Author/Editor		Bulc, Mateja
Title		Vpliv sprememb življenjskega sloga odraslih prebivalcev Ljubljane na krvni tlak
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2006
Volume		str. 109
Language		slo
Abstract		Background. High blood pressure is one of the main risk factors for a cardiovascular disease. Program Countrywide Integrated Noncommunicative Disease Intervention (CINDI) of the World Health Organisation (WHO) is a systematic way of dealing with chronic non-communicative diseases. Each country participating in the programme has to assess prevalence of risk factors in the country, estimate a global cardiovascular risk of the population and intervene, according to this risk assessment. In Slovenia CINDI programme is present for 15 years. Three surveys of a random, representative sample of adults from 25 to 64 years old, Ljubljana inhabitants were performed in this period of time. Aims. The goal of this study was to evaluate the success of the CINDI programme in Slovenia by analysing the data from three surveys, performed in 1990/91, 1995/96 in 2001/02, assessing the differences in elevated blood pressure prevalence, differences in prevalence of accompanying disorders and in changes in unhealthy behaviours, related to high blood pressure of participants. Methods. All surveys consisted of a questionnaire on lifestyle, a clinical examination and a laboratory assessment of blood glucose and lipids. In statistical analysis estimates of prevalence for observed outcomes were assessed, while the strength of the association between the occurrence of observed outcomes and selected factors (sex, age, education level) was univariately estimated using a chi square test. Results. The study discovered that health behaviours had changed and blood pressure levels had decreased: prevalence of elevated blood pressure from 37,9% over 43,3% to 39,5%, overweight from 20,5% to 19,6%, physical inactivity from 76,5% over 79,2% to 76,8%, insufficient ingestion of fruit from 21,3% to 5,8% and vegetables from 5,5% to 3,4%, excess salt ingestion from 22,2% to 19,6% and risky alcohol consumption from 15,4% to 9,7%. (Abstract truncated at 2000 characters)
Summary		Izhodišče. Zvišan krvni tlak je pomemben dejavnik tveganja za nastanek srčno-žilne bolezni, ki predstavlja pomemben zdravstveni problem razvitih držav. Program Countrywide Integrated Noncommunicative Disease Intervention (CINDI) Svetovne zdravstvene organizacije (SZO) se je kroničnih nenalezljivih bolezni lotil sistematično: oceni razširjenost dejavnikov tveganja in izračunu srčno-žilne ogroženosti vzorca populacije izbranega referenčnega področja so sledili ukrepi. V Sloveniji poteka program CINDI od leta 1990, izvedeni so bili trije pregledi reprezentativnega vzorca odraslih prebivalcev Ljubfjane, starih od 25 do 64 let. Nameni in cilji. Namen naloge je bil oceniti uspešnost programa CINDI na področju zvišanega krvnega tlaka v letih od 1991 do 2003 v Sloveniji. Cilji naloge so bili trije: ugotoviti gibanje krvnega tlaka v času programa CINDI pri odraslih prebivalcih mesta Ljubljana, oceniti uspešnost intervencij na osnovi spremembe krvnega tlaka in na osnovi spremembe v vedenjih, tveganih za arterijsko hipertenzijo. Metodologija. Vsak pregled so sestavljali: vprašalnik o dejavnikih tveganja življenjskega sloga, klinični pregled in laboratorijska določitev krvnega sladkorja in serumskih maščob. Pri analizi podatkov smo uporabili naslednje statistične metode: opis porazdelitev vrednosti za posamezno spremenfjivko, opis gibanja trendov, primerjavo posameznih dejavnikov in oceno vpliva intervencij med 1990 in 2003. Rezultati. V času trajanja naloge je po uvedbi organiziranega preventivnega programs v ambulante splošne/družinske medicine prišlo do znižanja krvnega tlaka odraslih Ljubljančanov (prevalenca zvišanega krvnega tlaka je s 37, 9% v prvi presečni študiji po šestih letih najprej zrasla na 43,3%, ob zadnjem pregledu 2001/02 pa je padla na 39,5%). Enako dinamiko kažejo tudi prevalence vedenj, tveganih za arterijsko hipertenzijo. (Izvleček skrajšan na 2000 znakov)
Descriptors		LIFE STYLE HYPERTENSION BLOOD PRESSURE DETERMINATION HEALTH FOOD ALCOHOL DRINKING HYPERLIPIDEMIA BLOOD GLUCOSE HEALTH PROMOTION QUESTIONNAIRES ADULT