Absence of protein-energy malnutrition in Prague homeless

Kubisová, D.; Dlouhý, Pavel; Rambousková, Jolana; Andĕl, M

doi:10.1007/s00038-007-6019-8

Cited by 5 publications

(6 citation statements)

References 19 publications

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“…A *1 kg increase is also lower than observed after 12 weeks of soccer training for untrained men (1.7 kg) (Krustrup et al 2009) and in contrast to a previous study by Krustrup et al (2010b) no increase in quadriceps muscle mass was observed. Some (Darmon et al 2001) but not all (Kubisova et al 2008) studies have reported malnutrition in homeless men, and a questionnaire that was filled out by nine of subjects in the present study showed an average protein intake of 74% of recommended daily intake. However, further studies are required to establish whether diet-manipulation may lead to a more pronounced muscle hypertrophy after short-term training for the homeless.…”

Section: Discussioncontrasting

confidence: 47%

Short-term street soccer improves fitness and cardiovascular health status of homeless men

et al. 2011

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This study examined the effect of 12 weeks of small-sided street soccer (2.2 ± 0.7 sessions/week) and fitness center training (0.5 ± 0.2 sessions/week) on physical fitness and cardiovascular health profile for homeless men. Exercise capacity, maximal oxygen uptake (VO(2max)), body composition (DXA scans), blood pressure (BP), and blood lipid profile were determined before and after the intervention period for 22 soccer-group subjects (SG) and 10 waiting list controls (CO). In addition, time-motion analyses, HR measurements, and pedometer recordings were performed during street soccer training and daily-life activities. During a 60 min 4 versus 4 street soccer session 182 ± 62 intense running bouts were performed; mean HR was 82 ± 4% HR(max) and HR was >90% HR(max) for 21 ± 12% (±SD) of total time. On a day without training the participants performed 10,733 ± 4,341 steps and HR was >80% HR(max) for 2.4 ± 4.3 min. In SG, VO(2max) was elevated (p < 0.05) from 36.7 ± 7.6 to 40.6 ± 8.6 ml/min/kg after 12 weeks and incremental cycle test performance was improved (p < 0.05) by 81 s (95% CI: 47-128 s). After 12 weeks, fat percentage (19.4 ± 8.5 to 17.5 ± 8.6%) and LDL cholesterol (3.2 ± 1.1 to 2.8 ± 0.8 mmol L(-1)) were lowered (p < 0.05) in SG. The observed changes in SG were different (p < 0.05) from CO and no intra-group changes occurred for CO (p > 0.05). BP was unaltered after 12 weeks (p > 0.05), but diastolic BP was lowered for all SG subjects with pre-values >75 mmHg (83 ± 6 to 76 ± 6 mmHg, n = 8, p < 0.05). In conclusion, the exercise intensity is high during street soccer and regular street soccer training can be used as an effective activity to promote physical fitness and cardiovascular health status for homeless men.

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Section: Discussioncontrasting

confidence: 47%

Short-term street soccer improves fitness and cardiovascular health status of homeless men

et al. 2011

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“…Age of the participants was more or less the same across the studies, ranging from 19 to 76 years with an average of 46 years (IQR 43.25–48.75). Participants recruited were either from the streets (rough sleepers) [17, 18, 21, 23, 24], or from shelters and clinics [13, 16, 18, 22]. When reported, [18, 21], the duration of homelessness varied greatly, ranging between one month to 55 years among the participants.…”

Section: Resultsmentioning

confidence: 99%

“…B9 and B12 = isotopic radioassay; C = colorimetric procedure using dinitrophenylhydrazine.van der Westhuyzen 1987 [22]Blood levels of: B6; B9; B12; albumin; erythrocyte level of B1Reference ranges determined in healthy subjects: B6 = 26–96 nmol/; B1 = 50–106 microgram/liter; B12 = 160–900 ng/l; serum folate = 2–13microgram/liter; serum I'-glutamyltransferase (GGT) = 10–50 U/I.Radio-assay kit; Biochromatic Analyzer commercial kits; For B1 = automated microbiological assay using a streptomycin-resistant mutant of Lactobacillus fermenci as the test organism.Drijver 1993 [16]TDP effect and TK activity for B1; Blood levels of: B6; B12TDP effect reference range = 0–25%; TK activity reference range = 10.4–15.1 U/mmol Hb; PLP effect reference range = 35–107 nmol/l;HPLC; PLP measured with a fluorimeterKertesz 2001 [24]Levels NR. Results of the following were found normal: B12; B 9; ironNRHospital testsMalmauret 2002 [21]Blood levels of vitamins: A; B1; B6; B9; B12; C; EB6 = 23–100 nmol/l; B12 = 160–420 pmol/l; B1 = 6–40 mmol/l.HPLC and radioimmunoassayFung 2005 [23]Anaemia, albumin levelNRNRKubisova 2008 [18]Blood levels of: prealbumin; albumin; haemoglobinAlbumin <33 g/l; prealbumin <0.16 g/l.NRLee 2014 [20]Blood levels of: B1; B6; B12; C; haemoglobinReference ranges for vitamins: B1 = 59 to 213; B12 = 200 to 950; B6 = 20 to 202; C = 26.1 to 84.6Vitamin B1, B6, and C = HPLC; B12 levels = electro-chemiluminescence immunoassay A Retinol/beta carotene, B1 thiamine, B2 riboflavin, B3 niacin, B5 pantothenic acid, B6 pyridoxine, B7 biotin, B9 folic acid, B12 cobalamins, C ascorbic acid, D ergo/cholecalciferol, E tocopherols, Hb haemoglobin, HPLC high performance liquid chromatography, NR not reported, P5P pyridoxal 5 phosphate, PLP pyridoxal 5 phosphate, TDP thiamine diphosphate, TK transketolase, TPP thiamine pyrophosphate …”

Section: Resultsmentioning

confidence: 99%

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Nutritional deficiencies in homeless persons with problematic drinking: a systematic review

Ijaz

Jackson

Thorley

et al. 2017

Int J Equity Health

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BackgroundA significant proportion of homeless people drink alcohol excessively and this can lead to malnutrition and consequent medical problems. The aim of this review was to assess the evidence on the range of nutritional deficiencies in the homeless problem-drinking populations.MethodsWe conducted a comprehensive search of nine scientific literature databases and 13 grey literature sources. We included studies of any design that included homeless population with problem-drinking and reported measures of nutritional deficiencies in urine or blood. Study selection and data extraction was done by one reviewer and checked by another. Data on malnutrition profile were summarized narratively.ResultsWe found nine studies reporting nutritional deficiencies in homeless populations with problem-drinking. The oldest study was from the 1950s and the most recent from 2013. The following nutrients were reported across studies: vitamins B1, B2, B6, B9, B12, C, A, and E; haemoglobin; and albumin. The most common deficiencies reported were of vitamin B1 (prevalence of deficiency was 0, 2, 6, 45, and 51% in five studies) and vitamin C (29, 84, and 95% in three studies). None of the studies were assessed to be at a low risk of bias.ConclusionsThe limited, low quality and relatively old evidence suggests that homeless people who drink heavily may be deficient in vitamin C, thiamine, and other nutrients. New, well conducted studies are needed in order to optimally inform public health interventions aimed at improving deficiencies in this population.Trial RegistrationPROSPERO CRD42015024247 Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0564-4) contains supplementary material, which is available to authorized users.

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“…The CAGE screen (26) assessed alcohol abuse behaviours; a reference threshold of two or more positive responses established problematic consumption (27, 28). Both measures have previously been used in Czech-speaking populations (29, 30). …”

Section: Materials and Methods Designmentioning

confidence: 99%

Time-Site Survey of Substance Use, Sexual Behaviours and HIV-Testing Practices among Women Attending Social Venues in Prague

Stemmler¹,

Hall²,

Prokopík³

et al. 2015

Cent Eur J Public Health

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Summary Aim The rates of HIV acquired through heterosexual contact are increasing in the Czech Republic. This study explored potential HIV risk associations with alcohol, illicit drugs and sexual behaviours among adults from a community-based sample attending gay- and non-gay venues in Prague. Methods Women attending bars, cafes and beer gardens in central Prague responded to the self-administered, time-site survey. Alcohol use was measured by the AUDIT-C and CAGE questionnaires. Sexual network structuring identified number, gender and coital frequency with current and recent sexual partners. Statistical analysis included central tendency, chi-square and logistic regression. Female participants (n = 124) ranged from 18 to 67 years of age (mean 29 years); 25% self-identified as non-heterosexual. Results We found alcohol to be the preferred drug of choice. Younger heterosexual women with new and casual sexual partners were more likely to use alcohol excessively. Women with children reported the least alcohol use. Sixty percent of the sample had never used condoms; condom-use was associated with longer relationship duration and discussions about HIV status with a sexual partner; non-use tended to occur among unmarried women with multiple male partners in short, serial sexual relationships. Women who sought HIV testing tended to be younger and more self-identified as non-heterosexual. Protective practices were rarely reported even when HIV transmission increases via heterosexual sexual partnering. Conclusion Further research is recommended regarding cultural and contextual influences on HIV risk behaviours among Czech women.

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Absence of protein-energy malnutrition in Prague homeless

Abstract: The data fails to demonstrate the existence of protein-energy malnutrition in Prague's homeless population.

Cited by 5 publications

References 19 publications

Short-term street soccer improves fitness and cardiovascular health status of homeless men

Short-term street soccer improves fitness and cardiovascular health status of homeless men

Nutritional deficiencies in homeless persons with problematic drinking: a systematic review

Time-Site Survey of Substance Use, Sexual Behaviours and HIV-Testing Practices among Women Attending Social Venues in Prague

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