Higher prevalence of smoking and lower BMI, waist circumference, cholesterol and triacylglyceride levels in Prague's homeless compared to a majority of the Czech population

Kubisová, D.; Adámková, Věra; Lánská, Věra; Dlouhý, Pavel; Rambousková, Jolana; Andĕl, M

doi:10.1186/1471-2458-7-51

Cited by 20 publications

(12 citation statements)

References 24 publications

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“…Several studies have investigated the cardiovascular risk profile in homeless and socially deprived individuals (Kim et al 2008;Kubisova et al 2007; Lee et al 2005;Szerlip and Szerlip 2002). A high prevalence of hypertension and smoking among the homeless compared with the general population was found, whereas the prevalence of hyperlipidemia, elevated BMI, and obesity were lower among the homeless.…”

Section: Introductionmentioning

confidence: 95%

Short-term street soccer improves fitness and cardiovascular health status of homeless men

et al. 2011

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This study examined the effect of 12 weeks of small-sided street soccer (2.2 ± 0.7 sessions/week) and fitness center training (0.5 ± 0.2 sessions/week) on physical fitness and cardiovascular health profile for homeless men. Exercise capacity, maximal oxygen uptake (VO(2max)), body composition (DXA scans), blood pressure (BP), and blood lipid profile were determined before and after the intervention period for 22 soccer-group subjects (SG) and 10 waiting list controls (CO). In addition, time-motion analyses, HR measurements, and pedometer recordings were performed during street soccer training and daily-life activities. During a 60 min 4 versus 4 street soccer session 182 ± 62 intense running bouts were performed; mean HR was 82 ± 4% HR(max) and HR was >90% HR(max) for 21 ± 12% (±SD) of total time. On a day without training the participants performed 10,733 ± 4,341 steps and HR was >80% HR(max) for 2.4 ± 4.3 min. In SG, VO(2max) was elevated (p < 0.05) from 36.7 ± 7.6 to 40.6 ± 8.6 ml/min/kg after 12 weeks and incremental cycle test performance was improved (p < 0.05) by 81 s (95% CI: 47-128 s). After 12 weeks, fat percentage (19.4 ± 8.5 to 17.5 ± 8.6%) and LDL cholesterol (3.2 ± 1.1 to 2.8 ± 0.8 mmol L(-1)) were lowered (p < 0.05) in SG. The observed changes in SG were different (p < 0.05) from CO and no intra-group changes occurred for CO (p > 0.05). BP was unaltered after 12 weeks (p > 0.05), but diastolic BP was lowered for all SG subjects with pre-values >75 mmHg (83 ± 6 to 76 ± 6 mmHg, n = 8, p < 0.05). In conclusion, the exercise intensity is high during street soccer and regular street soccer training can be used as an effective activity to promote physical fitness and cardiovascular health status for homeless men.

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Section: Introductionmentioning

confidence: 95%

Short-term street soccer improves fitness and cardiovascular health status of homeless men

et al. 2011

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“…Studies which have attempted to determine the food and nutrient intake of the homeless can be categorised into those using either questionnaire, interview or biochemical assessment methods as outlined in Table 1 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) . These have provided an insight into the diets of homeless individuals but must be interpreted in light of the inherent methodological limitations of each technique.…”

Section: Homelessness and Nutrient Intakementioning

confidence: 99%

“…The demonstration of reduced total cholesterol and TAG levels in the Prague homeless community (6) , a finding in contrast to increased dietary saturated fat and serum cholesterol in American homeless (17) , was considered by the researchers to reflect such differences between the two countries (6) . The demonstration of reduced total cholesterol and TAG levels in the Prague homeless community (6) , a finding in contrast to increased dietary saturated fat and serum cholesterol in American homeless (17) , was considered by the researchers to reflect such differences between the two countries (6) .…”

Section: Limitations Of Research Into the Nutrient Intake Of The Homementioning

confidence: 99%

Nutrition and the homeless: the underestimated challenge

2016

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Homelessness is present in most societies and represents a situation in which the basic needs for survival including food are often limited. It is logical to surmise that the homeless person's diet is likely to be nutritionally deficient and yet there is a relative paucity in research regarding this issue with studies varying in both their methodology and homeless population. Despite these differences, diets of the homeless are frequently characterised as high in saturated fat and deficient in fibre and certain micronutrients, all of which can have negative implications for the homeless individual's health and/or mental state. The conclusion from intervention studies is that there is no consensus as to the most effective method for assessing dietary intake. In order to address this, the present review aims to provide a greater understanding of the existing literature surrounding nutrition and the homeless and to act as a foundation from which further research can be conducted. An evaluation of the main findings and challenges surrounding the assessment of the nutritional status of the homeless will be provided followed by a review of the physical and mental consequences of the homeless diet. Current and potential interventions aimed at increasing the nutritional quality of food consumed by the homeless will be addressed with a focus on the role of the nutritional science community in assisting in this endeavour.

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“…Results from the Prague homeless population are very similar. The authors found the prevalence of smoking to be significantly higher among homeless men (93%) and women (83%) compared to the general Czech population, men 38% and women 35% (33). A Slovak study implemented in an asylum home showed that 89.4% of 226 homeless people were smokers while 60.6% of them consumed too much alcohol (34).…”

Section: Smokingmentioning

confidence: 99%

Some aspects of the health status of homeless people

Bartošovič¹

2016

CSWHI

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Abstract40% of homeless people report at least one chronic health problem. Some medical problems are particularly prevalent such as chronic obstructive pulmonary diseases, arthritis and musculoskeletal disorders. Trauma is a significant cause of disability and death. Homeless people are predisposed to infections because of their poor physical state and lack of hygiene; hence outbreaks of contagious diseases are more prevalent in the homeless. Tuberculosis is an important health problem among the homeless. Homeless people are at high risk of Key words:Homeless, nutrition, infectious diseases, tuberculosis, trauma, health care, hospitalization, health status, ageing, death. AbstractSpectrum of infections and non-infections diseases among refuges from Syria/Iraq to Hungary/ Austria in September 2015 is analyzed. Respiratory isolates from patients with pneumonia were obtained from respiratory tract secretions and tested for antimicriobial susceptibility. Majority of ID were upper and lower respiratory tract infections, scabies and other skin and soft tissue infections. However, infections represented only about one half of cases seeking medical help -the rest 40-60% were hypertension, exhaustion, depression, diabetes, neuropsychiatric disorders.bloodborne infections and disproportionately suffer from mental illness and substance use disorders. Homelessness negatively impacts child health and development. There are a number of internal and external barriers to providing health care for homeless persons. Hospitalizations are more frequent and they take a longer time. The homeless are not registered with their Doctor and try to get health assistance by using emergency services. They have problems with health system or social insurance. The health status is substantially worse than in other population. Homeless people have a greatly Original Articles 40Clinical social Work and Health Intervention increased risk of death. Problems of providing health care to the homeless depend in every country on the existing health policy and the economy. Insufficient care for homeless people means not only aggravation of their health state but it could have negative impacts on the health of the broader group of people.

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Higher prevalence of smoking and lower BMI, waist circumference, cholesterol and triacylglyceride levels in Prague's homeless compared to a majority of the Czech population

Cited by 20 publications

References 24 publications

Short-term street soccer improves fitness and cardiovascular health status of homeless men

Short-term street soccer improves fitness and cardiovascular health status of homeless men

Nutrition and the homeless: the underestimated challenge

Some aspects of the health status of homeless people

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