Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners

Robert K Jablonski,1 Jerzy Leszek,2 Joanna Rosińczuk,3 Izabella Uchmanowicz,4 Bernard Panaszek11Department and Clinic of Internal Diseases, Geriatry and Allergology, 2Department of Psychiatry, 3Department of Nervous System Diseases, Department of Clinical Nursing, 4Division of Nursing in I...

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Autores principales:	Jablonski RK, Leszek J, Rosińczuk J, Uchmanowicz I, Panaszek B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4005d9cb261342659f85ba4d47982ae0
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spelling	oai:doaj.org-article:4005d9cb261342659f85ba4d47982ae02021-12-02T08:25:24ZImpact of incarceration in Nazi concentration camps on multimorbidity of former prisoners1178-2021https://doaj.org/article/4005d9cb261342659f85ba4d47982ae02015-03-01T00:00:00Zhttp://www.dovepress.com/impact-of-incarceration-in-nazi-concentration-camps-on-multimorbidity--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Robert K Jablonski,1 Jerzy Leszek,2 Joanna Rosińczuk,3 Izabella Uchmanowicz,4 Bernard Panaszek11Department and Clinic of Internal Diseases, Geriatry and Allergology, 2Department of Psychiatry, 3Department of Nervous System Diseases, Department of Clinical Nursing, 4Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, PolandObjective: To show the extent to which the health of former prisoners was affected by incarceration in extermination camps after 5 and 30 years of leaving the camp, and to determine the etiological factors underlying particular dysfunctions.Methods: Medical records of former prisoners developed in 1950 (n=250) and 1975 (n=120) were then, after several decades, retrospectively analyzed and compared with the control group, randomized and matched according to age, sex, occupation, and environment. None of the subjects in the control group was a prisoner either at a concentration camp or at any other prison or detention facility.Results: Multimorbidity affected mainly the central nervous system (CNS). Five years after leaving a camp, CNS dysfunctions were observed in 66% of former prisoners. Skeletal (42.4%) and cardiovascular system (34.4%) dysfunctions were the second and third most frequent dysfunctions. Thirty years after leaving a camp, the most prevalent coexisting conditions were also found within the CNS (80%), cardiovascular system (58.33%), and skeletal system (55%). Five and 30 years after leaving a camp, multiorgan lesions were found in 21.6% and 60% of survivors, respectively. Multimorbidity was more frequent in a group of prisoners who underwent the state of apathy and depression or who had been incarcerated longer than 24 months. The rate of CNS diseases was four times higher, and the rate of cardiovascular diseases or skeletal system dysfunctions was two times higher, in the study group after 30 years of leaving a camp compared with the control group.Conclusion: The consequences of incarceration in concentration camps manifesting as multimorbidity, premature aging, and dramatic increase in mortality rate are observed in the majority of former prisoners. The multimorbidity mostly affected older prisoners who stayed at a camp for a longer time period.Keywords: concentration camp syndrome, cachexia, low-grade systemic inflammationJablonski RKLeszek JRosińczuk JUchmanowicz IPanaszek BDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 669-674 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Jablonski RK Leszek J Rosińczuk J Uchmanowicz I Panaszek B Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
description	Robert K Jablonski,1 Jerzy Leszek,2 Joanna Rosińczuk,3 Izabella Uchmanowicz,4 Bernard Panaszek11Department and Clinic of Internal Diseases, Geriatry and Allergology, 2Department of Psychiatry, 3Department of Nervous System Diseases, Department of Clinical Nursing, 4Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, PolandObjective: To show the extent to which the health of former prisoners was affected by incarceration in extermination camps after 5 and 30 years of leaving the camp, and to determine the etiological factors underlying particular dysfunctions.Methods: Medical records of former prisoners developed in 1950 (n=250) and 1975 (n=120) were then, after several decades, retrospectively analyzed and compared with the control group, randomized and matched according to age, sex, occupation, and environment. None of the subjects in the control group was a prisoner either at a concentration camp or at any other prison or detention facility.Results: Multimorbidity affected mainly the central nervous system (CNS). Five years after leaving a camp, CNS dysfunctions were observed in 66% of former prisoners. Skeletal (42.4%) and cardiovascular system (34.4%) dysfunctions were the second and third most frequent dysfunctions. Thirty years after leaving a camp, the most prevalent coexisting conditions were also found within the CNS (80%), cardiovascular system (58.33%), and skeletal system (55%). Five and 30 years after leaving a camp, multiorgan lesions were found in 21.6% and 60% of survivors, respectively. Multimorbidity was more frequent in a group of prisoners who underwent the state of apathy and depression or who had been incarcerated longer than 24 months. The rate of CNS diseases was four times higher, and the rate of cardiovascular diseases or skeletal system dysfunctions was two times higher, in the study group after 30 years of leaving a camp compared with the control group.Conclusion: The consequences of incarceration in concentration camps manifesting as multimorbidity, premature aging, and dramatic increase in mortality rate are observed in the majority of former prisoners. The multimorbidity mostly affected older prisoners who stayed at a camp for a longer time period.Keywords: concentration camp syndrome, cachexia, low-grade systemic inflammation
format	article
author	Jablonski RK Leszek J Rosińczuk J Uchmanowicz I Panaszek B
author_facet	Jablonski RK Leszek J Rosińczuk J Uchmanowicz I Panaszek B
author_sort	Jablonski RK
title	Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
title_short	Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
title_full	Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
title_fullStr	Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
title_full_unstemmed	Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners
title_sort	impact of incarceration in nazi concentration camps on multimorbidity of former prisoners
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/4005d9cb261342659f85ba4d47982ae0
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Impact of incarceration in Nazi concentration camps on multimorbidity of former prisoners

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