Prospective urban and rural epidemiology Poland – study design

Zatońska, Katarzyna; Zatoński, Witold; Szuba, Andrzej

doi:10.5114/jhi.2016.65353

Cited by 13 publications

(16 citation statements)

References 11 publications

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“…The baseline cohort included 2036 participants, aged between 30 and 85 years, both from urban and rural area. All participants were examined according to the international PURE project protocol [13]. The paper presents the results of PURE Poland study-baseline, covering the group of 1654 participants, who completed the Food Frequency Questionnaire (FFQ) and had the blood test performed.…”

Section: Methodsmentioning

confidence: 99%

Comparison of intake of food groups between participants with normoglycemia, impaired fasting glucose, and type 2 diabetes in PURE Poland population

Basiak

Różańska

Połtyn–Zaradna

et al. 2018

Int J Diabetes Dev Ctries

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According to the World Health Organization, diabetes could be responsible for 1.5 mln deaths a year and prevalence of diabetes is still increasing. Improper diet is one of modifiable risk factors of type 2 diabetes. Because diabetes is a major health burden, research recognizing factors contributing to increased risk of type 2 diabetes is important. The aim of the study was conducting the comparison of intake of food groups between participants with normoglycemia, impaired fasting glucose (IFG), and type 2 diabetes of Prospective Urban and Rural Epidemiology (PURE) Poland population. Assessment of intake of food groups was conducted with the use of validated Food Frequency Questionnaire (FFQ) among 1654 participants of PURE Poland-baseline (2007)(2008)(2009). Assessment of the differences between groups had been performed with the use of the Kruskal-Wallis test. The significance level was established to be p ≤ 0.05. Participants with IFG in comparison to participants with diabetes consumed significantly more fruit juices, beverages with added sugar, sweets, honey, and sugar. Participants with IFG in comparison with normoglycemic participants consumed significantly more refined grains, fruit juices, lean meat, and processed meat and less nuts and seeds. Participants with diabetes in comparison to normoglycemic participants consumed significantly more lean meat and processed meat and less tea and coffee, alcohol, dried fruit, honey, sugar, and nuts. Especially participants with IFG, who consumed more products of high glycemic index should be the subject of intensive counseling and other prophylactic measures to reduce the risk of progression to type 2 diabetes.

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Section: Methodsmentioning

confidence: 99%

Comparison of intake of food groups between participants with normoglycemia, impaired fasting glucose, and type 2 diabetes in PURE Poland population

Basiak

Różańska

Połtyn–Zaradna

et al. 2018

Int J Diabetes Dev Ctries

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“…In our cohort we followed protocol of global PURE study [13,14]. PURE is an international study comprising cohorts from 21 high-, middle-and low income countries, aiming to observe biological, socioeconomic, behavioral and environmental factors of mortality and morbidity of noncommunicable diseases [13].…”

Section: Methodsmentioning

confidence: 99%

“…PURE is an international study comprising cohorts from 21 high-, middle-and low income countries, aiming to observe biological, socioeconomic, behavioral and environmental factors of mortality and morbidity of noncommunicable diseases [13]. Study protocol included questionnaire study (individual health questionnaire, family questionnaire, food frequency questionnaire, all developed specially for the PURE study and international physical activity IPAQ questionnaire [15]), anthropometric measurements, blood pressure measurement, ECG, spirometry, blood and urine collection [14]. Follow-ups are conducted with consistent protocol every 3 years.…”

Section: Methodsmentioning

confidence: 99%

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

et al. 2020

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Background: Diabetes mellitus (DM) is one of the greatest challenges for public health worldwide. The aim of the study was the analysis of diabetes development in participants with normoglycemia and Impaired Fasting Glucose (IFG) in 3-year and 6-year follow-up of PURE Poland cohort study. Methods: The analysis was conducted in Polish cohort enrolled into Prospective Urban and Rural Epidemiology (PURE) Study. The following study presents results of 1330 participants that have partaken both in the baseline study, in 3-year and in the 6-year follow up. The analysis of the impact of risk factors on diabetes development was performed using multivariate Cox frailty analysis. Population Attributable Risk (PAR) was computed individually for every risk factor. Results: Diabetes prevalence increased from 17.7% at baseline to 23.98% in 3-year-and 28.27% in 6-year follow-up. The risk of diabetes was higher in participants with obesity [HR = 5.7, 95%Cl 2,56-12,82], overweight [HR = 3.4, 95%Cl 1,56-7,54] and IFG [HR = 2.7, 95%Cl 1,87-3,85]. The risk of diabetes development was almost 2-fold higher in men than in women [HR = 1.826; 95%CI =1,24-2,69]. In 6 years, diabetes developed in 23.8% of participants with IFG and 7.9% of participants with normoglycemia. According to PAR, overweight and obesity accounted for 80.8%, hypertension for 67.6% and IFG for 38.3% of diabetes cases in our population. Conclusions: Our study reveals alarming increase in prevalence of diabetes during 6 years of observation. In our population, most diabetes cases can be attributed to overweight, obesity, hypertension and IFG. Findings add strong rationale to implement targeted preventive measures in population of high risk.

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“…All participants were assessed in accordance to the PURE project protocol, which has been described in detailed elsewhere [17, 19]. Participants were recruited and assessed at baseline between 2007 and 2010.…”

Section: Methodsmentioning

confidence: 99%

Sociodemographic characteristic of changes in smoking patterns in rural and urban population of PURE Poland study: findings from 6-year follow up

et al. 2019

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BackgroundTobacco smoking is one of the most serious modern civilization threats. According to WHO identifying patterns of tobacco use is essential for implementing effective preventive policies. The aim of the paper was to assess changes in smoking patterns among the PURE study population over 6 years.MethodsThe study sample comprised of 1784 adult participants from PURE Poland study, who were assessed at baseline (2007–2010) and then at 6-year follow-up. Participants were classified into current smokers, ex-smokers and never smokers. Smoking patterns were analyzed according to sex, age/birth cohort, place of residence (urban vs rural setting), and education level.ResultsOverall, a significant decrease of 3.1% in current smokers was observed (from 20.0% in baseline to 16.9 at follow-up). However, 0.8% of never smokers and 6.2% of ex-smokers at baseline were classified as current smokers at 6-year follow-up. Despite overall decrease in percentage of current smokers in both rural and urban area, in fact significantly more ex-smokers from rural area became current smokers after 6 years. Living in the rural area was associated with nearly two-fold increase in current smoking, and almost two-fold decline in chances to quit smoking. The highest percentage of current smokers was observed in birth year cohort 1961–1979.ConclusionDespite a small but significant decline in overall smoking rates, important differences in smoking and quitting patterns emerged between rural and urban areas, as well as sexes. A less favorable smoking patterns were observed among women, and rural populations, suggesting that these are important targets of future tobacco control interventions in Poland.

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Prospective urban and rural epidemiology Poland – study design

Cited by 13 publications

References 11 publications

Comparison of intake of food groups between participants with normoglycemia, impaired fasting glucose, and type 2 diabetes in PURE Poland population

Comparison of intake of food groups between participants with normoglycemia, impaired fasting glucose, and type 2 diabetes in PURE Poland population

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

Sociodemographic characteristic of changes in smoking patterns in rural and urban population of PURE Poland study: findings from 6-year follow up

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