Advances in the prevention, diagnosis and therapy of vascular diseases

Szabó, Katalin; Ádány, Róza; Balla, József; Balogh, Zoltán; Boda, Zoltán; Édes, István; Fekete, István; Káplár, Miklós; Mátyus, János; Oláh, László; Olvasztó, Sándor; Páll, Dénes; Paragh, György; Vajda, G; Zeher, Margit; Csiba, László

doi:10.1556/oh.2012.29340

Cited by 5 publications

(3 citation statements)

References 66 publications

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“…Primary care is a medical setting in which patient-doctor collaboration is the closest [25]. In such settings, significant improvement could be achieved in health issues [26].…”

Section: Resultsmentioning

confidence: 99%

Early and Menopausal Weight Gain and its Relationship with the Development of Diabetes and Hypertension

Rurik

Móczár²,

Buono

et al. 2016

Exp Clin Endocrinol Diabetes

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Previous research has revealed a clear relationship between weight gain of persons and their metabolic diseases developing later. These studies have covered only short periods lasting 4-8 years.Our goal was to collect decades' old and often life-long anthropometric data and correlate the figures with the presence of hypertension and diabetes or both. A retrospective international study was planned and organized to compare self-recorded data of lifelong weight gain among 60-70-year-old patients, analyze their correlation with metabolic diseases they developed, with special attention to women's weight gain around pregnancy, delivery and menopause in primary care settings in Germany, Hungary, Italy, Slovakia and the Ukraine. Of the recruited 815 participants, 319 men and 496 women presented all the required data. Diabetics of both genders had the highest baseline weight at 20 years of age. The weight and BMI of the whole study population increased steadily until their seventies, but to a lesser extent after their fifties. Compared to the control group, changes over decades were the greatest among diabetics and also greater among patients with hypertension. Weight increase in the first decades (20-30-year-old men and 30-40-year-old women) was a significant risk factor for the development of diabetes (OR=1.044; p=0.002; 95% CI: 1.01-1.07). Among patients with diabetes and hypertension, both diagnoses were set up earlier than among those with a single morbidity.Among females, weight increase around pregnancy and menopause correlated significantly with higher odds for the diagnoses of diabetes and/or hypertension, irrespective of the number of children. During their decade-long relationship with their patients, family physicians are expected to identify the higher weight gain of their patients, especially among younger generation and intervene, if necessary.

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“…Primary care is a medical setting in which patient-doctor collaboration is the closest [25]. In such settings, significant improvement could be achieved in health issues [26].…”

Section: Resultsmentioning

confidence: 99%

Early and Menopausal Weight Gain and its Relationship with the Development of Diabetes and Hypertension

Rurik

Móczár²,

Buono

et al. 2016

Exp Clin Endocrinol Diabetes

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“…As the factor mainly responsible for obesity, the metabolic syndrome is to be considered the most important threat to male sexual health of the 21st century [20]. The proportion of the population that is overweight and obese is on the rise and already includes more than 50% of the adult Western male population [21–23]. There are no available data on whether an obese man's sexual experience would be similar to that of a normal‐weight man [7].…”

Section: Discussionmentioning

confidence: 99%

Sexual Activity of Young Men is Not Related to Their Anthropometric Parameters

Rurik

Varga

Fekete³

et al. 2014

The Journal of Sexual Medicine

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Introduction Many articles have been written about the deterioration of male sexual function, mainly in relation to metabolic diseases and aging. With younger men, unless they have a complaint, sexual issues are rarely discussed during medical consultations. No articles could be found about anthropometric parameters as factors potentially influencing sexual performance. Aim The aim of this study was to find the anthropometric parameters with the closest correlation with sexual activity. Main Outcome Measures Main outcome measures included self-reported weekly intercourses, age, body weight and height, body mass index (BMI), and waist circumference. Methods Data for 531 heterosexual men aged 20–54 years were collected in three andrological centers. Past and recent morbidity, medications, and some lifestyle elements were recorded; anthropometric parameters were measured; and andrological examination was performed. The average weekly number of intercourses was asked confidentially. Results The mean weekly coital frequency (±SD) was 2.55 ± 1.08. The highest self-reported weekly coital frequency was recorded for men between the ages of 25 and 29 (3.02 ± 1.27). Coital frequency was higher among men with a height of less than 175 cm (2.69 ± 1.24), weight of less than 78 kg (2.74 ± 1.18), normal BMI (2.74 ± 1.16), normal waist circumference (2.69 ± 1.19), and no metabolic disease (2.57 ± 1.11). Logistic regression described an inverse, statistically significant association between age and coital frequency, with the following odds ratios for coital frequency (ORcf): ORcf≥2 = 0.932, P < 0.001; ORcf≥2.5 = 0.935, P < 0.001; ORcf≥3 = 0.940, P < 0.001; ORcf≥3.5 = 0.965, P = 0.041. Among men who reported a coital frequency of more than 3.5 times a week, waist circumference (ORcf≥3.5 = 0.986, P = 0.066) showed borderline association with lower sexual activity, while lesser height (ORcf≥3.5 = 0.951, P = 0.005) was associated with higher activity. Conclusion In this study's age range, none of the examined anthropometric parameters was perfectly correlated with sexual activity. Obesity and metabolic diseases can cause all types of sexual function to deteriorate in older age, whereas their effects may not yet be prominent at younger ages (below 45 years). Health promotion for all ages should focus on prevention of obesity so as to improve quality of life and sexual health.

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“…About one third of the respondents do not have their own local family doctor. This may be because in Hungary, one can access secondary care or tertiary hospitals without attending the family physician, whereas in other countries cannot (24,25).…”

Section: Self-reported Health Statusmentioning

confidence: 99%

Medical Doctors in Hungary: 30 Years after Graduation. Data on Lifestyle, Morbidity, Demography and Differences between Specialties

Rurik¹,

Szigethy²,

Langmár³

2014

Cent Eur J Public Health

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There are few studies from East and Central European countries on health-status, lifestyle and social circumstances of medical professionals. We evaluated data of a cohort of physicians who had graduated 30 years ago in Hungary and compared the data of their professional carrier, life style, health outcomes, and medical specialties. Questionnaires compiled by an expert group and filled in by 208 physicians (83 men and 125 women) were analysed. Men mostly work as surgeons, women were mostly employed as primary care specialists. Women changed their specialty and/or place of work more often than men. Male primary care physicians had more children than women and others specialists. At graduation, most of them had a normal BMI. Since then, a significant increase in weight and BMI was observed in both genders and across all specialty groups. The largest increase in body weight and BMI (mean 5.27) was recorded among female primary care physicians. Recorded physical activity was low in general, with male primary care specialists being most active and female primary care physicians the least. Female doctors in surgical specialties had longer resting time. Male physicians rarely participated in regular health screenings. The incidence of hypertension was higher than the Hungarian national average for that age. About 5% of primary care physicians identified themselves as regular smokers. Abstinence and regular daily alcohol consumption were reported in equal ratio. Burn-out symptoms were rarely experienced. This generation had started its medical profession before the significant progressive changes in the medicine occurred in the last decades. While physicians do not always follow their own professional advices, their lifestyle proved a little bit healthier than that of the population at large, especially for women and their health outcomes, except hypertension, were also better. In general, they were not satisfied with the financial and working conditions of the recent Hungarian healthcare system.

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Advances in the prevention, diagnosis and therapy of vascular diseases

Cited by 5 publications

References 66 publications

Early and Menopausal Weight Gain and its Relationship with the Development of Diabetes and Hypertension

Early and Menopausal Weight Gain and its Relationship with the Development of Diabetes and Hypertension

Sexual Activity of Young Men is Not Related to Their Anthropometric Parameters

Medical Doctors in Hungary: 30 Years after Graduation. Data on Lifestyle, Morbidity, Demography and Differences between Specialties

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