Distribution of changes in systolic blood pressure and waist circumference -indicators for primary prevention [Promjena distribucija sisoličkog tlaka i opsega struka - indikatori primarne prevencije]

Vitale, Ksenija and Sović, Slavica and Vuletić, Silvije (2012) Distribution of changes in systolic blood pressure and waist circumference -indicators for primary prevention [Promjena distribucija sisoličkog tlaka i opsega struka - indikatori primarne prevencije]. Collegium Antropologicum, 36 (S. 1). pp. 241-244. ISSN 0350-6134

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Abstract

Eliminating or diminishing risk behaviors that lead to cardiovascular diseases could be achieved through primary prevention during the general practice visits. However, there is difference in effectiveness of preventive measure while there are no symptoms, and reactive response when burden of diseases start to show. We analyzed trends in gender and age--pattern changes of systolic blood pressure and waist circumference, as a reflection of primary prevention. Results show increase of values for both indicators in both genders, through youngest and middle age groups. In the oldest group stagnation and even decrease of values is evident. These results signal possible absence of primary prevention in younger age groups and some action when symptoms occur. It is hard to distinguish weather lower values is consequence of medication or lifestyle change. The absence of primary prevention is usually missed opportunity that is charged later both to the patient and health care system.

Abstract in Croatian

Smanjenje ili eradikcija rizičnih ponašanja koji mogu dovesti do pojave kardiovaskularnih oboljenja može se postići primarnom prevencijom kroz rad liječnika obiteljske medicine. Važno je napomenuti da postoji kvalitativna razlika u savjetovanju kad simtomi bolesti još ne postoje i kad bolesnik već osjeća teret bolesti. Cilj ovog rada je razmotriti promjene dvaju indikatora kardiovaskularnih bolesti; sistolički tlak i opseg struka prema spolu i dobnim skupinama. Rezultati su pokazali porast vrijednosti za oba indikatora u oba spola te najmalađu i srednju dobnu skupinu. U najstarijoj dobnoj skupini vidljiva je stagnacija i/ili pad vrijednosti indikatora. Ovi rezultati signaliziraju mogući izostanak primarne prevencije u ovim dobnim skupinama i neku aktivnost kod pojave simptoma, ali je teško razlikovati da li je pad vrijednosti indikatora posljedica medikacije ili promjena životnog stila. Izostanak savjetovanja kao primarne prevencije može se smatrati izgubljenom prilikom koja se kasnije naplaćuje i bolesnicima i zdravstvenom sustavu.

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