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001-es BibID:	BIBFORM086813
035-os BibID:	(Scopus)85087398268 (WOS)000550348400001
Első szerző:	Ádány Róza (megelőző orvostan és népegészségtan szakorvos)
Cím:	Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey / Róza Ádány, Péter Pikó, Szilvia Fiatal, Zsigmond Kósa, János Sándor, Éva Bíró, Karolina Kósa, György Paragh, Éva Bácsné Bába, Ilona Veres-Balajti, Klára Bíró, Orsolya Varga, Margit Balázs
Dátum:	2020
ISSN:	1661-7827 1660-4601
Megjegyzések:	Data mainly from one-off surveys clearly show that the health of Roma, the largest ethnic minority of Europe, is much worse than that of the general population. However, results from comprehensive exploratory studies are missing. The aim of our study was to create a complex database for comparative and association studies to better understand the background of the very unfavourable health of Roma, especially the high burden of cardiometabolic diseases. A three-pillar (questionnaire-based, physical and laboratory examinations) health survey was carried out on randomly selected samples of the Hungarian general (HG, n = 417) and Roma (HR, n = 415) populations, and a database consisting of more than half a million datapoints was created. Using selected data, the prevalence rates of metabolic syndrome (MetS) and of its components were determined, and to estimate the risk of insulin resistance (IR), surrogate measures (the homeostasis model assessment of insulin resistance index, quantitative insulin sensitivity check index, McAuley and TyG indices and the TG/HDL-C ratio) were calculated. Receiver operating characteristic curve analysis and Youden's method were used to define the optimal cut-off values of each IR index. The prevalence of MetS was very high in both study populations (HG: 39.8%, HR: 44.0%) with no statistically significant difference between the two groups in females or males. The prevalence of MetS showed a very marked increase in the HR 35?49 years age group. Among surrogate measures, the TyG index showed the greatest power for predicting IR/MetS at a cut-off value of 4.69 (77% sensitivity, 84% specificity) and indicated a 42.3% (HG) and 40.5% (HR) prevalence of IR. The prevalence of MetS and IR is almost equally very unfavourable in both groups; thus, the factors underlying the high premature mortality burden of Roma should be further clarified by investigating the full spectrum of risk factors available in the database, with a special focus on the access of Roma people to preventive and curative health services.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Roma population health survey metabolic syndrome insulin resistance cut-off values for surrogate indices HOMA-IR QUICKI McAuley index TG/HDL-C ratio TyG index
Megjelenés:	International Journal of Environmental Research and Public Health. - 17 : 4833 (2020), p. 1-22. -
További szerzők:	Pikó Péter (1987-) (biológus) Fiatal Szilvia (1978-) (epidemiológus, népegészségügyi szakember) Kósa Zsigmond (1953-) (orvos) Sándor János (1966-) (orvos-epidemiológus) Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Kósa Karolina (1962-) (népegészségügyi szakember) Paragh György (1953-) (belgyógyász) Bácsné Bába Éva (1968-) (bölcsésztanár, szakközgazda) Veres-Balajti Ilona (1965-) (gyógytornász, egészségfejlesztő) Bíró Klára (1970-) (egészségügyi menedzsment) Varga Orsolya (1977-) (orvos, jogász) Balázs Margit (1952-) (sejtbiológus, molekuláris genetikus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP MTA11010 Egyéb TK2016-78 Egyéb
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001-es BibID:	BIBFORM127299
035-os BibID:	(wos)001407507200001 (scopus)85217219518
Első szerző:	Kovács Nóra (népegészségügyi szakember)
Cím:	Attitudes towards healthy eating and its determinants among older adults in a deprived region of Hungary : implications for the National Healthy Aging Program / Kovacs Nora, Biro Eva, Piko Peter, Ungvari Zoltan, Adany Roza
Dátum:	2025
ISSN:	2509-2715 2509-2723
Megjegyzések:	A healthy diet is a key determinant of successful aging. However, the psychological, social, and physiological changes associated with ageing often disrupt dietary behaviours. Hungary has one of the highest rates of chronic age-related diseases in the European Union, exacerbated by unhealthy dietary patterns and rapid population aging. This study evaluates attitudes and barriers to healthy eating among older adults in a socioeconomically disadvantaged region of Hungary, identifying determinants of these attitudes across different age groups. A cross-sectional survey sampled 678 adults aged 18 and older from Northeast Hungary, assessing their beliefs on healthy eating through an attitude score (range: 9-45). Multivariate regression analyses were conducted to explore relationships between mental health, self-perceived health, and attitudes toward healthy eating. The mean attitude score was 31.47 (+/- 5.14), with older adults (>= 65 years) showing significantly greater uncertainty about dietary choices. The cost of healthy food was the most frequently reported barrier, regardless of age. Regression results revealed that older adults with higher well-being (B = 0.03, p = 0.026), life satisfaction (B = 0.40, p = 0.005), and self-perceived health (fair: B = 2.20, p = 0.003; good/very good: B = 1.96, p = 0.031) were more likely to have positive attitudes toward healthy eating. These results emphasize the importance of addressing both mental and physical health in educational interventions to promote healthier diets. Tailored approaches addressing affordability and accessibility of healthy foods are critical to advancing Hungary's National Healthy Aging Program and mitigating dietary risk factors among vulnerable populations.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk healthy eating attitude barriers mental health ageing
Megjelenés:	GeroScience. - 47 : 4 (2025), p. 5695-5707. -
További szerzők:	Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Pikó Péter (1987-) (biológus) Ungvári Zoltán Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP Hungarian Research Network-HUN-REN (TKCS-2021/32) Egyéb TK2016-78 MTA National Research, Development, and Innovation Fund of Hungary Project No. 135784 Egyéb National Laboratory for Health Security Hungary (RRF-2.3.1-21-2022-00006) Egyéb National Cardiovascular Laboratory Program (RRF-2.3.1-21-2022-00003) Egyéb TKP2021-NKTA-47 Egyéb Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences Egyéb EKÖP-24-4 University Research Scholarship Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund Egyéb
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001-es BibID:	BIBFORM120985
035-os BibID:	(Scopus)85192239860 (WoS)001220197000001
Első szerző:	Kovács Nóra (népegészségügyi szakember)
Cím:	Age-related shifts in mental health determinants from a deprived area in the European Union : informing the national healthy aging program of Hungary / Nora Kovacs, Eva Biro, Peter Piko, Zoltan Ungvari, Roza Adany
Dátum:	2024
ISSN:	2509-2715 2509-2723
Megjegyzések:	Mental disorders are among the leading causes of disability worldwide, disproportionately affecting older people. This study aims to assess the mental health of elderly individuals living in a deprived region of Hungary, and to identify and estimate the weight of different determinants of mental health across different age groups. A cross-sectional study was conducted with randomly selected samples of individuals (n?=?860) aged 18 years and older in Northeast Hungary. The World Health Organization Well-Being Index (WHO-5), the single-item Life Satisfaction Scale, and the 12-item General Health Questionnaire (GHQ-12) were used to measure mental health of the participants. Multiple linear regression analysis was performed to measure the association between sociodemographic and health-related variables and mental health. Overall, the mean WHO-5 score was 69.2???18.1 and it showed a significant decrease by age (p?<?0.001), with the lowest score observed in aged 75 years and above (p?<?0.001). The mean life satisfaction score was 7.5???1.9 and it showed a significant decreasing trend over the life course (p?<?0.001). The highest level of psychological distress as assessed by GHQ-12 was observed in the group aged 75 years or older (11.5???6.0, p?<?0.001). Multiple linear regression indicated that self-reported financial status, social support, sense of control over their health, activity limitation and pain intensity were the most important determinants of mental health among older adults. Interventions to improve the mental health of older adults should focus on the positive impact of social support, the reduction of financial insecurity and the use of effective pain relief medications.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk ageing life satisfaction mental well-being social support
Megjelenés:	GeroScience. - 46 (2024), p. 4793-4807. -
További szerzők:	Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Pikó Péter (1987-) (biológus) Ungvári Zoltán Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP TK2016-78 MTA Hungarian Research Network-HUN-REN (TKCS-2021/32) Egyéb National Laboratory for Health Security Hungary (RRF-2.3.1-21-2022-00006) Egyéb National Cardiovascular Laboratory Program (RRF-2.3.1-21-2022-00003) Egyéb TKP2021-NKTA-47 Egyéb ÚNKP-23-5-DE-494 Egyéb BO/00513/23/5 Egyéb BO/00933/22/5 Egyéb
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