Reduction of excessive alcohol consumption still remains a significant challenge to the actions in the scope of public health of European citizens. The aim of this study is to present the prevalence of alcohol consumption and to estimate the occurrence of risky drinking among college students from the Polish, Slovak, Romanian, and Ukrainian parts of the Carpathian Euroregion, taking social contexts into account. The consumption of alcohol was estimated on the basis of the respondents’ statements regarding the quantity and frequency of their consumption of beer, wine, and vodka. The study included people from the first year of undergraduate studies. The analysis used the Chi-square independence test and odds ratios (ORs). There were significant differences in the frequency of alcohol consumption, as well as the individual types consumed, among the respondents from the analyzed countries. Of the examined college students, 70% admit to occasional drinking. The pattern of dangerous alcohol consumption occurs in the case of approximately every seventh person. Risky drinking occurs with much greater frequency among male students rather than their female counterparts. In Romania, a very small percentage of female students engage in risky drinking. The analysis did not show statistically significant differences in the frequency of risky drinking between countries. The coexistence of other adverse health behaviors, such as smoking and alcohol abuse, was confirmed.
This study presents mathematical models for predicting VO2max based on a 20 m shuttle run and anthropometric parameters. The research was conducted with data provided by 308 young healthy people (aged 20.6 ± 1.6). The research group includes 154 females (aged 20.3 ± 1.2) and 154 males (aged 20.8 ± 1.8). Twenty-four variables were used to build the models, including one dependent variable and 23 independent variables. The predictive methods of analysis include: the classical model of ordinary least squares (OLS) regression, regularized methods such as ridge regression and Lasso regression, artificial neural networks such as the multilayer perceptron (MLP) and radial basis function (RBF) network. All models were calculated in R software (version 3.5.0, R Foundation for Statistical Computing, Vienna, Austria). The study also involved variable selection methods (Lasso and stepwise regressions) to identify optimum predictors for the analysed study group. In order to compare and choose the best model, leave-one-out cross-validation (LOOCV) was used. The paper presents three types of models: for females, males and the whole group. An analysis has revealed that the models for females ( mL·kg−1·min−1) are characterised by a smaller degree of error as compared to male models ( mL·kg−1·min−1). The model accounting for sex generated an error level of mL·kg−1·min−1.
Adequate folic acid supplementation during the preconception period is an important element in the primary prevention of neural tube defects (NTDs). This study aims to study the effectiveness of folic acid supplementation recommendations among women of childbearing age, and to assess and characterise their awareness about this public health measure. The cross-sectional study included women (N = 1285) aged 22.27 ± 4.6 years old on average. Some of the results were obtained on a subgroup of women (N = 1127) aged 21.0 ± 2.1. This study was performed using a questionnaire. The analysis was performed with the use of a logistic regression model, chi-square test for independence and odds ratio (OR). According to the results, only 13.9% of women supplement folic acid, and 65.3% of them do so daily. A total of 91.1% of the respondents were not aware of its recommended dose and 43% did not know the role it plays in the human body. Among women who do not currently supplement folic acid (N = 1052), 52.4% declared doing so while planning their pregnancy. Women’s awareness about the role of folic acid in NTD prevention (OR = 4.58) and the information they got from physicians (OR = 1.68) are key factors that increased the odds of the women taking folic acid before pregnancy. There is therefore a need for more information and education campaigns to raise awareness about folic acid.
Body fat (BF) and cardiorespiratory fitness (CRF) are important health markers that ought to be considered in screening exams. The aim of this study was to assess the value of six indicators, i.e., tri-ponderal mass index (TMI), relative fat mass (RFM), waist–BMI ratio, waist-to-height ratio (WHtR), waist-to-hip ratio (WHR) and body mass index (BMI) in predicting CRF in school-aged children. The analysis was based on the data coming from the examination of 190 children participating in school physical education (PE) classes. Their body weight (BW) and height (BH), waist and hip circumference (WC; HC) and percentage of body fat (%BF) were measured; the CRF test was performed with the use of the 20 m shuttle run test (20 mSRT); peak heart rate (HRpeak) was measured; TMI, relative fat mass pediatric (RFMp), waist–BMI ratio, WHtR, BMI and WHR were calculated. Statistical analysis was mainly conducted using regression models. The developed regression models, with respect to the sex and age of the children, revealed RFMp as the strongest CRF indicator (R2 = 51.1%) and WHR as well as waist–BMI ratio as the weakest ones (R2 = 39.2% and R2 = 40.5%, respectively). In predicting CRF in school-aged children, RFMp turned out to be comparable to body fat percentage obtained by means of the bioimpedance analysis (BIA) (R2 = 50.3%), and as such it can be used as a simple screening measure in prophylactic exams of school children. All of these models were statistically significant (p < 0.001).
The early identification of modifiable risk factors and their monitoring, also within school physical education (PE) classes, are becoming indispensable in the context of public health. The aim of this study was to test whether making use of waist circumference (WC) measurements increases the possibility of predicting the results of cardiorespiratory fitness (CRF) in school-age children, as compared with body mass index (BMI) and other somatic indicators related to body fat. The cross-sectional study covered 190 children aged 10 to 15 years, participating in school PE classes. Body height (BH), body weight (BW), WC, hip circumference (HC) and percentage of body fat (BF%) were measured. BMI, waist to hip ratio (WHR) and waist to height ratio (WHtR) were calculated, and a CRF test was performed by means of a 20 m shuttle run test (20mSRT). The peak heart rate (HRpeak) of the children was also measured. The regression model that was developed showed that WC (R2 = 47.1%), beyond BF% (R2 = 50.3%) and WHtR (R2 = 50.0%), was a useful measure of CRF, and stronger than BMI (R2 = 45.8%) or WHR (R2 = 39.2%). The risk of obtaining the CRF result classified below a good level (below the percentile range of P60-P80) was significantly higher in children with a larger WC (odds ratio (OR) for the WC change of 1 cm equals 1.14 (95% CI: 1.09–1.20; p < 0.001)). The simplicity of measuring WC and the possibility of using this measurement in the calculation of WHtR with reference to CRF indicate its usefulness in the prophylactic exams of school children.
Introduction: Unhealthy eating habits combined with low levels of physical activity and cardiorespiratory fitness pose a serious threat to the health of young people. The aim of this research was to determine the relationship between selected components of body composition, the occurrence of eating disorders, and cardiorespiratory fitness (CRF) and physical activity levels among university students. Material and Methods: This study was conducted among 254 students at a university in Poland. It included the measurements of body height, body composition analysis using bioelectrical impedance analysis (BIA), and assessment of cardiorespiratory fitness (CRF). This research also employed the My Eating Habits (MEH) questionnaire and the short version of the International Physical Activity Questionnaire (IPAQ-SF). Results: Based on body fat percentage (BF%), nearly one-fifth (19.69%) of participants were classified as obese. According to the body mass index (BMI), over one-third had excess body weight (overweight 24.02%, obesity 10.24%), while 6.7% were underweight. Eating disorders were significantly more prevalent in women (p = 0.0002). A significant relationship was observed between eating disorders and BMI, muscle mass (MM%), skeletal muscle mass (SMM%), body fat (BF%), and visceral fat (VFATL). Higher BMI, BF%, and VFATL were associated with a greater risk of developing eating disorders. Emotional overeating was significantly less common among individuals with normal body weight compared to those who were underweight or overweight. No statistically significant associations were found between students’ physical activity levels and eating habits. However, cardiorespiratory fitness (CRF) was significantly negatively correlated with the presence of eating disorders. Conclusions: Understanding the relationship between components of body composition, eating disorders, physical activity levels, and cardiorespiratory fitness is crucial for designing effective interventions that promote a healthier lifestyle and psychological well-being among university students.