A COVID-19 okozta járványügyi helyzet hatására az egészségtudományi alapszakon tanuló hallgatók s... more A COVID-19 okozta járványügyi helyzet hatására az egészségtudományi alapszakon tanuló hallgatók segítségére felmerült az igény az betegellátásban. Kutatásunk célja, hogy felmérést készítsünk arról, hogy milyen tapasztalatokat szereztek a debreceni gyógytornász hallgatók a járványügyi védekezés idején. Kérdőíves módszerrel információt szerettünk volna gyűjteni arról, hogy a hallgatók, milyen mértékben tudták hasznosítani az eddig tanultakat és hogyan járult hozzá a megélt gyakorlati tapasztalat a szakmai fejlődésükhöz.
International Journal of Environmental Research and Public Health
Short sleep duration is a known risk to health, but less certain is the impact of longer sleep du... more Short sleep duration is a known risk to health, but less certain is the impact of longer sleep duration on various measures of health. We investigated the relationship between sleep duration and mental health outcomes in a cross-sectional survey conducted on a homogenous sample of healthy governmental employees (N = 1212). Data on sleep duration, subjective health, psychological stress, sense of coherence, life satisfaction and work ability along with sociodemographic data were collected. Sleep duration was significantly longer, and mental health outcomes and work ability were significantly better among those in at least good subjective health. Fitting mental health outcomes on sleep duration suggested a quadratic or fractional polynomial function, therefore these were tested and the best-fitting models were selected. Longer than 8 h of sleep duration was associated with a decreasing sense of coherence and decreasing work ability. However, psychological stress and life satisfaction ...
International Journal of Environmental Research and Public Health
Knee and hip joint replacements for the elderly are increasingly placing a burden on healthcare. ... more Knee and hip joint replacements for the elderly are increasingly placing a burden on healthcare. Our aim was to verify the efficiency of the prehabilitation program among patients with knee arthroplasty (TKA) and hip arthroplasty (THA), taking into account the length and cost of postoperative rehabilitation and the restoration of function. We introduced a two-week preoperative physiotherapy program for patients awaiting knee and hip replacement surgery. We measured the duration and costs of the hospital stays, the active and passive range of motion of the hip and knee joints, and the quality of life. In the study, 99 patients participated (31 male, 68 female), with a mean age of 69.44 ± 9.69 years. We showed that, as a result of the prehabilitation program, the length of postoperative hospital stay decreased (THA: median 31.5 (IQR 26.5–32.5) vs. median 28 (IQR 21–28.5), TKA: median 36.5 (IQR 28–42) vs. median 29 (IQR 26–32.5)), and the patients’ quality of life showed a significant ...
International Journal of Environmental Research and Public Health, May 3, 2022
Our aim was to investigate the impact of the school psychosocial environment, including students'... more Our aim was to investigate the impact of the school psychosocial environment, including students' general attitude towards the school, perception of support from teachers and classmates as well as individual psychosocial factors including self-esteem and loneliness on life satisfaction (LS). Four repeated cross-sectional online questionnaire surveys were carried out between 2011 and 2014, inviting all students in one Hungarian high school. Health status and behaviour were assessed by the Hungarian version of the HBSC questionnaire. Results from the surveys were pooled for analysis (N = 3310 students). Heteroskedastic regression estimating robust variance was used to identify potential determinants of LS. Family wealth perceived to be well-off, self-esteem, and being perceived as a good student were identified to be the most important significant positive contributing factors of LS. Perceived good relations with classmates and teachers and an overall positive attitude to school had smaller but still significant positive effects on LS. Self-esteem was a significant moderator for the effect of perceived difficulty of schoolwork, relation with classmates, and gender. This paper shows that self-esteem is not only an independent factor but also a modifier of some school-related variables on LS. The complex interplay among school-related and individual potential determinants of LS should be taken into account in future research by controlling for their interactions.
Objectives:Physical activity (PA) has a positive effect on life satisfaction (LS) among adolescen... more Objectives:Physical activity (PA) has a positive effect on life satisfaction (LS) among adolescents, but the moderating effect of gender and level of PA intensity have been equivocal. Our aim was to examine the pattern of physical activity by grade in high school students, and the role of gender and grade on the association between physical activity and life satisfaction.MethodsFour repeated cross-sectional online questionnaire surveys between 2011 and 2013 were carried out among all students in one Hungarian high school (N = 3,450). Health status and behavior was assessed by the Hungarian online version of the health behavior of school-aged children (HBSC) questionnaire. Regression with robust variance estimator was used to identify determinants of life satisfaction.ResultsGood self-reported health as opposed to bad increased life satisfaction by 0.30 standard deviation; having very well or well-off family as opposed to not well-off increased LS by 0.16 standard deviation; and bein...
International Journal of Environmental Research and Public Health, 2022
Worldwide, university students’ physical health and posture are declining due to a sedentary life... more Worldwide, university students’ physical health and posture are declining due to a sedentary lifestyle. The aim of our study was to evaluate the effectiveness of physiotherapeutic breathing exercises on posture and spinal mobility among healthy female university students compared to other training methods. Sixty-one female students of the University of Debrecen were assigned to breathing exercise (BE; n = 15), yoga (Y; n = 16), Pilates (P; n = 15) programmes and interval-training (IT; n = 15). Each training session lasted one hour, performed twice a week for 7 weeks. Students were assessed using standardized clinical tests. All programmes resulted in significant improvement in chest expansion. Results of Schober’s test showed substantial improvement using BE (p < 0.05), Y, P (p ≤ 0.01) programmes. Significant changes in occiput-to-wall distance (Y, P p ≤ 0.01) (BE p ≤ 0.001) were observed in three groups except the IT group. Fingertip-to-floor test (Y, P p < 0.05) results show...
International Journal of Environmental Research and Public Health, 2021
The biopsychosocial model of health in a limited life course perspective was tested among student... more The biopsychosocial model of health in a limited life course perspective was tested among students in higher education using data from a nationwide cross-sectional survey of students on track to become teachers in Hungary. Health determinants were grouped into categories of biological, psychological, and social determinants and arranged in a temporal manner from childhood to the present. The model was tested by canonical correlation analysis followed by multivariate analysis of covariance. One composite outcome of health and six determinant groups were examined out of a total of 24 variables in both genders. Separate sets of health determinants were identified for men and women. The health of men was determined by fewer variables that were more proximal in time, more centred around physical activity, and less influenced by social relations. As opposed to that of men, women’s health was influenced by age; determinants were grouped around the ingestion of various substances and social...
International Journal of Environmental Research and Public Health, 2021
According to the latest data published by the WHO, 1.71 billion people suffer from musculoskeleta... more According to the latest data published by the WHO, 1.71 billion people suffer from musculoskeletal disorders and 568 million are affected by back pain, making these the most significant occupational health problems. The aim of this study was to analyze the effects of a newly developed Multimodal Workplace Training Program implemented among young sedentary employees in order to treat and prevent these problems. The 20-week Training Program was conducted at the National Instruments Corporations’ Hungarian subsidiary in Debrecen between January and June, 2019. Pre- and post-intervention questionnaires were used to assess subjective parameters. Baseline and follow-up physical examinations were performed using the SpinalMouse, Y-Balance, Sit and Reach, Prone and Side Plank, Timed Abdominal Curl, and Biering-Sorensen tests. The results for 76 subjects were eligible for statistical analysis. Our Training Program was effective in several aspects, including a reduction in musculoskeletal sym...
International Journal of Environmental Research and Public Health, 2020
Data mainly from one-off surveys clearly show that the health of Roma, the largest ethnic minorit... more 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, quantita...
Összefoglaló. Bevezetés: A munkavégzés fontos egészségprotektív tényező, de munkahelyi pszichoszo... more Összefoglaló. Bevezetés: A munkavégzés fontos egészségprotektív tényező, de munkahelyi pszichoszociális kockázatokkal jár, amelyeknek az egészségi állapottal való összefüggéseire az elmúlt évtizedekben derült fény. Célkitűzés: A vizsgálat célja a munkahelyi beosztás és az egészségi állapot közti összefüggés vizsgálata volt olyan, viszonylag homogén mintában, amelynek tagjait közintézmények dolgozói adták. Módszer: Kérdőíves egészségfelmérés történt online adatgyűjtéssel, keresztmetszeti elrendezésben, egy megyeszékhely két közintézményében alkalmazottak körében. A kérdőív demográfiai, az egészségi állapotra, az egészségmagatartásra és a munkavégzésre, köztük a munkahelyi beosztásra vonatkozó, validált kérdéseket tartalmazott. Az adatelemzés beosztási kategóriák szerint két (vezető vs. beosztott), illetve három (vezető, diplomás beosztott, nem diplomás beosztott) rétegben történt. Eredmények: A vizsgált mutatók közül a szubjektív egészség, az élettel való elégedettség, a koherenciaér...
International Journal of Environmental Research and Public Health, 2020
WHO describes “low back pain” (LBP) as the most common problem in overall occupational-related di... more WHO describes “low back pain” (LBP) as the most common problem in overall occupational-related diseases. The aim of this study was to evaluate characteristics of spinal functionality among sedentary workers and determine usability of the SpinalMouse® skin-surface measurement device in workplace settings in a risk population for LBP. The spinal examination was implemented at National Instruments Corporations’ Hungarian subsidiary, Debrecen in October, 2015, involving 95 white-collar employees as volunteers to assess spinal posture and functional movements. Data from the physical examination of 91 subjects (age: 34.22 ± 7.97 years) were analyzed. Results showed significant differences (p < 0.05) in posture and mobility of the spinal regions in sitting compared to standing position. Significant positive correlations were observed between values measured in standing and sitting positions in all observed regions and aspects of the spine (p < 0.05) except posture of lumbar extension...
Objective The present study, taking a resource-oriented approach to mental health, aimed at inves... more Objective The present study, taking a resource-oriented approach to mental health, aimed at investigating mental resilience and its determinants among undergraduate physiotherapy students using quantitative and qualitative tools. Design A questionnaire-based cross-sectional survey supplemented by 2 focus groups. Setting One university in Hungary. Participants 130 physiotherapy students at years 1, 2, and 3. Main outcome measures Sense of coherence, a measure of dynamic self-esteem, as well as social support from family and peers were used to assess mental well-being. A screening instrument for psychological morbidity and perceived stress were used as deficiency-oriented approaches. Student opinions were gathered on positive and negative determinants of mental health. Results Resilience was lower [mean difference 4.8 (95% CI -3.4; 13.1)], and the occurrence of psychological morbidity (32.5% vs. 0%) was higher among female compared to male students. However, the proportion of students fully supported by their peers was higher among females (63% vs. 37.5%). Female students, unlike their male counterparts, experienced higher stress compared to their peers in the general population. Social support declined as students progressed in their studies though this proved to be the most important protective factor for their mental well-being. Conclusions Results were fed back to the course organizers recommending the implementation of an evidence-based method to improve social support as delineated by the Guide to Community Preventive Services of the US the outcomes of which are to be seen in the future.
A magyar népesség kedvezõtlen egészségi állapota, azon belül is a mentális betegségek növekvõ pre... more A magyar népesség kedvezõtlen egészségi állapota, azon belül is a mentális betegségek növekvõ prevalenciája, valamint az ennek következményeként növekvõ társadalmi terhek hazánkban is egyre sürgetõbbé teszik az egészségi állapotot meghatározó tényezõk minél átfogóbb vizsgálatát. E tényezõk feltárásához megfelelõ eszközök, többek között egészségfelmérésekben alkalmazható kérdõívek magyar nyelven is elérhetõ, minél szélesebb tárházára van szükség. A jelen vizsgálat keretében az eddig 33 nyelvre lefordított, Antonovsky-féle rövidített koherencia-kérdõív magyar nyelvû változatának validálása történt meg. A validáláshoz a lelki egészség kérdõívnek (GHQ-12) és a vélt egészséget minõsítõ kérdésnek a 2003-as Országos Lakossági Egészségfelmérésben (OLEF) alkalmazott változatait, valamint a rövidített Beck-féle depresszióskálát alkalmaztuk. A kérdõív kipróbálására egy olyan 128 fõs eseti mintán került sor, amelyet öt különbözõ korcsoportba tartozó, eltérõ iskolázottságú és foglalkozású önkéntes válaszadó alkotott: középiskolai tanárok, felsõoktatásban tanulók, adminisztratív dolgozók, nyugdíjasok, valamint egy alacsony iskolázottságú, hátrányos helyzetû csoport. Az Antonovsky-kérdõív kérdéseire adott válaszok belsõ konzisztenciáját jellemzõ Cronbach-alfa érték vizsgálatunkban 0,82 volt. Az egészséget jellemzõ koherencia-érzés, Beck-pontszám, GHQ-pontszám, valamint a vélt egészség kérdésre adott válaszok közötti összefüggést a változók típusától függõen lineáris, illetve ordinális logisztikus regresszióval vizsgáltuk. A megbízhatóságot a kérdõív újrafelvételével (ún. testretest módszerrel) ellenõriztük. Eredményeink szerint a koherencia-érzés kérdõívnek mind a kritérium-, mind a konstrukt validitása, valamint a megbízhatósága is nagyon jó. A koherencia-érzés a vélt egészséggel, a lelki egészséggel (GHQ-12) és a Beck-féle depresszióskálán mért értékkel is a várt irányú, szignifikáns összefüggést
Egyetemi hallgatók egészségi állapota és egészségmagatartása
Page 1. EGYETEMI DOKTORI (Ph.D.) ÉRTEKEZÉS Írta: Veresné Balajti Ilona Egyetemi hallgatók egészsé... more Page 1. EGYETEMI DOKTORI (Ph.D.) ÉRTEKEZÉS Írta: Veresné Balajti Ilona Egyetemi hallgatók egészségi állapota és egészségmagatartása Témavezető: Dr. Kósa Karolina DEBRECENI EGYETEM EGÉSZSÉGTUDOMÁNYOK DOKTORI ISKOLA Debrecen, 2010 Page 2. ...
Uploads
Papers by Ilona Balajti