respiratory tract diseases were selected during a rehabilitation and wellness stay in CRR KRUS in Szklarska Poreba. Body composition analysis was performed using the Tanita MC-780MA analyzer, and blood pressure was measured with a dial gauge. The study was conducted between 2015 and 2016, creating a database of 325 results sets. Results. Statistically significant correlations between systolic blood pressure, diastolic blood pressure, body weight and fat mass content were shown (p < 0.001). BMI and body fat content correlations were also statistically significant (p < 0.001). Conclusions. There is a problem of under-diagnosis of hypertension in the pediatric population. Obesity and overweight are connected with abnormal BP and hypertension. The total content of fat mass correlates with abnormal BP and hypertension. [ABSTRACT FROM AUTHOR]

Background. Arterial hypertension is an essential, often underestimated medical problem among school youth. Maintaining a low blood pressure (BP) in children should be an important point of pediatric preventive healthcare. Objectives. In our study, we considered the influence of physiotherapy on the blood pressure level in a group of 233 children aged from 8 to 15 years taking part in a rehabilitation camp for children in the Szklarska Poreba mountain resort (95 children in 2014 and 138 children in 2015). Material and methods. The children selected for the study suffered from asthma or recurrent respiratory infections. Measurements were made before and after physiotherapy. During the camp, the children were examined two times in 2014 and three times in 2015. The database created contained 1,208 scores of systolic and diastolic BP. The control group consisted of 50 children whose BP was measured in the same hours, but during the weekend, which was free of physiotherapy. Moreover, the values of heart rate (HR ) during the first measurement were recorded, both in 2014 and 2015. Results. Systolic BP after physiotherapy was significantly lower than before. This result was achieved in every five measuring sessions. In the control group, BP measured in the afternoon was higher than in the morning. The values of HR were not significantly different. The values of BP before and after physiotherapy between children treated with inhaled glucocorticoids and treated without glucocorticoid were not statistically significant. Conclusions. Our studies showed that morning exercise can significantly reduce blood pressure in children throughout the day, even in those who were treated with inhaled glucocorticoids. [ABSTRACT FROM AUTHOR]

Comprehensive geriatric assessment (CGA) is a multidimensional diagnostic process enabling evaluation of elderly patients' physical and mental health status that implies implementation of the management targeted on the preservation of functional independence. Sarcopenia is a common but often underdiagnosed geriatric syndrome associated with increased likelihood of functional dependence and mortality risk. The main objectives of the study were the evaluation of sarcopenia prevalence in the patient group subjected to CGA with the upgraded EWGSOP2 algorithm considering muscle strength as the key criterion and usage of bioimpedance (BIA) muscle mass assessment. The study group consisted of 101 patients (76 women and 25 men) admitted for planned CGA to the Geriatrics Department of Wroclaw University Hospital. A diagnosis of sarcopenia was made according to the EWGSOP2 protocol. Body composition was determined with the bioimpedance technique. Functional status was assessed with ADLs from the VES-13 scale and additional questions. Sarcopenia was diagnosed in 16.8% of the study participants. Sarcopenic individuals presented worse functional status and impaired social activity. Muscle strength, gait speed and muscle mass below cut-off values were associated with dependence found in ADLs. Results showed that sarcopenia is a common impairment correlated with worse functional status and vulnerability to adverse outcomes. BIA can be treated as an accessible and accurate technique for muscle mass measurement in screening for sarcopenia, and the EWGSOP2 algorithm should be an essential part of the routine CGA procedure.