Papers by Nadja Vasiljevic
Osteosarcopenic adiposity (OSA) syndrome denotes the confluence of bone, muscle, and adipose tiss... more Osteosarcopenic adiposity (OSA) syndrome denotes the confluence of bone, muscle, and adipose tissue deterioration. Being a complex entity, numerous uncertainties about OSA still exist, despite the extensive research on the topic. Our objectives were to evaluate human studies addressing dietary intake/nutritional status, and the quantity/types of physical activity related to OSA. The search in PubMed, Scopus, and Web of Science databases was conducted to examine relevant articles published from inception to the end of December 2022, utilizing the MeSH strings in the search strategy. Only studies published in English and conducted in humans (≥18 years) without chronic conditions (cancers, kidney/liver disease) or pregnancy, were used. Book chapters, abstracts-only, and studies in which participants did not have all three body composition components measured to identify OSA, or when body composition components could not be related to the independent/exposure variables were excluded. A ...
Acta Medica Academica
Objective. The aim of this study was to carry out the cultural adaptation and validation of the A... more Objective. The aim of this study was to carry out the cultural adaptation and validation of the Assessment of Chronic Illness Care questionnaire (ACIC) in the Republika Srpska, Bosnia and Herzegovina.Methods. A validation study was conducted in two randomly selected primary health care centers in the Republika Srpska, Bosnia and Herzegovina, during March and April 2016. The study participants were all physicians working in family medicine departments during the study. Translation of the ACIC questionnaire version 3.5 was performed following the guidelines of the World Health Organization. The validity and reliability of the questionnaire were tested with face validity, construct validity, and internal consistency.Results. The questionnaire was distributed to 66 family physicians. Missing values were negligible, therefore the criteria for factor analysis were met. Exploratory factor analysis confirmed that the questionnaire measured one factor. The Cronbach alpha coefficient (0.970) ...
Frontiers in Public Health, 2021
Objectives: Adults aged 65 years and older comprise one fifth of the Serbian population. Many of ... more Objectives: Adults aged 65 years and older comprise one fifth of the Serbian population. Many of them have multiple, often diet-related comorbidities. We aimed to investigate their dietary habits by comparing them with younger adults' and to determine the relation of the differing ones to demographic, socioeconomic and health factors.Methods: We performed a secondary analysis of 2013 Serbian National Health Survey data on 14,082 adults. Binary logistic regression was used to determine dietary habits associated with older age (≥65 years) compared to younger age (18–64 years) and to assess their independent predictors in older adults.Results: Older adults more often reported everyday breakfast (OR = 2.085, 95%CI = 1.622–2.680) and brown/wholegrain bread consumption (OR = 1.681, 95% CI = 1.537–1.839), while using margarine (OR = 0.578, 95%CI = 0.397–0.839), discretionary salt (sometimes: OR = 0.648, 95%CI = 0.596–0.705, almost always: OR = 0.522, 95%CI = 0.445–0.614) and consuming ...
Nutrients, 2020
The number of people suffering from constant tinnitus is ever-increasing and has spread to all ag... more The number of people suffering from constant tinnitus is ever-increasing and has spread to all age groups, including adolescents. The etiology of tinnitus is multifactorial, but dietary factors have been rarely investigated. The purpose of this study is to examine the relationship between dietary factors and constant tinnitus among adolescents from an urban environment. A population-oriented cross-sectional study was carried out during the 2019/2020 school year in 12 Belgrade secondary schools. There were 1287 school children aged from 15 to 19 years who participated in the study. There were 1003 respondents who completed a questionnaire on tinnitus (response rate 77.9%; 31% male). We used the standardized Tinnitus Screener questionnaire and a food frequency questionnaire specially designed for this study and adapted to Serbian adolescents. A logistic regression analysis revealed a strong negative correlation between fresh vegetables and fruits and tinnitus presence. On the other ha...
BMC Health Services Research, 2020
Background Transplant recipients are chronically ill patients, who require lifelong follow-up to ... more Background Transplant recipients are chronically ill patients, who require lifelong follow-up to manage co-morbidities and prevent graft loss. This necessitates a system of care that is congruent with the Chronic Care Model. The eleven-item self-report Patient Assessment of Chronic Illness Care (PACIC) scale assesses whether chronic care is congruent with the Chronic Care Model, yet its validity for heart transplant patients has not been tested. Methods We tested the validity of the English version of the PACIC, and compared the similarity of the internal structure of the PACIC across English-speaking countries (USA, Canada, Australia and United Kingdom) and across six languages (French, German, Dutch, Spanish, Italian and Portuguese). This was done using data from the cross-sectional international BRIGHT study that included 1378 heart transplant patients from eleven countries across 4 continents. To test the validity of the instrument, confirmatory factor analyses to check the expe...
Vojnosanitetski pregled, 2019
Background/Aim. Obesity is the chronic disease and health threatening condition. The number of ob... more Background/Aim. Obesity is the chronic disease and health threatening condition. The number of obese people in the world has taken epidemic conditions. Medical nutritional therapy is the first choice in the treatment of obesity, but it is also accompanied with a great percentage of attrition and a significant weight regain. The aim of our study was to evaluate if psychiatric and specific psychological factors (impulsivity) could be the predictors of successful weight loss. Methods. A study sample consisted of 84 consecutive overweight/obesity women, 20 to 40 years old, who were willing to adhere to the medical nutrition therapy after the initial anthropometric measurements were performed. All participants received a personalized nutritional counseling and a daily diet treatment with 20% caloric restriction from estimated daily energy requirement. At the beginning of the study, the 90-item Symptom Check-list (SCL-90) and the 30-item Barratt Impulsiveness scale (BIS- 11) were administ...
Vojnosanitetski pregled, 2019
Background/Aim. Glycosylated haemoglobin (HbA1c) is currently the gold standard for glucose monit... more Background/Aim. Glycosylated haemoglobin (HbA1c) is currently the gold standard for glucose monitoring in the patients with diabetes. The aim of the present study was to examine the level of success in implementing international guideline targets with regard to glycaemic control in the patients with type 2 diabetes in the Republic of Srpska. This study also aimed to determine the association of albuminuria with the glycaemic control and lipid levels in this patient population. Methods. The participating diabetic patients were those registered in the project titled ??Estimation of the quality of glycoregulation and presence of vascular complications in the persons with diabetes in the Republic of Srpska.? The study was conducted as a cross-sectional study including 1037 patients. HbA1c was determined by a turbidimetric inhibition immunoassay used Roche Diagnostics. Total cholesterol, triglycerides, LDL-C, and HDL-C were determined by reagents from Roche Diagnostics (Roche Diagnostics...
International Journal of Environmental Research and Public Health, 2019
Health literacy (HL) has become an important area of research. The aim of this study was to evalu... more Health literacy (HL) has become an important area of research. The aim of this study was to evaluate the HL of primary healthcare patients in the Republic of Srpska (RS), Bosnia and Herzegovina (B&H) and to identify socioeconomic and health factors associated with HL. This cross-sectional study among 768 patients was conducted in two healthcare centres between March and May 2017, using the Short Test of Functional Health Literacy in Adults (S-TOFHLA). Analysis was done using descriptive and inferential statistics (a chi-squared test and logistic regression). Inadequate and marginal HL was found in 34,6% of respondents. Socioeconomic and self-reported health factors were significantly related to HL. An age of 55 years and over (OR 1.02), living in a rural environment (OR 2.25), being divorced (OR 3.32), being insufficiently physically active (OR 1.29), having poor income (OR 1.96), having more than three chronic diseases (OR 1.94), and poor health (OR 1.59) were significantly corelat...
European Journal of General Practice, 2019
In the Republic of Srpska, Bosnia and Herzegovina, low health literacy is associated with lower l... more In the Republic of Srpska, Bosnia and Herzegovina, low health literacy is associated with lower level of education, age over 54 years, living in a rural area, and having three or more chronic diseases. This information may be useful for the work of family doctors and the provision of health services.
PloS one, 2018
The objectives of this study were to evaluate patients' attitudes towards hypertension treatm... more The objectives of this study were to evaluate patients' attitudes towards hypertension treatment according to the chronic care model and to assess the implementation of hypertension clinical guidelines in family medicine. The cross-sectional study was carried out in two randomly selected primary health care centers (Bijeljina and Prijedor), respectively in Bosnia and Herzegovina, covering the period between March and April 2016. This study sample consists of 791 respondents with hypertension purposing to measure specific actions and quality of care for hypertensive patients. The Patient Assessment of Chronic Illness Care (PACIC) was used. Treatment for the indicators of hypertension was assessed by analyzing patients' medical charts according to the recommendations of clinical guidelines. More than half of the evaluated indicators of treatment for hypertension were documented in medical charts of 84.07% patients. The average overall PACIC score was 4.18 (SD 0.59), being an a...
International journal of public health, Jan 18, 2015
To determine relationship between health behaviour and body mass index (BMI) in a Serbian adult p... more To determine relationship between health behaviour and body mass index (BMI) in a Serbian adult population. Study population included adults aged 20 and more years. A stratified, two-stage national representative random sampling approach was used for the selection of the survey sample. Regarding BMI, out of the 12,461 subjects of both sexes, 2.4 % were underweight, 36.5 % overweight and 22.4 % obese. Multivariate logistic regression analysis showed that both in men and women, risk factors for obesity were former smoking, irregular eating breakfast and low physical activity level, while in women only risk of obesity was associated with alcohol consumption. In both sexes, risk factors for overweight were former smoking and low physical activity level, and in women additionally those were alcohol consumption, irregular eating breakfast, always adding salt to meals and consumption of 2-4 portions of fruit daily. Smoking and irregular eating of breakfast in men were risk factors for unde...
The European Journal of Public Health, 2015
Bavry AA, Kumbhani DJ, Rassi AN, et al. Benefit of early invasive therapy in acute coronary syndr... more Bavry AA, Kumbhani DJ, Rassi AN, et al. Benefit of early invasive therapy in acute coronary syndromes: a meta-analysis of contemporary randomized clinical trials.
Quality and nutritive value of fermented sausages produced with inulin and pea fibre as fat replacers
Fleischwirtschaft -Frankfurt-
This paper presents the results of the examination of physicochemical, chemical and sensory prope... more This paper presents the results of the examination of physicochemical, chemical and sensory properties of fermented sausages produced with inulin and pea fibre as fat replacers. Conventional fermented sausage (control) contained 75% meat and 25% of pork backfat. In functional fermented sausages one part of the pork backfat was replaced with inulin powder, inulin cream and pea fibre as follows: in fermented sausage I with 2% inulin powder and 1% pea fibre, in fermented sausage II with 4% inulin cream and 1% pea fibre, and in fermented sausage III with 8% inulin cream and 1% pea fibre. The sausages were examined after a three week ripening period. The pH- and aw-values of the functional fermented sausages (pH=4.8-4.9; aw=0.90) were significantly lower than those of the conventional sausage (pH=5.18; aw =0.93). The functional fermented sausages I, II and III contained 2.7%, 3.9% and 8.0% less fat than the conventional sausage, respectively. Compared to the conventional sausage, the fun...
Acta clinica Belgica, 2014
The purpose of this study is to compare cases with type 2 diabetes and their controls for the fre... more The purpose of this study is to compare cases with type 2 diabetes and their controls for the frequency of stressful life events and social support before the occurrence of the disease. The study of cases and their controls was undertaken in Belgrade. A case group comprised 179 subjects in whom type 2 diabetes was for the first time diagnosed in the 'Savski Venac' Medical Center during the period 2005-2007 year. The diagnosis was made by a specialist of internal medicine according to criteria of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. For each case two controls were chosen among patients with trauma (fracture, reposition, internal/external fixation) who were treated at the 'Banjica' Institute for Orthopedic-Surgical Diseases during the same period. Cases and controls were matched by sex, age (±2 years) and place of residence (Belgrade). Data were collected on demographic characteristics, habits, personal history, stressful life ...
Nutrition labelling of pre-packaged foods in Belgrade, Serbia: current situation
Public Health Nutrition, 2014
ObjectiveTo determine the presence of nutrition labels on pre-packaged food products, as well as ... more ObjectiveTo determine the presence of nutrition labels on pre-packaged food products, as well as to analyse the types of presentation.DesignThis was a descriptive study. The following characteristics were analysed: (i) presence and placement of the nutrition declaration (either as front-of-pack (FOP) or back-of-pack (BOP)); (ii) content of the presented information; (iii) presence of nutrition and health claims; and (iv) legibility of the written information.SettingsThree different types of retailers in Belgrade, Serbia.SubjectsA total of 2138 pre-packaged food products from ten categories.ResultsA nutrition declaration was found on 65·9 % of all tested products. It was displayed on the back of the packaging of 62·7 % of products and on the front of the packaging of 19·1 % of products. BOP was the most commonly observed in breakfast cereals, soft drinks, milk and instant soups (in total over 90 %), and the least common in meat products (21·5 %). FOP was predominantly displayed on br...
Influence of acclimatization on serum enzyme changes in soldiers during exertional heat stress
Vojnosanitetski pregled, 2009
Background/Aim. Exertional heat stress is common problem in military services. The aim was to exa... more Background/Aim. Exertional heat stress is common problem in military services. The aim was to examine changes in serum concentrations of some enzymes in soldiers during exertional heat stress test (EHST) as well as the effects of 10-days passive or active acclimatization in climatic chamber. Methods. Forty male soldiers with high aerobic capacity, performed EHST either in cool (20 ?C, 16 ?C Wet bulb globe temperature - WBGT), or hot (40 ?C, 25 ?C WBGT) environment, unacclimatized, or after 10 days of passive or active acclimation. Physiological strain was measured by tympanic temperatures (Tty) and heart rates (HR). Concentrations of alanine aminotransferase (ALT) and aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and creatine-kinase (CK) were measured in blood samples collected before and immediately after EHST. Results. Exertional heat stress test in hot conditions induced physiological heat stress (increase in Tty and HR), with significant increase in concentratio...
Srpski arhiv za celokupno lekarstvo, 2004
ta ri na PA U NO VIAE 2 1. Kli nika za deèje bo lesti, Kli nièki cen tar Bawa Lu ka, Bawa Lu ka; ... more ta ri na PA U NO VIAE 2 1. Kli nika za deèje bo lesti, Kli nièki cen tar Bawa Lu ka, Bawa Lu ka; 2. In sti tut za hi gi je nu i me di cin sku eko lo gi ju, Me di cin ski fa kul tet, Be o grad; 3. In sti tut za zdrav stve nu zaš ti tu maj ke i de te ta "Dr Vu kan Èu piae", Be o grad KRA TAK SA DR ŽAJ Ke to ge na di je ta je di je ta sa pre ci zno od re ðe nim od no som sa dr ža ja ma sti u vi so kom pro cen tu pre ma sa dr ža ju ugqe nih hi dra ta i pro te i na ko ja se pri mewu je kod de ce sa epi lep si jom re frak ter nom na kon ven ci o nal ne an ti e pilep ti ke. Uvo ðewem ke to ge ne di je te in du ku je se stva rawe ke ton skih te la za ko je se pret po sta vqa da ima ju te ra pij ski efe kat u smawi vawu epi lep tiè nih na pa da kod ne ke de ce sa epi lep si jom. Po sledwih de ce ni ja za pa ža se re zi sten cija epi lep tiè nih na pa da i na no vi je an ti e pi lep tiè ne me di ka men te. Uvo di se po jam re frak ter ne ili in trak ta bil ne epi lep si je, ko ji je de fi ni san kao ne a de kvat na kon tro la epi lep tiè nih na pa da upr kos op ti mal nom le èewu kon ven cio nal nom te ra pi jom, što pod ra zu me va da se po ku ša lo s le èewem sa naj mawe dva an ti e pi lep ti ka. S ob zi rom na to da je lo ša kon tro la epi lep tiè nih na pa da udru že na sa ve aeom sto pom mor ta li te ta i oš te aeewem psi ho mo tor nih funk ci ja, kao i zbog za pa žawa broj nih štet nih nu se fe ka ta no vi jih an ti e pi lep ti ka, po no vo ra ste in te re so vawe za is pi tivawe efi ka sno sti ke to ge ne di je te, ob jašwewe me ha ni zma we nog dej stva, kao i mo guae no sti we ne ši re pri me ne. Kquè ne re èi: ke to ge na di je ta, re frak ter na epi lep si ja, me ha ni zam dej stva, in di ka ci je.
Srpski arhiv za celokupno lekarstvo, 2012
Eating disorders are considered chronic diseases of civilization. The most studied and well known... more Eating disorders are considered chronic diseases of civilization. The most studied and well known are anorexia and bulimia nervosa. Anorexia is considered one of the most common psychiatric problems of girls in puberty and adolescence. Due to high mortality and morbidity as well as the increasing expansion of these diseases, it is clear why the amount of research on these diseases is growing worldwide. Eating disorders lead to numerous medical complications, mostly due to late diagnosis. The main characteristic of these diseases is changed behavior in the nutrition, either as an intentional restriction of food, i.e. extreme dieting, or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are characteristic forms of compensatory behavior of patients with eating disorder. The most appropriate course of treatment is determined by evaluating ...
New nutrition recommendations for healthy aging
Vojnosanitetski pregled, 2010
Presence of different forms of compensatory behaviours among eating disordered patients
Srpski arhiv za celokupno lekarstvo, 2010
Introduction Eating disorders indicate unhealthy habits in nutrition and/or behaviour in the feed... more Introduction Eating disorders indicate unhealthy habits in nutrition and/or behaviour in the feeding and maintaining of body weight. The main characteristic of these diseases is changed behaviour in nutrition, either as an intentional restriction of food, namely extreme dieting or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are the forms of compensatory behaviour. Objective The purpose of the present research was to determine the presence of different inappropriate compensatory behaviours among eating disordered patients. Methods The experimental group included 35 female eating disordered patients of 23.02?}3.46 years on average, with anorexia or bulimia nervosa. The control group consisted of 70 girls aged 23.1?}3.0 years on average. Each participant completed a '24-hour Recall Questionnaire' and the 'Eating Disorder...
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Papers by Nadja Vasiljevic