Journal for Health Sciences

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

Anna Anna Panaika, László Barkai — Sat, 13 Dec 2025 00:00:00 +0100

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, Bádovszky Zoltán, Guzi Barbara — Sat, 13 Dec 2025 00:00:00 +0100

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 — Sat, 13 Dec 2025 00:00:00 +0100

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

Anikó Gyulai, Szabó Csaba, Csilla Lakatos — Sat, 13 Dec 2025 00:00:00 +0100

Understanding the relationship between digital health literacy and health anxiety is increasingly important in the context of digitized health information environments. The aim of the study was to describe the level of digital health literacy and health anxiety among Hungarian adults and to investigate the background factors that influence both. In addition, the relationship between digital health literacy and health anxiety was to be investigated. A total of 314 participants aged 18 years and older completed an online questionnaire. The survey included the eHealth Literacy Scale (eHEALS) and the Short Health Anxiety Inventory (SHAI). Descriptive statistics, analysis of variance (ANOVA), independent samples t-tests, Cohen’s d, Pearson and Spearman correlations and a significance threshold of p < 0.05 were applied. Women reported significantly higher health anxiety scores than men (mean = 34.8 vs. 33.0; p < 0.005), especially for the subscale "perceived likelihood of getting sick". Health anxiety increased with age, with the highest scores recorded in those over 65 years of age (p = 0.008). The mean eHEALS score was 30.2 (SD = 6.3). While no significant difference in health anxiety was found between the low and high eHEALS score groups (p = 0.12), a weak but significant negative correlation was found between digital health literacy and health anxiety (ρ = –0.18; p = 0.001), suggesting that higher digital health literacy was associated with lower health anxiety. Women, older adults, and those with poorer self-rated health tended to report greater health anxiety. These findings highlight the potential importance of targeted digital health education for anxiety prevention and health promotion.

FACTORS AFFECTING THE SUCCESS OF LACTATION IN THE CONTEXT OF BIRTH QUALITY

Papp Gyöngyi, Nóra Simon — Sat, 13 Dec 2025 00:00:00 +0100

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.