Egészségtudományi Közlemények

Triglyceride-to-HDL-cholesterol Ratio as a Measure of Insulin Resistance in Obese Children and Adolescents

Anna Panaika — 2025-12-13

Childhood obesity is closely linked to insulin resistance, type 2 diabetes, and metabolic syndrome. [1] [2] Traditional methods of assessing insulin resistance, such as the hyperinsulinemic-euglycemic clamp, are precise but impractical for routine clinical use in pediatric populations. [3] This study evaluates the triglyceride-to-HDL-cholesterol (TG/HDL) ratio as an alternative, simple and effective marker of insulin resistance in obese children and adolescents.

Pull-over: the application of physiotherapy treatments for sport climbers with pulley injury

Nóra Bognár — 2025-12-13

Summary: The objective of this research is to assess the condition of sport climbers with pulley injuries, to apply a complex physiotherapy and to study the effectiveness of the treatment.

Our study was carried out at the Kézklinika in Budapest between June and October 2024. 10 active sport climbers with at least 5 days of injury were investigated. For the assessment we used pain scores (VAS), mobility, muscle strength, flexibility and special tests. The physiotherapy consisted of passive and active elements, 10 sessions of 40 min each. Descriptive statistics were calculated using MS Excel, with results expressed as mean ± standard deviation (SD), in addition to median (Me) and interquartile range (IQR). To assess changes, the Wilcoxon signed-rank test was applied, with a significance level set at p ≤ 0.05.

The study involved 10 participants (6 men), with a mean age of 29.3 ±10.9 years. The main complaint was pain, which was eliminated after treatment. The DIP joint flexion motion showed a strong significant change on both sides. Muscle strength on the affected side of the EDC showed a 16.3% increase. Finger flexors on the affected side with a half-closed grip at 25mm edge and 20mm edge showed a strong significant improvement (p=0.008, p=0.007).

All modalities showed positive changes, allowing a return to climbing. Properly structured rehabilitation and prevention programmes can help prevent further injuries.

Sleep and mental health in adolescents: a review of recent systematic reviews

Andrea Lukács — 2025-12-13

Sleep plays a vital role in adolescent development, influencing mental, emotional, and cognitive health. Increasing evidence suggests a strong association between sleep disturbances and mental health problems in adolescents, including anxiety, depression, and suicidality. This review aims to synthesize systematic reviews and meta-analyses published between 2020 and 2025 that examine the relationship between sleep and mental health outcomes in healthy adolescent populations. A comprehensive literature search was conducted in PubMed using the keywords healthy AND adolescents AND sleep AND "mental health", limited to systematic reviews published from 2020 to 2025. Sixteen records were identified, and after screening and eligibility assessment based on predefined inclusion criteria, seven studies were included in the final synthesis. PRISMA 2020 guidelines were followed for study selection and reporting. The included studies consistently reported that insufficient sleep duration, poor sleep quality, and irregular sleep patterns were associated with elevated risks of anxiety, depression, emotional dysregulation, and suicidal ideation in adolescents. Some reviews also identified potential moderators such as parental influence, sleep hygiene behaviors, and circadian misalignment. Sleep significantly influences adolescent mental health, and addressing sleep-related factors may be a key avenue for early intervention and prevention strategies.

Health anxiety and its relationship with digital health literacy in Hungary

Gyulai Anikó — 2025-12-13

A digitális egészségműveltség és az egészségszorongás közötti kapcsolat megértése egyre fontosabbá válik a digitalizált egészségügyi információs környezetben. A tanulmány célja az volt, hogy leírja a magyar felnőttek digitális egészségműveltségének és az egészségszorongásának szintjét, valamint hogy vizsgálja a mindkettőt befolyásoló háttértényezőket. Ezenkívül a digitális egészségügyműveltség és az egészségügyi szorongás közötti kapcsolatot is vizsgáltuk. Összesen 314, 18 éves vagy annál idősebb résztvevő töltötte ki az online kérdőívet. A felmérés tartalmazta az eHealth Literacy Scale (eHEALS) és a Short Health Anxiety Inventory (SHAI) kérdőíveket. Leíró statisztikákat, varianciaanalízist (ANOVA), kétmintás t-próbát, Cohen d-t, Pearson- és Spearman-korrelációkat alkalmaztunk, a szignifikancia küszöbértéke p < 0,05 volt. A nők szignifikánsan magasabb egészségszorongás pontszámokat értek el, mint a férfiak (átlag = 34,8 vs. 33,0; p < 0,005), különösen a „betegség kialakulásának észlelt valószínűsége” alskálán. Az egészségügyi szorongás az életkor előrehaladtával nőtt, a legmagasabb pontszámokat a 65 év felettieknél regisztráltuk (p = 0,008). Az eHEALS pontszám átlaga 30,2 volt (SD = 6,3). Bár az alacsony és a magas eHEALS pontszámú csoportok között nem találtunk szignifikáns különbséget az egészségszorongás tekintetében (p = 0,12), gyenge, de szignifikáns negatív korrelációt mutatott a digitális egészségügműveltség és az egészségszorongás között (ρ = –0,18; p = 0,001), ami arra utal, hogy a magasabb digitális egészségügyi ismeretek alacsonyabb egészségszorongással járnak együtt. A nők, az idősebb felnőttek és azok, akik rosszabbnak értékelték saját egészségi állapotukat, nagyobb egészségszorongást jelentettek. Ezek az eredmények rávilágítanak a célzott digitális egészségügyi oktatás potenciális fontosságára a szorongás megelőzése és az egészségfejlesztés terén.

Factors affecting the success of lactation in the context of birth quality

Gyöngyi Papp — 2025-12-13

The initiation and maintenance of breastfeeding are influenced by a wide range of biological, psychological, and environmental factors. The objective of this study was to explore how childbirth circumstances, particularly the quality of the birth experience and the availability of institutional support, affect the success of lactation. The authors conducted an online questionnaire survey in October 2021, resulting in 1,000 fully completed responses. The sample primarily included women residing in urban areas who were highly educated, aged between 25 and 34 years, and had given birth to more than one child. The collection of data was supplemented by semi-structured interviews conducted in the autumn of 2023 with mothers who had experienced difficult or noteworthy births. The findings of the study indicate that undisturbed birth and early skin-to-skin contact have a positive impact on maternal confidence and breastfeeding success. Conversely, traumatic childbirth experiences characterised by a loss of control have been more frequently associated with breastfeeding difficulties, maternal insecurity, and early weaning. Despite the quantitative analysis failing to demonstrate a statistically significant correlation between mode of delivery and breastfeeding problems, the qualitative data indicated a clear trend. The research also highlighted that the type of birth preparation, family background, and complex perinatal factors all contribute to lactation outcomes.