Magdalena Milewska

Medical University of Warsaw · Department of Clinical Dietetics

Aim Evidence shows that 20%–30% of patients who aspirate do so silently. Research to date has not demonstrated clear evidence to indicate which patients are at higher risk of silent aspiration. Our aim was to use univariate logistic regression analysis of retrospective case review to determine potential patterns of silent aspiration. Materials and...

Objectives: This systematic review analyzed the prevalence of malnutrition in patients with Parkinson's Disease. Study design: a systematic review. Method: Four databases-Cochrane, PubMed, Embase and Web of Science-were searched from October 2021 to June 2022 by two independent researchers. The inclusion criteria were as follows: patients abov...

Sarcopenia in the elderly population is a public health challenge, and there are few data on its prevalence in Europe. In this study, we investigated the prevalence of sarcopenia in the elderly Polish population and its association with the level of obesity and co-existing diseases. We conducted a population-based cross-sectional study involving 82...

Background and aims There is no prior research on the usefulness that popular nutrition-related mobile applications would have on assessing fatty acids intake. In this study, we examine these applications through their utilization in the assessment of consumption of saturated (SFAs) and polyunsaturated (PUFAs) fatty acids against the Polish referen...

Background: Previous studies showed that cancer significantly reduces the quality of life of patients. The purpose of this study was to analyze changes in the quality of life of women diagnosed with ovarian and breast cancer after surgical treatment followed by adjuvant cancer therapy. Methods: The study covered 220 women diagnosed with ovarian...

Obesity is one of the important risk factors for a severe course of COVID-19. Maintaining a healthy body weight through diet and physical activity is a reasonable approach to preventing a SARS-CoV-2 infection or in alleviating its course. The goal of the study was to determine the influence of obesity on nutrition and physical activity during the C...

Malnutrition is a poor prognostic factor in cancer disease. In case of head and neck cancer, there are multiple disease symptoms and side effects of treatment that increase the risk of malnutrition. The aim of the study is to assess the association between nutritional status at the time of qualification for home enteral nutrition (HEN) and overall...

Patients with head and neck cancer (HNC) present multiple symptoms that increase the risk of malnutrition. Nutritional care, including enteral nutrition (EN), plays a crucial role in the management of this group of patients. The aim of the study was to determine the Global Leadership Initiative on Malnutrition (GLIM)-based stages of malnutrition an...

Powikłaniem operacji guzów kąta mostowo-móżdżkowego są porażenia nerwów czaszkowych (V, VII, IX-XII). Materiał i metoda Część I – retrospektywna analiza 456 raportów z badania FEES (I’2015–III’2020); do dalszej analizy włączono 24 wyniki pacjentów z rozpoznaniem CPA (14 mężczyzn, 10 kobiet, w wieku 22–72 lata). Badanie FEES przeprowadzono zgodnie z...

Background A comparative analysis of changes in quality of life of women diagnosed with ovarian and breast cancer after surgical treatment followed by adjuvant cancer therapy. Methods The study covered 220 women diagnosed with ovarian (n = 89) or breast cancer (n = 131) after surgical treatment followed by adjuvant cancer therapy (chemotherapy, ra...

The paper presents the designs and methods of a cross-sectional study of two groups of randomly selected Polish inhabitants aged 19–64, and 65 and over, carried out as part of the National Health Program. The aim of the study was to illustrate the current health situation of the respondents in terms of nutrition and physical activity level. The qua...

Background: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough and its relationship with the long-term persistence of these symptoms. Methods: Thirty consecutive patients. All patients underwent physical examination, ENT assessment, videolaryngoscopy, functional phoniatric assessment at rest and speech,...

PROSPERO 2020 CRD42020220523 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020220523

Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent, it concerns patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (scope of surgery) or complications of adjuvant therapy (xerostomia, neuropathy, swelling of tissue, etc.). The above changes lead to:...

Introduction Sarcopenic obesity (SO) is characterized as the cooccurrence of sarcopenia and obesity. It is associated with many adverse health consequences, also in oncological patients. The study aimed to assess the prevalence of SO in postmenopausal women with a history of breast cancer depending on adopted methodology. Materials and Methods The...

Celem pracy była ocena funkcjonowania chorych z zaburzeniami połykania po operacji radykalnego usunięcia krtani. Do badania wstępnie zakwalifikowano 20 pacjentów, będących dłużej niż 6 miesięcy po całkowitym usunięciu krtani, wymagających przeprowadzenia badania wideofluoroskopowego (VFSS) ze względu na zgłaszane zaburzenia połykania. Grupę ostatec...

Around the world, the burden of malnutrition remains high despite significant efforts to thwart both undernutrition and overnutrition. The links between food security, dietary choices, and health outcomes pose a dilemma: What can nutrition policymakers and health care professionals do to harness the benefits of nutrition to improve health outcomes...

Background: Studies show that dysphagia is a common problem in patients with demyelinating diseases. However, there are no published studies on dysphagia in this group of patients, which would include the individual phases or the safety and effectiveness of the swallowing process. Objective: The main objective of this study was to assess the preval...

Introduction. Cough is the most common symptom of respiratory diseases. It has a significant impact on the quality of life of patients. Aim. Examination and comparison of cough intensity, symptoms associated with cough, head and neck muscle’s tonus, breathing type and maximum phonation time in patients with chronic cough before and after speech the...

Aim: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough. Material and methods: Thirty four consecutive patients. All patients underwent physical examination, ENT assessment, functional phoniatric assessment at rest and speech, Water-Swallow Test (WST), and Fiberoptic Endoscopic Evaluation of Swallowing...

It is commonly known that dysphagia is associated with primary (malnutrition, dehydration, aspiration pneumonia) as well as secondary consequences (longer hospital stay, increased treatment cost, higher risk of mortality). Therefore screening tests in swallowing disorders, especially at risk groups are essential. The aim of screening is identificat...

The endoscopic examination of swallowing FEES (fiberoptic endoscopic examination of swallowing) belongs to the basic instrumental examinations used in diagnostics of oropharyngeal dysphagia. It consists of three parts: I. Evaluation of the anatomy and physiology of the throat and larynx; II. Assessment of drinking and eating liquids and foods with...

Aim The aim of the study was the subjective assessment of the quality of life (QoL) of 140 patients treated with dialysis (peritoneal dialysis and hemodialysis). Background Chronic kidney disease and the methods of its treatment play an important part in shaping the QoL of patients receiving dialysis. As a result, kidney failure causes many limita...

Many patients treated at hospital have difficulty with swallowing, which poses an interdisciplinary problem. We describe basic screening tests for dysphagia, which can be carried out by physicians, speech therapists, and nurses, and show how to use these tests.

Dysphagia is an interdisciplinary problem. Doctors of different specialties (phoniatrician, ENT, gastrologist, neurologist), speech language therapists, physiotherapists and dieticians should be involved in the therapy of patients. The task of the first group is instrumental evaluation of swallowing, defining the safe consistency of fluids and food...

In this article, we proposed a questionnaire for assessment of videofluorscopic examination in patients with swallowing disorders. It was developed during years 2015 - 2016 by the Department of Otolaryngology at the Medical University of Warsaw. The main body of the form consists of 3 parts assessing the oral phase, the pharyngeal phase and the eso...

Background: Cerebral stroke is the major cause of disability in the modern world and, given its consequences, poses serious medical and social problems. The purpose of the study was to evaluate the quality of life of patients who suffered from an ischemic cerebral stroke with respect to various areas of life, including, in particular, clinical and...

Rationale: Dysphagia in disabled patients usually receives limited attention. Unfortunately is not diagnosed and managed appropriately, what increase risk of complications. It is commonly known that swallowing disorders can lead to aspiration pneumonia, dehydration and malnutrition. Methods: In total, 116 patients (40.5% men and 59.5% women) with d...

Wstęp: Zarówno okres menopauzalny, jak i proces starzenia się wpływają na skład ciała kobiety, a przede wszystkim zwiększenie zarówno udziału tkanki tłuszczowej ogółem w masie ciała, jak i tkanki tłuszczowej zlokalizowanej w obszarze brzusznym. Mając świadomość, iż zmiany w składzie ciała, a zwłaszcza translokacja tkanki tłuszczowej do centralnej c...

INTRODUCTION: Both menopausal period and aging have influence on body composition, increase of total body fat and visceral fat in particular. We should be aware that changes in body composition, mainly fat translocation to abdominal region, can occur without significant changes in body weight. Therefore quantitative abdominal fat assessment should...

Cystic fibrosis (CF) is one of the most frequent monogenic disease in the Caucasian population, inherited in an autosomal recessive pattern. This is a multiple organ disease and its main manifestations include pulmonary and gastrointestinal dysfunction. The exocrine pancreatic deficiency results in impaired digestion and absorption what may lead to...

Postmenopausal period brings changes in body composition. Among the major alterations the tendency to decrease in fat free mass (FFM) and increase in the amount of fat mass (FM) are observed. Simultaneously loss of muscle mass and decline in muscle strength with the advancing age are observed. Coexistence of sarcopenia and obesity creates a new cat...

Diverticular disease is more often categorized as a civilization disease that affects both women and men, especially at an old age. The pathophysiology remains complex and arises from the interaction between dietary fiber intake, bowel motility and mucosal changes in the colon. Obesity, smoking, low physical activity, low-fiber diet (poor in vegeta...

The aim of the study was evaluated high-fat (20% w/w), hypercholesterolemic (3% w/w) diets differing in dietary fat type (butter, margarine with stanols, margarine with rapeseed oil and sunflower oil) influence on plasma lipids profile in male Wistar rats. The results show that cholesterol enriched diets, excluding diet containing margarine with st...