The changing pattern of cardiovascular risk factors: the CroHort study.

Poljičanin, Tamara and Džakula, Aleksandar and Musić Milanović, Sanja and Šekerija, Mario and Ivanković, Davor and Vuletić, Silvije (2012) The changing pattern of cardiovascular risk factors: the CroHort study. Collegium Antropologicum, 36 (S1). pp. 9-13. ISSN 0350-6134

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Abstract

Croatia has a long tradition of non-communicable disease prevention, but also obstacles to the implementation of preventive programs related to the general attenuation of public health and primary health care sector. The aim of this study was to determine trends in behavioral and biomedical risk factors and evaluate primary non-communicable disease and cardiovascular prevention. Physical inactivity was a leading risk factor with increasing trend and prevalence of 33.9% and 38.9% in men and women in 2008. In 2008, obesity was present in 26.1% and 34.1%, and hypertension in 65.8% and 59.7% of men and women. During the follow-up only smoking and alcohol consumption in men decreased significantly, while alcohol consumption and obesity in women, and hypertension in both sexes significantly increased. In the present situation, with the existing trends and environment it will not be possible to stop negative trends. Revitalization of public health activities and primary health care is essential.

Abstract in Croatian

PROMJENE KARDIOVASKULARNIH RIZIKA 2003–2008.; HRVATSKA KOHORTNA STUDIJA KARDIOVASKULARNIH RIZIKA (CroHort) ----- Prevencija kroničnih nezaraznih bolesti u RH ima dugu tradiciju, no prisutne su prepreke u njihovoj implementaciji povezane sa slabljenjem javnozdravstvenog sektora i primarne zdravstvene zaštite kao posljedice neodgovarajuće decentralizacije i modela privatizacije. Cilj ovog ispitivanja bio je utvrditi trendove biomedicinskih i bihevioralnih rizičnih čimbenika te evaluirati primarnu prevenciju kroničnih nezaraznih i kardiovaskularnih bolesti analizirajući promjene učestalosti njihovih odrednica. Pušenje i zdrava prehrana bili su jedina obilježja s pozitivnim zdravstvenim trendom u oba spola, iako se statistički značajnim pokazalo jedino pušenje u muškaraca. Rezultati su potvrdili neznatno smanjenje učestalosti nezdrave prehrane u oba spola i značajno nižu prevalenciju u žena. Tjelesna neaktivnost je vodeći rizični čimbenik s prevalencijom od 33,9% kod muškaraca i 38,9% kod žena u 2008. god. i prisutim trendom porasta. Debljina je na kraju ispitivanja bila prisutna u 26,1% muškaraca i 34,1% žena, a hipertenzija u 65,8% muškaraca i 59,7% žena. Tijekom praćenja su značajno smanjene jedino prevalencija pušenja i konzumacije alkohola u muškaraca, dok su prevalencije konzumacije alkohola i debljine u žena i hipertenzije u oba spola značajno porasle. U sadašnjoj situaciji, uz prisutne trendove i okruženje te bez jasnog definiranja odgovornosti za prevenciju nezaraznih bolesti, strateškog upravljanja i učinkovite implementacije preventivnih programa neće biti moguće zaustaviti prisutne negativne trendove. Revitalizacija javnozdravstvenih aktivnosti i primarne zdravstvene zaštite je stoga neizostavna.

Item Type: Article
MeSH: Adult ; Aged ; Cardiovascular Diseases/epidemiology ; Cohort Studies ; Croatia/epidemiology ; Female ; Humans ; Life Style ; Male ; Middle Aged ; Prevalence ; Risk Factors
Departments: Katedra za medicinsku statistiku, epidemiologiju i medicinsku informatiku
Katedra za socijalnu medicinu i organizaciju zdravstvene zaštite
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Poljičanin, TamaraUNSPECIFIED
Džakula, AleksandarUNSPECIFIED
Musić Milanović, SanjaUNSPECIFIED
Šekerija, MarioUNSPECIFIED
Ivanković, DavorUNSPECIFIED
Vuletić, SilvijeUNSPECIFIED
Date: January 2012
Date Deposited: 07 Mar 2012 11:36
Last Modified: 07 Mar 2012 11:36
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/1483

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