Research Interests:•the impact of nutritional factors and socio-psychological conditions on the effectiveness of weight reduction•assessment of the impact of dietary factors on carbohydrate metabolism, including the glycemic index of food and diet, in healthy and sick people•assessment of the profile of elimination diets and the effectiveness of their use in people with abnormal reactions to food and other diet-related diseases•assessment of nutritional status, diet and body efficiency in people with increased physical activity•assessment of the impact of nutritional factors and health on energy metabolism and energy expenditure in different groups of peopleThe main areas of teaching activity:dietary advice
International Journal of Environmental Research and Public Health
Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influ... more Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influence diet quality in a simple way is being explored, since a low glycemic index (GI) diet is advised in the dietoprophylaxis and diet therapy of diabetes. Methods: Twenty-three women with abdominal obesity participated in the study. The postprandial glycemic response and glycemic index were determined after three carbohydrate meals (noodle soup, white rice, strawberry sorbet) without or with the addition of a plant-base supplement (extracts of kidney bean, white mulberry leaf, and green coffee) with a potentially hypoglycemic effect. For two products (instant noodle soup and white rice), the addition of the plant supplement resulted in a reduction in glicemic iAUC values (respectively, by: 17.1%, p = 0.005 and 5.3%; p = 0.03; 40.6%, p = 0.004 and 5.3%, p = 0.019). However, this effect was not observed for strawberry sorbet. The blood glucose concentrations 30 min after the consumption of...
Wraz z rozwojem wiedzy z zakresu żywienia człowieka odpowiedni sposób żywienia (oraz prawidłowy s... more Wraz z rozwojem wiedzy z zakresu żywienia człowieka odpowiedni sposób żywienia (oraz prawidłowy stan odżywienia) osób aktywnych fizycznie nabiera coraz większego znaczenia w kontekście wpływu na ich zdolność do wysiłku. Prawidłowe żywienie ma za zadanie dostarczyć energię oraz składniki odżywcze na poziomie adekwatnym do zapotrzebowania sportowców. Negatywny wpływ ograniczonego spożycia białka, tłuszczu, węglowodanów na sprawność fizyczną jest dobrze poznany. Odwrotna sytuacja ma miejsce w przypadku niedoboru w diecie witamin i składników mineralnych oraz ich wpływu na zdolność wysiłkową człowieka. Celem pracy było zwrócenie uwagi na rolę folianów w organizmie człowieka, ich wpływu na parametry szczególnie ważne dla sportowców oraz na problem występowania ich niedoborów u osób aktywnych fizycznie. Foliany (z witaminą B12) uczestniczą w kluczowych procesach adaptacyjnych do wysiłku fizycznego, w tym: podziale komórkowym, syntezie i wzroście nowych komórek, biosyntezie zasad purynowyc...
Zapalenie tarczycy typu Hashimoto, nazywane popularnie chorobą Hashimoto, to przewlekłe schorzeni... more Zapalenie tarczycy typu Hashimoto, nazywane popularnie chorobą Hashimoto, to przewlekłe schorzenie autoimmunologiczne charakteryzujące się podwyższonym mianem przeciwciał anty-tarczycowych we krwi i zmianami w miąższu tarczycy stwierdzanymi w badaniu ultrasonograficznym. Ponadto jest ono najczęstszą przyczyną pierwotnej niedoczynności tarczycy. Z roku na rok istotnie wzrasta liczba osób z chorobą Hashimoto i w związku z tym zainteresowanie metodami wspomagania leczenia, w tym również możliwościami dietoterapii. Niestety jak dotąd brak jest standardów postępowania dietetycznego w chorobie Hashimoto. Wiadomo natomiast, że działanie tarczycy i wydzielanych przez nią hormonów oraz mechanizmy regulujące procesy zapalne w gruczole tarczowym zależą istotnie od wielkości podaży energii oraz od ilości w diecie i składu białka i tłuszczów, a także spożycia składników mineralnych tj. jod, selen, żelazo i cynk oraz witamin D, E, A i C. Znajomość efektów i mechanizmów działania czynników żywieni...
Individual total energy expenditure may be calculated as a sum of basal energy re-quirement and e... more Individual total energy expenditure may be calculated as a sum of basal energy re-quirement and energy expenditure associated with physical activity. Measurement of basal energy requirement is not often conducted in dietetic practice, but may be ap-plied using indirect calorimetry. The aim of the analysis was to present the possibili-ties of using the Fitmate PRO monitor in the assessment of resting metabolic rate and basal energy expenditure with a method of indirect calorimetry in a group of 91 over-weight and obese women in various age. The mean results of the resting metabolic rate measured with method of indirect calorimetry using the Fitmate PRO monitor did not differ in the age groups of overweight and obese women. The results of the resting metabolic rate measured with method of indirect calorimetry using the Fitmate PRO monitor were correlated with body mass, height, fat mass, muscle mass and waist circumference. The Fitmate PRO monitor may be a valuable tool in everyday di...
The prevalence of gastritis in humans is constantly growing and a prediction of an increase in th... more The prevalence of gastritis in humans is constantly growing and a prediction of an increase in this health problem is observed in many countries. For this reason, effective dietary therapies are sought that can alleviate the course of this disease. The objective of this study was to determine the effect of chemically pure oat beta-glucan preparations with different molar masses, low or high, used for 30 days in patients with histologically diagnosed chronic gastritis. The study enrolled 48 people of both genders of different ages recruited from 129 patients with a gastritis diagnosis. Before and after the therapy, hematological, biochemical, immunological and redox balance parameters were determined in the blood and the number of lactic acid bacteria and SCFA concentrations in the feces. Our results demonstrated a beneficial effect of oat beta-glucans with high molar mass in chronic gastritis in humans, resulting in reduced mucosal damage and healthy changes in SCFA fecal concentrat...
Złożoność etiopatogenezy schorzeń autoimmunologicznych, w tym celiakii i choroby Hashimoto oraz b... more Złożoność etiopatogenezy schorzeń autoimmunologicznych, w tym celiakii i choroby Hashimoto oraz brak skutecznej farmakoterapii powoduje, że istotnym czynnikiem poprawy stanu zdrowia i komfortu życia oraz zmniejszenia rozwoju powikłań może być odpowiednia dietoterapia. W badaniach własnych zaobserwowano, że jedna trzecia osób z celiakią oprócz wyłączenia zbóż glutenowych eliminowała z diety produkty mleczne. Większość osób z chorobą Hashimoto wyłączyła z diety zboża glutenowe, a ponad połowa również produkty mleczne i soję. Największą poprawę stanu zdrowia, w tym szczególnie zmniejszenie występowania nudności, wzdęć, dolegliwości bólowych oraz zwiększenie uczucia komfortu obserwowały osoby z celiakią eliminujące oprócz zbóż glutenowych: mleko i jego przetwory, orzechy i soję. Podobnie największe zmiany samopoczucia związanego z objawami choroby Hashimoto, w tym szczególnie zmniejszenie nadwrażliwości na temperaturę, uczucia suchości skóry oraz poprawę samopoczucia deklarowały osoby e...
The use of dietary supplements (supplementation) is the individual enrichment of the diet with in... more The use of dietary supplements (supplementation) is the individual enrichment of the diet with ingredients naturally occurring in food. As a rule, dietary supplements should be used periodically. In nutritional practice, there are many indications for dietary supplementation, but the decision to take dietary supplements should be made by consumers wisely and only in justified situations, when there is a risk that the usual diet does not provide vitamins and minerals in an amount adequate to meet dietary recommendations. However, we should remember about the real dangers of taking too large doses of vitamins and minerals. Many people using dietary supplements, especially several types at the same time, may experience undesirable side effects and deterioration of health, and in addition, people taking medicines may seriously disrupt or weaken the effect of the drug, or even lack the therapeutic effect of the drug. The document presents 10 steps and rules for the use of dietary supplem...
Screen time (ST) not only affects physical activity but can also be associated with dietary behav... more Screen time (ST) not only affects physical activity but can also be associated with dietary behaviors. Both of these factors determine the health and development of adolescents. The aims of the study were: 1. to analyze the relationship between ST and nutritional behaviors among adolescents; 2. to examine this association in relation to body weight status. Data on the ST duration and nutritional behaviors were collected using a questionnaire. Body mass status was assessed based on weight and height measurements. A total of 14,044 students aged 13–19 years old from 207 schools participated in the study. A significant relationship between ST and gender, age and type of school was observed, but not body weight status. The average ST duration increased with age (from 2.6 h among 13 years old to 3.2 h among 19 years old), and was significantly higher among boys in all age categories (2.7 h vs. 2.5 h in the youngest age group, and 3.5 h vs. 3.0 h in the oldest age group, respectively). Th...
Although the role of vitamin D is well known, the possibility of assessing its intake may be cons... more Although the role of vitamin D is well known, the possibility of assessing its intake may be constricted in countries with no vitamin D data in food composition tables, as in the case of Croatia. The aim of the presented study was to adjust the VIDEO-FFQ (Vitamin D Estimation Only—Food Frequency Questionnaire), previously validated in Poland, to the Croatian population and to assess the validity and reproducibility of the adjusted Cro-VIDEO-FFQ (Croatian—VIDEO-FFQ). The study involved a group of Croatian women aged 20–30 and the Polish questionnaire was adjusted for a population due to similarities of the nutritional habits between countries. 106 individuals were recruited and 63 completed all the stages of the study. Participants conducted a 3-day dietary record and filled out the Cro-VIDEO-FFQ1 (first stage), as well as the same questionnaire (Cro-VIDEO-FFQ2) 6 weeks after (second stage). The following vitamin D intakes were observed in the studied group: 1.9 µg (0.2–8.0 µg) for 3...
The objective of the study was to determine acceptance, motivation and expectations for loosing w... more The objective of the study was to determine acceptance, motivation and expectations for loosing weight in obese women. The study included 189 under weight and obese women at the age of 22-65 years (44.3 +/- 10.4 years), with BMI from 25 to 46 kg/m2 (32.4 +/- 4.5 kg/m2), patients from Warsaw University of Life Science Dietary Counseling. Women divided by the degree of under weight and age. The acceptance, motivation and expectations for loosing weight was evaluated on the strength of ours questionnaire, witch was create especially for this aim. Age of obese women influenced on their self acceptance, women at the age of 30-50 years better approve their body weight than others. Degree of under weight influenced on self-confidence and their expectation of acceptance after loosing weight. The most important factors to loosing weight for women after 50 years old was health and the meetings with person who had the problem, but for women before 40 years old was more motivated by relatives.
The emotional consequences of excessive body mass, associated with body image and acceptance, hav... more The emotional consequences of excessive body mass, associated with body image and acceptance, have become a global public health challenge as they may decrease the general well-being and hinder weight loss in overweight and obese individuals. Therefore, this study aimed to analyze the influence of age, body mass index (BMI), and waist-to-height ratio (WHtR) on body mass acceptance, attitudes, and motivation toward body mass reduction in overweight and obese Caucasian women with excessive abdominal fat. The previously validated BodyMass–DRama (Body Mass–Dietary Restrictions: Acceptance, Motivation, Attitudes) questionnaire was applied in this study. The declared acceptance, attitudes and motivation towards body mass reduction were compared between subgroups based on age (20–40, 40–50, and 50–60 years), BMI (25.0–30.0, 30.0–35.0, and ≥35.0 kg/m2), and quartiles of WHtR. The age, BMI and WHtR were stated to be associated with declared acceptance, attitudes, and motivation towards body ...
International Journal of Environmental Research and Public Health
Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influ... more Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influence diet quality in a simple way is being explored, since a low glycemic index (GI) diet is advised in the dietoprophylaxis and diet therapy of diabetes. Methods: Twenty-three women with abdominal obesity participated in the study. The postprandial glycemic response and glycemic index were determined after three carbohydrate meals (noodle soup, white rice, strawberry sorbet) without or with the addition of a plant-base supplement (extracts of kidney bean, white mulberry leaf, and green coffee) with a potentially hypoglycemic effect. For two products (instant noodle soup and white rice), the addition of the plant supplement resulted in a reduction in glicemic iAUC values (respectively, by: 17.1%, p = 0.005 and 5.3%; p = 0.03; 40.6%, p = 0.004 and 5.3%, p = 0.019). However, this effect was not observed for strawberry sorbet. The blood glucose concentrations 30 min after the consumption of...
Wraz z rozwojem wiedzy z zakresu żywienia człowieka odpowiedni sposób żywienia (oraz prawidłowy s... more Wraz z rozwojem wiedzy z zakresu żywienia człowieka odpowiedni sposób żywienia (oraz prawidłowy stan odżywienia) osób aktywnych fizycznie nabiera coraz większego znaczenia w kontekście wpływu na ich zdolność do wysiłku. Prawidłowe żywienie ma za zadanie dostarczyć energię oraz składniki odżywcze na poziomie adekwatnym do zapotrzebowania sportowców. Negatywny wpływ ograniczonego spożycia białka, tłuszczu, węglowodanów na sprawność fizyczną jest dobrze poznany. Odwrotna sytuacja ma miejsce w przypadku niedoboru w diecie witamin i składników mineralnych oraz ich wpływu na zdolność wysiłkową człowieka. Celem pracy było zwrócenie uwagi na rolę folianów w organizmie człowieka, ich wpływu na parametry szczególnie ważne dla sportowców oraz na problem występowania ich niedoborów u osób aktywnych fizycznie. Foliany (z witaminą B12) uczestniczą w kluczowych procesach adaptacyjnych do wysiłku fizycznego, w tym: podziale komórkowym, syntezie i wzroście nowych komórek, biosyntezie zasad purynowyc...
Zapalenie tarczycy typu Hashimoto, nazywane popularnie chorobą Hashimoto, to przewlekłe schorzeni... more Zapalenie tarczycy typu Hashimoto, nazywane popularnie chorobą Hashimoto, to przewlekłe schorzenie autoimmunologiczne charakteryzujące się podwyższonym mianem przeciwciał anty-tarczycowych we krwi i zmianami w miąższu tarczycy stwierdzanymi w badaniu ultrasonograficznym. Ponadto jest ono najczęstszą przyczyną pierwotnej niedoczynności tarczycy. Z roku na rok istotnie wzrasta liczba osób z chorobą Hashimoto i w związku z tym zainteresowanie metodami wspomagania leczenia, w tym również możliwościami dietoterapii. Niestety jak dotąd brak jest standardów postępowania dietetycznego w chorobie Hashimoto. Wiadomo natomiast, że działanie tarczycy i wydzielanych przez nią hormonów oraz mechanizmy regulujące procesy zapalne w gruczole tarczowym zależą istotnie od wielkości podaży energii oraz od ilości w diecie i składu białka i tłuszczów, a także spożycia składników mineralnych tj. jod, selen, żelazo i cynk oraz witamin D, E, A i C. Znajomość efektów i mechanizmów działania czynników żywieni...
Individual total energy expenditure may be calculated as a sum of basal energy re-quirement and e... more Individual total energy expenditure may be calculated as a sum of basal energy re-quirement and energy expenditure associated with physical activity. Measurement of basal energy requirement is not often conducted in dietetic practice, but may be ap-plied using indirect calorimetry. The aim of the analysis was to present the possibili-ties of using the Fitmate PRO monitor in the assessment of resting metabolic rate and basal energy expenditure with a method of indirect calorimetry in a group of 91 over-weight and obese women in various age. The mean results of the resting metabolic rate measured with method of indirect calorimetry using the Fitmate PRO monitor did not differ in the age groups of overweight and obese women. The results of the resting metabolic rate measured with method of indirect calorimetry using the Fitmate PRO monitor were correlated with body mass, height, fat mass, muscle mass and waist circumference. The Fitmate PRO monitor may be a valuable tool in everyday di...
The prevalence of gastritis in humans is constantly growing and a prediction of an increase in th... more The prevalence of gastritis in humans is constantly growing and a prediction of an increase in this health problem is observed in many countries. For this reason, effective dietary therapies are sought that can alleviate the course of this disease. The objective of this study was to determine the effect of chemically pure oat beta-glucan preparations with different molar masses, low or high, used for 30 days in patients with histologically diagnosed chronic gastritis. The study enrolled 48 people of both genders of different ages recruited from 129 patients with a gastritis diagnosis. Before and after the therapy, hematological, biochemical, immunological and redox balance parameters were determined in the blood and the number of lactic acid bacteria and SCFA concentrations in the feces. Our results demonstrated a beneficial effect of oat beta-glucans with high molar mass in chronic gastritis in humans, resulting in reduced mucosal damage and healthy changes in SCFA fecal concentrat...
Złożoność etiopatogenezy schorzeń autoimmunologicznych, w tym celiakii i choroby Hashimoto oraz b... more Złożoność etiopatogenezy schorzeń autoimmunologicznych, w tym celiakii i choroby Hashimoto oraz brak skutecznej farmakoterapii powoduje, że istotnym czynnikiem poprawy stanu zdrowia i komfortu życia oraz zmniejszenia rozwoju powikłań może być odpowiednia dietoterapia. W badaniach własnych zaobserwowano, że jedna trzecia osób z celiakią oprócz wyłączenia zbóż glutenowych eliminowała z diety produkty mleczne. Większość osób z chorobą Hashimoto wyłączyła z diety zboża glutenowe, a ponad połowa również produkty mleczne i soję. Największą poprawę stanu zdrowia, w tym szczególnie zmniejszenie występowania nudności, wzdęć, dolegliwości bólowych oraz zwiększenie uczucia komfortu obserwowały osoby z celiakią eliminujące oprócz zbóż glutenowych: mleko i jego przetwory, orzechy i soję. Podobnie największe zmiany samopoczucia związanego z objawami choroby Hashimoto, w tym szczególnie zmniejszenie nadwrażliwości na temperaturę, uczucia suchości skóry oraz poprawę samopoczucia deklarowały osoby e...
The use of dietary supplements (supplementation) is the individual enrichment of the diet with in... more The use of dietary supplements (supplementation) is the individual enrichment of the diet with ingredients naturally occurring in food. As a rule, dietary supplements should be used periodically. In nutritional practice, there are many indications for dietary supplementation, but the decision to take dietary supplements should be made by consumers wisely and only in justified situations, when there is a risk that the usual diet does not provide vitamins and minerals in an amount adequate to meet dietary recommendations. However, we should remember about the real dangers of taking too large doses of vitamins and minerals. Many people using dietary supplements, especially several types at the same time, may experience undesirable side effects and deterioration of health, and in addition, people taking medicines may seriously disrupt or weaken the effect of the drug, or even lack the therapeutic effect of the drug. The document presents 10 steps and rules for the use of dietary supplem...
Screen time (ST) not only affects physical activity but can also be associated with dietary behav... more Screen time (ST) not only affects physical activity but can also be associated with dietary behaviors. Both of these factors determine the health and development of adolescents. The aims of the study were: 1. to analyze the relationship between ST and nutritional behaviors among adolescents; 2. to examine this association in relation to body weight status. Data on the ST duration and nutritional behaviors were collected using a questionnaire. Body mass status was assessed based on weight and height measurements. A total of 14,044 students aged 13–19 years old from 207 schools participated in the study. A significant relationship between ST and gender, age and type of school was observed, but not body weight status. The average ST duration increased with age (from 2.6 h among 13 years old to 3.2 h among 19 years old), and was significantly higher among boys in all age categories (2.7 h vs. 2.5 h in the youngest age group, and 3.5 h vs. 3.0 h in the oldest age group, respectively). Th...
Although the role of vitamin D is well known, the possibility of assessing its intake may be cons... more Although the role of vitamin D is well known, the possibility of assessing its intake may be constricted in countries with no vitamin D data in food composition tables, as in the case of Croatia. The aim of the presented study was to adjust the VIDEO-FFQ (Vitamin D Estimation Only—Food Frequency Questionnaire), previously validated in Poland, to the Croatian population and to assess the validity and reproducibility of the adjusted Cro-VIDEO-FFQ (Croatian—VIDEO-FFQ). The study involved a group of Croatian women aged 20–30 and the Polish questionnaire was adjusted for a population due to similarities of the nutritional habits between countries. 106 individuals were recruited and 63 completed all the stages of the study. Participants conducted a 3-day dietary record and filled out the Cro-VIDEO-FFQ1 (first stage), as well as the same questionnaire (Cro-VIDEO-FFQ2) 6 weeks after (second stage). The following vitamin D intakes were observed in the studied group: 1.9 µg (0.2–8.0 µg) for 3...
The objective of the study was to determine acceptance, motivation and expectations for loosing w... more The objective of the study was to determine acceptance, motivation and expectations for loosing weight in obese women. The study included 189 under weight and obese women at the age of 22-65 years (44.3 +/- 10.4 years), with BMI from 25 to 46 kg/m2 (32.4 +/- 4.5 kg/m2), patients from Warsaw University of Life Science Dietary Counseling. Women divided by the degree of under weight and age. The acceptance, motivation and expectations for loosing weight was evaluated on the strength of ours questionnaire, witch was create especially for this aim. Age of obese women influenced on their self acceptance, women at the age of 30-50 years better approve their body weight than others. Degree of under weight influenced on self-confidence and their expectation of acceptance after loosing weight. The most important factors to loosing weight for women after 50 years old was health and the meetings with person who had the problem, but for women before 40 years old was more motivated by relatives.
The emotional consequences of excessive body mass, associated with body image and acceptance, hav... more The emotional consequences of excessive body mass, associated with body image and acceptance, have become a global public health challenge as they may decrease the general well-being and hinder weight loss in overweight and obese individuals. Therefore, this study aimed to analyze the influence of age, body mass index (BMI), and waist-to-height ratio (WHtR) on body mass acceptance, attitudes, and motivation toward body mass reduction in overweight and obese Caucasian women with excessive abdominal fat. The previously validated BodyMass–DRama (Body Mass–Dietary Restrictions: Acceptance, Motivation, Attitudes) questionnaire was applied in this study. The declared acceptance, attitudes and motivation towards body mass reduction were compared between subgroups based on age (20–40, 40–50, and 50–60 years), BMI (25.0–30.0, 30.0–35.0, and ≥35.0 kg/m2), and quartiles of WHtR. The age, BMI and WHtR were stated to be associated with declared acceptance, attitudes, and motivation towards body ...
Uploads
Papers by Ewa Lange