Inappropriate pattern of nutrient consumption and coexistent cardiometabolic disorders in elderly people from Poland

Guligowska, Agnieszka; Pigłowska, Małgorzata; Śmigielski, Janusz; Kostka, Tomasz

doi:10.20452/pamw.2959

Cited by 11 publications

(11 citation statements)

References 11 publications

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“…At least 2 factors may explain the above findings: low UVB irradiation (or "vitamin D winter") lasting in Poland from October through March, 45 and low intake of vitamin D-rich food products. 46,47 Well-designed preventive strategies and educational policies should be implemented to improve the vitamin D status and enhance potential health benefits for the majority of the Polish population.…”

Section: 192324mentioning

confidence: 99%

Vitamin D status in Poland

Płudowski¹,

Ducki²,

Konstantynowicz³

et al. 2016

Polish Archives of Internal Medicine

102

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functions of vitamin D seem to be higher (30-50 ng/ml; 75-125 nmol/l), 25 but still are considered uncertain. Some authors, however, argue that even for proper bone mineralization, levels higher than 30 ng/ml (75 nmol/l) are necessary. 26 Indisputably, low 25(OH)D levels (below 20 ng/ml) are common and were reported worldwide, 1-7 and this is a drawback because epidemiological data underlined an association between vitamin D deficit and a higher risk for chronic conditions and multimorbidity, including musculoskeletal disorders, cancer, autoimmune diseases, cardiovascular disease, diabetes, and infectious diseases. 1,3,[27][28][29][30] One of the countries with limited data on vitamin D status is Poland (49-54°N; Central Europe). Results of studies carried out in our country indicated that the problem of vitamin D deficiency considerably affects the Polish population. In a study of 448 adult residents of urban areas INTRODUCTION Vitamin D is an important prohormone that can be synthesized by the skin exposed to sunlight (UVB) or ingested with food. However, low outdoor activity, sun protection, and low vitamin D content of staple foods reduce the significance of sun and diet as natural sources for efficacy of vitamin D metabolism and related health effects. In consequence, evidence from various populations highlighted vitamin D deficiency as a public health problem with high prevalence.1-17 The prevalence of vitamin D deficiency depends on diagnostic thresholds defining vitamin D status that is determined by total serum 25(OH)D levels, 18 and the recommended levels of 25(OH)D are still an issue of debate.19-22 Currently, it is accepted that maintaining serum 25(OH) D at a level of 20 ng/ml (50 nmol/l) or above is beneficial at least for bone health and calcium homeostasis.23,24 Levels required for noncalcemic PATIENTS AND METHODSThis cross-sectional study included a total of 5775 adult volunteers (4464 women; 1311 men; mean age, 54.0 ±15.9 years; range, 15.6-89.8 years), who were enrolled and examined through late winter and spring 2014. Serum concentrations of 25(OH)D were determined using the Liaison XL system (DiaSorin; CLIA method). Demographic and anthropometric data were also analyzed. RESULTSThe mean 25(OH)D concentration in the studied population was 18.0 ±9.6 ng/ml; 65.8% of the patients had 25(OH)D levels of less than 20 ng/ml; 24.1% had suboptimal levels of 20 to 30 ng/ml; and only 9.1% demonstrated the optimal levels of 30 to 50 ng/ml. In 89.9% of the studied population, 25(OH)D levels of less than 30 ng/ml were found. Obesity, defined as body mass index (BMI) over 30 kg/m 2 , was associated with lower 25(OH)D levels compared with normal weight (15.8 ±8.5 vs 18.5 ±9.7 ng/ml; P <0.0001). Lower 25(OH)D levels were observed in men, younger individuals, and individuals with excess body weight and higher BMI. CONCLUSIONSThe results of our study, which involved the most representative sample size of Polish adults, support the previously reported data on vitamin D status. The levels of 25(OH)D determined f...

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Section: 192324mentioning

confidence: 99%

Vitamin D status in Poland

Płudowski¹,

Ducki²,

Konstantynowicz³

et al. 2016

Polish Archives of Internal Medicine

102

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“…Proper nutrition is a cornerstone of preventive gerontology and curative geriatrics, especially in the case of multiple concomitant diseases 9. Poor nutrition is associated with a greater chance of the occurrence of many diseases and adverse health outcomes, such as sarcopenia, frailty syndrome and disability.…”

Section: Introductionmentioning

confidence: 99%

Inappropriate nutrients intake is associated with lower functional status and inferior quality of life in older adults with depression

Guligowska

Pigłowska

Fife

et al. 2016

CIA

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ObjectivesThe study is a case-control analysis of whether depression impairs physical and cognitive functioning and quality of life, and whether there is a relationship between nutrient deficiencies and these adverse changes.Patients and methodsA total of 130 older subjects participated in the study: 65 with diagnosed depression (16 men and 49 women) and 65 age- and sex-matched controls without depression. All patients underwent comprehensive geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment, cognitive performance was evaluated by the Mini-Mental State Examination and physical functioning by the Timed “Up & Go” test and handgrip strength. The pattern of consumption of various nutrients was analyzed in detail.ResultsThe differences in cognitive functioning observed between the groups were related to specific nutrient intake, as was handgrip strength to some extent. The differences in nutritional status, several functional tests and muscle strength were related to both the presence of depression and inappropriate consumption of certain nutrients.ConclusionThe incidence of falls and poor quality of life may be partially associated with the presence of depression. The inappropriate intake of selected nutrients may impair the functioning and quality of life of older adults with depression, such as the excess consumption of sucrose and insufficient consumption of protein, fiber, eicosapentaenoic acid, niacin and vitamin B6. Particular nutrients should be translated into dietary patterns which allow the individual patient to address these nutrient deficiencies.

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“…There is some evidence proving this possibility. In the abovementioned study, only 16 % of elderly patients with a history of myocardial infarction met daily nutritional iodine requirements as a result of diminished salt consumption (22) .…”

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confidence: 93%

“…Salt intake in Poland in 2010 was estimated at 11•5 g/d (both household salt and salt from processed foods) (21) . In a study conducted between 2012 and 2015, salt consumption in the elderly exceeded 8 g daily, and covered the recommended daily iodine intake (median 134 μg/d) (22) .…”

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confidence: 99%

Current iodine nutrition status in Poland (2017): is the Polish model of obligatory iodine prophylaxis able to eliminate iodine deficiency in the population?

Trofimiuk–Müldner

Konopka

Sokołowski

et al. 2020

Public Health Nutr.

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Objective: The monitoring of the populations’ iodine status is an essential part of successful programmes of iodine deficiency elimination. The current study aimed at the evaluation of current iodine nutrition in school children, pregnant and lactating women as a marker of the effectiveness and sustainability of mandatory iodine prophylaxis in Poland. Design: The following iodine nutrition indicators were used: urinary iodine concentration (UIC) (all participants) and serum thyroglobulin (pregnant and lactating women). Setting: The study was conducted in 2017 within the National Health Programme in five regions of Poland. Participants: The research included 300 pregnant women, 100 lactating women and 1000 school children (aged 6–12 years). Results: In pregnant women, median UIC was 111·6 µg/l; there was no significant difference in median UIC according to the region of residence. In 8 % of pregnant women, thyroglobulin level was >40 ng/ml (median thyroglobulin 13·3 ng/ml). In lactating women, median UIC was 68·0 µg/l. A significant inter-regional difference was noted (P = 0·0143). In 18 % of breastfeeding women, thyroglobulin level was >40 ng/ml (median thyroglobulin 18·5 ng/ml). According to the WHO criteria, the investigated sample of pregnant and lactating women was iodine-deficient. Median UIC in school children was 119·8 µg/l (with significant inter-regional variation; P = 0·0000), which is consistent with iodine sufficiency. Ninety-four children (9·4 %) had UIC < 50 µg/l. Conclusions: Mandatory iodisation of household salt in Poland has led to a sustainable optimisation of iodine status in the general population. However, it has failed to assure adequate iodine nutrition during pregnancy and lactation.

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Inappropriate pattern of nutrient consumption and coexistent cardiometabolic disorders in elderly people from Poland

Cited by 11 publications

References 11 publications

Vitamin D status in Poland

Vitamin D status in Poland

Inappropriate nutrients intake is associated with lower functional status and inferior quality of life in older adults with depression

Current iodine nutrition status in Poland (2017): is the Polish model of obligatory iodine prophylaxis able to eliminate iodine deficiency in the population?

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