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001-es BibID:	BIBFORM038050
Első szerző:	Kovács Eszter (háziorvostan szakorvos)
Cím:	Life-long Weight Change can Predict Metabolic Diseases / Kovács E., Jancsó Z., Móczár C., Szigethy E., Frese T., Rurik I.
Dátum:	2012
ISSN:	0947-7349
Megjegyzések:	Background: Patients with diabetes and hypertension represent a large proportion of primary care patients. Evaluation of their parameters usually requires medical setting, body weight and height can be measured by the patients themselves and this is often the case. The aim of this retrospective study is to analyse and to compare the life-long data on weight and BMI of patients with diabetes and hypertension and those without these pathologic conditions. Patients: Eventually selected 759 patients (337 men, 422 women) between 60 and 70 years of age in diff erent primary care settings were involved. Methods: Retrospective and recent selfrecorded data on weight and height in every decade since the age of 20 years in both genders were collected. These were compared to the control group of persons free from diabetes and hypertension. Results: The current body weight and BMI were signifi cantly higher in all groups than at 20 years and less than their maximal values. Patients with diabetes started at higher weights and their greatest gain was observed between 20 30 years in men and between 30 40 years in women, and in the last decade prior to diagnosis in both genders. Weight gain in the control group was steady at a lower rate. Conclusions: Higher increases in body weight in the early youth decades were related to elevated hazard ratios for diabetes in men and for hypertension in women. More research with standardized methodology is needed to explore this relationship better: meanwhile more contribution is expected from primary care physicians in the weight management of their younger patients.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban BMI diabetes elderly Hungarian hypertension metabolic syndrome obesity primary care weight gain
Megjelenés:	Experimental and Clinical Endocrinology & Diabetes. - 120 : 10 (2012), p. 573-578. -
További szerzők:	Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Móczár Csaba (1966-) (háziorvos) Szigethy Endre (1980-) (szociológus, epidemiológus) Frese, Thomas Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
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001-es BibID:	BIBFORM047528
035-os BibID:	PMID:23824265
Első szerző:	Szigethy Endre (szociológus, epidemiológus)
Cím:	Primary care of patients with high cardiovascular risk : blood pressure, lipid and diabetic target levels and their achievement in Hungary / Endre Szigethy, Zoltán Jancsó, Csaba Móczár, István Ilyés, Eszter Kovács, László Róbert Kolozsvári, Imre Rurik
Dátum:	2013
ISSN:	0043-5325
Megjegyzések:	Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field.The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women).Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values.The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication.A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Wiener Klinische Wochenschrift. - 125 : 13-14 (2013), p. 371-380. -
További szerzők:	Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Móczár Csaba (1966-) (háziorvos) Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos) Kovács Eszter (1972-) (háziorvostan szakorvos) Kolozsvári László Róbert (1977-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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