Avtor/Urednik		Bulc, Mateja; Fras, Zlatko; Zaletel-Kragelj, Lijana
Naslov		Twelve-year blood pressure dynamics in adults in Ljubljana area, Slovenia: contribution of WHO countrywide integrated noncommunicable disease intervention program
Tip		članek
Vir		Croat Med J
Vol. in št.		Letnik 47, št. 3
Leto izdaje		2006
Obseg		str. 469-77
Jezik		eng
Abstrakt		Aim To determine 12-year dynamics of the average value of arterial blood pressure and arterial hypertension prevalence among adult residents of Ljubljana area in Slovenia, and to assess the probable contribution of World Health Organization's Countrywide Integrated Noncommunicable Diseases Intervention Program (CINDI) to observed dynamies. Methods A total of 4409 adults aged 25-64 participated in three successive cross-sectional surveys performed in Ljubljana area from late autumn to early spring 1990/1991, 1996/1997, and 2002/2003 (n1990/91 = 1692, n1996/97= 1342, n1990/91=1375). Standardized measurements of systolic and diastolic blood pressure were performed. The subjects were considered to have hypertension if systolic/diastolic blood pressure was >-140l90 mm Hg. The dynamics of average values of systolic and diastolic blood pressures and arterial hypertension was statistically assessed with multiple linear or logistic regression. Results Afrer the adjustment for the effects of sex, age, and education, the average value of systolic blood pressure remained almost the same between 1990/1991 and 1996/1997 (130.6 ± 20.3 and 130.6 ± 19.6 mm Hg, respectively; P=0.728), whereas it significantly decreased to 127.6± 17.8 mm Hg in 2002/2003 (P<0.001).The average vaIue of diastolic blood pressure was not significantly different in 1990/1991, 1996/1997, and 2002/2003 (83.4± 11.6 mm Hg, 84.1 ± 11.4 mm Hg, and 83.5 ± 11.2 mm Hg, respectively; P= 0.059). The odds ratio for arterial hypertension increased significantly between 1990/1991 and 1996/1997 (P=0.001), but decreased between 1996/1997 and 2002/2003 (P= 0.135). Conclusions The values of blood pressure rernained unchanged or increased during the first half of I2-year period, but decreased during the second half. The favorable decrease in average blood pressure could be attributed to systematic intervention promoted by CINDI program activities in Slovenia, which started in the late 1990s.
Deskriptorji		BLOOD PRESSURE HYPERTENSION EDUCATIONAL STATUS ADULT SEX FACTORS AGE FACTORS PREVALENCE CROSS-SECTIONAL STUDIES LOGISTIC MODELS