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Public health and lifestyle interventions to reduce cardiovascular risk in Macedonia: Evaluation and recomenndations

Public health and lifestyle interventions to reduce cardiovascular risk in Macedonia: Evaluation and recomenndations

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World Heart Federation, WCC 2012
https://www.facebook.com/notes/hepa-macedonia-national-organization-for-the-promotion-of-health/public-health-and-lifestyle-interventions-to-reduce-cardiovascular-risk-in-maced/221374904591638
World Heart Federation, WCC 2012
https://www.facebook.com/notes/hepa-macedonia-national-organization-for-the-promotion-of-health/public-health-and-lifestyle-interventions-to-reduce-cardiovascular-risk-in-maced/221374904591638

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Published by: Ass. Prof. Vera Simovska, MD., PhD. on Oct 16, 2011
Copyright:Attribution Non-commercial

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10/20/2011

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WCC 2012: Epidemiology / prevention of cardiovascular disease 
Public health and lifestyle interventions to reduce cardiovascularrisk in Macedonia: Evaluation and recommendations
 Authors:
Vera Simovska
1, 2; Co-author:
 Mila Vidin
2
1 - Public Health Institutions-Skopje, Nutrition Research Department, Skopje,Macedonia. TTFV, Univ. St. Kliment Ohridski-Bitola. Email: vera.simovska@uklo.edu.mk 1, 2 - HEPA Macedonia National organization. Email:hepa@makedonija.com 
Introduction
: The greatest disease burden comes from cardiovascular disease(CVD).It’s consequence of an interaction between genes and lifestyle, environmental factorsand community situation in Macedonia. The main biological factors (RF’s) relatedto unhealthy lifestyle increase the CVD risk. From public health perspective, it is of key importance to prevent CVD through surveillance of cases and to promote lifestyleinterventions.
Objectives
: 1) To analyze and evaluate the results of cross-sectional studies for dietaryhabits, physical activity levels (PALs) monitoring, smoking and main biological RF’s(1991-2011) (http://sc-healthreform.org.mk/web/committee/info-submissions/3933.html);2) To evaluate the efficiency of a randomized controlled trial at high-risk groups aiming toreduce biological RF’s for CVD through lifestyle intervention (http://posters.f1000.com/p882);3) To develop a comprehensive approach with a practical lifestyle intervention model that wouldbe feasible within the primary healthcare and on community level using different settings(http://www.cindi.makedonija.com
 
).
Methods
: The results of six cross-sectional studies for dietary habits, PALs monitoring, smokingand main biological RF’s conducted among general population (7-65y) were collected from1991-2011. With aim to estimate the highest research reduction of modifiable biological RF forCVD using lifestyle interventions, four randomized controlled trials were analyzed.
Results
: The complex results indicate that lifestyle interventions to reducecardiovascular risk should be focused on younger age groups of girls and adult over 50 years old,especially women. Concerning the changes of dietary habits, the most important is radical foodmarket and food production changes. The highest results against smoking habits was achievedthrough creating tobacco-free communities (http://www.nosmoking.cjb.net
 
) .
Conclusion
: To reduce the prevalence of CVD, our practical lifestyle intervention modelemphasizes primary care, multisectoral action and community participation on a populationlevel.

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