Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Prevalence of increased body weight and hypertension in the population of Croatian mainland and Adriatic Islands - are islanders really healthier?

Kolčić, Ivana and Biloglav, Zrinka and Zgaga, Lina and Vorko Jović, Ariana and Curić, Ivo and Curić, Snježana and Sušac, Jelena and Velagić, Vedran and Matec, Lana and Zobić, Ivana and Žedelj, Jurica and Strnad, Marija (2009) Prevalence of increased body weight and hypertension in the population of Croatian mainland and Adriatic Islands - are islanders really healthier? Collegium antropologicum, 33 (Suppl.). pp. 135-140. ISSN 0350-6134

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    Croatian abstract

    USPOREDBA PREVALENCIJE POVEĆANE TJELESNE TEŽINE I POVIŠENOG KRVNOG TLAKA IZMEĐU STANOVNIKA KOPNENE HRVATSKE I JADRANSKIH OTOKA – JESU LI OTOČANI UISTINU ZDRAVIJI? ----- Cilj istraživanja bio je usporediti prevalenciju povećane tjelesne težine (ITM) i povišenog krvnog tlaka između stanovnika kopnene Hrvatske i jadranskih otoka. Podaci za studiju dobiveni su iz Hrvatske zdravstvene ankete (N=9.070) kao izvora podataka za kopnenu Hrvatsku, i iz istraživačke studije »1001 Dalmatinac« (N=1.001) kao izvora podataka sa četiri jadranska otoka; Raba, Visa, Lastova i Mljeta. Prevalencije povećane tjelesne težine i povišenog krvnog tlaka izračunate su za četiri dobne skupine i analizirane korištenjem hi-kvadrat testa. Rezultati upućuju na to da muškarci na otocima rjeđe imaju normalnu tjelesnu težinu (P<0,001) i veću prevalenciju povećane tjelesne težine (P<0,001). Među ženama nije zabilježena statistički značajna razlika u prevalenciji povećane tjelesne težine između otočana i stanovnika kopna. Postotak ispitanika s normalnim krvnim tlakom bio je manji na otocima (P<0,001), dok je postotak novodijagnosticiranih ispitanika s povišenim krvnim tlakom kod oba spola bio veći na otocima (P<0,001). Rezultati upućuju da zdravstvena slika otočana nije tako povoljna, unatoč prikladnijem životnom stilu i mediteranskom načinu prehrane, barem u smislu prevalencije čimbenika rizika za nastanak kardiovaskularnih bolesti. Ovakav nalaz bi, osobito među muškarcima, mogao biti posljedica otežanog pristupa zdravstvenoj službi, odnosno manje brige za preventivne preglede i kontrolu zdravlja, što je mogući uzrok većoj pojavnosti novodijagnosticiranih ispitanika s povišenim krvnim tlakom i manjoj prevalenciji ispitanika s prikladno liječenom hipertenzijom. Dobiveni rezultati upućuju na to da su otočne populacije prikladne za javnozdravstvene intervencije i akcije kojima je cilj promicanje zdravlja i prevencija bolesti.

    English abstract

    The aim of this study was to compare the prevalence of the hypertension and the increased body weight (BMI) between Croatian mainland and Adriatic island population. The data from the Croatian Adult Health Survey (N = 9,070) served as an estimate for the mainland Croatian population, while the data from "1001 Dalmatian study" (N = 1,001) were collected from four Adriatic islands; Rab, Vis, Lastovo and Mljet. The prevalence of increased body weight and hypertension was calculated for the four age groups and analyzed using chi-square test. The results indicate that men from the islands less frequently had normal body mass index (P < 0.001), and were more frequently overweight (P < 0.001). The prevalence of overweight and obesity were similar between the island and mainland women. The percent of normotensive respondents in men was significantly lower in islands (P < 0.001), while the prevalence of newly diagnosed hypertension was significantly higher among islanders in both genders (P < 0.001). Despite the traditionally prevalent Mediterranean diet and overall more favorable lifestyle islanders may not be as healthy as previously studies suggested, in terms of cardiovascular risk factors prevalence. This might be related to the poor access to health care and preventive measures or low interest for health care especially among men on the islands, reflected in the higher prevalence of newly diagnosed hypertension. These findings suggest that island populations represent good candidates for disease awareness programs and health promotion interventions.

    Item Type: Article
    MeSH: Adolescent ; Adult ; Aged ; Body Mass Index ; Comorbidity ; Croatia/epidemiology ; Female ; Humans ; Hypertension/epidemiology ; Male ; Middle Aged ; Obesity/epidemiology ; Overweight/epidemiology ; Prevalence ; Residence Characteristics
    Divisions: Katedra za medicinsku statistiku, epidemiologiju i medicinsku informatiku
    Depositing User: Marijan Šember
    Status: Published
    Creators:
    CreatorsEmail
    Kolčić, Ivana
    Biloglav, Zrinka
    Zgaga, Lina
    Vorko Jović, Ariana
    Curić, Ivo
    Curić, Snježana
    Sušac, Jelena
    Velagić, Vedran
    Matec, Lana
    Zobić, Ivana
    Žedelj, Jurica
    Strnad, Marija
    Date: April 2009
    Date Deposited: 24 Aug 2009
    Last Modified: 23 Sep 2011 18:10
    Subjects: /
    Related URLs:
      URI: http://medlib.mef.hr/id/eprint/612

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